What foods should be avoided with hepatitis B?
Patients with hepatitis B should avoid high-sugar foods, high-fat foods, spicy and irritating foods, alcoholic beverages, and coarse or hard foods. A well-balanced diet helps reduce the metabolic burden on the liver and prevents worsening of the condition. If improper diet leads to symptoms such as nausea, jaundice, or liver area pain, prompt medical attention is recommended.
1. High-sugar foods: Excessive sugar intake can be converted into fat and accumulate in the liver, leading to fatty liver disease and exacerbating liver cell damage. Common examples include desserts, sugary drinks, and refined grains like white rice and flour products, which should be consumed in limited amounts.
2. High-fat foods: Foods rich in saturated fats—such as fatty meats, fried foods, and animal organs—can increase the liver’s burden in processing fats, potentially causing elevated blood lipids, hepatic fat accumulation, and impaired liver function recovery.

3. Spicy and irritating foods: Spicy ingredients like chili peppers, Sichuan pepper, and raw garlic may irritate the gastrointestinal tract, indirectly affecting blood flow to the liver, and possibly aggravating inflammatory responses. These should be strictly avoided, especially during active phases of hepatitis B.
4. Alcoholic beverages: Alcohol is primarily metabolized by the liver, and its byproduct acetaldehyde directly damages liver cells, increasing the risk of liver fibrosis and cirrhosis. Patients with hepatitis B must completely abstain from alcohol.
5. Coarse and hard foods: Patients with liver cirrhosis often have esophageal and gastric varices. Consuming coarse or hard foods—such as nuts and high-fiber vegetables—may cause friction against these dilated veins and lead to life-threatening bleeding. Such foods should be thoroughly cooked and softened before consumption.
Daily meals should be light and easy to digest. It is advisable to consume more high-quality protein and fresh fruits and vegetables, follow the principle of eating small, frequent meals, avoid overeating, maintain regular meal times, and practice good food hygiene to reduce the risk of liver infections.