Does a pregnant woman with excessive amniotic fluid necessarily need an amniocentesis?

Patient's question:

Does a pregnant woman with excessive amniotic fluid necessarily need an amniocentesis?

Doctor's answer:

Medical Analysis: Hello, this condition requires timely treatment.
Guidance: For patients with chronic hydramnios, a low-sodium diet can be recommended, along with oral diuretic medications such as hydrochlorothiazide (25 mg) once daily. Alternatively, traditional Chinese medicine Bai Zhu San can be used, with the formula consisting of 20 g of white, 100 g each of Ze Xie, Fu Ling Pi, and Chen Pi, ground into a fine powder. Take 10 g twice daily (morning and evening), with porridge as a vehicle.
The dietary remedy "Red Bean Coix Seed Congee" is also effective for chronic hydramnios. Use 50 g of red beans, 30 g of coix seed, and 100 g of glutinous rice, cooked into congee and consumed once daily. Allow natural delivery when the pregnancy reaches full term. However, if the fetus has malformations or if there is acute hydramnios, pregnancy should be terminated promptly.

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