ABDOMINAL
CHRONIC LIVER DISEASE
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Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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low-sodium diet
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diuretics
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abdominal paracentesis
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arteriography The basic treatment for ascites is a low-sodium diet with a goal of 2, 000 mg or less of sodium per day . If diet is ineffective, people are usually also given diuretics (such as spironolactone or furosemide). Paracentesis is used for diagnosis.
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Detailed explanation-1: -Ascites due to cirrhosis can be mobilized in approximately 90 percent of patients with a treatment regimen consisting of dietary sodium restriction (usually 88 mEq [2000 mg] per day) and oral diuretics (usually consisting of spironolactone and furosemide) [1].
Detailed explanation-2: -The cirrhotic patient with ascites has an increased tubular reabsorption of sodium. Diuretic therapy allows an urinary loss of sodium.
Detailed explanation-3: -Restricting your salt intake is one of the most effective treatments for ascites. Ask your provider about working with a dietitian to plan a salt-restricted diet and other treatment options for ascites that doesn’t respond to diuretics.
Detailed explanation-4: -Guidance Statements. Moderate sodium restriction (2 g or 90 mmol/day) and diuretics (spironolactone with or without furosemide) are the first-line treatment in patients with cirrhosis and grade 2 ascites.