Choice of diuretics in cirrhosis with ascites.

Thirty non azotemic cirrhotics with ascites were treated with oral diuretics on outpatient basis. Estimation of 24 hrs urinary sodium levels proved useful in the diagnosis of secondary hyperaldosteronism (63.3% cases) and the determination of type and dose of diuretics required. Prompt and effective clearance of ascites occurred within 4 weeks of the therapy. No adverse effects were noted and no hospitalisation was required. The regimen was found to be cost effective for developing countries (JPMA : 37 : 142, 1987).