Overview of Alcoholic Liver Cirrhosis and Ascites

• This condition results from prolonged alcohol use, leading to liver damage and fluid accumulation in the abdomen.

Abstinence from Alcohol

• Complete cessation of alcohol is crucial for treatment and preventing further liver damage.

Medical Management of Ascites

• Diuretics like spironolactone and furosemide are used to reduce fluid buildup. Regular monitoring of electrolytes and kidney function is essential.

Nutritional Support

• A balanced diet with adequate protein and sodium restriction is recommended to manage ascites.

Management of Complications

• Treat infections such as spontaneous bacterial peritonitis if present. Beta-blockers may be used to reduce portal hypertension.

Procedures for Severe Ascites

• Therapeutic paracentesis may be necessary to remove excess fluid when diuretics are insufficient.

Liver Transplant Evaluation

• Consideration for liver transplantation in eligible patients with advanced disease.

Follow-up and Monitoring

• Regular clinical and laboratory assessments to monitor liver function and treatment response.

Relevant Medical Specialties

• Involvement of hepatology and gastroenterology specialists for comprehensive care.

Patient Education and Support

• Counseling on lifestyle changes and participation in support groups for alcohol cessation is advised.