The patient should remain on diuretics as long as he has ascites
. However he needs to be monitored with frequent laboratory studies to make sure his kidneys and electrolytes remain stable. Therefore he should get regular check up of at least sodium, potassium, creatinine
, blood urea nitrogen.
Quitting alcohol will definitely help, so he should be referred to AA (alcoholic anonymous) or a support group. If he can't tolerate diuretics or if his kidneys / electrolytes worsen then there are other more invasive alternatives such as doing paracentesis
as needed, or placement of a TIPS (transjugular intrahepatic portosystemic shunt).
Hope that helps.