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Nutrition after treatment for hepatitis C. Menu for hepatitis C: allowed and prohibited foods in the diet. Steamed cutlets

Hepatitis is an inflammatory disease of the liver. Hepatitis A has the mildest course; the most dangerous is the pathology provoked by the hepatitis B and C viruses. Often the infection occurs without specific symptoms, so the patient is not even aware of his condition. If left untreated, hepatitis becomes chronic, and as a result, the likelihood of dangerous complications(cirrhosis, liver cancer, liver failure).

Therapy must be comprehensive, that is, the patient must take medications, conduct healthy image life and eating right. Diet for hepatitis is the most important condition on the road to recovery. The patient should reduce the amount of fat, while maintaining the amount of protein and carbohydrates. Such food should supply the body useful substances and do not harm liver tissue.

Diet goal

The liver is the largest gland, which plays a special role in digestion. This organ produces enzymes that are necessary to break down food. In addition, it cleanses the body of toxic substances. With hepatitis, hepatocytes (liver cells) are affected, and the load on healthy cells increases. In order for hepatocytes to continue to perform their functions in emergency mode, the patient must reduce the load on the gland. This can be done with the help of diet.

Diet for hepatitis helps stop the development of pathology

Diet for hepatitis should be healthy so that the pathological process during the chronic course of the infection does not spread further. In addition, by following a diet, the patient can speed up recovery from acute hepatitis and reduce the likelihood of severe complications.

Nutrition for hepatitis A

This type of hepatitis has the mildest course, and after recovery the patient develops specific HAV immunity. To normalize the functionality of the hepatobiliary tract (liver, gallbladder and its ducts), bile outflow, metabolism, the patient is advised to adhere to a diet. The diet needs to be replenished with easily digestible foods containing vitamins, minerals, amino acids, pectin, etc.

If you have hepatitis A, you should avoid foods that stimulate the production of digestive juices.

A patient with jaundice should limit the amount of fat and avoid foods that stimulate the production of gastric and pancreatic secretions. You should also exclude fried foods and foods with a high concentration of cholesterol, purines, and oxalic acid from your diet. It is recommended to boil food, cook in a double boiler or bake.

Some patients are interested in the question of what to eat if they have hepatitis A.

According to doctors, the following products are allowed to be included in the diet:

Stale bread (not older than 2 days).
Galette cookies.
Soups based on vegetable broth with the addition of rice, oatmeal, beetroot soup, etc.
Beef, rabbit, veal, chicken or turkey. Patients are interested in what dish can be prepared from meat. The meat is used to prepare goulash, cutlets, meatballs, cabbage rolls, etc.
Sausages with milk.
Low-fat fish (for example, perch, hake).
Fresh or cooked vegetables. They are boiled, stewed, made into salad or vegetable puree.
Pilaf with carrots, dried fruits, cottage cheese.
Pasta made from durum wheat is boiled.
An omelet is prepared from an egg (preferably with whites).
Sweet fruits or dried fruits.
The patient can eat strawberries, blueberries or wild strawberries.
Confectionery: meringues, marshmallows. In addition, it is not forbidden to eat honey and homemade jam.
Fermented milk products with a low fat content (milk, kefir, sour cream, etc.).
Refined vegetable oils are added to dishes.
Ready-made dishes can be seasoned with dill, parsley, vanilla, and cinnamon.
Weak black tea, compote of fruits, berries, vegetables, decoction of rose hips or wheat bran.

Proper nutrition involves eating food 4 to 6 times a day.

List of foods prohibited during the diet:

Freshly baked bread, flour products.
Meat, fish, mushroom soup or okroshka.
Duck, goose, offal (liver, stomachs, kidneys, etc.).
Smoked, canned products, sausage, marinades.
The patient is not recommended to eat dishes made from sorrel, spinach, radishes, green onions, mushrooms, and beans.
Steep boiled or fried eggs are also contraindicated.
It is forbidden to eat ice cream, chocolate, as well as products made from it, and fatty creams.
Fermented milk products with high percentage fat content
It is forbidden to season dishes with pepper, horseradish, and mustard.
Strong coffee, cocoa, cold or sour drinks are contraindicated.
Pork or cooking fat.
Alcoholic drinks.

Full recovery occurs 6–12 months after hepatitis A. To reduce the likelihood of complications, the patient must follow nutritional rules, take multivitamin complexes, drink decoctions of choleretic herbs.

Diet for hepatitis B

Patients diagnosed with hepatitis B must adhere to special dietary rules. In the chronic course of the disease, a person must follow the doctor’s recommendations on nutrition for a long time, and sometimes throughout his life.

When treating hepatitis B, the patient can consume no more than 2800 kcal per day

Diet therapy has no contraindications; it helps reduce the load on the digestive organs (including the liver). The patient should eat with hepatitis B at intervals of 3-4 hours, that is, 4 to 6 times per day. Fractional nutrition helps stop the pathological process and restore liver tissue.

The number of calories in 24 hours is about 2800. In this case, the patient must take into account the ratio of proteins, lipids and carbohydrates (90-350-100g).

Many patients are interested in the question of what foods are contraindicated for hepatitis B. A person who has been diagnosed with HBV should not drink alcohol, eat smoked products, or eat foods with big amount seasonings or spices. In addition, you should avoid vegetables with high concentrations of essential oils(radish, onion, garlic).

The patient must take into account the temperature of the food or drinks consumed; they should be warm, and cold or hot foods should be avoided. Foods high in cholesterol are also prohibited, as they impair liver function.

As a rule, when treating hepatitis, patients are prescribed diet No. 5 (it will be described below), which helps normalize the functioning of the gland and the entire digestive tract. If the patient does not follow the doctor’s recommendations, liver failure develops and the risk of general poisoning of the body increases.

Fractional meals consist of 3 meals and 2-3 snacks. Fried, fatty, too salty foods, confectionery products are contraindicated for hepatitis. Cooking fats can provoke an exacerbation of the disease. The amount of salt must be reduced, as it disrupts the water exchange process, which threatens to impair the functionality of various organs.

The patient must follow a drinking regime; within 24 hours, you need to drink at least 2 liters of still water. In addition to purified water, it is allowed to consume freshly squeezed juices from fruits, berries, vegetables, and herbal infusions.

Nutrition for acute and chronic hepatitis C

Hepatitis C is the most severe type of the disease. The disease has a latent course, that is, the patient does not show specific symptoms. Typically, HCV is detected incidentally during a blood test. Hepatitis C most often provokes cirrhosis and liver cancer.

For hepatitis C, it is recommended to increase the amount of carbohydrate-rich foods

To protect hepatocytes, the patient must follow a strict diet, the rules of which depend on his condition. If the patient follows the rules of nutrition, then his health improves, discomfort and pain on the right under the ribs are relieved. Otherwise, due to the high nutritional load, the restoration of the gland slows down, and the effectiveness of antiviral drugs that help destroy HCV is reduced.

Patients are interested in what foods can be included in the diet for hepatitis C. First of all, you need to remember that the daily dose of calories is 2800. In 24 hours, the patient can consume 100 g of proteins, the same amount of lipids, and about 450 g of carbohydrates. Daily dose salt – 5 g.

As part of complex treatment, it is recommended to consume fruits, vegetables, and herbs. The diet should be supplemented with vegetable proteins. Protein-containing foods include seeds, nuts, and legumes. In addition, the patient should drink at least 2 liters of fluid.

Patients are allowed to consume dietary meat and fish, dairy products with a fat content of up to 2%, cereals, stale bread, fruits and vegetables, etc. It is worth giving up fried, fatty foods, smoked foods, marinades, and fresh baked goods. This restriction applies to beans, full-fat dairy products, canned goods, etc.

These nutritional principles should be followed even after hepatitis. This is necessary to stop the spread of pathology and restore liver function.

Therapy for the pathology is quite long and difficult. In addition, it is very expensive, so the Russian government has developed a program according to which Russian citizens can receive free treatment.

Table number 5 was developed by Dr. M.I. Pevzner. This is the best diet for patients who have been diagnosed with inflammatory diseases of the hepatobiliary tract. It is indicated in the following cases:

Hepatitis with a chronic course (beyond exacerbation).
Inflammation of the gallbladder (GB) in chronic form, as well as in remission.
Hepatitis, inflammation of the gallbladder in remission.

Diet No. 5 reduces the load on the liver and improves its functionality

Table No. 5 is prescribed for cirrhosis and drug-induced hepatitis. The main thing is that the patient does not have severe intestinal diseases.

According to diet No. 5, the patient can consume the following foods:
1. Drinks:

weak tea;
a decoction of rose hips or chamomile flowers;
freshly squeezed juices diluted with water;
compote, fruit drink, jelly.

2. Liquid dishes:

vegetable soups with buckwheat, rice, vermicelli (hard varieties);
dairy dishes;
borscht without meat;
cabbage soup without meat;
beetroot, etc.

3. Cereal dishes:

buckwheat, oatmeal, semolina, rice;
souffles, puddings, casseroles;
oatmeal, muesli (without chemical additives), etc.

4. Pasta made from high-quality pasta with the addition of safe products.

5. Meat, fish:

the patient can prepare dishes from veal, beef, rabbit, chicken, turkey (the skin is prohibited);
dishes from pike perch, cod, hake (no more than 3 times in 7 days);
the patient can enjoy fresh oysters, shrimp, squid, mussels (limited quantities).

6. Flour products:

bread made from bran, rye flour or stale wheat, crackers;
biscuits;
products made from soft dough with boiled minced meat, fish, cottage cheese or apples;
sponge cake without additives;
bran.

7. Fermented milk products:

Sour cream, cheese (not spicy), kefir, natural yogurt with a low fat content.

8. Vegetables:

potatoes, carrots, zucchini, beets and other starchy vegetables;
paprika;
avocado;
green beans;
broccoli.

9. Fruits, berries:

apples (non-acidic varieties);
banana (1 per day);
pomegranate;
prunes, dried apricots, etc.

In addition, patients can consume egg white omelettes. Dishes can be seasoned with butter or vegetable oil. The following snacks are allowed: salads from vegetables, fruits, seafood, boiled meat, etc. Sometimes patients can enjoy confectionery products: meringues, marshmallows, marmalade, candies that do not contain chocolate and cocoa, etc.

For hepatitis, coffee, cocoa, soda, strong drinks, store-bought juices, drinks with chicory, and hibiscus are contraindicated. The patient should avoid first courses of meat, fish, mushrooms, and okroshka. It is prohibited to prepare dishes from pearl barley, corn, lentils, and barley.

The patient must avoid offal, sausages, fats, canned food, salted and smoked fish, etc. Fresh baked goods and dishes made from puff pastry or butter dough are contraindicated. Salty cheeses and dairy products with a fat content of more than 3% are excluded. It is forbidden to eat mushrooms, corn, sorrel, spinach, eggplant, and radishes. You need to remove fresh figs, cranberries, lingonberries, dates, kiwis, tangerines, etc. from your diet.

A patient with hepatitis is prohibited from eating fried eggs, smoked meats, canned food, and store-bought sauces. It is worth excluding ice cream, fatty creams, chocolate, and condensed milk from the menu.

Your attending physician will advise you in more detail about nutritional rules.

Diet for the week

Doctors offer an example menu for hepatitis for 7 days:
1. Breakfast:

porridge, tea;
vegetable salad, tea;
egg white omelette, tea;
buckwheat, tea;
pudding with cottage cheese, jelly;
buckwheat and rice pancakes, compote;
cauliflower (steamed), juice.

After consultation with a doctor, patients can independently create a menu for each day

2. Second breakfast:

buckwheat porridge with boiled meat, juice;
cheesecakes, tea;
oatmeal, compote;
stewed zucchini, juice;
porridge with pumpkin, tea;
cottage cheese with dry fruits, tea;
oatmeal, jelly.

3. Lunch:

soup with vegetables, potatoes with fish, compote;
pumpkin soup, stewed chicken, salad with vegetables, jelly;
soup with potatoes, beef cutlets with rice, tea;
soup with rice, fish with salad, tea;
vegetable soup, rabbit stew, tea;
pumpkin soup, beef meatballs with salad, tea;
milk soup, boiled chicken with salad, tea.

4. Afternoon snack:

biscuits with kefir;
cheesecakes with tea;
buckwheat and rice pancakes, juice;
oatmeal cookies with kefir;
carrot pudding, jelly;
protein biscuit, tea;
boiled vegetables, rosehip decoction.

5. Dinner:

cottage cheese casserole, tea;
boiled chicken, salad, compote;
baked meat with vegetables, tea;
minced fish cutlets, vegetables, tea;
pilaf with meat, rosehip decoction;
baked fish, salad, tea;
oatmeal, kefir.

There are various recipes for delicious and healthy dishes, which meet the requirements of diet No. 5.

For example, to make curd pudding, pour 3 tbsp. spoons of semolina 100 ml of milk, leave for 15 minutes. At this time, beat 3 tbsp. tablespoons butter with 2 eggs. Mix all ingredients, add a little sugar, raisins, lemon zest. Pour the mixture into molds and bake for a quarter of an hour (200°).

For cooking pumpkin soup Boil 100 g of chopped pumpkin until half cooked. Then simmer the pumpkin with the broth and ½ teaspoon of oil, add 2 tbsp. spoons of oatmeal and cook like porridge. Then beat the mixture in a blender, add a piece of butter.

To prepare beef cutlets, pass the meat through a meat grinder several times, add a little grated potatoes, stale bread, and salt. Form cutlets from the mixture, place in a mold, fill halfway with water, and bake.

Thus, diet for hepatitis is the most important component of complex treatment. The patient must follow the nutritional rules determined by the attending physician. Thus, it will stop the development of pathology and speed up liver recovery.

Hepatitis C - dangerous viral disease, quite common these days. Treatment of hepatitis is usually difficult, requiring effort from the patient and the attending physician. Diet for hepatitis C is one of the mandatory aspects of treatment; it will help speed up recovery and prevent the development of any complications.

The hepatitis C virus attacks the liver, causing various disturbances in its normal functioning. However, the disease rarely manifests itself immediately; it happens that decades pass before it is detected. During this time, the liver can suffer quite a lot of damage.

In addition to the main antiviral therapy, hepatoprotectors are used to restore liver function, however, it is worth noting that without diet and effort on the part of the patient, the effect will not be so noticeable. Better results can be achieved using medications and diet.

Proper nutrition during treatment for hepatitis C will help avoid possible complications for gastrointestinal tract. After the virus disappears, the liver will recover faster, without the use of additional funds.

In general, the diet is aimed at reducing the load on the liver, pancreas and digestive tract in general. The main aspects of proper nutrition for hepatitis C can be listed:

In total, you need to eat no more than three and a half kilograms of food per day, and you should drink enough. The optimal number of meals per day is 5–6 times, the portions should be small; if you feel hungry between meals, you are advised to drink water.
It is recommended to steam or boil both meat and vegetables. You can also bake, but in this case it is unacceptable to use additional oils or fat.
Vegetable oils should not be heated; they can only be added to ready-made cold foods, preferably vegetarian dishes. When heated, vegetable oil acquires choleretic properties, which are undesirable for liver diseases.
It is recommended to avoid too hot or cold foods; temperature changes in food negatively affect the gastrointestinal tract.
Vegetables and non-acidic fruits, berries should occupy a special place in the diet; fresh ones are most preferable. They have a positive effect on the digestive process in case of liver diseases and hepatitis C. The consumption of meat and fish should be limited as much as possible; only low-fat varieties are acceptable.

These are the basic nutritional rules that you should rely on when choosing a diet for hepatitis C. You should adhere to proper nutrition until complete recovery, then for some time after, until liver function is completely restored.

Important! Before choosing a diet, you should consult with your doctor; your nutrition plan may need to be adjusted depending on the individual characteristics of the disease.

What can you eat

For hepatitis C, the diet is not as strict as for most diseases for which table number 5 is used. However, there is a list of products whose presence in the diet on an ongoing basis is highly desirable:

Lean varieties of meat, the most useful are turkey, chicken, rabbit, and seafood. Sausages are acceptable without fat and without adding spices.
Fresh non-acidic fruits, berries and vegetables. They should be made the basis of the diet, the main source of vitamins and other useful elements.
Cereals and pasta are acceptable in any form. Cereals can be added to soups and made into casseroles.
Low-fat fermented milk products, but too sour ones, are also undesirable. Low-fat yoghurts without additives, low-fat cottage cheese and sour cream are useful for liver damage due to hepatitis as a prevention of dysbiosis.
Cereal bread and bread products with bran. The most desirable are dried toasts, crackers and bread rolls. For sweets, natural marshmallows without additives, fruit marmalades, and jam not made from sour berries or fruits are acceptable.
Unrefined vegetable oils. However, it should be remembered that if you have liver diseases, they should not be heated.
Drinks that are acceptable include weak natural teas, sometimes coffee with milk, vegetable and fruit juices, rosehip decoction, and jelly. You should also drink enough water every day, it is advisable to avoid feelings of hunger or thirst if you have diseases of the gastrointestinal tract.

If you have hepatitis C, you should completely avoid foods that put additional stress on the liver and digestive tract as a whole. It is also advised to avoid foods that promote increased gas formation and intestinal irritation. In general, the following foods should be avoided:

fatty varieties of meat and fish, this also includes pork, duck, offal, smoked meats, fatty sausages with spices, semi-finished products, canned food;
legumes, especially peas and beans, all products that lead to increased gas formation;
fruits and berries with sour taste;
spices, herbs, some vegetables rich in active substances, which can irritate the intestines and the digestive system as a whole, these include onions, garlic, sorrel, spinach, horseradish and mustard;
mushrooms and mushroom products;
marinades, brines, pickles, other canned products of this type;
spicy, spicy foods, any broths, offal and dishes made from them;
sweets with a high fat content, chocolate, ice cream, pastries, white bread.

During treatment, alcohol, strong coffee without added milk, carbonated and other drinks that irritate the digestive tract are completely prohibited. It has been proven that hepatitis causes the greatest harm to people who continue to drink alcoholic drinks after diagnosis.

You should also avoid excess salt and sugar. You should consume no more than nine teaspoons of sugar per day, including foods containing glucose. The permissible amount of salt is no more than ten grams per day.

Important! During treatment for hepatitis C, it is also important to completely avoid bad habits, start leading a healthy lifestyle.

Diet for exacerbation and chronic hepatitis C

To make it easier to navigate and create your own diet, you can give sample menu for a week. For greater convenience, it can be compiled in the form of a table by day of the week.

	Breakfast	Lunch	Dinner	Dinner
Monday	Cottage cheese with a little added sugar and sour cream, weak tea.	Rosehip infusion, avocado toast.	Vegetarian soup, buckwheat with vegetables, berry jelly.	Potato pancakes, tomato juice, bread.
Tuesday	Oatmeal with milk, coffee with milk.	Boiled potatoes with vegetable oil, rosehip infusion.	Vegetarian borscht, jelly, fresh carrot salad.	Protein omelet, fruit juice.
Wednesday	Rice porridge with milk, weak tea.	Fresh vegetable salad, juice or tea.	Boiled turkey with rice, a small portion of marshmallows.	Vegetable stew, tea.
Thursday	Unsweetened low-fat yogurt, coffee with milk.	Cottage cheese casserole, rosehip decoction.	Carrot and apple salad, fruit drink, pancakes with butter or cottage cheese.	Potato casserole with sour cream, yogurt.
Friday	Cottage cheese, green tea.	Cheesecakes, apple juice.	Cabbage cutlets with rice or buckwheat, jelly.	Carrot cutlets, kefir.
Saturday	Rice porridge with milk, egg white omelette, tea.	Baked apple, rosehip infusion.	Vegetarian potato soup, fruit juice.	Baked zucchini, kefir or yogurt.
Sunday	Fresh vegetable salad seasoned with vegetable oil.	Protein omelet, rosehip decoction.	Boiled chicken with buckwheat or rice, marmalade, juice.	Vegetable stew, tea with added milk.

The number of meals can be increased to 5 - 6, it is advisable to have small snacks. They include toast with avocado pulp, a small amount of low-fat yogurt, fresh fruits and vegetables.

The diet after hepatitis C may be less strict if your doctor allows it. In general, it is advisable to adhere to such a diet until the normal functioning of the liver and the entire gastrointestinal tract is completely restored.

Important! You should stick to this diet plan for some time after the end of the main treatment.

Recipes

There are several simple recipes dishes that are allowed for hepatitis C. These recipes are simple enough to prepare at home, all the ingredients are available, anyone can handle them.

Soup – mashed cauliflower and potatoes. Cauliflower and a small amount of potatoes, one small carrot needs to be boiled, then chop the cabbage and potatoes in a blender. Cut the carrots into slices. Add a little vegetable broth to the resulting mass, add milk, without bringing to a boil, cook for a few minutes. Can be served.
Potato casserole with chicken. The chicken should be cut into small pieces, add a little carrot to it, and simmer until the fillet turns white. Place the chicken in a thin layer on a baking sheet and place the potatoes cut into circles on top. Pour in sour cream or low-fat cream and bake until done.

In general, despite the strictness of the diet, it is quite possible to eat quite varied. It's worth remembering that proper nutrition– one of the main factors for the fastest recovery from hepatitis C.

It is an infectious disease that is transmitted by the fecal-oral route and is characterized by liver damage.

With hepatitis A, just like with other hepatitis, the liver suffers, that is, it cannot cope with its functions.

Diet for hepatitis A is one of the therapeutic measures that plays a major role in the treatment of the disease.

Basic principles of the diet

A diet for hepatitis A should provide favorable conditions for the liver, normalize the functioning of the affected organ and biliary tract, ensure good bile secretion, and also facilitate and stabilize the functioning of other organs of the digestive tract that are involved in the infectious process of hepatitis A.

In addition, the diet is designed to regulate fat and cholesterol metabolism, as well as the function of glycogen storage in the liver.

According to the table of treatment tables according to Pevzner, the diet for hepatitis A corresponds to table No. 5. general characteristics table per day:

proteins 90-100 g;
fats 80-100 gr.;
carbohydrates 350-400 gr.

The energy value of the table corresponds to 2800-3000 kcal.

It should be noted that when following a diet, the amount of animal fats should be reduced, as they increase the load on the liver and bile ducts by 2 times.

Diet

Meals for hepatitis A should be divided, up to 5-6 times a day in small portions.

Firstly, the principle of fractionation is associated with the absence or decrease of appetite in the patient and is intended to stimulate appetite, and, secondly, small but frequent portions of food do not create an increased load on the liver, thereby ensuring its normal functioning and the ability to fight infection.

Limiting salt

The amount of salt consumed for hepatitis A will have to be limited to 4 grams. per day. This is primarily due to the fact that sodium chloride causes fluid retention in the body, and, consequently, edema. And secondly, the fluid that is retained in the body bypasses the urinary system, thereby minimizing the process of detoxification (removal of toxins and decay products of the causative agent from the body).

Temperature

Optimal temperature regime in the diet for hepatitis A corresponds to other treatment tables, that is, the food temperature should be within 15-60 °C (neither cold nor hot). This spares the liver as much as possible, does not irritate the stomach and stabilizes the functioning of the pancreas.

Liquid

For hepatitis A, you should consume 2 to 2.5 liters of free fluid in the form of rosehip decoction and medicinal herbs, fruit drinks, weak tea. This amount of liquid, on the one hand, ensures detoxification of the body, and on the other hand, stimulates the patient’s appetite.

Alcohol

With the described disease, alcohol consumption is excluded for at least 6 months. The liver is not yet able to function normally, all its forces are aimed at restoring damaged hepatocytes, so alcohol will only aggravate the course of hepatitis A.

Prohibited Products

The diet for hepatitis A prohibits foods that force the liver to work harder, cause increased bile production and significant secretion of the pancreas.

Products that irritate the stomach and promote increased gas formation and fermentation in the intestines are also not welcome. All these products (extractives, purines, refractory fats, fried foods) create additional stress on the affected organ and should be excluded.

The list of prohibited products includes:

fresh bread, pastries, especially muffins, fatty and fried pies, pancakes, pancakes;
strong and rich broths from meat, fish, poultry, mushrooms and soups made from them, as well as okroshka;
fatty and stringy meats: pork, old beef, lamb, poultry, chicken with skin;
fatty fish: salmon, tuna, halibut, mackerel, cod, smelt, sardines.
any canned fish and meat, all types of sausages, meat and fish snacks;
smoked and salted foods (ham, herring, etc.);
pork, lamb lard, margarine, mayonnaise, spreads;
all types of poultry, except chicken, offal;
eggs, hard-boiled or fried;
seasonings: pepper, horseradish, mustard, vinegar;
vegetables: green onions, garlic, sorrel, radish, radishes, spinach, legumes, as well as pickles and pickled vegetables;
caviar, mushrooms in any form, especially salted and pickled;
strong tea, coffee, cocoa, sweet carbonated drinks, especially cold ones;
ice cream, pastry creams, cakes, pastries, chocolate;
high-fat milk, cream, sharp and salty cheeses;
all dishes prepared by frying.

Authorized Products

Products that are allowed to be consumed while following a diet for hepatitis A must have two qualities.

Firstly, food should be easily digestible, and secondly, it should have a gentle effect on the liver and digestive tract, that is, not overload them with work.

In addition, food should contain large amounts of lipotropic substances (dissolving fats), pectin, and vitamins. Food should not cause a feeling of fullness in the stomach and heaviness in the abdomen, moderately stimulate bile secretion and the formation of pancreatic and gastric juices.

Lecithin, which is formed due to the consumption of lipotropic substances, promotes the removal of fats from the liver. Food should be boiled, steamed or baked.

The list of permitted products includes:

yesterday's or dried bread, dry uneaten cookies (biscuits, crackers):
soups prepared with vegetable broth, with the addition of cereals and noodles, as well as milk soups, vegetarian borscht and cabbage soup, beetroot soup;
lean meat: veal, lamb without tendons and membranes, white chicken meat without skin, rabbit meat and meatballs, quenelles, steamed cutlets prepared from them;
Milk sausages are allowed in small quantities;
vegetarian pilaf without frying vegetables;
crumbly porridge from buckwheat, oatmeal, semolina, millet;
boiled pasta, vermicelli;
low-fat varieties of fish: perch, hake, flounder, navaga boiled or baked;
protein omelettes, soft-boiled eggs are allowed no more than 2 times a week;
puddings, casseroles, soufflés made from cottage cheese, pasta, rice, rolls, cabbage rolls, stews;
vegetables: beets, carrots, cabbage, cucumbers, zucchini, pumpkin;
fresh and boiled sweet and ripe fruits and berries in the form of purees and compotes (strawberries, apples, bananas, melon, strawberries, peaches);
milk and vegetable sauces, sour cream sauce, fruit sauce;
Dill and parsley are allowed as seasonings;
sweets: pastille, honey, jam, meringues;
boiled seafood;
appetizers: squash caviar, jellied fish, herring soaked in milk;
low-fat milk and fermented milk products, cottage cheese, mild and unsalted cheeses;
refined oil, vegetable salads seasoned with vegetable oil;
weak tea with milk or lemon, herbal teas, rosehip infusion, bran, freshly prepared juices from vegetables and non-acidic berries and fruits.

The need to follow a diet

Diet for hepatitis A is practically the only therapeutic measure for this disease.

Compliance with the treatment table reduces the severity of symptoms of the disease and speeds up the healing process. In addition, the diet for hepatitis A stimulates the patient’s appetite, which is often absent with this infection.

The diet also stabilizes and normalizes the functioning of not only the liver, but also the entire gastrointestinal tract. The high content of vitamins in food improves mood, improves vitality and stimulates the immune system.

Consequences of not following the diet

If the diet is not followed, the following complications may develop:

hepatomegaly (enlarged liver);
transition of the disease into a fulminant form, which is dangerously fatal;
liver failure.

Each of us has been on a diet at least once in our lives. Diets are different, depending on the goal set for a person. But there is a category of dietary restrictions associated with diseases present in the body. In most cases, a special menu is necessary if a person has any problems with the digestive system.

One of these serious problems in the body is the development of hepatitis C. With this diagnosis, patients are prescribed a special menu that helps rid the body of of this disease. It is the adherence to a special diet and the exclusion of certain types of foods from the patient’s diet that serves as the cornerstone in the treatment of the disease. In this article, we will look at the features of the development of hepatitis C in the body, and also create an approximate diet of dishes that will help improve the patient’s condition and speed up his recovery.

Hepatitis C is a rather complex disease that develops in the human liver. This disease can occur in either acute form lesions, as well as chronic.

The nature of the development of the disease directly depends on the individual characteristics of the person and the factors affecting him. The disease develops as a result of a virus entering the body through the blood, causing damage to liver cells.

This virus can also enter the body through sexual intercourse with frequent changes of partners. Getting into the human body and then into the blood in the body occurs incubation period, continuing at different people differently. It usually lasts from five to ten years. It can only be detected in the body by examining a sample of a person's blood.

Hepatitis C often reveals itself by the following signs:

Yellow skin in the face area.
Attacks of fatigue.
Yellowing of the sclera of the eyes.
Frequent depression.
Unreasonable temperature fluctuations.
Weakening of the immune system.

Hepatitis C is quite insidious. Its threat to the body lies in the ability of transition to and subsequent cancer of a given organ. In other words, when the liver is damaged by hepatitis C, its irreversible destruction occurs in the body. Unlike other forms of hepatitis, hepatitis C is difficult to treat, even if the patient unquestioningly follows all the recommendations of the attending physician.

The patient has to go on a special diet and stick to his own menu for a long time, only in this case it will be easier for him to cope with this disease.

World-famous scientists and numerous studies in the field of medicine have discovered a variety of drugs that can suppress the development of hepatitis C in the body, but many of them are quite expensive and can have an effect on the body. side effect. Therefore, you should not get by with just taking medications for hepatitis C.

Having discovered hepatitis C in the body, doctors try to structure treatment in such a way that, first of all, an increase in immune system body. One way to enhance it is to correct the patient’s diet. People with hepatitis C are prescribed special diets and menus that do not contain foods that are harmful to the liver. By following the menu for this disease, a person experiences a significant improvement in well-being and the load on the liver is reduced.

Features of the patient’s nutritional menu

As already mentioned, the effectiveness of getting rid of hepatitis C depends on the correctly selected menu for the patient. Specialists and nutritionists have been working on creating a dietary menu for hepatitis patients for several years.

They have already presented the results of their activities at various seminars and forums, where they received many positive responses and recognition.

The basis of the menu for patients with hepatitis C is:

A light diet that can relieve the activity of liver cells. But, despite its ease, this menu should fully provide the body with essential microelements and vitamins, since he is very weakened and needs support. At the same time, the patient’s diet should not contain foods that are difficult to process by the cells of the diseased liver.
Fatty foods are gradually eliminated from the diet.
People whose bodies develop hepatitis C should not go to catering establishments for “snacks” or lunches, since the cooking technology in these establishments does not provide for compliance with the standards of patients with hepatitis C. It is best to dine at home, following your own menu and cooking technology , as well as saving the family budget.

Diet therapy for chronic viral hepatitis C is one of the important elements of complex treatment. It has an important place in an effective scheme on the path to recovery, and is a desirable factor in drug therapy. The diet for hepatitis C (C) is therapeutic and must simultaneously be accompanied by lifestyle changes.

Why do you need a diet?

The purpose of limiting and changing the diet in the treatment of viral hepatitis C is to maximize the protection of the liver, normalize its functions, suppress inflammatory and fibrosing processes in it, correct metabolic disorders and prevent cirrhosis. With this disease, an alkalizing diet is necessary, since the acid-base balance in the body is disturbed towards acidosis (acidification).

Diet therapy for viral hepatitis C in adults does not differ from that for other types of hepatitis (A, B, D), but may undergo changes in case of liver cirrhosis, HIV infection and severe concomitant diseases of other organs. Has its own characteristics dietary food in women during pregnancy and in children suffering from hepatitis C. The menu for patients with acute hepatitis is also different: in the acute phase there are much more restrictions and prohibitions than in the chronic phase.

To achieve maximum positive results from drug therapy, every patient with hepatitis C must take a responsible approach to their diet, find out what they can eat and what they will have to give up.

Diet for chronic hepatitis C

A liver diet for chronic hepatitis C must comply with certain dietary principles:

the energy value of the menu must cover the body’s energy costs;
the consumption of table salt is limited to 4-6 g per day;
the daily amount of free fluid is not limited;
frequency of meals – 5-6 times a day;
Recommended cooking methods include boiling, baking, stewing, and steaming.

What should patients with CHVS not do? Fried, fatty, spicy, smoked and salty foods and dishes, fresh bakery products and baked goods, sweets with cream, ice cream, strong coffee and tea, as well as alcoholic drinks.

During the course of antiviral treatment, it is recommended to consume lean meats, fish, chicken eggs(no more than 1 per day), low-fat dairy products, vegetable oils, cereals, vegetables, unsweetened fruits and berries, dried bread, juices, decoctions, herbal teas. This diet must be strictly followed throughout the entire treatment period. If the patient has no symptoms of liver pathology after the end of treatment, which is confirmed by objective research methods, you can gradually exit the diet.

Diet for acute hepatitis

Dietary nutrition for acute hepatitis C has its own characteristics. The liver in adults in the acute period of the disease “experiences” difficulties in producing bile and performing other functions, so at this time you should eat in small portions. In this case, the food must be complete in chemical composition.

The main dietary principles for creating a menu in the acute period of hepatitis C are:

exclusion of all animal fats except Not large quantity butter in its natural form;
enriching the diet with vegetable fats, which normalize lipid metabolism and cholesterol levels (lipotropic effect);
inclusion of protein in the menu in the form of meat, fish and eggs;
the presence of fast carbohydrates in dishes in the first half of the day;
eating a large amount of vegetables, which enriches the body with vitamins and plant fiber;
drinking plenty of fluids.

It is necessary to adhere to such a strict diet throughout the entire period of the disease. If the symptoms of acute hepatitis C in the patient have disappeared, the process has not become chronic and the course of treatment is completed, the strict diet can be gradually eased. Exiting the diet should be done in stages over 4-6 months: new foods and dishes are gradually included in the menu.

Diet number 5

Often when prescribed drug treatment The hepatologist writes in the recommendations: “Table number 5.” What does this mean? In fact, table 5 is one of 15 special diets developed by the Soviet gastroenterologist-nutritionist M. Pevzner back in the 30s of the last century for organizing therapeutic nutrition in medical, preventive and sanatorium institutions.

Pevzner outlined in detail all the requirements for the diet, calorie content and nutritional value of the therapeutic diet, justified the list of permitted and prohibited foods, and methods of preparing dishes. The doctor also suggested an approximate one-day menu, on the basis of which weekly diets can be compiled.

Taking diet No. 5 according to Pevzner as the basis for drawing up an individual menu for a specific patient, it is necessary to take into account the calorie content and nutritional value of different products so that the daily energy intensity of the dishes corresponds to the energy consumption of the patient’s body. Insufficient calories and a poor diet can lead to a deterioration in the patient’s well-being and a slowdown in the healing process. You can find out the calorie content and nutritional value of products and ready meals from special tables.

Indicative menu

Patients with hepatitis C and their relatives should not worry about dietary restrictions. Therapeutic diet- This is not a diet for weight loss, so a sick person should not feel deprived and hungry. There are many recipes by which you can prepare dishes that will not be inferior in taste to dishes made from “forbidden” products.

As an example, we can take the approximate diet menu for a week (1 – breakfast, 2 – second breakfast, 3 – lunch, 4 – afternoon snack, 5 – dinner):

Monday
- Oatmeal with raisins, tea.
- Baked pumpkin.
- Vegetarian soup with rice, boiled chicken, kefir.
- Herbal decoction.
- Boiled potatoes, soaked herring, fresh cabbage and carrot salad with sunflower oil, tea.
Tuesday
- Cottage cheese casserole, weak coffee.
- Baked apple.
- Buckwheat soup, grilled vegetables with boiled fish, vegetable juice.
- A glass of kefir.
- Mashed potatoes with chicken meatballs, cocoa.
Wednesday
- Carrot-apple cutlets, plum juice.
- Banana.
- Vegetarian borscht, pearl barley porridge with fish cutlets, Herb tea.
- Berry jelly.
- Vegetable beef stew, mint tea.
Thursday
- Cheese pancakes with low-fat sour cream, unsweetened yogurt.
- Fruit jelly.
- Chicken broth with noodles, mashed potatoes, vinaigrette with vegetable oil, green tea.
- A glass of kefir.
- Pilaf with chicken, boiled beet salad with sunflower oil.
Friday
- Milk rice porridge, coffee with milk.
- Pear.
- Rassolnik, wheat porridge, chicken cutlets, black tea with lemon.
- A glass of dried fruit compote.
- Stuffed peppers, unsweetened yogurt.
Saturday
- Semolina porridge, tea.
- Baked apple.
- Potato soup with dumplings, buckwheat porridge, boiled chicken fillet, rosehip decoction.
- Apple juice.
- Stuffed cabbage rolls, kefir.
Sunday
- Boiled potatoes with herbs, chicory coffee.
- Milk jelly.
- Beetroot soup, pasta, chicken liver in sour cream, dried fruit compote.
- A glass of milk.
- Stewed cabbage with tomato juice, tea.

By combining dishes from different days in any order, you can diversify the patient’s diet according to his taste. The recipes should be healthy and not burden the liver.

Menu for virus carriers For virus carriers who do not have clinical signs of liver damage, the diet is not so strictly limited. Virus carriers are only recommended to limit the amount of animal fats in the diet, exclude extractive substances (strong broths, coffee), hot spices, canned and smoked foods, reduce the daily amount of salt to 4-6 g. The consumption of alcohol, carbonated drinks, and foods with preservatives remains prohibited , pickles, smoked foods, canned food, spices.

Remember that diet is also treatment. If it is used correctly and combined with drug therapy, you can achieve the desired goal - recovery.