The main objectives of diet therapy for hepatitis are:
- To provide adequate nutrition
- To relieve symptoms
- To aid in the regeneration of liver tissues
- To prevent further liver damage
Dietary modifications:
Energy: Initially the patient may not be able to eat enough due to anorexia. Gradually the energy intake should be increased.
Proteins: Protein needs to be increased to promote regeneration of the liver. However, a very high protein load may not be tolerable and needs to be adjusted depending on the extent of liver damage. In case of hepatic come protein intake needs to be reduced.
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Carbohydrates: A high carbohydrate diet is recommended to supply enough calories. This will avoid breaking down of tissue proteins for energy purpose.
Fats: In hepatitis the digestion and absorption of fat is impaired. So, it is advisable to decrease fat intake. Emulsified fats such as fat from milk, butter, cream, eggs should be given as they are easily digested.
Minerals: The diet should provide all minerals, particularly calcium and iron, in adequate amounts.
Vitamins: The requirement of vitamin A, B, C and K are increased and should be met partially by diet and partially by the help of supplements.
Note:
- Patient should be encouraged to eat.
- Food served should be well cooked, attractive and appetizing.
- Normal to soft diet should be given in three main meals with in between snacks. Avoid large meals.
- Foods to be included: sugar, honey, glucose, cereals, pulses, milk and milk products, eggs, fruits, and vegetables.
- Foods to avoid: fried and fatty foods, fats, oils, nuts and oilseeds, strongly flavored vegetables and foods
- Avoid alcohol and restrict at least for a year after the attack.