Clinical diagnosis may be difficult, as the fluid masks signs of peritonitis. Survival depends on early, vigorous antibiotic therapy. Treatment Bed rest and dietary Na restriction are the mainstays of therapy. Diuretics should be used if rigid Na restriction fails. Inadequate dietary Na restriction is the usual reason for persistent ascites.
Therapeutic paracentesis is an alternative approach.
Even single total paracentesis appears safe. Their role in managing resistant ascites is controversial. All rights reserved.