Ascities

Protocols

Clinical Features:
  • 1)increased abdominal size
  • 2)increased weight
  • 3)abdominal discomfort and 
  • 4)shortness of breath


Investigations:
  • 1)CBC-hb low,TC-increase
  • 2)Ascitic fluid study
  • 3)USG OF W/A 
  • 4)Liver function test
  • 5)serum electrolyte

Rx:

  • Diet-salt & water restriction (1-1.5 L/day)
  • Rest-horizontal position

1. Tab.Spirocard(spironolactone)(100mg) 1+1+0…..15 days 

2.paracentesis

Treatment of underlying cause

Advice:
  • avoid high sodium content drugs like-antacids,sodium valporate,aspirin,calcium,paracitamol
  • Avoid -sodium retention drugs- NSAIDS ,oestogen,corticosteroid,