Health Information for Patients with Hepatic Ascites

  Hepatic ascites refers to the symptoms of ascites and bloating in the decompensated stage of cirrhosis, which can be manifested as a large belly like a drum and edema of both lower limbs, and is the most common clinical manifestation of cirrhosis. The author hopes that through this article, patients with liver ascites can better understand this disease, do a good job of prevention and care, become “half a doctor”, and better cooperate with doctors to fight with liver ascites.  The causes of hepatic ascites are mainly due to the combination of increased pressure in the blood vessels (portal vein) in the liver caused by cirrhosis, hypoproteinemia caused by decreased liver function, and obstruction of abdominal lymphatic reflux. It is often the result of long-term chronic damage to the liver. The overall prognosis is severe.  Treatment of ascites At present, for primary ascites, basic treatment such as salt and water restriction and rest is usually given, and if necessary, diuretics and albumin supplementation can improve the treatment. However, the treatment of refractory ascites is relatively complicated and requires knowledge of the presence of ascites infection and whether the ascites is intractable. Most patients can improve with comprehensive treatment.  Other problems that may occur in patients with hepatic ascites Patients with hepatic ascites in the decompensated stage of cirrhosis are prone to upper gastrointestinal bleeding because cirrhosis can cause varices in the esophagogastric fundus, and the rupture of this vessel can lead to gastrointestinal bleeding. In addition, it is easy to combine with infections (such as intestinal infection, lung infection, spontaneous peritonitis) and electrolyte disorders, etc. In addition, some patients with hepatic ascites are prone to complications of liver cancer.  Patients with hepatic ascites need to focus on understanding the issues Patients should not simply think that the ascites receding disease is well, the following points need to be clarified, first of all, it should be clear what causes cirrhosis, whether it is viral hepatitis or alcohol and other factors, the need to treat the original disease such as whether antiviral. Secondly, attention should be paid to diet, such as avoiding overheated food, too hard food and coarse fiber, etc. At the same time, nutrition should be enhanced, and the flexibility of oral medication, this should be dynamically communicated with the doctor. Thirdly, dynamic testing of weight, liver function, ultrasound, etc. is needed to accurately understand their condition.  Finally, patients with liver ascites are advised to communicate with their hepatologists regularly to accurately grasp their physical condition in order to fully benefit and enjoy their lives.