r/Cirrhosis • u/Itchy-Procedure1459 • 6h ago
Swollen stomach and legs / feet but no paracentesis
Hi,
My mom (46 y/o) was diagnosed with decompensated cirrhosis following a hospitalization for a GI bleed. During the hospitalization, she developed pretty bad stomach and leg/feet swelling which I was imagining was ascites. They put her on a diuretic after the hospital stay and just recently increased it to 50 mg spiro and 20 mg lasix. While they don’t visibly have seemed to help, she hasn’t gained any weight over the last week and has been losing small amounts (0.5lb ish) each day.
They also scheduled for her to get a paracentesis today to help relieve some of the stomach swelling. Howvwer, upon ultrasound of the stomach they said she didn’t have enough fluid in the abdominal cavity and that it was mostly sitting in her skin tissue instead, so they couldn’t do a paracentesis. Has anyone else experienced this? How did you manage getting the fluid out without paracentesis? I want to trust that the diuretic is working since we haven’t seen reverse progress but I’m also worried that maybe she’s losing weight from muscle loss too since she can barely get around with all her swelling. She is still eating fine and is getting a lot of protein but she gets full easily from the swelling.
Any tips on how to get this managed are so appreciated!