What are the typical symptoms of liver ascites

summary

Hepatoascites is very common in our life. We all know the harm of this disease. The onset of hepatoascites seriously affects the health of patients. Patients with liver cirrhosis should know more about the symptoms of hepatoascites in their daily life. Only in this way can they see a doctor as soon as possible when the symptoms of hepatoascites appear. The following is an introduction to the relevant content.

What are the typical symptoms of liver ascites

First, pre ascites: at this time, there is no ascites in patients with liver cirrhosis, and there is no expansion and insufficient filling of systemic circulation artery, but excessive sodium intake will cause water and sodium retention, that is, at this time, the kidney's sodium treatment has been impaired. This is due to liver dysfunction and increased portal pressure, which directly affect the kidney's treatment of sodium through nerve reflex, but the retention of water and sodium is self limited. 　　

Second, reactive ascites stage: in this stage, the retention of sodium and water in the kidney increased significantly and the total blood volume expanded, followed by peripheral artery expansion to reduce vascular resistance. The dilation of peripheral arteries is due to the release of a large number of vasodilators from visceral tissues, which leads to the dilation of visceral circulation and systemic circulation in turn. Then ascites was formed according to the hypothesis of peripheral artery. 　　

* third. Refractory ascites: this period is characterized by severe liver disease, obvious sodium retention, insensitivity to diuretic therapy and unstable hemodynamics. The activity of plasma renin angiotensin aldosterone system and sympathetic nervous system was increased, and the reactivity of peripheral blood vessels to vasoactive substances was decreased. However, the renal vessels are very sensitive to vasoconstrictors, and the renal reabsorption of sodium is further increased and excretion is reduced, which resists the effects of diuretics and natriuretic factors.

matters needing attention

Fat should not be too much, animal oil is forbidden, a small amount of vegetable oil can be used. The synthesis and secretion of liver bile in patients with liver cirrhosis are decreased, which seriously affects the digestion and absorption of fat.