Ask a doctor - How do you treat ascites?

Q. How do you treat ascites?

Doctor Answer is medically reviewed by SecondMedic medical review team.

Answered by Secondmedic Expert

Dealing with ascites requires a comprehensive approach to address the underlying cause and manage symptoms effectively. Here's a breakdown:

1. Identify and Treat the Root Cause:
Ascites often stems from liver cirrhosis, heart failure, or other conditions. Pinpointing the primary issue is crucial. Consult with a healthcare professional for accurate diagnosis.

2. Diuretics - A Common First Step:
Diuretics, or water pills, are commonly prescribed to increase urine production and reduce fluid retention. They help manage mild cases of ascites but require careful monitoring.

3. Low-Sodium Diet - Watch Your Salt Intake:
Sodium can contribute to fluid retention. Adopting a low-sodium diet is key. Limit processed foods, canned goods, and restaurant meals. Opt for fresh, whole foods instead.

4. Paracentesis - Swift Fluid Removal:
In cases of severe ascites, a procedure called paracentesis may be performed. This involves draining excess fluid from the abdominal cavity using a needle. It provides quick relief but may need to be repeated.

5. Albumin Infusions - Restoring Protein Levels:
Albumin, a blood protein, may be administered intravenously to help maintain proper fluid balance. This is often done in conjunction with paracentesis.

6. Transjugular Intrahepatic Portosystemic Shunt (TIPS):
TIPS is a more advanced procedure where a shunt is placed within the liver to redirect blood flow and reduce pressure. It's considered for those not responding to other treatments.

7. Liver Transplant - A Last Resort:
In severe cases, where liver function is significantly compromised, a liver transplant may be considered. However, this is typically a last resort due to organ availability and other considerations.

8. Regular Monitoring - Stay on Top of It:
Ascites requires ongoing management. Regular check-ups and monitoring of liver function, fluid levels, and overall health are crucial for adjusting treatment as needed.

Remember, individual cases vary, and treatment plans should be tailored to the specific needs of each patient. Always consult with a healthcare professional for personalized advice and guidance on the best course of action for managing ascites. Early intervention and a proactive approach are key to better outcomes.