How to treat cirrhotic ascites to get well faster

  First, remove the pathogenic factors. Hepatitis B cirrhosis ascites patients advocate active antiviral therapy, oral lamivudine, adefovir, entecavir and other antiviral drugs; alcohol or drug-induced cirrhosis must stop drinking, stop using liver-damaging drugs.  Second, use the “three treasures”. The so-called “three treasures” (is my name), refers to the Western medicine in the albumin, antibiotics, diuretics. If the test plasma albumin is lower than 30 g/l, it must be supplemented with intravenous human albumin injection once a day or once every 2-3 days, depending on the condition. If ascites persists for more than 1 month, most of them have abdominal infection. It is recommended to use cephalosporin III antibiotics (allergy test should be done before use), commonly used are ceftriaxone, cefotaxime, cefminox, etc., 2-4 grams per day, dissolved and divided into 2 intravenous drips.  Diuretics are oral (spironolactone tablets, hydrochlorothiazide tablets, etc.) and intravenous push (furosemide, torasemide), depending on the condition, choose one or a combination of applications.  If the “three magic weapons” are used properly, most patients have a significant increase in urine volume, and ascites can be quickly relieved or even recede. When the treatment effect is not good, we should first reflect on whether there is something wrong with the use of the “three magic words”. Is the diuretic not strong enough? Is the frequency of albumin insufficient? Is the dose of antibiotics insufficient? Or is it the wrong choice?  Ascites due to abdominal infection cannot be ignored, and it can be very large and severe. The patient’s plasma albumin can be normal or low, at this time, pure diuretic and supplemental albumin are not effective, the correct choice of antibiotics will often achieve satisfactory results.  The quality of albumin and antibiotics will also affect the efficacy of the treatment, the first choice of imported varieties, especially antibiotics, greedy cheap, delayed.  The “three magic words” are the doctor’s business, too professional, the patient is not easy to learn and master. The patient should listen to the doctor’s advice, the hospitalization hospitalization, the injection injection, not stubborn, dragging around, treatment more difficult.  Third, Chinese herbal medicine. Early or mild cirrhosis ascites can be completely treated with pure Chinese medicine, and the effect is good, and there are many successful cases. However, the longer duration of the disease, more than a medium amount of ascites, should be in the “three treasures” based on the addition of Chinese herbal medicine, the recent efficacy of Chinese herbal medicine than albumin and antibiotics, if the patient a large amount of ascites, inconvenient to take drugs, can be suspended to take Chinese medicine, to wait for the “three treasures” The patient’s recent efficacy is less than that of albumin and antibiotics. Chinese medicine to promote the lung, spleen, kidney, blood, open the orifice, water as a method to regulate the five organs, support the righteousness and eliminate evil, soften the liver, the treatment of the disease to seek the root. Properly applied, ascites control will be more ideal.  Fourth, diligent examination. To regularly check the liver function, especially the albumin in the liver function, most hospitals can check this alone, about 5 yuan, early morning fasting blood test. The normal value of 35-55 grams, an average of 40 grams, patients with cirrhosis must maintain albumin in more than 32 grams, below 30 grams may occur ascites. When it is low, you have to give intravenous albumin, and the dose and frequency of supplementation is decided according to the degree of low. It is useless to rely on eating eggs, meat, etc. alone to supplement.  Fifth, more rest and prevent colds. Exertion, anger, cold, fever, diarrhea, etc. are common factors that lead to the relapse of ascites patients. Especially the cold and fever, can not be prevented, the most harmful. Many patients who have improved after treatment have fever after a cold, and ascites then increases.  Once ascites develops in a patient with cirrhosis, it may recur. Being hospitalized once and having the ascites subside does not mean complete cure. Poor liver function, reduced ability to produce albumin, lower plasma albumin, the medical term for this is “hypoproteinemia”, which is the main cause of most ascites, therefore, diligent examination is very important, and the sedation of human albumin is very important.  The “three treasures” plus herbal medicine, maintenance treatment, in order to long-term treatment.