Healthy Eating in Liver Disease Good Nutrition in Liver Disease helps to: Prevent your muscle from wasting and helps to keep you strong Helps any wounds heal more quickly Helps recovery from operations and helps to fight infection Helps to prevent ascites (fluid collecting around your middle) from getting worse It is important that you try to have regular meals with carbohydrate snacks in between meals Your liver has an important role in storing a small supply of spare energy. Your body uses this store of energy between meals or during short term fasting (e.g. overnight) and this energy is then replaced after your next meal. If your liver is not working properly and you have symptoms such as jaundice (yellow skin colour), ascites (fluid around your middle), oedema (fluid in your ankles, legs or arms) or confusion (encephalopathy) then your liver is not able to replace this store of energy once it has been used. When this happens your body has to find alternative stores of energy between meals and during short term fasting. The easiest source of energy is from your muscles. If this happens regularly your muscles will get weaker and waste away. This is why it is important to have regular meals and snacks in-between - so we can help preserve your muscles and keep you strong. Carbohydrate foods are those which give us energy, below are some examples and you should try to include some of these at each meal: Bread (wholemeal, wholegrain and granary varieties are better) Potato (boiled, mashed, jacket etc) Breakfast Cereal (high fibre e.g. bran flakes, Shreddies, Weetabix, porridge are better) Pasta Rice (basmati or brown varieties are better) Chapattis (made with wholemeal flour are better) Protein is what our bodies use to build and repair our body tissues e.g. muscles It is important when you liver is not working properly that you have enough protein to prevent your muscles from further breakdown and to help re-build muscles lost. You should aim to have at least 3-4 serving/day. You can choose from the following sources: Meat and Poultry Fish Cheese Eggs Pulses (baked beans, peas, beans, lentils, Dahl) Quorn, Tofu, and Soya Fruit and Vegetables Try to include fruit and vegetables in your diet; they are an important source of vitamins and minerals. If your weight and appetite are normal then try to aim for 5 portions of fruit and vegetables per day. What is a portion? 3-heaped tablespoons of vegetables 2 satsumas 1 tablespoon of raisins 1 cereal bowl of mixed salad 1 medium glass of orange juice 1 apple, banana or pear Ideas for cutting down the fat in your diet Use low fat alternatives e.g. low fat yoghurt, semi-skimmed milk, low fat margarine Grill, bake, steam rather than fry Avoid high fat take aways e.g. fish and chips, creamy curries etc. Cut visible fat off meat and reduce the amount of oil used in cooking Choose plain biscuits rather than chocolate or cream cakes How to cut down on sugar Don’t add any sugar to drink or in baking– try using an artificial sweetener Use no added sugar drinks or diet squashes/pops Reduce sugary sweets Ideas for snacks between meals: Some plain biscuits A few crackers, slice of toast, small sandwich A scone, crumpets, a slice of malt loaf Portion of fruit Glass of semi skimmed milk Bedtime Snacks It is a good idea if you have a larger snack before bed as it is normally a long time before breakfast. Some ideas for bedtime snacks are: Bowl of cereal and a 300ml glass of semi-skimmed milk Hot Chocolate/Horlicks/ Ovaltine with 3-4 plain biscuits 2 slices of toast and 300ml of semi-skimmed milk Sandwich and 3 biscuits Slice of fruit cake and a glass of semi-skimmed milk Packet of crisps, chocolate bar and a glass of semi-skimmed milk Suggested meal plan Breakfast: Cereal and semi skimmed milk Toast and a banana Beans or boiled egg on toast Mid Morning Snack: Couple of plain biscuits Fruit Glass of semi-skimmed milk Lunch: Sandwich with meat/fish/egg/cheese Jacket Potato with beans/cheese/tuna/meat Pasta/Noodles with meat/cheese/fish Dessert: Low fat Yoghurt/Rice Pudding Fruit and custard Mid afternoon snack: Crackers and cheese Malt loaf Crumpet/ scone Evening Meal: Meat/fish/tofu/Quorn with potato/chips and vegetables Meat/fish/lentil curry with rice/naan/chapatti Meat/Lentil/bean stew and rice/potato Pasta and sauce with meat/fish/quorn/beans and cheese Dessert: Fruit and ice cream Crackers and cheese Low fat yoghurt Bedtime Snack: Bowl of cereal and a glass of semi-skimmed milk 2 slices of toast and a banana Scone with Jam and a Hot Chocolate Additional Information and contact details Dietitian: Contact Details: