"Is Ascites Due to Cirrhosis a Serious Condition?"

Ascites in Cirrhosis Patients: An Important Indicator of Disease Progression

The presence of ascites in patients with cirrhosis is a significant manifestation of liver disease progression. Whether this situation is severe or not depends on the patient's condition. Here's an overview:

1. Normal Liver Function:

In this scenario, the condition is generally not too severe, and conservative treatment can be adopted.

2. Complicated with Other Conditions:

Such as gastrointestinal bleeding, which may indicate a more severe condition requiring prompt medical attention. Active control of the primary disease under medical guidance and corresponding treatment for complications are necessary.

Mild Cases:

During the Compensatory Stage (Early Cirrhosis):

Due to relatively mild肝细胞(hepatocyte) damage, there is little impact on portal vein pressure, and albumin synthesis remains stable. Therefore, there are often no significant clinical symptoms or signs. Total bilirubin and transaminase levels are within normal ranges, and abdominal B-ultrasound may reveal a small amount of ascites. While not severe, regular follow-ups are recommended to prevent progression to decompensated cirrhosis.

Severe Cases:

1. Acute Upper Gastrointestinal Bleeding:

Caused by ruptured esophageal and gastric varices, it presents as vomiting blood or dark stools, along with symptoms like hypotension, potentially threatening life safety. Immediate hospitalization is crucial, with treatment including administering somatostatin octreotide injection for hemostasis and, if necessary, endoscopic variceal ligation or tissue glue embolization.

2. Spontaneous Bacterial Peritonitis (SBP):

Common in malnourished cirrhosis patients, especially those with hypoproteinemia, SBP is primarily caused by Gram-negative bacteria, with Klebsiella pneumoniae being the most prevalent. Symptoms include fever, nausea, vomiting, and diarrhea. Prompt antibiotic treatment is essential, with common drugs including ceftazidime and piperacillin-tazobactam.

Other conditions like hepatorenal syndrome and electrolyte disturbances can also cause similar discomforts. Patients are advised to seek medical attention promptly for diagnosis and to cooperate with doctors for targeted treatment.

Daily Precautions:

Rest well, maintain a positive mindset, and follow a light and easily digestible diet rich in fresh fruits and vegetables for vitamin C, which aids in recovery.