Though large ascites causes much discomfort to the patient the real problem is hepatic encephalopathy where the patient may go into coma & bleeding from the varices.
Ascites is treated with various diuretics , often in combination, & restriction of salt & water intake.
Sometimes, when the diuretics do not work a long needle or catheter is used to draw out the ascitic fluid directly from the abdomen, a procedure called abdominal paracentesis. It is used when the ascites is causing painful abdominal distension or difficulty in breathing because it limits the movements of the diaphragms.
Established cirrhosis has a 10-year mortality of 34-66%, largely dependent on the cause of the cirrhosis; alcoholic cirrhosis has a worse prognosis .So the patient with cirrhosis should avoid alcohol totally.
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