Hi there,
I'm sorry that this patient is having these issues. The most common cause of fluid buildup in the abdomen in a cirrhotic is ascites, which has several ways of being treated. First of all, I'd recommend a low sodium diet, and this patient should started on some diuretics (water pills) such as lasix (furesomide) and
spironolactone (
aldactone). Second, if the abdomen is very tight, and this patient can't eat, they likely need a
paracentesis, which is removal of fluid from the abdomen with a needle. Some cirrhotics will respond to medical management with the medications and diet I mentioned above, but some others need regular paracentesis. It really depends on the degree of
cirrhosis, which is difficult to determine with the limited information here.
I would really recommend this patient see a
hematologist (a liver specialist) as this a is a difficult condition to treat and requires a doctor with experience with it.
I hope this answers your question. Please feel free to contact me if you have any further questions.