INFECTIVE HEPATITIS -
SYMPT OMS AND DIETARY MANAGEMENT
hepatitis is otherwise known as viral hepatitis.
Symptoms : Anorexia, fever, headache, rapid weight loss, loss of muscle tone and abdominal discomfort precede the
development of jaundice. Neglected viral hepatitis leads to cirrhosis of liver.
Treatment consists of adequate rest, nutritious diet and avoidance of further
damage to the liver.
Dietary Management : The objectives of dietary treatment
are to aid in the regeneration of liver tissue and prevent further liver
A high protein, high carbohydrate, moderate fat is recommended. Small
attractive meals at regular intervals are better tolerated. Over feeding should
Energy : Sufficient calories should be given to maintain weight and reduce protein catabolism. A diet
which supplies 1600 k cals to 2000 k cals is suggested.
Proteins : 1 g
protein per kilogram of body weight daily is needed to overcome negative nitrogen balance, for liver cells to
regenerate and prevent fatty infiltration of the liver. With severe jaundice 40
g and in mild jaundice 60 - 80 g of protein is permitted. In hepatic coma
protein containing foods are avoided and high carbohydrate containing foods are
Fats : In severe jaundice 20 g and moderate jaundice 20-30 g is given. Fat needs to be restricted
when there is obstruction to bile flow and in hepatic coma when fats are not
metabolized by the liver.
Carbohydrates : High intake of carbohydrate is essential to supply enough calories so that tissue proteins are not broken down
for energy. Fruits, fruit juices, vegetable juices, sugar, jaggery and honey
are given to supply adequate electrolytes.
Vitamins : Vitamins are essential to regenerate liver cells. 500 mg of vitamin C, 10 mg of vitamin K, and B-complex vitamins
are essential to meet the daily needs. If anorexia, nausea or vomiting are
present, the vitamins may be given by injection.
Minerals : Oral
feeds of fruit juice, vegetable and meat soups with added salt given orally or through a naso gastric tube help
in maintaining the electrolyte balance.
Foods to be included and avoided are
presented in List.
: Foods that can be included and avoided in Infective Hepatitis
to be included :
Cereal porridge, soft chapathis, bread,
rice, skimmed milk, potato, yam, fruit, fruit juices, sugar, honey, soft
biscuits, custards without butter, and cream.
to be avoided :