Hepatic ascites is a complication of cirrhosis that causes portal hypertension, visceral congestion, low protein and other diseases, indicating that the liver has been seriously damaged.
According to the difference in ascites, it is clinically divided into a small amount of ascites, a large amount of ascites, and stubborn ascites. As the disease progresses, it may also induce hypoproteinemia and intra-abdominal co-infection.
Hepatic ascites is one of the complications of the decompensated phase of cirrhosis, so it should be treated and controlled in the early stages of the disease.
In clinical practice, diuretics such as spironolactone and furosemide are commonly used to help excrete ascites in the body. Secondly, the production of ascites is also related to low protein, so proper intravenous albumin injection can also reduce the production of ascites.
In addition, ascites can also be discharged from the body by abdominal puncture, but too much ascites cannot be withdrawn at one time, so as to avoid excessive loss of albumin, causing complications such as gastrointestinal bleeding and hepatic encephalopathy. Some people think that hepatic ascites is cirrhosis, but this is not the case.
Regarding hepatic ascites, many people have certain cognitive misunderstandings. So what are the misunderstandings about hepatic ascites?
1. Do not drink water
Patients with hepatic ascites do have a lot of water in their abdominal cavity, but this does not mean that patients cannot drink water. Due to excessive water in the abdominal cavity, the amount of blood circulating in the blood is reduced, and the patient will have a dry mouth and tongue, but he will want to drink more water.
Therefore, after suffering from hepatic ascites, you can drink water normally, if you blindly drink less water, you may also have symptoms of dehydration, making the condition more serious.
2. It is forbidden to eat salt
Patients with hepatic ascites can eat salt, but salt intake needs to be restricted. Complete restriction of salt intake is easy to cause hyponatremia in the body, coupled with a large amount of sodium substances excreted with urine, it may lead to water and electrolyte disorders.
Under normal circumstances, those with more ascites are best to consume 1-2 grams of salt per day, and after the symptoms improve, the daily intake of salt should not exceed 3.5 grams. If it is found that the serum sodium is less than 120 mMol /L, not only can not limit the salt, but to supplement the salt in time, so it is not as long as the liver ascites must be completely avoided.
3. Hepatic ascites is cirrhosis
Cirrhosis is a diffuse damage that occurs when the liver is stimulated for a long time, and ascites is mainly caused by cirrhosis, but is not limited to cirrhosis.
Cirrhosis patients may have symptoms of ascites at the same time, but many diseases can cause symptoms of ascites, such as liver cancer, severe viral hepatitis, etc., so the two cannot be arbitrarily classified as the same condition.
4. Ascites can be released
When there is too much ascites, the patient will have severe abdominal pain, and when the amount of abdominal water is reduced, the abdominal pain will be obvious.
It is precisely because of this that many patients have become dependent on ascites. However, frequent use of peritoneal puncture to discharge ascites not only does not cure the disease, but also causes the body to lose a lot of protein. Protein has a vital role in controlling the disease, if not replenished in time, it will also aggravate the problem of abdominal distention and abdominal pain, which will form a vicious circle.
At the same time, frequent ascites pumping may also induce a series of complications, such as upper respiratory tract bleeding and hepatic encephalopathy.
Hepatic ascites is the most chronic disease, which needs to be treated in time to avoid discomfort such as abdominal pain and bloating, and can even be life-threatening as the disease develops.
Therefore, we must pay attention to the control of the disease in life, and the above four misunderstandings should be avoided. At the same time, we should also pay attention to liver nourishment and liver protection, and reduce liver damage as much as possible. If liver disease is diagnosed, it is also necessary to actively treat the symptoms so as not to worsen the condition and induce hepatic ascites.