What to do if you have severe ascites and don’t like to eat

When ascites is serious and does not like to eat, we can consider adjusting the diet, using drugs to promote the absorption of ascites, etc., and if necessary, we can also consider peritoneal puncture and drainage.
1. Dietary adjustment: pay attention to low-sodium diet, sodium chloride intake should be limited to less than 2g/d, and water intake should be limited to less than 1000ml/d; nutrient support can be ensured through small meals.
2. Pharmacotherapy: diuretics such as furosemide and spironolactone can be considered, and plasma albumin can be injected intravenously as appropriate to promote the discharge of ascites from the body.
3. Peritoneal puncture drainage: mainly used for persistent ascites, can be considered for peritoneal puncture drainage, if conditions permit, can also be considered for transjugular intrahepatic portacaval shunt, to promote the elimination of ascites.
The loss of appetite in patients with ascites is mostly related to portal hypertension and pressure on internal organs, and appropriate methods should be chosen according to the condition to eliminate ascites, and symptoms such as anorexia can be reduced. It is recommended to consult a doctor in time and carry out standardized treatment under the doctor’s guidance to avoid delaying the condition.
Drugs should be used under the guidance of a professional physician, and should not be used arbitrarily on their own.