Since the liver plays a leading role in the metabolism, the appointment of a balanced diet has long been pinned a lot of importance in the complex therapy of viral hepatitis. However, if earlier most of the recommendations justified the need for a predominantly carbohydrate diet with a significant restriction of proteins and especially fats, now it can be considered generally accepted that the diet for hepatitis A should be complete, high-calorie, and physiological if possible. The ratio of proteins, fats and carbohydrates should be 1: 1: 4-5.
It has been shown that prolonged restriction of animal proteins and fats in the diet delays the recovery period, reducing the body’s resistance, regenerative and glycogen-forming function of the liver.
On the other hand, a diet rich in protein enhances the synthesis of glycogen in the liver and prevents the development of fatty degeneration of hepatocytes.
Dietary fats, especially dairy and vegetable, are the main energy material, the source of energy in the body, they provide the biosynthesis of cell membrane phospholipids and the synthesis of fat-soluble vitamins, give food taste.
Consequently, for the normal functioning of the liver cells and the enhancement of their regeneration, a sufficient amount of proteins and fats in the patients ’dietary diet corresponding to the physiological norm is necessary.
Diet for hepatitis A sparing (for culinary processing and the exclusion of irritating substances), table number 5
What You Cannot Eat When you have Hepatitis A
Extractive substances, refractory fats (lard, margarine, overalls), fatty sausages, pork, crusts and canned meats, raw eggs, fatty birds, fatty fish, sharp gravy, pickles, legumes (peas, beans), sharp cheeses, garlic, radish, radish, chocolate, cakes, pastries, sweets, spicy seasonings (mustard, pepper, mayonnaise), smoked foods, mushrooms, nuts, almonds, horseradish, etc.
For 6 months after discharge, it is necessary to pay special attention to nutrition, which should be sufficiently complete with the complete exclusion of substances harmful to the liver. Eat during the day should be regularly every 3-4 hours, avoiding overeating. Alcoholic beverages (including beer) are strictly prohibited.
What Can You Eat When you have Hepatitis A?
Proteins are introduced into the ration in the form of cottage cheese, milk, kefir, lean meat (beef, veal, chicken), low-fat fish (cod, pike perch, navaga, pike, etc.), omelette, low-fat cheese. Fats are given to the visa of butter and vegetable oil (corn, olive, sunflower).
Carbohydrates in the form of rice, semolina, oatmeal, buckwheat porridge, bread, pasta, sugar, potatoes, etc.
A sufficient amount of raw and boiled vegetables (carrots, cabbage, cucumbers, beets, tomatoes, green peas, zucchini), greens, fruits, and juices must be provided in the daily ration.
At the same time, honey, jam, marshmallow, biscuit dough biscuits, dried apricots, dwarfs, raisins, mousses, jellies, jelly, salads, vinaigrettes, soaked herring, aspic fish on gelatin are allowed.
What to do in Intoxification ?
In the presence of symptoms of intoxication, an abundant drink of weakly brewed tea, tea with milk, lemon, chalk, jam, dogrose broth, fruit and berry juices, compotes, silk mineral waters, 5% glucose solution is especially indicated.
The above recommendations can only be considered indicative, since the appointment of a diet in each case must take into account many factors, among which the patient’s age, the severity of the condition, the stage of the pathological process are of great importance. It is also necessary to take into account the individual tolerance of food, national and personal habits.
In Acute Phase of Hepatitis A
Obviously, in the acute phase of the disease, especially in the first days, when symptoms of intoxication are most pronounced and the patient may have complete anorexia combined with nausea, vomiting, the diet for hepatitis A should be as gentle as possible, with the exception of fat and the restriction of animal proteins.
Patients in this period receive mainly fruit juices, fruits, kefir, cottage cheese, sweet tea, jellies, milk cereals and other products as desired.
Forced feeding is not allowed, as this leads to increased dyspeptic manifestations. Such restrictions in the diet are justified only in moderate and severe forms of the disease for several days; in mild and especially in atypical forms, they are not shown. It is impractical to introduce them in those cases if the patient enters the hospital during the decline of clinical manifestations, regardless of the severity of the pathological process.
Hepatitis A is Benign Disease
In accordance with modern concepts of hepatitis A as a benign disease that does not lead to the formation of chronic hepatitis, it should be considered obsolete and the recommendations of previous years about the need to observe dietary restrictions for 6 months from the onset of the disease.
In the overwhelming majority of patients, the complete restoration of the structure and function of the liver occurs already after 2-3 months from the onset of the disease, and a longer correction of the diet is not pathogenetically justified.
Diet Should be Maintained
It is clear that restrictions in the diet should be removed individually, taking into account not only the functional state of the liver, but also the presence of possible disorders of the biliary tract and gastroduodenal pathology.
It is also obvious that with a protracted course of the disease, the diet for hepatitis A should be maintained throughout the pathological process in the liver.