DIET IN HEPATIC CIRRHOSIS - Copy.ppt
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Cirrhosis is a chronic liver disease caused by conditions like alcoholism, hepatitis B and C, and fatty liver disease. It involves scarring and regeneration of the liver leading to loss of function. For patients with cirrhosis, dietary modifications are important and include a high protein, high carbohydrate diet with moderate or restricted fat intake providing 2000-2200 calories per day. The diet should also restrict sodium if ascites is present, provide adequate vitamins and minerals which may be malabsorbed, and restrict protein if hepatic encephalopathy is present.
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- 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.