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Taking
Steps to Slow Disease Progression
Certain
substances (like alcohol) or infections (like hepatitis) can keep
the liver from functioning correctly. Such substances or infections
can scar or even kill liver cells and can lead to a condition called
cirrhosis. By taking two important stepsavoiding alcohol and
eating wellyou may prevent damage in remaining healthy liver
cells.
Step
1: Avoid alcohol
Your
liver acts as a filter for harmful chemicals in your body. When
you drink alcohol, the liver treats it as a toxic substance and
works to filter it out. In a person with hepatitis, alcohol significantly
increases damage to the liver.
You
will need to stop drinking alcoholic beverages altogether so that
your liver will have a chance to heal and to grow new cells. All
types of alcohol, including beer, wine, cocktails, and champagne,
can damage your liver, and should be avoided. Also, remember that
alcohol adds calories to your diet and may decrease your appetite,
leaving less room for the protein-rich foods that your liver needs
for healing.
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Alcohol
and Acetaminophen
Do
not combine alcohol and acetaminophen (an ingredient in some
over-the-counter pain and cold medications, such as Tylenol®),
which can cause severe liver damage.
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Step 2: Follow your doctor's advice on nutrition
If
you have cirrhosis (scarring of the liver) as a result of hepatitis,
you may begin to experience loss of appetite. People with cirrhosis
must pay special attention to meeting their daily nutritional needs
so that they can keep up their energy levels and avoid losing weight.
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Consult
with your doctor regarding your specific nutritional needs
before making any changes in your diet.
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The right amount of protein
If
you don't eat enough protein-rich foods, your body, which still
requires protein, may take it from your muscles, causing a feeling
of weakness. However, a complication of cirrhosis known as hepatic
encephalopathy (mental confusion) can result from taking in too
much protein. This occurs when the amount of protein in your diet
exceeds the liver's ability to use the protein. Be sure to check
with your doctor regarding your specific protein needs. Because
your body requires protein to function, never limit your protein
intake without first seeking your doctor's advice.
Daily
calorie needs
In
addition to paying attention to the amount of protein in your diet,
you should be sure to maintain your calorie needs. The total number
of daily calories in your diet should equal a minimum of 15 calories
a day for each pound you weigh.
Salt
intake and fluid buildup
Among
its many effects, cirrhosis (scarring of the liver) disturbs the
regulation of salt and water in your body. This may cause ascites,
which is the accumulation of fluid in the abdomen. Fluid may also
build up in other parts of the body, such as the ankles or chest,
causing swelling.
One
way to reduce fluid buildup is to maintain a low-salt diet. Salt
acts like a spongewhen your body retains salt, it also retains
fluid. For this reason, it is important to limit salt in your diet
to below 2,000 milligrams a day.
Tips
for limiting salt include:
not
shaking salt onto your food
using lemon juice instead of salt
reading food labels to determine salt content
eating more fresh foods and fewer canned, processed,
and prepared foods
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