Cirrhosis can use diuretics?

Q: chronic hepatitis B develop liver cirrhosis. In recent years there often ascites, using diuretics at the hospital, ascites soon disappear, so whenever there ascites abdominal distention, I used diuretics on their own, with the increase in urine output, ascites disappeared. I recently by the past method of taking diuretics, ascites not only Weixiao, but gradually increase, Zhoushen extreme discomfort. Asked the experts instructed how to treat » A: Generally speaking, early cirrhosis without ascites, even if there is a small one-off nature. Since the mid-albumin reduce cirrhosis, can cause edema, when the portal hypertension, there will be ascites. To reduce ascites, with the exception of appropriate limit salt intake, and to give diuretics. The use of diuretics, serum sodium> 120 cents Moore / l, plasma osmotic pressure> 260 mOsm / L, only diuretic effect, or diuretic effect of poor, but also induced liver complications such as coma. You see from the letter is from the early to mid-term development of liver cirrhosis cirrhosis, at this time is likely to very low serum albumin, plasma osmotic pressure arising from low: Also repeated use of diuretics, cause hyponatremia significantly reduce, the use of diuretics, it is very difficult to play a role . Therefore, proposals to go to the hospital check serum albumin levels of sodium and, if both low and should be added albumin and limited amount of salt, this will enable the role of diuretics. Every day from the urine from only a small part of ascites, most of tissue fluid, it should not use excessive diuretics, medication should not be too long time: At the intermittent medication, and K-selection row potassium diuretics joint, so as to avoid Induced hypokalemia. Late loss decompensated cirrhosis, liver damage serious, large amount of ascites, would like to take diuretics to eliminate ascites is not possible. Stubbornly blind use of diuretics, is the "fuel" would lead to deterioration of conditions, the ascites due to cirrhosis in the use of diuretics should be used under the guidance of specialists.