How to Effectively Manage Ascites in Liver Cancer Patients

Ascites is a common complication in patients with liver cancer, and understanding its underlying cause is crucial for effective management. If the ascites are due to low albumin levels, intravenous albumin infusion combined with diuretic therapy can help reduce fluid buildup. In such cases, improving serum albumin levels supports better fluid balance and reduces the risk of recurrent ascites.

For patients experiencing significant fluid accumulation, paracentesis may be performed to remove up to 1,000 mL of fluid per day, offering rapid relief from discomfort and pressure. This procedure can be repeated as needed under medical supervision to manage symptoms effectively.

However, it's important to note that ascites can reaccumulate quickly after drainage. To prevent this, doctors often prescribe diuretic medications to maintain fluid balance and reduce the likelihood of recurrence. Alongside diuretics, continued albumin supplementation may be necessary to support liver function and minimize fluid leakage into the abdominal cavity.

In cases where ascites are caused by cancerous cells spreading into the peritoneal cavity, targeted cancer treatments such as chemotherapy or immunotherapy may be required to control tumor growth and reduce fluid production. These therapies aim to address the root cause by targeting and eliminating cancer cells responsible for the ascites.

Managing ascites effectively requires a comprehensive and individualized approach, combining both symptomatic relief and long-term treatment strategies tailored to the patient's specific condition.