What foods should you eat to support liver health with hepatitis. How can your diet help prevent liver damage from hepatitis. Which foods and drinks should hepatitis patients avoid. Why is proper nutrition important for managing hepatitis symptoms.

Understanding Hepatitis and Its Impact on the Liver

Hepatitis is a condition that causes inflammation of the liver, an organ crucial for detoxifying the body and processing nutrients. There are five main types of viral hepatitis: A, B, C, D, and E. While their transmission methods vary, all forms can potentially lead to liver damage if not properly managed.

The liver plays a vital role in our overall health by:

• Filtering toxins from the blood
• Producing bile to aid in digestion
• Storing essential vitamins and minerals
• Regulating blood sugar levels
• Synthesizing proteins necessary for blood clotting

When hepatitis strikes, it impairs these essential functions, making proper nutrition even more critical for recovery and preventing further liver damage.

The Ideal Diet for Hepatitis Patients: Balancing Nutrients

A well-balanced diet is crucial for individuals with hepatitis to support liver function and overall health. Keri Gans, a registered dietitian, recommends visualizing your plate to ensure proper nutrient distribution:

• 25% high-fiber carbohydrates (e.g., whole grains)
• 25% lean protein sources
• 50% fruits and vegetables

This balanced approach provides essential nutrients while minimizing stress on the liver. But what specific foods should hepatitis patients prioritize?

Foods to Embrace for Liver Health

Incorporating the following foods into your diet can support liver function and aid in recovery:

• Whole grains (e.g., quinoa, brown rice, oats)
• Lean proteins (e.g., fish, chicken, legumes)
• Colorful fruits and vegetables
• Healthy fats (e.g., avocados, nuts, olive oil)
• Low-fat dairy products

These nutrient-dense options provide essential vitamins, minerals, and antioxidants that support liver health and overall well-being.

Hydration: A Key Component in Hepatitis Management

Proper hydration is essential for individuals with hepatitis, as it helps the liver process toxins more efficiently. How much should you drink? A good rule of thumb is to consume 1 ounce of liquid for every 2 pounds of body weight daily. For example, a person weighing 180 pounds should aim for about 90 ounces (approximately 11 8-ounce glasses) of water per day.

While water is the best choice, other hydrating options include:

• Herbal teas
• Fresh fruit juices (in moderation)
• Clear broths

It’s important to limit caffeinated beverages like coffee and cola, as they can have a diuretic effect and potentially strain the liver.

Foods and Drinks to Avoid with Hepatitis

Just as important as knowing what to eat is understanding which foods and drinks to avoid. Certain dietary choices can exacerbate liver damage and interfere with hepatitis treatment. What should be on your “do not consume” list?

• Saturated fats (e.g., butter, high-fat dairy, fatty meats)
• Sugary treats and processed baked goods
• Foods high in sodium
• Alcohol (all types)
• Raw or undercooked shellfish
• Heavily processed foods with chemical additives

Consuming these items can contribute to fatty liver disease, potentially leading to cirrhosis and reducing the effectiveness of hepatitis medications.

The Danger of Alcohol Consumption

For individuals with hepatitis, alcohol consumption poses a significant risk. Even small amounts can accelerate liver damage and interfere with treatment. Why is alcohol particularly harmful to those with hepatitis?

• It increases inflammation in the liver
• It can speed up the progression of liver disease
• It may reduce the effectiveness of antiviral medications
• It puts additional stress on an already compromised liver

Given these risks, healthcare professionals universally recommend that individuals with hepatitis abstain from alcohol completely.

Food Safety Precautions for Hepatitis Patients

Proper food handling and preparation are crucial for individuals with hepatitis to prevent additional liver stress and potential infections. What steps should you take to ensure food safety?

• Thoroughly wash all fruits and vegetables to remove potential contaminants
• Cook meats to appropriate internal temperatures
• Avoid raw or undercooked seafood, especially shellfish
• Practice good hand hygiene before and after handling food
• Keep cooking surfaces and utensils clean to prevent cross-contamination

These precautions help minimize the risk of foodborne illnesses that could further compromise liver health.

The Role of Supplements in Hepatitis Management

While a balanced diet should provide most necessary nutrients, some individuals with hepatitis may benefit from targeted supplementation. Dr. Christine Gerbstadt, a registered dietitian, suggests that hepatitis patients consult with their healthcare provider about taking a daily multivitamin.

Certain supplements may be particularly beneficial:

• B-complex vitamins to support liver function and energy metabolism
• Vitamin D to boost immune function
• Milk thistle, which may have liver-protective properties

However, it’s crucial to approach supplementation cautiously. Some vitamins and minerals can be harmful in excessive amounts, potentially causing liver damage. Which supplements should hepatitis patients be wary of?

• Iron
• Vitamin A
• Vitamin B3 (niacin)
• High-dose vitamin C
• Excessive vitamin D

Always consult with a healthcare provider before starting any supplement regimen, as they can interact with medications and potentially worsen liver function if not carefully monitored.

The Potential of Milk Thistle

Milk thistle has gained attention as a potential natural remedy for liver health. Some studies suggest it may improve liver function in patients with hepatitis and cirrhosis. How might milk thistle benefit those with liver disease?

• It has antioxidant properties that may protect liver cells
• It may help reduce inflammation in the liver
• Some research indicates it could slow the progression of liver fibrosis

While promising, more research is needed to fully understand milk thistle’s effects. As with any supplement, it’s essential to discuss its use with a healthcare provider before incorporating it into your regimen.

Lifestyle Factors That Complement a Hepatitis-Friendly Diet

While diet plays a crucial role in managing hepatitis, other lifestyle factors can significantly impact liver health and overall well-being. What additional steps can individuals with hepatitis take to support their recovery?

• Regular exercise to maintain a healthy weight and improve liver function
• Stress management techniques like meditation or yoga
• Adequate sleep to support the body’s healing processes
• Avoiding exposure to environmental toxins
• Staying up-to-date with vaccinations, particularly for hepatitis A and B

These lifestyle modifications, when combined with a proper diet, can create a comprehensive approach to managing hepatitis and promoting liver health.

The Importance of Weight Management

Maintaining a healthy weight is particularly important for individuals with hepatitis. Excess body fat, especially around the abdomen, can contribute to fatty liver disease and worsen hepatitis symptoms. How does obesity impact liver health in hepatitis patients?

• It increases inflammation in the liver
• It can accelerate the progression of fibrosis
• It may reduce the effectiveness of antiviral treatments
• It increases the risk of developing liver cancer

By maintaining a healthy weight through proper diet and regular exercise, individuals with hepatitis can significantly improve their liver health and treatment outcomes.

Monitoring Liver Health: The Role of Regular Check-ups

Regular medical check-ups are essential for individuals with hepatitis to monitor liver function and adjust treatment plans as needed. What should these check-ups typically include?

• Blood tests to assess liver enzyme levels
• Viral load testing to monitor the progression of the disease
• Imaging studies like ultrasounds or CT scans to evaluate liver structure
• Nutritional assessments to ensure dietary needs are being met
• Discussions about any new symptoms or side effects from medications

These regular evaluations allow healthcare providers to track the effectiveness of the current treatment plan and make adjustments as necessary to optimize liver health.

The Promise of New Treatments

Research into hepatitis treatments continues to evolve, offering new hope for those living with the condition. What recent advancements have been made in hepatitis treatment?

• Direct-acting antivirals for hepatitis C with high cure rates
• Improved medications for managing chronic hepatitis B
• Ongoing clinical trials for new therapies targeting various forms of hepatitis
• Advances in liver transplantation techniques for severe cases

While these developments are promising, maintaining a healthy lifestyle and following medical advice remain crucial for managing hepatitis effectively.

By understanding the impact of diet on liver health, making informed food choices, and adopting supportive lifestyle habits, individuals with hepatitis can significantly improve their quality of life and long-term health outcomes. Regular communication with healthcare providers and staying informed about the latest treatment options ensure the best possible management of this challenging condition.

Tips to Avoid Liver Damage From Hepatitis – Hepatitis Center

“That’s what you want to eat, a varied diet including those components,” Gans says. “I tell my clients to picture a dinner plate. One-quarter of the plate should contain high-fiber carbohydrates like whole grains, one-quarter should contain lean protein sources, and the remaining half should contain fruits and vegetables.”

To help your body better process food and function at its best, you also need to make sure you drink plenty of fluids. Water is better than caffeinated drinks like coffee and cola. Aim to drink 1 ounce of liquid for every 2 pounds of body weight each day; that means if you weigh 180 pounds, you should drink 90 ounces of water, or about 11 8-ounce glasses.

What Not to Eat or Drink

Keep in mind that an unhealthy diet can contribute to liver damage. If you eat too much high-calorie greasy, fatty, or sugary food, you’ll gain weight and fat will begin to build up in your liver. A “fatty liver” can contribute to developing cirrhosis, or scarring, of the liver. Fat in your liver can also interfere with the effectiveness of drugs that target the hepatitis virus.

Avoid the following:

• 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

Many experts recommend that hepatitis patients also avoid raw or undercooked shellfish, which can harbor viruses and bacteria. You may consider limiting your consumption of processed foods as well, since they can contain chemical additives and high levels of salt.

Other Precautions

Because your liver is battling the hepatitis virus, take special precautions to protect against any disease that would increase the chances of liver damage. Wash all meats, fruits, and vegetables to remove any potentially harmful residues, and wash your hands thoroughly before and after handling food to prevent cross-contamination.

Supplements for Hepatitis

People with hepatitis should talk to their doctors about taking a multivitamin once a day, says Christine Gerbstadt, MD, RD, a doctor and a registered dietitian in Sarasota, Fla., as well as a spokesperson for the American Dietetic Association. B vitamins in particular can help spur healing.

“You really want to make sure your body has everything it needs,” Dr. Gerbstadt says.

However, you also need to make sure that you don’t take in too much of certain vitamins and minerals through the use of supplements, since some can cause liver damage. Be cautious of:

• Iron
• Vitamin A
• Vitamin B3 (niacin)
• Vitamin C
• Vitamin D

Hepatitis patients looking for herbal remedies may consider milk thistle, available in capsules and other forms. Milk thistle may have some restorative properties, suggests Gans. Some studies have found that milk thistle can improve liver function in hepatitis and cirrhosis patients. However, you should always consult with your doctor before trying any supplement or herb, especially if you have hepatitis.

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Foods to Eat and Avoid

About

Hepatitis is a disease that affects the liver an organ that plays a vital role in keeping our bodies healthy by removing impurities from the food we eat.

Hepatitis is caused by a virus and is classified into five different types: Hepatitis B, C and the less common types of Hepatitis A, D and E. Hepatitis B, C and D occur primarily due to contact with infected bodily fluids. The primary causes of Hepatitis A and E are consumption of contaminated water and food. Other causes include eating raw oysters or raw shellfish – both of which carry a higher risk of a Hepatitis A infection.

Hepatitis can spread very fast and it can be fatal. It can also cause permanent liver damage. It is therefore extremely important for Hepatitis patients to watch their diet by eating the right types of food. The diet should include foods that are easy on the liver and exclude foods that cause the liver to work harder as this can delay a patients recovery from the disease.

Hepatitis Diet: Recommended Foods to Eat

For a patient with Hepatitis food choices are not limited to a few bland dishes. There are plenty of healthy, tasty food options which are both beneficial for the liver and for the recovery process.

• Whole grains are very beneficial to consume as part of a healthy Hepatitis diet. These can be in the form of bran, whole wheat bread or cereal, brown rice, whole grain pasta or porridge. Include other whole grains such as whole oats, wild rice, rye, oatmeal and corn.
• Fruits and vegetables should be a significant part of any diet to help in recovering from a liver disease. They are full of essential nutrients and are easy to digest. As a bonus, they also contain antioxidants, which can protect the liver cells from damage. However, it is recommended that one go easy on starchy vegetables such as potatoes when on a Hepatitis recovery diet. While canned or frozen fruits are fine it is always a good idea to try and eat fresh and seasonal produce when possible.
• Olive oil, canola oil and flaxseed oil are all healthy fats that are recommended as part of a diet for patients with Hepatitis.
• Healthy proteins in the form of low-fat milk and dairy products along with lean meats, beans, eggs and soy products can also be a part of a healthy liver diet.

Hepatitis Diet: Foods to Avoid

It is equally important to avoid certain foods during Hepatitis as they can be harmful to the liver. Excessive consumption of these can aggravate the disease and even lead to permanent liver damage.

• Processed food items are best avoided when recovering from Hepatitis. Processed food items include processed ingredients that are harder on the liver and relatively devoid of nutrients. Processed breads, cheese and almost all fast -food items are also best avoided during Hepatitis, as they can worsen recovery times.
• Hydrogenated oils must be replaced with healthy oils. In fact for a lifelong healthy liver it is a good idea to switch to healthy oil choices. Avoid consuming foods high in saturated fats or trans-fats.
• Sugar intake should be limited for a healthy liver. This includes all artificial sweeteners as well as fruits juices. Juices have high concentrations of sugar in them, which can be difficult for the liver to digest when the body is under attack from the Hepatitis virus.

• A Hepatitis C diet plan must also be low in iron. Chronic Hepatitis C patients can have difficulty in processing iron, which can overload the liver and the blood with excess iron. This means no consumption of red meats, liver or even grains that have been fortified with iron. Also avoid fruits such as apricots and fish such as tuna; basically any food with high iron content. People with Hepatitis C should also go easy on caffeine so drink less coffee, tea and caffeinated beverages.
• Hepatitis patients should also severely limit their salt intake. Also refrain from eating high-sodium foods. This means no canned soups or store-bought sauces.
• When on a Hepatitis diet, avoid eating meat especially red meats due to their high sodium content. If you must, stick to lean cuts and eat only once or twice a week.

Hepatitis Diet: Some More Tips:

• Avoid alcohol and cigarettes for a healthy liver.
• Avoid taking vitamin supplements or over-the-counter drugs without consulting your doctor.
• Dont skip meals when recovering from Hepatitis.
• Eat small meals.
• Drink lots of water.
• Take adequate rest.

Published on Nov 10, 2014
Last Updated on Aug 02, 2016

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1. World Hepatitis Day 2019 – Invest in Eliminating Hepatitis – (http://www.who.int/topics/hepatitis/en/)

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Viral hepatitis A

Hepatitis A is a disease of the liver caused by the hepatitis A virus. The virus is spread primarily when an uninfected (or unvaccinated) person consumes food or water contaminated with the faeces of an infected person. The disease is closely linked to a lack of safe water or food, inadequate sanitation, and poor personal hygiene.

Hepatitis A: an overview of the infection and its prevention

The hepatitis A virus has an acid-resistant envelope. This helps viruses that have entered contaminated food and water to pass the acidic protective barrier of the stomach. The hepatitis A virus is stable in the aquatic environment, so epidemics of hepatitis A are often transmitted by water.

Hepatitis A virus is characterized by high immunogenicity; after the disease, stable lifelong immunity is formed.

Hepatitis A is one of the most common human infections.

Hepatitis A is most likely to be contracted in hot countries, including those where traditional places of tourism and recreation are located. When buying vegetables and fruits in the market, do not forget to wash them properly, because it is not always known where they came from. Also, always cook seafood.

The mechanism of infection and development of infection

The source of infection is a person with hepatitis A, who releases billions of viruses into the environment with feces.

When drinking water or foodstuffs contaminated with the hepatitis A virus (especially poorly thermally processed seafood), the viruses enter the intestines, then, being absorbed, they enter the liver with the bloodstream, causing inflammation in it.

Virus particles-virions multiply in the cytoplasm of liver cells. After leaving the liver cells, they enter the bile ducts and are excreted with bile into the intestines.

Is it possible to come into contact with a patient with hepatitis A and not get infected?

It is possible to contact the patient, observing the elementary rules of hygiene. However, it is better to isolate children from patients.

Is it possible to catch hepatitis A and not get sick?

It is possible not to get hepatitis A when infected only if you have previously been vaccinated against hepatitis A and there is a sufficient antibody titer. Then, when the virus enters the bloodstream, it will be neutralized by antibodies. If there are no protective antibodies, and the viruses are already swimming in the blood, then hepatitis cannot be avoided. There is a special preparation – immunoglobulin, which can be administered immediately before a possible infection or within 2 weeks after infection. This will allow for a short time to protect either from infection or from the development of the disease in case of infection.

Is it possible to get infected and get sick with hepatitis A again?

No, it is almost impossible to get hepatitis A again.

What are the symptoms of the disease?

The incubation period for hepatitis A is usually 14-28 days.

The symptoms of hepatitis A can be mild or severe. These may include fever, malaise, loss of appetite, diarrhea, vomiting, abdominal discomfort, dark urine, and jaundice (yellowing of the skin and whites of the eyes). Not all infected people show all of these symptoms.

Signs and symptoms are more common in adults than in children. The likelihood of developing a severe form and fatal consequences is higher in old age. Infected children under the age of six usually do not have any noticeable symptoms, and only 10% develop jaundice. In older children and adults, infection usually results in more severe symptoms, and jaundice occurs in more than 70% of cases. Hepatitis A sometimes recurs.

What should be done if there is a patient with hepatitis A in the family?

It is recommended that all family members be tested for antibodies to hepatitis A. In the absence of these antibodies, vaccination is necessary.

Remember to follow basic hygiene rules: wash your hands with soap and water after going to the toilet and using the bathroom, after caring for a small child, before eating and preparing food.

What can a person who has contracted the virus expect?

Infection with the hepatitis A virus always leads to the development of hepatitis A. But in most cases, the moment of infection is difficult to determine, unless it is an epidemic outbreak after a sewer failure.

Anyway, within a month (incubation period) after the alleged infection, you can expect the main symptoms: fever, dyspepsia, and then jaundice.

After the onset of jaundice, the general condition often improves slightly. Jaundice lasts about 3-6 weeks, sometimes longer.

Who is more at risk of getting hepatitis A?

Children under one year of age, adults and the elderly are more susceptible to infection. In adults, the infection often proceeds with severe intoxication and jaundice, on average they get sick for about 3 months.

How long does hepatitis A last? Why does it depend?

The illness lasts on average about 40 days. This largely depends on age, the state of immunity, the presence of concomitant chronic diseases, and the strict implementation of the doctor’s recommendations.

Some people (about 15%) have a chronic infection that lasts 6-9 months.

Is it possible to die from hepatitis A? When is it most likely?

Death from hepatitis is rare and occurs in patients with severe disease. In these cases, acute liver necrosis develops very quickly, accompanied by acute liver failure.

The risk of death from hepatitis A is 0.1% in children, 0.3% in adolescents and adults under 40 years of age, but already 2.1% in people over 40 years of age.

Can hepatitis A go away on its own without treatment?

Modern treatment is more focused not on fighting hepatitis A viruses, but on breeding and removing harmful substances from the body that appear when the liver is damaged and impaired. The immune system of the patient, as a rule, copes with the infection itself.

Signs and symptoms of hepatitis A

How long after infection do symptoms of hepatitis A appear?

On average, the first signs of the disease appear after 30 days (the incubation period for hepatitis A is 15 to 50 days).

What are the signs of hepatitis A?

If you feel unwell, have a temperature, and at the same time the urine becomes significantly darker (the color becomes like strongly brewed black tea and still foams strongly), then hepatitis A can be assumed. See a doctor!

What are the typical symptoms of hepatitis A?

You can expect a fever accompanied by dyspeptic syndrome (nausea, vomiting, heaviness in the stomach and right hypochondrium), weakness, after a few days urine darkens, sclera, skin turn yellow, feces discolor (jaundice). After the appearance of jaundice, the general condition improves slightly.

What other diseases manifest themselves in the same way?

All acute hepatitis of any origin.

What tests show if a person has hepatitis A?

The presence in human blood of antibodies to hepatitis A, related to class M immunoglobulins. These antibodies are detected only in the acute period, with recovery, their titer (content) decreases.

Can hepatitis A be cured?

The body copes with the infection itself in case of a mild course of the disease. Treatment is aimed at reducing the concentration of toxins and providing liver cells with energy and material for recovery. Therefore, detoxification solutions, glucose, vitamins, and hepatoprotectors are administered. Antiviral treatment is being carried out. In severe cases, the principles of therapy remain the same, but the volume of symptomatic therapy is greater.

What are the current treatments for hepatitis A?

This is a detoxification therapy that reduces intoxication in case of liver damage (solutions that “dilute” the blood containing toxins and help to eliminate them), and symptomatic therapy that eliminates the symptoms of the disease, improves the general condition of the patient.

What is the prognosis after treatment? Will liver function return?

The prognosis is favorable, liver function is usually fully restored.

Is diet and lifestyle necessary during and after illness?

In the acute period, it is necessary to adhere to a diet, physical and mental rest is observed.

Diet is very important in the treatment of hepatitis. Food should be taken in fractional portions 4-5 times a day. Excluded from the diet: fried, fatty and spicy dishes, seasonings, sauces, gravy, nuts, mushrooms, sausages, smoked meats, chocolate, halva, cakes, ice cream, eggs. Vegetarian soups, boiled or steamed dishes, cereals (preferably oatmeal), potatoes, dairy products, lean meats and fish, fresh fruits, juices, compotes, fruit drinks are allowed. Bread is better white, slightly dried. Mineral non-carbonated water is allowed to be consumed after recovery. The diet should be followed for at least 6 months after hepatitis.

How to protect yourself from hepatitis A?

Hepatitis A virus vaccines and vaccinations

Quite effective vaccines have been developed to protect against hepatitis A.

These vaccines are killed hepatitis A viruses and are highly immunogenic. The vaccine is administered twice with an interval of 6-12 months.

After the first dose of vaccine, antibodies to the hepatitis A virus appear in most vaccinees within 2 weeks. The duration of protection by vaccination is at least 6-10 years.

HAV prevention

The main prevention of hepatitis A is the observance of elementary hygiene rules, which everyone seems to know about, but which not everyone follows.

• Wash your hands thoroughly with soap and running water after using the toilet, before eating, after work, after outdoor activities.
• Wash fruits and vegetables thoroughly, even from your own garden.
• While in nature or in the country, do not drink unboiled water.
• Teach children from an early age to observe the rules of personal hygiene.

There is a reliable way to protect against viral hepatitis A – this is vaccination.

Epidemiologist

ME “Kobrin Central District Hospital” I.V. Khilkovich

nutrition rules for chronic forms of hepatitis

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What diet should be observed in chronic hepatitis? What is diet number 5a? Find out from our article.

Chronic hepatitis is a diffuse lesion of the liver, the main characteristics of which are an inflammatory process, damage to liver cells (hepatocytes) and a violation of its functions. Chronic hepatitis is considered when the pathology is not resolved in six months. ¹ The course of the disease can be stable or progressive with the gradual development of fibrosis, in which connective tissue strands form in place of the liver tissue, and cirrhosis, when liver function is critically impaired.

Among the most common causes of chronic hepatitis are hepatitis B and C viruses, toxic effects of alcohol, autoimmune processes, and metabolic disorders. ² The disease is usually asymptomatic, so it is often diagnosed late. ¹

General dietary guidelines for chronic hepatitis

Back in the middle of the last century, the Pevzner system of 15 diets was developed in the Soviet Union for each disease, including those associated with the liver. The system was used in all hospitals and sanatoriums in the country. Over the years, these diets have been improved, but they could not get rid of their shortcomings, the most important of which is uniformity. The whole system is designed for a person aged 20–30 years weighing 70 kg. ³ In addition, some of these diets have almost the same chemical composition and energy value and differ slightly from each other in the way of cooking products and salt content. Therefore, it is important to understand that your doctor can prescribe your individual diet after all the necessary examinations and diagnosis.

Do you need special nutrition if nothing hurts? According to Russian authors, even in a satisfactory condition, patients with chronic hepatitis are prescribed a sparing diet, specially designed for people with liver diseases. With exacerbations (an active process of inflammation), nutrition becomes more stringent. ⁴ The diet is aimed at eliminating functional disorders of the liver and biliary system, the process of digestion and the synchrony of the functioning of the gastrointestinal tract. ⁴ First, let’s get acquainted with the basic principles of nutrition in chronic hepatitis.

• It is important to eat at fixed times and not overeat, especially before bed. This preserves the normal mode of operation of the endocrine glands involved in digestion.
• You should not eat foods that strongly irritate the mucous membrane of the stomach, duodenum and upper small intestine, as these organs can also be involved in the pathological process.
  Foods that should be restricted include:
  – condiments and spices,
  — smoked meats and spicy dishes,
  – vegetables rich in essential oils (onions, radishes, garlic).
• Ice cream, cold juices, mineral waters are also not recommended, as they can cause spasm of the pylorus, sphincter of Oddi and biliary tract.
• Do not drink alcohol.

During the recovery period or between exacerbations, patients are usually prescribed the main version of the standard diet. It is balanced in terms of protein content (85–90 g), fats (80–90 g) and carbohydrates (300–330 g). The energy value of the diet is 2200–2500 kcal.

Allowed products for hepatitis

• Vegetarian, dairy, fruit soups;
• lean meats and fish in boiled, baked form, as well as once or twice a week and fried, but without breading;
• one or two eggs two or three times a week or omelettes, in case of poor tolerance – egg white omelettes;
• fruits and vegetables. There should be enough of them in the diet. Vegetables can be eaten in the form of salads and side dishes, some vegetables are consumed raw. Fruits can be consumed in their natural form, as well as in the form of compotes, jelly, mousse, jelly, puddings, etc.;
• non-cold milk, if intolerant, boiled or diluted with water;
• necessarily kefir;
• Butter and vegetable oil;
• snacks – not spicy, not smoky and not too salty, with care;
• mild cheese;
• sauces and condiments not based on meat or fish broths, not spicy;
• black and white bread, baked yesterday, toasted;
• biscuits and other doughy products;
• tea is not strong, it is possible with milk, vegetable and fruit juices, rosehip broth;
• sugar, jam and honey in the amount provided for by the carbohydrate composition of the diet.

Prohibited foods for hepatitis

• Rich broths;
• fatty meats: goose, duck, lamb, fatty pork;
• milk intolerance;
• spicy, smoked, salty snacks;
• spicy, meat, fish sauces;
• fresh bread;
• certain fruits and vegetables: legumes, spinach, sorrel, sour fruits;
• pastries, pastries, cakes;
• strong tea, coffee, cocoa, alcohol;
• chocolate

Hepatitis Diet

Active Hepatitis

If chronic hepatitis in an active form is diagnosed (roughly speaking, characterized by the presence of symptoms and an increase in transaminases), then more serious dietary restrictions and an integrated approach to therapy may be recommended. Therapeutic nutrition remains one of the important factors in maintaining the state of liver function along with pharmacotherapy. It is especially important to observe the diet, eat in small portions.
Since in chronic active hepatitis the biliary tract can also be involved in the pathological process, foods rich in dietary fiber should be added to the diet, which contribute to the excretion of bile acids. ⁴ These are vegetables, fruits, whole grains (cereals), bran. For the same purpose, it is recommended to change the ratio between vegetable and animal fats to 50/50% (usually it is recommended to stick to the ratio of 30/50%). With an exacerbation of the process, a diet with mechanical and chemical sparing (warm pureed food) is prescribed.

Inactive hepatitis

In case of inactive (persistent) hepatitis without striking clinical manifestations and symptoms and laboratory abnormalities, a more varied diet may be recommended.