What it is
A chronic liver condition caused by diffuse necrosis and regeneration, leading to the formation of excess fibrous tissue that disrupts the normal architecture of the liver.
Symptoms
- Abnormal liver function test values
- Jaundice
- Ascites and oedema
- Hepatic encephalopathy
- Portal hypertension and varices
- Disturbed amino-acid levels
- Vitamin and trace-element deficiencies
- Glucose intolerance or fasting hypoglycaemia
Nutritional management
- Adequate energy intake
- Adequate protein intake
- Small, frequent meals
- Sodium restriction to manage fluid retention
- Reducing saturated fats and increasing omega-3 fatty acids
- Vitamin and trace-element supplementation when deficiencies are present
- Stopping alcohol consumption
When to consult a dietitian-nutritionist
- After a diagnosis of liver cirrhosis
- When there is liver failure or impaired liver function
- When personalised nutritional support is needed to prevent malnutrition and manage complications
- When the diet must be adapted to protein, sodium or fluid restrictions according to the clinical situation
- When education is needed on choosing foods suited to liver function and reducing the risk of complications
- When there are co-existing deficiencies of vitamins, minerals or micronutrients linked to liver disease