In the outpatient clinic, I met a local hepatitis B patient in Shandong Province, who had an acute attack of liver cirrhosis due to high jaundice and hepatic ascites! Already admitted**.
During my ward rounds today, I was told that I had sudden diarrhea since yesterday, and I had diarrhea 4 times a day, all of which were loose stools. When he came, he had ascites, about 8 cm of stomach water, and it had lasted for a long time, and he also had some fever when he came, and then I thought about whether he had an infection, whether he had bacterial peritonitis.
First of all, it is most likely to occur in patients with ascites, which can lead to infection in the abdominal cavity, and the intestines are also in the abdominal cavity, which can also produce infection, and inflammation can lead to diarrhea.
In addition, there is dysbiosis, which is more common in patients with cirrhosis, because the intestinal flora is disordered, resulting in an increase in harmful bacteria, and a decrease in beneficial bacteria, which will lead to diarrhea.
Finally, there are drugs that cause diarrhea, I looked at the drugs in his prescription, including the current "yellowing drugs" that may cause diarrhea, such as ursodeoxycholic acid, which may cause diarrhea.
In combination with these aspects, there is an infection, as well as its own flora disorder, and medication, which lead to the appearance of diarrhea in this cirrhosis. So is there a problem in everyone? Have you ever taken into account the existence of these three points?