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Ascitic Fluid Infection (Spontaneous Bacterial Peritonitis)

What is it?

Spontaneous bacterial peritonitis (SBP) is an infection of the ascitic fluid in individuals with cirrhosis or liver disease. It can be life-threatening and requires immediate medical treatment.

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What are the symptoms?

  • Abdominal pain and tenderness

  • Fever

  • Nausea and vomiting

  • Abdominal bloating or distension

  • Increased confusion (if liver disease is present)

What else could it be? (Differential diagnosis)

  • Acute pancreatitis

  • Peritonitis due to gastrointestinal perforation

  • Kidney failure

  • Sepsis

What are the aggravating factors?

  • Liver cirrhosis or liver failure

  • Poor liver function or high levels of bilirubin

  • Alcohol use (increases risk of liver disease and infection)

  • Immunocompromised state

What types of food are helpful?

  • Low-sodium diet: To prevent further fluid retention and swelling.

  • Protein-rich foods: Lean meats, fish, and legumes for protein support.

  • Hydration: Adequate fluid intake (avoiding excessive alcohol and salt).

Sample Recipe: Grilled Salmon with Avocado Salad

  • Ingredients: Salmon, avocado, spinach, cherry tomatoes, olive oil, lemon.

  • Directions: Grill the salmon and serve with a fresh avocado salad for a healthy, protein-packed meal.

What are the traditional treatments?

  • Antibiotics: Intravenous antibiotics to treat the bacterial infection (e.g., cefotaxime, ceftriaxone).

  • Hospitalization: For intravenous fluids, electrolyte correction, and monitoring.

  • Paracentesis: Fluid may be drained to remove the infected ascitic fluid.

What are the natural and alternative treatments?

  • Probiotics: May help restore the balance of gut bacteria and reduce the risk of infection.

  • Garlic: Natural antimicrobial properties that may help in preventing infections.

  • Turmeric: As an anti-inflammatory and antimicrobial agent.

Medical Disclaimer: The information provided on this website is for informational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding a medical condition. Reliance on any information provided on this website is solely at your own risk.

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