DIET IN HEPATIC CIRRHOSIS - Copy.ppt

2. DIET IN HEPATIC
CIRRHOSIS
Cirrhosis is a consequence of chronic liver disease
characterized by replacement of liver tissue by fibrosis,scar
tissue and regenerative nodules,leading to loss of liver
function.cirrhosis is most commonly caused by
alcoholism,hepatitis B and hepatitis C and fatty liver disease
but has many other possible causes.

3. DIETARY MODIFICATION IN CIRRHOSIS;
 High protein,high carbohydrate,moderate or
restricted fat,high calorie diets are
preferred.sodium has to be ristricted in case of
ascites.In addition,it is a good idea to take a
daily multivitamin.

5.  Energy:2000-2200 kcal/day
 proteins:1.2-1.5gm/day
 If presence of hepatic encephalopathy,high
protein intake must be avoided.
 fats:medium chain triglycerides containing C8 to C10
fatty acids can be given as these can be easily
digested and absorbed even in the absence of bile
salts(coconut oil)

7.  Carbohydrates; should be given in adequate
amount.
 Vitamins and minerals;
 Malabsorption of fat soluble and B-complex vitamins
occurs in alcoholic and biliary cirrhosis.
 Potassium supplementation.
 Vitamin supplementation.
 Sodium restriction if oedema and ascites.
consistency;
 A soft dite is best.
 reduction in fibre in advanced cirrhosis as there is
danger of haemorrhage from oesophageal varices.