Prevention of bleeding
Both pharmacological (non-specific β-blockers, nitrate isosorbide mononitrate, vasopressin such as terlipressin) and endoscopic (banding ligation) treatment have similar results. TIPS (transjugular intrahepatic portosystemic shunting) is effective at reducing the rate of rebleeding.The management of active variceal bleeding includes administering vasoactive drugs (somatostatin, octreotide), endoscopic banding ligation, balloon tamponade and TIPS. Ascites
The management of ascites needs to be gradual to avoid sudden changes in systemic volume status which can precipitate hepatic encephalopathy, kidney failure and death. The management includes salt restriction, diuretics (spironolactone), paracentesis, and transjugular intrahepatic portosystemic shunt (TIPS). Hepatic encephalopathy
A treatment plan may involve lactulose, enemas, and use of antibiotics such as rifaximin, neomycin, vancomycin, and the quinolones. Restriction of dietary protein was recommended but this is now refuted by a clinical trial which shows no benefit. Instead, the maintenance of adequate nutrition is now advocated. References
Further reading


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The addition of 1 ppm of thaumatin considerably reduces this bitterness. Complaints of bitterness or a chemical or metallic taste are also reported with potassium chloride used in food. Industrial
As a chemical feedstock, it is used for the manufacture of potassium hydroxide and potassium metal. It is also used in medicine, lethal injections, scientific applications, food processing, soaps, and as a sodium-free substitute for table salt for people concerned about the health effects of sodium. It is used as a supplement in animal feed to boost the potassium level in the feed. As an added benefit, it is known to increase milk production. It is sometimes used in solution as a completion fluid in petroleum and natural gas operations, as well as being an alternative to sodium chloride in household water softener units. Glass manufacturers use granular potash as a flux, lowering the temperature at which a mixture melts. Because potash imparts excellent clarity to glass, it is commonly used in eyeglasses, glassware, televisions, and computer monitors. KCl is useful as a beta radiation source for calibration of radiation monitoring equipment, because natural potassium contains 0.0118% of the isotope 40K. One kilogram of KCl yields 16350 becquerels of radiation, consisting of 89.28% beta and 10.72% gamma, with 1.46083 MeV. In order to use off-the-shelf materials, it needs to be crystallized sequentially, using controlled temperature, in order to extract KCl, which is the subject of ongoing research.