Lasix for ascites

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    Lasix for ascites

    The most important step to treating ascites is to drastically reduce your salt intake. Seeing a nutritional specialist (dietitian) is helpful especially because the salt content in foods is difficult to determine. Salt substitutes – that do not contain potassium -- can be used. Often, patients will require diuretics ("water pills") to treat ascites. Common diuretics are spironolactone (Aldactone®) and/or furosemide (Lasix®). These water pills can cause problems with your electrolytes (sodium, potassium) and kidney function (creatinine). Taking water pills is not a substitute for reducing your salt intake. In order to use Medscape, your browser must be set to accept cookies delivered by the Medscape site. Medscape uses cookies to customize the site based on the information we collect at registration. The cookies contain no personally identifiable information and have no effect once you leave the Medscape site.

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    Ascites may become refractory to diuretic therapy in one of two ways. Maximal doses of spironolactone and furosemide may fail to achieve adequate diuresis. Ascites is a major complication of cirrhosis, occurring in 50% of patients over 10. furosemide versus spironolactone in patients with liver cirrhosis and ascites. My dad had recurrent ascites for the last several months of his life. When he very first developed ascites, he was given dietary restrictions and a was a diabetic and as his health declined, so did his kidneys and thus the diuretic had to be stopped.

    Ascites is defined as the accumulation of fluid in the peritoneal cavity. It is a common clinical finding, with various extraperitoneal and peritoneal causes (Box 1), but it most often results from liver cirrhosis. The development of ascites in a cirrhotic patient generally heralds deterioration in clinical status and portends a poor prognosis. Back to Top Ascites is the most common major complication of cirrhosis and is an important landmark in the natural history of chronic liver disease. If observed for 10 years, approximately 60% of patients with cirrhosis develop ascites requiring therapy. Back to Top Cirrhotic ascites forms as the result of a particular sequence of events. Development of portal hypertension is the first abnormality to occur. The goals of pharmacotherapy are to reduce morbidity and to prevent complications in patients with ascites. Diuretics should be initiated in patients whose ascites does not respond to sodium restriction. A useful regimen is to start with spironolactone at 100 mg/d. The addition of loop diuretics may be necessary in some cases to increase the natriuretic effect. If no response occurs after 4-5 days, the dosage may be increased stepwise up to spironolactone at 400 mg/d plus furosemide at 160 mg/d. For the management of edema resulting from excessive aldosterone excretion. Competes with aldosterone for receptor sites in distal renal tubules, increasing water excretion while retaining potassium and hydrogen ions. Increases the excretion of water by interfering with chloride-binding cotransport system, which, in turn, inhibits sodium and chloride reabsorption in the ascending loop of Henle and distal renal tubule. Depending on the response, administer at increments of 20-40 mg, no sooner than 6-8 h after the previous dose, until the desired diuresis occurs.

    Lasix for ascites

    Treatment and management of ascites and hepatorenal syndrome., Guidelines on the management of ascites in cirrhosis - NCBI - NIH

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  5. Effective Treatments & Remedies for Ascites. The home remedies for ascites include garlic, dandelion, gram, bitter gourd, fenugreek, radish, melon, onion, and adequate sleep. Ascites is a condition where there is fluid buildup in the abdomen or peritoneal cavity. This leads to inflammation in the arms, legs, and spleen.

    • Effective Treatments & Remedies for Ascites Organic Facts.
    • Diuretics for treating Ascites Treato.
    • Ascites Medication Diuretics - Medscape eMedicine.

    Ascites is a condition of accumulation of excess fluid in your peritoneal or abdominal cavity. It is also known as abdominal dropsy, hydroperitoneum or simply peritoneal cavity fluid. Depending on the amount of protein found in in the peritoneal fluid, ascites is generally divided in to two categories, exudative and transudative ascites. Cirrhosis is the most common cause of ascites in the United States. Immediate effects of furosemide on renal hemodynamics in chronic liver. Ascites can managed with a combination of spironolactone and furosemide 2 mg/kg of both twice daily. A lower protein diet with good quality protein will help, if neurologic signs are present lactulose will help as well. Most other therapies at this stage are of questionable value such as SAMe, silymarin, zinc, etc.

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