Hepatitis C
Return To SinoMed Main
Information presented on this website is for educational purposes only.
Materials presented have not been evaluated by the U.S. Food & Drug Administration and are not meant as a replacement or substitute for professional medical diagnosis and treatment. Visitors are advised to seek professional medical care for any any disease or illness.
 


 

 

Articles by
Dr. Zhang
 
TCM and MCM Theory Related to Common Liver Disease Blood Test Markers

Low Dose Interferon Patient Experiment

Hepatitis A Prevention Reminder

Hepatitis: Causes of Pain in Liver Region 

The Need to Monitor Your Chronic Hepatitis

Liver Enzyme Fluctuation during Allergy Season 

What are the Serum Markers of Hepatitis B and What do They Mean?

Enterogenous Endotoxemia in Chronic Hepatitis–
Part 2

Enterogenous Endotoxemia in Chronic Hepatitis–
Part 1
 

Chronic Hepatitis and "Blood Activating and Stasis Expelling" (BASE) Therapy -
Part 2

Chronic Hepatitis and "Blood Activating and Stasis Expelling" (BASE) Therapy
Part 1

What Causes Gastrointestinal Bleeding in Cirrhotic Liver Disease

Dietary Support for Cirrhotic Liver Diseases

Ascites - A Complication of De-Compensated Liver Cirrhosis

Liver Cirrhosis - Portal Vein Hypertension Complications

Liver Cirrhosis Overview

PG-IFN and Ribavirin Treatments

Antibiotics and Chronic Liver Diseases

Why is Alcohol Harmful for People with Hepatitis?

Co-infections and Super-infections of Viral Hepatitis

Beware of Medications That Can Cause Liver Damage

Bile Retention and Its Clinical Manifestations (MCM) part 4

Modern Chinese Medicine (MCM) Part 3 
Jaundice and Chronic Viral Hepatitis

Modern Chinese Medicine (MCM) Anti-Liver-Fibrosis Treatments - Part 2

Modern Chinese Medicine (MCM) Anti-Liver-Fibrosis Treatments - Part 1

What is Liver Fibrosis and How is It Different from Cirrhosis?

How does the liver change as we get older?

How is that my LFTs are so good when my viral load is seemly so high?

Comprehensive Care for Chronic Viral Hepatitis

What can Cause Liver Inflammation?  

What Are the Major Functions that the Liver Carries?


 





Dietary Supportive Therapy for Cirrhotic Liver Diseases

For patients with cirrhosis, a balanced nutritional diet is very important as a supportive therapy. Patients with cirrhosis often show signs of malnutrition, and the main reasons are:
1. Poor appetite causes insufficient food intake
2. In the de-compensated stage, nutrients from food are poorly absorbed due to edema in the gastrointestinal system and the lack of digestive enzyme secretion
3. Due to the deterioration of liver functions, nutrients absorbed from the intestines are not well metabolized in the liver
4. The damaged liver requires more amounts of certain nutrients for regeneration and repair
5. The use of diuretic medication and aspiration of the ascites can cause the loss of protein
 
Correct dietary therapy can improve the metabolism of the liver and also meet the nutritional needs of the other organ systems. It can promote the regeneration and repairing of the liver structure and improve the detoxification functions of the liver. A good diet can also enhance the immune functions of the body, raise resistance to infections, and promote good nutrient storage, transport, and regulation in the liver.  The prevention of malnutrition related damage is very important and therefore, nutritional therapy is one of the most important treatment factors in cirrhosis.

What is the correct diet for patients with cirrhosis?
The following are some general guidelines:

1. Carbohydrates: Carbohydrates should make up about 40% of the diet. This amount can help protect the liver, enhance resistance to infections, and reduce protein catabolism. However, too much carbohydrate intake can cause weight gain and cause fatty deposits in the liver.

2. Protein: For a patient with no disorientation, no elevation of serum nitrogen, about 60 grams of protein per day should meet the daily requirement. Proteins absorbed through natural foods such as meat, fish, soy products, and eggs are the best. For patients that have problems with eating solid foods, protein can be taken as amino acids, albumin or serum infusion. When there are symptoms of encephalopathy, protein intake should be reduced to less than 20 grams per day.

3. Fats and oils: A cirrhotic liver cannot metabolize fats well, so low fat diet is important. Animal fats and fried foods should be avoided as much as possible. Olive oil is recommended for cooking.

4. Multiple Vitamins and minerals: Supplements with multiple vitamins and minerals are important. Fresh vegetables and fruits are good sources rich in vitamins and minerals. Vitamins B1, B2, C, E, K, and minerals zinc and selenium are important.

5. For patients with ascites and edema, it is very important that salt intake be restricted to less than 2 grams per day. For patients with persistent ascites, salt should be eliminate from the diet and water intake should be limited to about 1500 ml per day.

6. For patients who have varices in the esophagus or stomach, hard foods should be avoided. Soft foods should also be well chewed before ingesting to prevent bleeding.

 

Return Home
About HCV
Overview
Causes and Transmission

 
Diagnostic Tests
Antibody
HCV RIBA
HCV RNA 
Viral Load

Viral Genotyping

 
Major Signs
Liver Inflammation
Fibrosis
Cirrhosis

 
Peripheral Signs and Symptoms
Fatigue
Jaundice
Bile Retention
Joint Pains and Skin Rashes
Blood Sugar Instability
Portal Vein Hypertension
Ascites

 
Important Liver Function Test Markers
Overview
ALT and AST
ALP and GGT
Albumin
Bilirubin
PT (Prothrombin Time)
 
Liver Biopsy
Overview
Procedure
Inflammation Grade
Fibrosis Stage
 
Interferon Based Treatment
Overview
Ideal Candidate
Possible Side-effects
 
Liver Support with TCM
Overview
Liver Enzymes
Serum Albumin
Blood Clotting Factors
Bile metabolism
GGT
 
Dietary Considerations
Overview
Proteins
Essential Fats
Carbohydrates
Vitamins
 
 

 


 

 

Medical Information Sources:
http://www.nih.gov/
http://www.nlm.nih.gov/

http://nccam.nih.gov/
http://www.medlineplus.org/


Contact the Webmaster

Copyright © 2005 Sinomed Research Institute®