AN EVALUATION OF RIGID DIETARY SODIUM RESTRICTION IN THE MANAGEMENT OF ASCITES IN CIRRHOSIS OF THE LIVER

Abstract

The importance of dietary Na restriction is stressed, both from the standpoint of treatment and of prevention of ascites formation associated with cirrhosis of the liver. With the use of protein supplements low in Na content, high protein diets can be obtained without raising the total Na content of the diet appreciably. In 7 of the 8 cases studied, prevention and retardation of the formation of ascites were accomplished. Rigid Na restriction is not without hazard, however, since one patient continued to form ascites with resultant dilution of his extracellular fluid and ultimate death. Close clinical judgment must be exercised to determine if Na depletion has occurred, and electrolytes must be given, even at the expense of ascites formation, if the latter condition develops. In most instances Na restriction is a worthwhile adjunct in the treatment of cirrhosis of the liver because of the prevention of serious protein loses and the discomfort from frequent abdominal paracenteses.