Diet Chart For Hepatic Encephalopathy Patients
Last Updated: Aug 29, 2020
About Hepatic Encephalopathy Diet
Hepatic Encephalopathy is the loss of brain function which occurs when the liver is unable to break down toxins such as ammonia and manganese properly due to a build-up of toxins in the bloodstream. This causes the toxins to enter the brain.
Hepatic Encephalopathy diet is known to be immensely helpful when suffering from hepatic encephalopathy as a low-protein diet structure can reduce ammonia levels in the blood. The diet mainly focuses on what to avoid rather than what to include as the idea is to lower the toxin levels in the bloodstream.
Protein consideration – When proteins break down, they release toxins such as ammonia. A diseased liver is unable to do a complete breakdown which leads to confusion and disorientation. Therefore a low-protein diet is strongly recommended. Lean protein sources such as chicken (without skin) and fish are suggested.
Reducing salt levels – A diseased liver can lead to fluid accumulation in which case salt intake needs to be reduced. This can be done by consuming fresh whole foods instead of packaged and processed foods as they contain a lot of salt.
Limit carbohydrates – Excess of carbohydrates is known to deposit fatty layers on the liver which interfere with its functioning. It is advised to avoid white-flour foods and sugary drinks and increase the consumption of whole grains, fruits and vegetables.
Follow this 7 Day Diet Chart of Hepatic Encephalopathy, those are suffering from this problem. This diet chart is created after a discussion with an experienced dietitian Here we listed food items which can you eat in the Hepatic Encephalopathy problem and helps in recovering it.
Food items listed in this diet chart for Hepatic Encephalopathy easily availble in your local market. We also listed some food items to be avoided while the Hepatic Encephalopathy problem. In this Indian diet plan for diarrhea patients, you need to do some lifestyle changes also.
Diet Chart for hepatic encephalopathy
Sunday | |
Breakfast (8:00-8:30AM) | Ragi dosa-3+2 tsp methi chutney+1 glass milk(toned)/1 cup tea |
Mid-Meal (11:00-11:30AM) | 1 medium banana |
Lunch (2:00-2:30PM) | 1 cup parboiled rice+2 roti+1/2 cup cabbage dal+1/2 cup capsicum sabji+1 glass buttermilk |
Evening (4:00-4:30PM) | 1/2 cup of beetroot and carrot salad |
Dinner (8:00-8:30PM) | 3 roti/ 1 cup parboiled rice+1/2 cup ridge gourd sabji+1 glass buttermilk |
Monday | |
Breakfast (8:00-8:30AM) | Dalia upma-1.5 cup with vegetables(potato,onion,tomato,green peas, carrot)+1 glass milk(toned)/1 cup tea |
Mid-Meal (11:00-11:30AM) | 1 medium apple |
Lunch (2:00-2:30PM) | 2 roti+ 1 cup parboiled rice+ 1/2 cup sweet potato sabji +1/2 cup rajmah curry+ 1 glass buttermilk |
Evening (4:00-4:30PM) | 1 glass avocado(75gm) milkshake(milk-150ml-toned) |
Dinner (8:00-8:30PM) | 3 roti/ 1 cup parboiled rice+1/2 cup ivy gourd sabji+1 glass buttermilk |
Tuesday | |
Breakfast (8:00-8:30AM) | Oats-1/2 cup+milk(toned)-150ml |
Mid-Meal (11:00-11:30AM) | 1 medium orange |
Lunch (2:00-2:30PM) | 1 cup parboiled rice+2 jowar roti+1/2 cup tomato dal+1/2 cup cluster beans curry+1 glass buttermilk |
Evening (4:00-4:30PM) | 1/2 cup of roasted sweet potato salad with 1 tsp olive oil+1 cup green tea |
Dinner (8:00-8:30PM) | 3 roti/ 1 cup parboiled rice+1/2 cup bhindi sabji+1 glass buttermilk |
Wednesday | |
Breakfast (8:00-8:30AM) | Idly-4+sambhar-1/2 cup+green chutney-2 tsp+1 glass milk(toned)/1 cup tea |
Mid-Meal (11:00-11:30AM) | 1 medium pomegranate |
Lunch (2:00-2:30PM) | 2 bajra roti+ 1 cup parboiled rice+1/2 cup lauki dal+1/2 cup green peas and capsicum sabji+1 glass buttermilk |
Evening (4:00-4:30PM) | 1/2 cup boiled sprouted bengal gram+1 cup green tea |
Dinner (8:00-8:30PM) | 3 roti/ 1 cup parboiled rice+1/2 cup snake gourd sabji+1 glass buttermilk |
Thursday | |
Breakfast (8:00-8:30AM) | wheat dosa-3+2 tsp pudina chutney+1 glass milk(toned)/1 cup tea |
Mid-Meal (11:00-11:30AM) | 100gm water melon |
Lunch (2:00-2:30PM) | 1 cup parboiled rice+2 bajra roti+1/2 cup methi dal+1/2 cup french beans sabji+1 glass buttermilk |
Evening (4:00-4:30PM) | 1 glass walnut milk(toned)+2-3 multigrain biscuits |
Dinner (8:00-8:30PM) | 3 roti/ 1 cup parboiled rice+1/2 cup bittergourd sabji+1 glass buttermilk |
Friday | |
Breakfast (8:00-8:30AM) | Roasted oats upma-1.5 cup with vegetables(potato,onion,tomato,green peas, carrot)+1 glass milk(toned)/1 cup tea |
Mid-Meal (11:00-11:30AM) | 100gm musk melon |
Lunch (2:00-2:30PM) | 1 cup parboiled rice+2 roti+1/2 cup mango dal +1/2 cup soya chunk and aloo sabji+ 1 glass buttermilk |
Evening (4:00-4:30PM) | 1/2 cup boiled sprouted green gram dal+1 cup green tea |
Dinner (8:00-8:30PM) | 3 roti/ 1 cup parboiled rice+1/2 cup lauki sabji+1 glass buttermilk |
Saturday | |
Breakfast (8:00-8:30AM) | Paratha-2(aloo/methi/mooli/gobhi)+2 tsp green chutney+1 glass milk(toned)/1 cup tea |
Mid-Meal (11:00-11:30AM) | 1 medium pear |
Lunch (2:00-2:30PM) | 2 roti+ 1 cup parboiled rice+ 1/2 cup palak dal+1/2 cup bitter gourd sabji+1 glass buttermilk |
Evening (4:00-4:30PM) | 1/2 cup of boiled broccoli and spring onion with 1 tsp olive oil and pepper powder |
Dinner (8:00-8:30PM) | 3 roti/ 1 cup parboiled rice+1/2 cup cauliflower sabji+1 glass buttermilk |
Diet Restrictions: Food Items To Limit In Hepatic Encephalopathy
- Saturated fats found in butter, sour cream, and other high-fat dairy foods, fatty cuts of meat, and fried foods
- Sugary treats like cookies, cake, soda, and packaged baked goods
- Foods heavily laced with salt
- Alcohol
Do's And Dont's While Following Diet Plan for Hepatic Encephalopathy
To control hepatic encephalopathy, you can start making some simple changes in your lifestyles and food habits which are mentioned below, along with the diet plan for hepatic encephalopathy mentioned above:
Do's & Dont's
- Avoid drinking alcohol. It damages liver cells and even a small amount can be harmful. The best thing to do is avoid alcohol completely.
- Get your protein from vegetables and dairy products, rather than meat.
- Eat small, frequent meals to avoid long periods of fasting.
- Maintain a healthy caloric intake.
- Generally, between 1800 and 2400 calories for women and between 2000 and 3200 for men
- Eat whole grain breads and cereals.
- Eat at least 5 servings of fruits and vegetables a day; eating things of varying colors can provide a range of nutrients.
- Limit your intake of salty, sugary and fatty foods.
- Drink enough fluids (generally 6-8 glasses day). In addition to water, you can include juice, tea, milk, soup, and frozen fruit bars.
Food Items You Can Easily Consume In Hepatic Encephalopathy
- Coffee : Drinking coffee may also reduce the risk of developing a common type of liver cancer, and it has positive effects on liver disease and inflammation
- Tea : Drinking 5–10 cups of green tea per day was associated with improved blood markers of liver health.
- Grapefruit :The protective effects of grapefruit are known to occur in two ways — by reducing inflammation and protecting cells.
- Blueberries and Cranberries : Consuming these fruits for 3–4 weeks protected the liver from damage.
- Grapes : They lower inflammation, prevent damage and increase antioxidant levels.
- Beetroot Juice : It reduces oxidative damage and inflammation in the liver, as well as increases natural detoxification enzymes.
- Cruciferous Vegetables : Cruciferous vegetables like Brussels sprouts, broccoli and mustard greens are known for their high fiber content and distinctive taste.
- Nuts : Nuts are high in fats, nutrients including the antioxidant vitamin E which is beneficial for liver health.
- Fatty Fish : The fats found in fatty fish are beneficial for the liver, as well.
References
- Córdoba J, López-Hellı́n J, Planas M, Sabı́n P, Sanpedro F, Castro F, Esteban R, Guardia J. Normal protein diet for episodic hepatic encephalopathy: results of a randomized study. Journal of hepatology. 2004 Jul 1;41(1):38-43. [Cited 01 July 2019]. Available from:
- Freund H, Yoshimura N, Fischer JE. Chronic hepatic encephalopathy: Long-term therapy with a branched-chain amino-acid-enriched elemental diet. Jama. 1979 Jul 27;242(4):347-9. [Cited 01 July 2019]. Available from:
- Amodio P, Caregaro L, Pettenó E, Marcon M, DelPiccolo F, Gatta A. Vegetarian diets in hepatic encephalopathy: facts or fantasies?. Digestive and Liver Disease. 2001 Aug 1;33(6):492-500. [Cited 01 July 2019]. Available from:
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