A CASE DISCUSSION ON ASCITIS

Dr. Shubhangi Masugade* and Dr. Jyoti Meghdambar

ABSTRACT

Ascitis is disease of accumulation of free fluid in peritoneal cavity. This disease is caused due to cirrhosis, as well as, portal hypertension, congestive heart failure, nephrosis, or disseminated carcinoma. The comman cause of ascitis were alcohol liver cirrhosis (62%), malignancy (13%), non alcoholic cirrhosis (5%), malignancy with cirrhosis (5%). Over all mortality rate at 1 month, 6 month and 1 year were 22%,40%, 48% respectively. The patient came to us with the complaint of abdominal distension, bilateral pedal oedema decreased appetite and generalized weakness. Management by modern medicine aims to control abdominal distension by surgical method of paracentesis. Still recurrence of fluid accumulation is found. So, the treatment like purgative, stimulant to hepatic function and treatment to improve appetite was selected in present case. The result replicated the original study and showed substantial improvement in the patient. Nitya virechana means purgation and agnideepan means treatment to improve appetite showed effective result in the patient.

Keywords: Ascitis, Purgation, Appetisor, Stimulant for liver.