HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Have Ascites, Less Pedal Edema, Am Chronic Alcoholic. How Many Days To Give Lasilactone?

Hi Dr. i have a male pt.,chronic alcohlic,suffering from ascites , jaundice ,B/L pedal edema .his SGOT is 105 and SGPT is 48.having loss of appetite and white stools.USG abd. shows no fibrosis but shrinkage in Rt.lobe of liver.i have prescribed him tb,lasilactone(20+50) bd.salt and fluid restricted diet.since last 20 days.he is improving ,now good appetite less pedal edema but ascites remains.for how many days i can give him lasilactone.
Sat, 15 Sep 2012
Report Abuse
Internal Medicine Specialist 's  Response
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.
I find this answer helpful

Note: For further follow up on digestive issues share your reports here and Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Recent questions on Ascites


Loading Online Doctors....
Have Ascites, Less Pedal Edema, Am Chronic Alcoholic. How Many Days To Give Lasilactone?

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.