Liver Cirrhosis Ascites Care Tips

Living with liver cirrhosis and ascites requires careful management and lifestyle adjustments. Proper positioning is essential for patients with ascites, as lying flat can significantly improve blood flow to the liver—by up to 20-30% compared to standing—allowing the organ to receive more nutrients and rest. This position also helps reduce overall physical strain.

For severe cases, a semi-reclining posture may be more beneficial. This posture helps lower the diaphragm and eases breathing difficulties caused by fluid buildup in the abdomen. It's especially useful when discomfort or pressure becomes more pronounced.

Managing abdominal pressure is another key consideration. Avoiding sudden increases in intra-abdominal pressure can prevent complications, such as pain or herniation. Patients should take precautions to minimize heavy coughing, sneezing, or straining during bowel movements. These actions can place unnecessary stress on the abdominal area.

Dietary regulation plays a crucial role in managing ascites. Limiting daily sodium intake to less than 2 grams and fluid consumption to under 1,000 milliliters helps control fluid retention. A low-sodium diet is particularly important to prevent worsening of symptoms.

Monitoring physical changes is also vital. Daily tracking of abdominal circumference and checking for leg swelling can provide valuable insight into fluid retention levels. Consistent observation allows for early detection of worsening conditions, enabling timely medical intervention.

Additionally, skin care should not be overlooked. Due to limited mobility and fluid retention, patients are at higher risk of developing pressure sores. Regular skin assessments and proper hygiene practices help prevent complications like bedsores.

When it comes to nutrition, patients should focus on easily digestible, soft foods. Eating smaller meals throughout the day helps ease digestion and prevents overeating. Avoiding spicy, coarse, or extremely hot foods is recommended to protect the digestive tract and maintain gastrointestinal health.