Diet Guidelines for Patients with Cirrhosis

Cirrhosis of the liver is a disease that has serious effects on the body. It often leads to loss of muscle mass and a buildup of fluid in the arms, legs, and abdomen. Loss of muscle mass is a common complication of cirrhosis and can have a negative impact on quality of life.

In order to slow and/or prevent loss of muscle mass, you need to eat enough protein, and adjust your meal and snack times. It is important to reduce long periods of fasting (not eating). The longest time period between meals is between dinner and breakfast. Snacks in the late evening may be helpful. The best snack option is a protein-rich snack.

To help prevent buildup of extra fluid, a low-sodium diet is recommended. A diet high in sodium may cause you to retain more fluids. You should also avoid added salt.

Here are some suggestions that will help you plan the nutritional management of your condition.

Protein guidelines

There is no need to limit your protein intake. Your doctor or dietitian will be able to tell you the proper amount of protein you need for your weight. It is important that you eat protein with every meal and for an evening snack (preferably around 9:30-10:00 pm). Casein, the protein found in milk products, is generally well-tolerated in people with cirrhosis.

*caution: food may be high sodium

YOUR PROTEIN PRESCRIPTION IS _______________gm/day

Sodium (salt) guidelines

Too much sodium in your diet may cause you to retain more fluids. To avoid this:

• Limit the amount of sodium you take in every day
• Do not use the salt shaker
• Use fresh foods when possible, or frozen vegetables instead of canned
• Avoid convenience foods.