Ascites

Treatment

  • Salt restriction
    • Effective in about 15% of patients
  • Diuretics
    • Spironolactone
      • Starting dose = 100mg/day PO (max 400mg/day)
      • 40% of patients will respond
    • Furosemide
      • 40 mg/day PO (max 160 mg/day)
      • Ratio of 100:40 with spironolactone (reduces risks of potassium prob)
  • Water restriction
  • Paracentesis
  • Liver transplantation
  • Shunting

See Also

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