: A high-energy diet is advised to promote weight gain and to ensure maximum protein utilization. However, initially the patient may not be able to eat enough due to anorexia. Gradually the energy intake should be increased. Proteins
: Protein intake needs to be increased to promote regeneration of the liver. However, a very high protein load may not be tolerable and needs to be adjusted depending on the extent of liver damage.
In acute cases, with extensive liver damage, the protein intake may have to be decreased even below normal. Carbohydrates
: A high carbohydrate diet is recommended to meet the increased energy needs. This may be mainly in the form of carbohydrates like glucose, sugar, honey, fruits, and fruit juices and also from starches like cereals and root vegetables such as potato, carrot, radish etc.Fats
: In case of hepatitis, the digestion and absorption of fat is impaired. Therefore, it is advisable to decrease fat intake, though not severely. In fact, inclusion of moderate amounts of fat in the diet not only increases the palatability of food but also promotes recovery.
Emulsified fats such as fat from milk, butter, cream, eggs should be given as they are easily digested. Medium chain triglycerides present in coconut oil are better tolerated since they are directly absorbed without undergoing digestion.Minerals
: The diet should provide all minerals, particularly calcium and iron, in adequate amounts.Vitamins
: The requirement of vitamin A, B, C and K are increased and should be met partially by diet and partially by the help of supplements.