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Suggest Treatment For Benign Ovarian Cyst While Treating Stage 4 Liver Cirrhosis
Question: I have stage 4 cirrhosis. Right now I have had 6 liters of fluid taken from my abdomen which is pink in color.
The docs do not feel it is coming from the liver because that color would be goldish in nature. One, is pink fairly common, and two, if it is not coming from the liver, where is it coming from. And three, how to prevent more build up because this is the 3rd time it has been drained in 6 weeks.
Thanks. XXXXXXX Freed I also have a benign cyst on my ovary.
The docs do not feel it is coming from the liver because that color would be goldish in nature. One, is pink fairly common, and two, if it is not coming from the liver, where is it coming from. And three, how to prevent more build up because this is the 3rd time it has been drained in 6 weeks.
Thanks. XXXXXXX Freed I also have a benign cyst on my ovary.
Brief Answer:
Salt restricted and high protein diet
Detailed Answer:
Hello! Thanks for putting your query in HCM. I am a Gastroenterologist.
I can understand your concerns
Presence of fluid in tummy or abdomen and refilling after evacuation is one of the common complication of cirrhosis.
Recommendation at this stage is transplant of liver, however if it is not an option then it it is to be treated medically
Among medicines, you have to keep few things in mind:
1. Salt restricted diet that is not more than 2 gm/ day that is not more than half teaspoon in a day, including every food in 24 hrs
2. High protein diet that is around 1.6gm/kg/ day
3. Dose of diuretics. I prefer Dytor plus (5/50) which contains torsemide and aldactone respectively. It is to be increased in the same ratio as it is available that is to increase the number of tablets to achieve the target, XXXXXXX dose is 8 tablets /day, keeping a close watch on kidney function tests like serum creatinine, sodium and potassium. Target is to loose weight around 5oogm/ day if pedal oedema is absent, 800gm/ dat if pedal oedema is there. For this you have to self monitor daily your weight, total fluid intake, total urine output. Or simply get a negative balance of 500ml/day (Input-output) till ascites is resolved.
Now coming to colour of fluid, believe me no one can tell whether it is from liver or not just by seeing the colour. If you want to confirm then get fluid examination for albumin, TLC, and cytology and on the same day get serum albumin and calculate SAAG (serum ascites and albumin gradient) that is serum albumin minus ascites albumin. If it is > 1.1 it is from liver
I hope I have answered your query and this will help you . Wish you a good health
Salt restricted and high protein diet
Detailed Answer:
Hello! Thanks for putting your query in HCM. I am a Gastroenterologist.
I can understand your concerns
Presence of fluid in tummy or abdomen and refilling after evacuation is one of the common complication of cirrhosis.
Recommendation at this stage is transplant of liver, however if it is not an option then it it is to be treated medically
Among medicines, you have to keep few things in mind:
1. Salt restricted diet that is not more than 2 gm/ day that is not more than half teaspoon in a day, including every food in 24 hrs
2. High protein diet that is around 1.6gm/kg/ day
3. Dose of diuretics. I prefer Dytor plus (5/50) which contains torsemide and aldactone respectively. It is to be increased in the same ratio as it is available that is to increase the number of tablets to achieve the target, XXXXXXX dose is 8 tablets /day, keeping a close watch on kidney function tests like serum creatinine, sodium and potassium. Target is to loose weight around 5oogm/ day if pedal oedema is absent, 800gm/ dat if pedal oedema is there. For this you have to self monitor daily your weight, total fluid intake, total urine output. Or simply get a negative balance of 500ml/day (Input-output) till ascites is resolved.
Now coming to colour of fluid, believe me no one can tell whether it is from liver or not just by seeing the colour. If you want to confirm then get fluid examination for albumin, TLC, and cytology and on the same day get serum albumin and calculate SAAG (serum ascites and albumin gradient) that is serum albumin minus ascites albumin. If it is > 1.1 it is from liver
I hope I have answered your query and this will help you . Wish you a good health
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Above answer was peer-reviewed by :
Dr. Prasad
Answered by
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