2. Dietary management for Cirrhosis
• Cirrhosis is a condition in which there is destruction of liver cells.
• Vitamin-A deficiency favors the formation of cirrhosis.
3. Principle of diet:
• A high protein , high calorie, high carbohydrates , moderate fat , high vitamin diet
helps in regulation of liver and helps to prevent the formation of ascites.
• Fiber should be restricted in case of oesophagal varices and portal hypertension.
• Carbohydrates should be liberally supplied so that the liver may store glycogen.
4. • During cirrhosis the liver concentration of folate, riboflavin, and vitamin-A, B1
and B2 are decreased. Hence they should be supplemented.
• A high intake of protein about 1.2gm/kg body weight should be given as it helps in
regeneration of liver cells.
5. Foods to be included:
• Cereals, simple sugars, honey, egg white, vegetables like bottle guard, ridge
guard, potato, fish, carrots, strained and clear juices and fruits less in fiber
can be given.
6. Foods to be avoided:
• Peas, beans, lentils, legumes, ladies finger, brinjal, fried foods, guava,
bakery items, spices, oily food, fast foods ,oil, butter, cheese, chocolates.
7. Foods to be restricted in ascites (accumulation of fluid in
peritoneal cavity):
• Salty foods, fiber foods, pickles, baked items, spinach, sea foods, whole
grains.
8. Sample diet for Cirrhosis:
Timings Menu Servings
Early morning Barley water 1 cup
Breakfast Kichidi 2 katori
Mid morning Orange juice 1 glass
Lunch Rice
Green gram dhal
Bottle guard curry
Curd
2 katori
1 katori
1 katori
1 cup
9. Timings Menu Servings
Tea time Tea
Rice flakes poha
1 cup
2 servings
Dinner Rice
Tomato dhal
Ridge guard curry
Curd
2 katori
1 katori
1 katori
1 cup
Bed time Skimmed milk 1 glass