I have a patient with history of chronic alcholic use was diagnosed as ALD with ascities. Patient had been ill since about a month or two with gradual asthenia and gradual distension of abdomen. No icterus. His CBC is within normal ESR 53, LFT Normal, KFT, Normal BS Normal, Urine normal, Ascitic fluid DLC 80 Lymphocytes and 20 N. US Abdomen - shows, Hepato-splenomegaly, PH.
Chest X Ray, Bilateral Pleural Effusion. Any comments or recommendations? He is on Anti - Kochs, Diuretic, Antibiotic, Sylimarin and Liver care tonics and IV. Your suggestions solicited.
