Question

A 63-year-old man with alcoholic cirrhosis presents with increasing abdominal distension. Examination shows shifting dullness but no encephalopathy. What is the preferred initial diuretic regimen for uncomplicated ascites?

Accepted Answer

Spironolactone alone, titrated as needed

Answer

Loop diuretic alone

Answer

Combination of spironolactone and frusemide from the outset in all cases

Answer

Thiazide diuretic alone

Answer

No diuretics; paracentesis only

Practice question

A 63-year-old man with alcoholic cirrhosis presents with increasing abdominal distension. Examination shows shifting dullness but no encephalopathy. What is the preferred initial diuretic regimen for uncomplicated ascites?