CIRRHOSIS OF LIVER

Hi friends

Cirrhosis of liver means chronic liver disease, it may be due to alcohol, nonalcoholic, hepatitis B or C, autoimmune, wilsons, and other causes. 

Please note: Few changes in diet and lifestyle are suggested , however detailed discussion must be done with treating doctor for case to case advise. This should not be solely used as a substitute for doctors advise. Viewers are advised to use their own discretion before finalising.

Also note that these blog articles STRICTLY must NOT be copied by anyone or used for any other purpose other than for patients who are recommended to follow these instructions are careful assessment of their symptoms and disease profile in OPD.

*      NO ALTERNATIVE OR HERBAL PREPARATIONS

*      AVOID PAINKILLERS OF NSAID VARIETY, IF TAKING ANY

*      LOW SALT (LESS THAN 2 GRAMS SODIUM  PER DAY)

*      HIGH PROTEIN (EXCEPT KIDNEY DISEASE OR IF SUGGESTED BY PREVIOUS DOCTOR)

*      FLUIDS LESS THAN 1.5 LITRES PER DAY (TOTAL INCLUDING WATER, AND ALL LIQUIDS)IF SERUM SODIUM LEVEL IS BELOW 125 MEQ/L,  OR LESS THAN 2 LITRES PER DAY IF SERUM SODIUM LEVEL IS NORMAL

*      WEIGHT CHART

*      ABDOMINAL GIRTH MEASUREMENT CHART

*      ADEQUATE REST

*      ADEQUATE SLEEP 6-8 HOURS AT NIGHT TIME

*      NO SLEEPING PILLS

*      MEDITATION, YOGA,PRANAYAM, DESTRESS

*   AVOID OVEREATING 

*      NO HEAVY MEALS AT NIGHT

*      SMALL MEALS 4-5 TIMES A DAY, REGULAR MEALTIMES AS FAR AS POSSIBLE

*      DO NOT BE COMPLETELY EMPTY STOMACH FOR MORE THAN 4 HOURS AT A STRETCH.

*      SMALL EVENING SNACK AT AROUND 6PM, ALSO BEFORE SLEEPING CAN HAVE SMALL BANANA IF PERMISSIBLE.

*      PREFER BOILED FOODS INSTEAD OF FRIED.

*      LOW FAT INTAKE, NO JUNK FOOD,SPICY,OILY,HEAVY,FRIED,MASALA,CHILLI FOODSTUFFS, SOUR FOODSTUFFS,CHOCOLATES, AND OTHERS AS ADVISED

*      TEA COFFEE IN MODERATION

*      NO MEDICATION WITHOUT PRESCRIPTION

*      PROTEIN 1 GRAM PER DAY OR 0.6 GRAM PER DAY IF HEPATIC ENCEPHALOPATHY

*      CARBOHYDRATE NORMAL INTAKE OR IF DIABETIC THEN RESTRICTION OF SUGAR AS PER DIABETOLOGIST

*      LIMIT THE INTAKE OF MAIDA,BESAN,KHARI,BAKERY PRODUCTS,FRIED SNACKS,PACKAGED AND PROCESSED FOOD, CARBONATED BEVERAGES,SOFT DRINKS,CHIPS,KETCHUP,SAUCE,NOODLES,SOUP,FARSAN,PHAPHDA,DALDA, VANASPATI,GHEE,BUTTER.

*      CAN TAKE: OATS, MILLETS, POHA, JOWAR, BAJRA,WHEAT BREAD, LEGUMES, DALS, MOONG, LOW FAT CURD, GREEN LEAFY VEGETABLES,  FRUITS LIKE BANANA, MUSKMELON, APPLE,ETC. AND OTHERS AS ADVISED

*      NO ALCOHOL,SMOKING,TOBACCO (IF ALREADY CONSUMING)

*      LIMIT INTAKE OF NONVEG STRONGLY(IF ALREADY CONSUMING)

*      INFORM EMERGENCY DOCTOR IN NEAREST HOSPITAL IN CASE OF : BLOOD IN STOOLS, BLACK STOOLS, DARK COLORED VOMITING, SKIN RED OR DARK SPOTS APPEARING SUDDENLY, REDUCED URINE OUTPUT COMPARED TO EARLIER, INCREASED ABDOMINAL DISTENSION, ANY ABDOMINAL PAIN, SPEAKING IN AN UNCLEAR AND UNUSUAL OR ABNORMAL MANNER, ALTERED BEHAVIOUR, IRRELEVANT TALK, ALTERED SLEEP RHYTHM,SHAKING OF HANDS AND FEET, FEVER, BREATHLESSNESS ,CHEST PAIN OR ANY NEW ONSET SYMPTOM,ALSO WEIGHT LOSS ETC.

*      INFORM PHYSICIAN IF THERE IS ANY EMERGENCY TO DECIDE EMERGENCY CARE AND ADMISSION UNDER PHYSICIAN AFTER WHICH THEY WILL REVIEW WITH THE GASTROENTEROLOGIST.

*      EXERCISE ONLY AS PER RECOMMENDATION BY PHYSICIAN/CARDIOLOGIST

*      AVOID PRESERVATIVES, KETCHUP,SOUPS,SOUR FOODSTUFFS,CHOCOLATES

*      EAT MEALS GRADUALLY WHILE CHEWING PROPERLY

*      CAN TAKE: OATS, BARLEY, POHA, SABJA,DAHLIA,ETC AND OTHERS AS ADVISED

*      ALSO CHECK IF ALREADY DIABETIC OR HYPERTENSIVE OR KIDNEY DISEASE OR HEART DISEASE OR OTHER DISEASE, THERE MUST BE A PREVIOUS FOOD ADVISE LIST FOR THAT PREVIOUS DISEASE. OUR ADVISE IS ONLY FOR THIS PARTICULAR DISEASE, TRY TO FIND A COMMON FOODLIST FROM OUR LIST AND PREVIOUS FOODLIST FOR THAT DISEASE.

Thanks

Dr Raajeev Vijay Hingorani

Gastronaut Clinic

www.gastronautclinic.com

gastronautclinic@gmail.com

drgastronautclinic.blogspot.com