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. 1975 Aug;51(598):558-62.
doi: 10.1136/pgmj.51.598.558.

A rational approach to the treatment of ascites

V Arroyo, J Rodés

A rational approach to the treatment of ascites

V Arroyo et al. Postgrad Med J. 1975 Aug.

Abstract

A rational approach to the diuretic therapy of ascites is proposed. Fifty-five patients were classified according to their ability to excrete sodium and free water. Patients with a high urinary sodium excretion can be treated by low sodium intake alone. In most patients with a low sodium excretion but high free water clearance, distal diuretics (spironolactone or triamterene) with a low sodium diet will relieve ascites. Patients with low values for sodium excretion and free water clearance also have poor glomerular filtration rate and only a few of these will respond to diuretic therapy.

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