Nutritional approaches towards prevention and treatment of DCLD

Ananya Anurakta Pattanaik, Puspanjali Mishra*, Jatindra Nath Mohanty

SOA deemed to be University, Bhubaneswar, Odisha, India

ABSTRACT

Decompensated chronic liver disease (DCLD) is also known as decompensating cirrhosis. Cirrhosis is a chronic liver disease that is commonly resulting of hepatitis or alcohol use disorder. It is the severe scarring of liver seen at the terminal stages of chronic liver disease. The diet of patients with chronic liver disease is based on a standard diet with supplements addition as necessary. Restrictions may be harmful and should be individualized. In this study we detailed a patient having decompensated chronic liver disease and observed all require parameter in dietary management. The patient undertook a dietary counselling for 16 days and dietary modification was done according to the patient condition. The HB level was 9.1g/dl, so beetroot juice in the mid-morning and soybean and 2 egg whites were suggested to increase the protein level. Later it was seen that Hb level was increased to 9.9g/dl and protein level was increased to 6g/dl. Also, the potassium level was below normal, so coconut water suggested. what to avoid and what to include and a sample menu and a diet chat was given to the patient at the time of discharge. Malnutrition is a potentially reversible condition that, when identified and treated appropriately, can lead to improvement of the outcomes of patients with DCLD.

Keywords:

DCLD, decompensate cirrhosis, potassium, haemoglobin, prevention and treatment.