Abdominal Dropsy (Ascites): Therapy

In addition to treatment of ascites (abdominal dropsy), therapy of the underlying disease is of primary importance.

General measures

  • Strive to maintain normal weight! Determination of BMI (body mass index) or body composition by means of electrical impedance analysis and, if necessary, participation in a medically supervised program for the underweight.
    • Falling below the BMI lower limit (from the age of 45: 22; from the age of 55: 23; from the age of 65: 24) → Participation in a medically supervised program for the underweight.

Regular checkups

  • Regular medical checkups

Nutritional medicine

  • Nutritional counseling based on nutritional analysis
  • The need for fluid restriction in ascites is controversial. On the other hand, a maximum fluid intake of 1,000-1,500 ml/d is recommended to prevent hyponatremia (sodium deficiency).
  • Absolutely necessary is fluid restriction in dilutional hyponatremia. Here, fluid intake should be reduced to 750-1,000 ml/d. In this case, patients must be very disciplined with often tormenting thirst.
  • Observe the following special dietary recommendations:
    • The main focus of nutritional therapy for abdominal dropsy (ascites) is the restriction of saline intake (combined with bed rest):
      • A maximum of 3-6 g of table salt per day
      • Avoid ready meals and canned food
      • Limit the consumption of bread and bakery products, sausage and meat products, cheese.
      • Avoid sodium-containing mineral waters (> 150 mg sodium per liter).
      • Use low-sodium products
  • Other specific dietary recommendations depending on the cause of ascites (abdominal dropsy).
  • Selection of appropriate foods based on the nutritional analysis.
  • See also under “Therapy with micronutrients (vital substances)” – if necessary, taking a suitable dietary supplement.
  • Detailed information on nutritional medicine you will receive from us.