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Hepatorenal Syndrome and Swellings

Provided by Expert Zhang Youkang on 2012-10-04 11:15

Swellings is a common symptom of hepatorenal syndrome. This article will talk about why swelling occurs in patients and how to manage the symptom.

Why swelling occurs in hepaorenal syndrome?

Abnormal swelling is always a sign for hepatorenal syndrome, which relates to both liver damage and kidney damage. When liver becomes scarred, swelling in abdomen may occur. In this condition, the peritoneum is the inner lining of the abdominal cavity, which also folds over to cover the organs inside the abdomen such as the liver, gallbladder, spleen, pancreas, and intestines.

Besides, the kidney damages may another common cause for hepatorenal syndrome. When kidneys cannot function well, the heavy loss of protein happens in urine. This results in a reduction in the concentration of albumin in the blood.

Albumin is a substance which maintains blood volume in the blood vessels, a reduction of fluid in the blood vessels occurs. The kidneys then register that there is depletion of blood volume and, therefore, attempt to retain salt.

As a result, fluid moves into the interstitial spaces, thereby causing pitting edema.

How to manage swelling in patients?

- Special exercise. Some mild exercise helps alleviate the swellings, especially the decongestive exercise. Carefully guided exercises performed by the patient wearing the compression bandages or garments as well as respiration therapy aid the lymphokinetic effects of the joint and muscle pumps.

- Skin management. Skin problem is a common and serious result of swelling. Patients are suggested not always sit or lie in a same gesture for a long time. And it is better to use soft towel to clean the skin slowly and gently.

- Diuretic. Diuretics usually are ordered to deal with the serious swelling problems.

- Diet. A proper diet is necessary. You are suggested to have a low-salt and low fat diet, which helps alleviate the problem.

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