What Foods Are Beneficial for Patients with Decompensated Cirrhosis?

Jun 07, 2022 Source: Cainiu Health
Dr. Jin Zhongkui
Introduction
For patients with decompensated cirrhosis, the diet should consist primarily of soft, easily digestible foods. Foods containing bones or small sharp bones (e.g., fish bones) should be avoided or consumed sparingly. The diet should include ample fresh vegetables—such as lettuce, oats, celery, cabbage, mustard greens, and cauliflower—as well as fruits—including apples, oranges, tangerines, bananas, strawberries, and tomatoes.

  Liver cirrhosis is a common liver disease encountered in daily life. It is generally caused by one or multiple etiologies leading to diffuse hepatic damage. When cirrhosis progresses to a certain stage—beyond the liver’s capacity for functional compensation—the condition enters the decompensated phase of cirrhosis. So, what foods are recommended for patients with decompensated cirrhosis?

  Recommended Foods for Patients with Decompensated Cirrhosis

  Patients with decompensated cirrhosis should consume soft, easily digestible foods and avoid foods containing bones or sharp fish bones. Their diet should include fresh vegetables such as lettuce, oats, celery, cabbage, mustard greens, and cauliflower, as well as fruits including apples, oranges, tangerines, bananas, strawberries, and tomatoes. Intake of high-quality protein should be moderately increased—for example, eggs, chicken, beef, lamb, freshwater fish, deep-sea fish, and sea cucumbers. Patients should avoid fatty foods (e.g., braised meats), greasy or sugary foods, hard or coarse foods, and spicy or irritating foods. Meals should be small but frequent; smoking and alcohol consumption are strictly prohibited.

  Decompensated cirrhosis may lead to various complications, including ascites, hepatic encephalopathy, upper gastrointestinal bleeding, and further hepatic injury. Portal hypertension—a consequence of cirrhosis—can cause ascites. Blood from the abdominal cavity, systemic vessels, and intestinal vasculature normally drains into the liver via the portal vein; however, cirrhosis-induced structural changes elevate portal venous pressure. This elevated pressure leads to blood accumulation within the peritoneal cavity, increasing intravascular pressure and causing fluid leakage from vessels into the abdominal cavity—resulting in ascites.

  Patients with decompensated cirrhosis must pay close attention to dietary restrictions and ensure adequate rest. We hope this information proves helpful to you.