The Most Suitable Diet for Hepatic Encephalopathy in Cirrhosis Patients

Patients with liver cirrhosis who develop hepatic encephalopathy need to pay special attention to their dietary habits. One of the most important dietary adjustments is limiting protein intake while increasing carbohydrates. Foods such as rice, steamed buns, and noodles are highly recommended as they provide essential energy without overburdening the liver. Additionally, low-fiber vegetables and fruits can be included in the diet to support digestion and nutrient absorption.

It's crucial to avoid foods that may cause gastrointestinal bleeding, which can worsen hepatic encephalopathy. A bland and easily digestible diet is strongly advised to reduce stress on the digestive system. High-protein foods should be strictly avoided or significantly reduced to prevent ammonia buildup in the blood.

Besides dietary changes, aggressive medical treatment is necessary to manage hepatic encephalopathy, including therapies aimed at lowering blood ammonia levels. Commonly used medications include branched-chain amino acids, ornithine aspartate, arginine, and sodium glutamate. These drugs help regulate ammonia levels and improve neurological symptoms.

In some cases, a vinegar water enema can be an effective method to lower elevated blood ammonia levels. This procedure helps remove excess ammonia from the intestines, thereby reducing its harmful effects on brain function. Combining proper nutrition with medical interventions can significantly improve the condition and enhance the quality of life for patients with hepatic encephalopathy.