DIET IN HEPATIC CIRRHOSIS - Copy.ppt

DIET IN HEPATIC CIRRHOSIS - Copy.ppt

2. DIET IN HEPATIC
CIRRHOSIS
Cirrhosisisaconsequenceofchronicliverdisease
characterizedbyreplacementoflivertissuebyfibrosis,scar
tissueandregenerativenodules,leadingtolossofliver
function.cirrhosisismostcommonly causedby
alcoholism,hepatitisBandhepatitisCandfattyliverdisease
buthasmanyotherpossiblecauses.

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.