xcelsia:
The treatment of ascites largely depends on the underlying cause. For example, peritoneal carcinomatosis or malignant ascites may be treated by surgical resection of the cancer and chemotherapy, while management of ascites related to heart failure is directed toward treating heart failure with medical management and dietary restrictions.

Because cirrhosis of the liver is the main cause of ascites, it will be the main focus of this section.

Diet
Managing ascites in patients with cirrhosis typically involves limiting dietary sodium intake and the use of diuretics (water pills). Restricting dietary sodium (salt) intake to less than 2 grams per day is very practical, successful, and widely recommended for patients with ascites. In majority of cases, this approach needs to be combined with the use of diuretics as salt restriction alone is generally not an effective way to treat ascites. Consultation with a nutrition expert in regards to daily salt restriction can be very helpful for patients with ascites.

Medication
Diuretics increase water and salt excretion from the kidneys. The recommended diuretic regimen in the setting of liver related ascites is a combination of spironolactone (Aldactone) and furosemide (Lasix). Single daily dose of 100 milligrams of spironolactone and 40 milligrams of furosemide is the usual recommended initial dosage. This can be gradually increased to obtain appropriate response to the maximum dosage of 400 milligrams of spironolactone and 160 milligrams of furosemide, as long as the patient can tolerate the dose increase without any side effects. Taking these medications together in the morning is typically advised to prevent frequent urination during the night.

Therapeutic paracentesis
For patients who do not respond well to or cannot tolerate the above regimen, frequent therapeutic paracentesis (a needle carefully is placed into the abdominal area, under sterile conditions) can be performed to remove large amounts of fluids. A few liters (up to 4 to 5 liters) of fluid can be removed safely by this procedure each time. For patients with malignant ascites, this procedure may also be more effective than diuretic use.

Surgery
For more refractory cases, surgical procedures may be necessary to control the ascites. Transjugular intrahepatic portosystemic shunts (TIPS) is procedure done through the internal jugular vein (the main vein in the neck) under local anesthesia by an interventional radiologist. A shunt is placed between the portal venous system and the systemic venous system (veins returning blood back to the heart), thereby reducing the portal pressure. This procedure is reserved for patients who have minimal response to aggressive medical treatment. It has been shown to reduce ascites and either limit or eliminate the use of diuretics in a majority of cases performed. However, it is associated with significant complications such as hepatic encephalopathy (confusion) and even death.

More traditional shunt placements (peritoneovenous shunt and systemic portosystemic shunt) have been essentially abandoned due to their high rate of complications.

Liver transplant
Finally, liver transplantation for advanced cirrhosis may be considered a treatment for ascites due to liver failure. Liver transplant involves a very complicated and prolonged process and it requires very close monitoring and management by transplant specialists.

thank you...pls which hospital in nigeria can treat ascites?

Hello doctor in d house I notice dat wen ever I eat food my belly will swell up I can't go 2 toilet my abdomen is paining me and part of my stomach.....I can't sleep in d night...I did a scan and they said I have ascites...pls any doctor dat can advice me on dis plssss I don't want 2 die

Pls u guys should coment

Hello doctor in d house I notice dat wen ever I eat food my belly will swell up I can't go 2 toilet my abdomen is paining me and part of my stomach.....I can't sleep in d night...I did a scan and they said I have ascites...pls any doctor dat can advice me on dis plssss I don't want 2 die

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pls were can I buy dat soap

obo389: Dnt u kn d curent trends?
GO AND BLEACH

I don't like bleaching

HELLO GUYS....I WANT U GUYZ 2 TELL ME D CREAM I WILL USE ON MY DARK SKIN D CREAM AM USING B4 AS MAKE ME MORE BLACK LIKE NIGHT....I WANT A CREAM AND SOAP DAT WIL MAINTAIN MY COLOUR NOT D ONE DAT WIL MAKE ME MORE BLACK.....PLS I DONT WANT CREAM DAT WIL BLEACH MY SKIN OOO




Thanks

Now listening to
AJUJU SHANTE

Nonesense

Use what u have 2 get what u want
#nigeriagirls

DJDOLA: Some nigerian are crazy walahi....if u can not support ur brother who else will support him....I believe if yaya toure is not better than mikel is people will support him no matter what....abi if yaya toure is nigeria and mikel is from ivory coast I trust nigeria they will vote for mikel

1000000Likes

Airforce why do u go and open another mail wit woman I'd na u don pass dis level joor ode

[quote author=DailyNews]I blame the world. How can people call Islam a religion Islam is a CULT! A blood thirsty cult!!! Every muslim have an atom of violence in him/her, check them from today and see. No Christian/Hindu/Budha/etc gets violent when u criticise Jesus, or whatever the religion believes in. But criticise Muhammed and watch every Muslim go violent and bloody.

Only cultists act that way. Only a cult kill to foster their aim and to fulfil their belief/faith.

Which other religion fights with:
Christians
Hindu
Budha
Jews
Pagans, et al aside Islam


Watch all the countries where Muslims are in majority, they have no peace, no freedom, no development, in fact they live like slaves.

But if Muslims do not come together without all these their lip-singing criticisms of their extremists, the whole world will come at them and they sure know it that they can't contend the terror.

Every other religion is keeping quiet now and acting calm and they keep forming heroes and killing unarmed innocent children and women at unexpected hours...a time will come when they predator will turn to prey, let muslims or islam worshippers mark my word.

Everything in life has a saturation point and Muslims are gradually approaching their saturation point.

Remember when an elastic material reaches its yield point, the next thing is to break, and if Muslims or Islam worshippers do not begin a thorough checkmate and war against their extremists to stop all these rampant killings of innocent people all over the world, they will soon break. And what they will experience won't be funny...

Wicked, inhumane set of cowards attacking unarmed women and kids. Cowards who can't face armed people, only prefer to attack like thieves and still feel they are brave....shame on all extremist islam and whoever that supports them and shame on all humans that kills fellow human in the name of a god or a belief. Fools!!!

We shall see...keep doing what u are doing, it won't be long.[/quote/)na lie u guys are d same

clockers: Islam is a cancer if you don't get rid of cancer it spreads and destroys .Islam is a cancer it will keep destroying while covertly saying islam is for peace
And some people will believe them for a while because the nice ones are covert ,but they will keep attacking because Quran teaches jihad violence
They will never stop. They will keep killing people un till they are stopped . In the mean time expect things like this un till they are flushed out

shut_up mr man u guys are d same....pot calling kettle black.....ur pastors are are thief....I think I still love muslim people morthan christain....pastors are criminal decieving people

No more religion.....religion as cus more damage than good.....christain/muslim are scam...its muslim today christain might start tomorow bombing mosque I don't support any of the religion both religion should be ban in d world....free ur mind guys

C'est moi:
Ye! asiri ba tu,lol.

asiri tu oooo

Hey guys dat is photoshop nah

Were is dat djdola...let him come and tell us how 2 surf maths in is dear language

Post ur picture let see what ur got dude

Thank u dude u make me laugh

DJDOLA: Hey bros u really Bleep-up...something like dis as happen 2 me at ikotun....one dirty navy man said I used my pam slippers stain is shoe when we are dragin motor...before I could say sorry sir...o boy if u see d slap way dis man give me henn I just d see star...na hin I begin shout...yehhhh mo gbe oooo egba mi oooo mio ri na mo ooo oju mi ti fo oooo....na so people way dey bustop intervene ooooo...

U mean swallowed a fone....God have mercy...UNBELIVABLE

Gud day guys











My first comment since 06