Diet for patients with hepatitis. Menu for hepatitis C: allowed and prohibited foods in the diet

Hepatitis C is considered the most severe type of viral hepatitis. The causative agent of the infection is HCV, which disrupts the functioning of the liver and provokes severe poisoning of the body. The infectious agent is transmitted parenterally (through blood). In most cases, hepatitis has a hidden course and often becomes chronic. Getting rid of the virus is quite difficult, so treatment must be comprehensive.

If a person has been diagnosed with hepatitis C, then he must take medications, lead a healthy lifestyle, and follow nutritional rules. The last point of complex therapy is of key importance. A diet for hepatitis C will help get rid of unpleasant symptoms, and in the absence of negative factors, it will speed up liver recovery.

Nutrition rules

The diet for hepatitis C is aimed at unloading the liver affected by viruses. To do this, you need to adjust (increase or reduce the amount of individual components) a standard balanced diet. It is important to choose the right products on the menu; in addition, you should pay attention to the way they are processed and diet. After the patient follows these rules, damaged cells and tissues are renewed, the functionality of the hepatobiliary tract (liver, gallbladder, its ducts) is normalized, metabolism is normalized, and the formation of its own enzymes is accelerated.

The diet for patients with hepatitis includes proteins, fats, carbohydrates, vitamins, and minerals. Moreover, the amount of these substances in the body must be strictly balanced (proteins, fats, carbohydrates - 1:1:4). That is, the amount of fats and proteins is limited, instead the diet is replenished with carbohydrates. This is necessary to reduce energy expenditure during the breakdown of food and speed up recovery.

The amount of animal proteins is up to 60% of their total. Vegetable fat content is about 25%.

Carbohydrates are represented by starch, sugar, fiber, and pectin. The patient can get sugar from fruits, berries, dairy products, and honey. In addition, it is important to consider the amount of vitamins and minerals that enter the body every day.

Many patients are interested in the question of how to eat during illness. During the day, the energy value of food should not exceed 2800 - 3000 kcal. It is important to eat 4 to 6 times a day (at the same time), but in small portions. That is, the diet contains 3 main meals, and the rest are snacks. As for the cooking method, the products are boiled, baked, steamed, and sometimes stewed. Fried foods, smoked foods, and salty foods should be avoided.

It is strongly recommended to chop the products before use. Cold and hot foods should be avoided; the patient should consume warm foods and drinks. It is important to exclude from the menu canned food, semi-finished products, as well as products of questionable quality or expired.

The patient's diet is supplemented with fruits, vegetables, cereals, dairy products, legumes, and cereals.

Food for hepatitis should be safe, healthy and varied. It is recommended to alternate the permitted dishes so that the diet is balanced.

If any product from the food basket causes an allergy in the patient or it is simply unpleasant for him to eat it, then it should be abandoned. In addition, it must be remembered that the composition of the diet for concomitant diseases may differ.

Diet table No. 5 is a specialized method of therapeutic nutrition, which was developed by Dr. M. I. Pevzner. According to this program, the menu reduces the number of foods that are rich in fat and cholesterol. The patient can eat vegetables and fruits with hepatitis, but must exclude fatty and fried foods from the diet.

Food intake is carried out from 4 to 6 times a day, in small portions and at a certain time

Diet number 5 reduces the load on the damaged gland and biliary tract (bile, its ducts) due to the fact that the patient eats healthy foods.

Doctors highlight the following principles of table No. 5:

Sufficient content of foods rich in proteins and carbohydrates.
Reducing the amount of fatty foods.
Products can be boiled, baked, steamed, and in rare cases, stewed.
Foods rich in fiber should be crushed before consumption. If the meat contains a large number of hard veins, then it must be passed through a meat grinder or finely chopped.
This cooking method, such as frying, is contraindicated in the treatment of hepatitis C.
It is worth giving up products that contain purines (compounds containing nitrogen) and oxalic acid.
It is recommended to avoid foods that provoke fermentation processes in the intestines. Such products contain coarse fiber and extractive substances that increase the production of secretions from the digestive glands.
For hepatitis C, it is recommended to reduce the amount of salt.
The daily amount of food should be divided into 4–6 meals, and the portions should be small.
It is highly recommended to drink filtered water on an empty stomach.

Nutrition for hepatitis C, according to table No. 5, helps restore liver function. This diet is indicated for hepatitis in remission, cirrhosis, pancreatitis (inflammatory damage to the pancreas), cholelithiasis, gastritis, etc.

When eating, you need to chew food thoroughly; quick snacks can worsen the patient's condition. There should be no canned food in the diet. Fish and meat are boiled before cooking, and then baked or stewed. It is necessary to reduce the amount of sugar, or better yet, avoid it altogether. It is recommended to eat seeds, vegetable proteins, and nuts.

The patient must follow the above-described nutritional rules for 2 years, or even throughout his life. The patient is recommended to consume up to 3 kg of healthy foods per day, and for obesity - about 2 kg.

According to diet No. 5, the amount of protein in the daily menu is 80 g, of which 60% is animal proteins. The amount of fat is 80 g, of which 30% is vegetable. The carbohydrate content is 400 g per 24 hours, while the amount of sugar is about 80 g. The daily dose of salt is up to 10 g. In addition, the patient must drink at least 1.5 liters of water per day.

Hepatoprotectors will help treat the liver and speed up its recovery: Essentiale, Karsil, etc.

Diet No. 5 is also indicated for hepatitis B; you can read about the rules of nutrition for this form of the disease in this article.

List of products for diet No. 5

Among patients who have been diagnosed with HCV, the question of what foods can be included in the diet is relevant. According to nutritionists, when the infection becomes chronic, the patient can supplement the menu with the following products:

For hepatitis, it is allowed to consume many foods that saturate the body with useful substances and speed up liver recovery

1. Drinks:

Black tea (not strong) with the addition of lemon and milk.
Decoction of rose hips.
Freshly squeezed juices diluted with warm water.
Compotes with fruits or dried fruits.
Kissel or fruit drink.

2. Liquid meals are the basis of the diet:

Soups with potatoes, cabbage, beets, zucchini, pumpkin, carrots.
First courses with cereals (buckwheat, semolina, rice, pearl barley or noodles).
Milk-based pasta soup.

3. Dishes with cereals:

Buckwheat, oatmeal, rice, millet porridge with water or milk.
Casseroles, soufflés, cereal puddings.
Porridge with dried fruits.
Bulgur or couscous porridge.
Flax seeds.
Pasta made from durum wheat.

4. Meat, fish, seafood dishes:

Calf, rabbit, chicken, turkey meat.
Milk sausages (small quantity).
Dishes from hake, pollock, pike perch, tuna, cod.
Fresh oysters, minimal amounts of squid and shrimp. This restriction applies to salmon.

5. Flour products:

Bread with bran or rye flour (preferably stale).
Galette cookies.
Bread made from sprouted whole wheat grains.
Bran.

6. Milk and products made from it:

Cheese (not the spicy variety).
Sour milk with a fat content of about 2%.

7. Vegetables:

Dishes from potatoes, cauliflower, pumpkin, zucchini, carrots, beets.
Neutral-flavored salads (iceberg, romaine, etc.).
A little paprika and tomatoes.
Sea kale.
Green beans.
Broccoli, celery.

8. Fruits and berries:

Sweet apples, bananas and pomegranates (a little), dried fruits.
Watermelon (2 pieces per day).

9. Oils:

Butter (30 g per day).
Refined vegetable oils no more than 15 g per day.

10. Sweets:

Boiled or baked fruits and berries.
Jelly, mousse.
Marmalade, candies without chocolate.
Homemade jam.
Minimum amount of sugar.
Lollipops (preferably homemade).
Caramel without seeds, sesame, nuts.
Sponge cake without cream and glaze.

If you have hepatitis, you can eat chicken or quail eggs, but the amount of yolk per day should not exceed ½.

The list of dishes for illness can be supplemented with vegetable salads, squash caviar, lightly salted herring, salads with boiled meat, vinaigrette, etc. Patients can also season their dishes with fruit, dairy, vegetable, sour cream, and soy sauce. Parsley and dill are not contraindicated. Vanilla and cinnamon are allowed as spices.

Many patients are interested in the question of whether it is possible to drink coffee if they have hepatitis C. According to diet No. 5, this drink is on the list of prohibited drinks. This restriction applies to cocoa, chicory-based drink, hibiscus, and soda. In addition, you should give up alcohol, whey, and store-bought juices.

Soups with fatty fish, meat, mushrooms, sorrel, spinach, and beans are contraindicated for patients. You should avoid barley, corn grits, and lentils. According to Pevzner, it is forbidden to eat offal, sausages, smoked, canned products, and fats.

Exclude puff pastries, pastries, pancakes, and fresh bread from the menu. Avoid salty cheese and fatty sour milk.

The question of whether it is possible to eat garlic if you have hepatitis is quite relevant. It is also better to avoid garlic and green onions. It is forbidden to eat fresh raspberries, oranges, tangerines, dates, pears, etc. Your doctor will advise you in more detail about the prohibitions during diet No. 5.

Diet No. 5a

To treat acute hepatitis, the patient must adhere to a strict diet. This is table No. 5a, which is as gentle as possible on the digestive system.

Diet No. 5a is prescribed for acute hepatitis

The diet menu for hepatitis C includes 80 g of protein, 75 g of fat, 350 g of carbohydrates. The amount of salt is reduced to 8 g, and the volume of liquid is increased to 2.5 liters. Patients wonder how many calories are in the diet of a patient with acute hepatitis. The energy value of the daily diet is 2400 kcal.

The patient eats often (5–6 times), but in medium portions. Acid-containing foods rich in cholesterol and purines are excluded from the diet.

You can eat boiled or steamed foods. A cooking method such as baking is also allowed, but so that the food does not have a crispy crust.

Patients with acute hepatitis can consume almost all dietary foods from table No. 5. Patients are interested in what they should not eat during an exacerbation of the disease from the above food basket. This restriction applies to rye bread, biscuit dough products, and hard-boiled eggs.

The question of what you can eat if you have hepatitis C in acute form is also relevant. It is recommended to consume carefully ground foods, such as pureed soups, cutlets or meatballs made from stringy meat.

Sample menu for the week

Nutritionists have compiled an example of a diet that corresponds to the rules of table No. 5 for the week. It contains the necessary nutrients and does not overload the liver.

Your doctor will advise you on the menu for hepatitis C in more detail.

Menu for hepatitis C for 7 days:
1. Monday:

oatmeal with dry fruits, black tea;
vegetable soup, baked chicken, compote;
rosehip decoction, biscuits;
mashed potatoes, fish cutlet, tea.

2. Tuesday:

protein omelet, tea;
vegetable soup with buckwheat, meatballs (steamed), compote;
Vegetable Salad;
meat pilaf, kefir.

Rice casserole, tea;
cabbage rolls, vegetarian borscht, jelly;
applesauce, oatmeal gingerbread;
buckwheat with meat, rosehip decoction.

4. Thursday:

soft-boiled egg, fruit puree, herbal tea;
boiled turkey, pea puree, juice;
dry biscuit, tea;
buckwheat porridge, bread and butter, tea.

5. Friday:

milk noodle soup, compote;
potato soup, boiled fish, jelly;
carrot and apple salad;
mashed potatoes, meat, kefir.

6. Saturday:

Cottage cheese seasoned with sour cream, boiled egg, compote;
vegetable soup with noodles, cutlets, rosehip broth;
fruit juice, cookies;
rice milk porridge, bread and butter, cheese.

7. Sunday:

lazy dumplings, tea;
vegetable soup, casserole of noodles and boiled meat, jelly;
banana;
semolina with milk, herbal tea.

Diet No. 5 demonstrates a restorative effect on the liver. The main thing is to adhere to the rules of nutrition.

Recipes for hepatitis C

In case of inflammatory disease of the gland, the diet can be replenished with tasty and healthy food.

Vegetarian borscht is one of the most popular dishes for hepatitis C

Dish recipes:

Vegetable soup. Take 150 g of zucchini, 100 g of carrots, chop and simmer in olive oil. Cut 300 g of potatoes, boil in 1 liter of water, add carrots, zucchini, salt and bring to a boil. Before eating, add carrot juice to the dish.
Borsch. Grind 2 beets. Cut 70 g of cabbage, 3 potatoes, 2 carrots into strips. Stew the beets and carrots, add to 250 ml of vegetable broth, which already contains potatoes and cabbage. When the vegetables are boiled, add 1 teaspoon of tomato and sugar to the liquid. After a few minutes, remove the dish and let it sit.
Protein omelet. Separate the white from the yolk and beat. Add a little salt and milk to the protein. Pour the mixture into a steamer and leave for 20 minutes. The finished dish can be decorated with herbs.
Take 100 g of lean meat, mince it, and boil the cabbage leaves. Pour 15 g of rice with water after boiling, leave for 20 minutes, then drain the water. Mix rice with minced meat, add 20 g of vegetable oil and 30 g of herbs. Form the cabbage rolls, place them in a cauldron, cover with water and simmer.

There are many more popular dishes that can be eaten with hepatitis C: meat noodle soup, cottage cheese pudding, rice casserole, berry jelly, baked fish with vegetables, etc. Therefore, food even during treatment can be tasty and varied.

Proper nutrition will help restore liver tissue, normalize the flow of bile and intestinal motility. In addition, the patient’s immunity is strengthened and the body becomes resistant to infectious diseases. True, the first results should not be expected earlier than after 3 months. Although many doctors advise following a diet throughout your life. Patients can obtain the right to free treatment for hepatitis C in a medical institution that implements the State Targeted Social Program for the treatment of this pathology at their place of residence.

Nutrition for inflammatory liver disease is one of the conditions for recovery. Let's consider the features of the diet for chronic hepatitis, prohibited and permitted foods, and recipes for preparing healthy dishes.

Chronic hepatitis is a disease that significantly worsens a person’s quality of life. A long progressive course of the disease can cause disability and even lead to death. The danger of the disease is its asymptomatic course in the initial stages. As a rule, medical help is sought when the pathology has transformed into cirrhosis and other life-threatening complications.

The chronic form of inflammatory liver damage can be of different etiologies. It causes organ dysfunction, which leads to structural destructive changes at the tissue and cellular levels. The pathology takes a chronic form if it lasts more than 6 months and belongs to the category of polyetiological lesions.

There are several causes of the disease:

Viral infections (hepatitis B, C).
Alcoholism, prolonged contact with toxic and medicinal substances (toxic, drug-induced hepatitis).
Disturbances in the functioning of the body's immune system (autoimmune inflammation).

The disorder is asymptomatic, which significantly complicates its diagnosis. But there are a number of signs that help identify advanced liver damage:

Constant fatigue and fatigue.
Nausea, vomiting, flatulence, heartburn, belching.
Yellowness of the mucous membranes and skin.
Discomfort and heaviness in the right hypochondrium, especially after fatty foods.
Darkening of urine and lightening of stool.

The progressive course of the disease and lack of treatment provoke cirrhosis and primary liver cancer. The patient suffers from gastrointestinal bleeding due to bleeding disorders and dilation of the veins of the intestines and esophagus. Eliminating these complications is a long and complex process, so it is very important to start treatment in a timely manner. Therapy is based on eliminating the root cause. But for all types of the disease, the patient is prescribed a special diet that alleviates the symptoms of the disease and improves treatment results.

Treatment of chronic hepatitis with diet

Elimination of advanced diseases that cause complications in many organs and systems is a long process that requires professional medical care. Treatment of chronic hepatitis with diet is a standard method of therapy. The patient is prescribed not only therapeutic nutrition, but also recommendations for changing habits and lifestyle in general.

Patients with chronic liver inflammation are prescribed diet No. 5. If the disorder worsens, then a lighter form of diet is used - No. 5a. Nutrition is based on careful mechanical processing of foods and an increase in the number of meals.

Main characteristics of therapeutic diets for hepatitis:

The essence of the diet

Dietary nutrition implies strict adherence to medical recommendations. The essence of the diet for chronic inflammation of the liver lies in minimizing the traumatic and irritating effects on the organ. All patients must abstain from alcohol. Since about 70% of ethyl alcohol entering the human body is processed by the liver, causing disturbances in its functioning and fatty degeneration. Eating should be regular; an orderly pattern of food intake will help synchronize the internal rates of digestion. Overeating should be avoided, especially before bed.

Nutrition for chronic (active) hepatitis - diet No. 5A:

Refusal of spicy, fried, fatty and sweet foods.
Dishes must be steamed, boiled, baked or stewed; eating fried food is contraindicated.
The diet should not contain products with coarse plant dietary fiber (cabbage, mushrooms, onions, leafy greens, garlic).
Allowed products: lean meats and fish, boiled and fresh vegetables, cereals, fruits, dairy products.

Diet for inactive hepatitis - diet No. 5 according to Pevzner:

The daily diet should contain no more than 80 g of fats; their excess can cause hepatic bile stagnation.
Products are best consumed boiled or baked; they can be steamed and stewed.
It is allowed to eat non-acidic fruits and berries, fresh vegetables, and herbs.
Allowed foods: lean meats, fish, poultry, cereals, dairy products and foods that do not cause flatulence.

A properly selected diet will help relieve painful symptoms and speed up the healing process. Nutritional therapy minimizes the use of medications and restores normal liver function.

Diet 5 for chronic hepatitis

Restoring liver health in advanced inflammatory processes consists of a set of therapeutic procedures. Diet 5 for chronic hepatitis can be used for cholecystitis and cholelithiasis. The main goal of nutrition is to normalize the function of the liver, bile ducts and bile secretion. A gentle diet involves eating thermally processed food, which has a beneficial effect on the functioning of the intestines and stomach.

Diet 5 is physiologically complete. Patients need to avoid foods rich in nitrogenous extractives, cholesterol, oxalic acid and essential oils. The diet should contain foods with high lipotropic factors and dietary fiber. All dishes are steamed or boiled; there should be five meals daily.

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Diet for drug-induced hepatitis

The medicinal form of the inflammatory process in the liver occurs due to long-term use of hepatotoxic drugs. A diet for drug-induced hepatitis involves a gentle diet to restore organ cells. Liver parenchyma is involved in many processes in the body; they are responsible for the synthesis of proteins, cholesterol, lipids and phospholipids, remove endogenous elements from the body and participate in bile formation. Drug metabolites contribute to the development of inflammation, provoke cirrhosis, liver failure and cell necrosis.

Avoid alcohol and nicotine.
Minimize the consumption of sweets and baked goods.
The diet should not contain fried, spicy, smoked, salted or pickled foods.
It is necessary to choose foods with as low levels of fat and cholesterol as possible.
Eat vegetables and fruits rich in fiber every day.
Avoid foods with saturated fats and trans fats.
Consume a minimum of sugar and salt, drink at least 2 liters of liquid per day.
It is better to steam, boil, bake or stew food.

Most often, drug-induced hepatitis is diagnosed in women; men are less susceptible to this form of the disease. The disorder develops due to long-term use of drugs that neutralize the enzymatic system. Today, every third drug can cause hepatitis. The simultaneous use of several drugs increases the risk of developing the disease.

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Diet for alcoholic hepatitis

Inflammatory liver damage due to prolonged use of alcoholic beverages leads to alcoholic hepatitis. It belongs to the toxic form, but unlike the viral one, it is not transmitted from person to person. Intoxication causes an inflammatory process that destroys the liver and impairs its functioning. The disease can last for a long period of time and not manifest itself, which complicates the process of diagnosis and treatment.

Dietary guidelines for alcoholic liver damage:

Complete abstinence from alcoholic beverages.
Refusal of fatty, fried, salty, strictly, pickled and smoked foods.
The diet should contain a lot of protein foods: meat, legumes, dairy products, fish.
You need to eat in small portions, 4-5 meals a day.
As vitamin therapy, it is better to use fresh vegetables, fruits and herbs, herbal infusions and decoctions.
Products are prepared using gentle heat treatment with minimal addition of vegetable oils and fats.

A diet for alcoholic hepatitis can alleviate painful symptoms. As a rule, therapeutic nutrition is prescribed in combination with other methods of therapy. The prognosis depends on the form and stage of the lesion, the presence of concomitant diseases and compliance with medical recommendations. If the disease is advanced, the only treatment method is a liver transplant.

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Diet for autoimmune hepatitis

An inflammatory liver disease of a chronic nature of unknown origin is autoimmune hepatitis. This disease most often occurs in female patients at a young age. Without proper treatment, it leads to severe and irreversible damage to the organ. A diet for autoimmune hepatitis should be used from the first days of infection. This will minimize the destructive effect on the liver and alleviate painful symptoms.

If the disorder appears against the background of normal health, it may be asymptomatic. Very often, hepatitis is diagnosed in late stages with serious changes in the liver parenchyma, failure and cirrhosis. For treatment, dietary table No. 5 according to Pevzner is used. Choleretic products, fresh baked goods, fatty, fried, sweet, and alcohol are completely excluded from the diet. Unsweetened baked goods and day-old bread, cereals, pasta, vegetables, fruits, berries, lean meats, fish, poultry and dairy products are allowed.

In addition to dietary nutrition, patients are prescribed corticosteroid hormones, which stop the inflammatory process. If diet therapy and medications are not effective, then liver transplant surgery is considered.

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Diet menu

Adhering to therapeutic nutrition, many patients are faced with the problem of creating a daily diet. The diet menu should be varied and consist only of permitted foods.

Sample menu for chronic hepatitis:

Monday

Breakfast: egg white omelet with herbs and herbal tea.
Snack: apple or any other fruit.
Lunch: boiled chicken fillet with buckwheat and tomatoes.
Snack: a handful of dried fruits and green tea.
Second dinner: a glass of kefir with crackers.

Tuesday

Breakfast: low-fat cottage cheese with banana, tea.
Snack: biscuits, fruit juice.
Lunch: vegetarian vegetable soup with boiled cereal and vegetable salad.
Snack: fruit puree with dry biscuit.
Dinner: mashed potatoes with minced chicken meatballs.
Second dinner: a glass of kefir or herbal tea with crackers.

Wednesday

Breakfast: vegetable salad, herbal tea.
Snack: toast from day-old bread with compote or juice.
Lunch: beetroot soup, oatmeal with young boiled beef.
Snack: any fruit.
Dinner: fish baked in sour cream with any porridge.
Second dinner: low-fat yogurt with biscuits.

Thursday

Breakfast: herbal tea, 1 egg and ½ grapefruit.
Lunch: noodle soup with light chicken broth and fresh vegetable salad.
Snack: a handful of dried fruits or nuts.
Dinner: boiled pasta and baked chicken.
Second dinner: a glass of kefir with dry biscuit.

Friday

Breakfast: oatmeal with an apple and a spoon of honey, herbal tea.
Snack: banana and yogurt.
Lunch: vegetable soup, pasta casserole with minced meat.
Snack: a glass of fruit juice and biscuits.
Dinner: baked fish with rice and vegetables.
Second dinner: green tea with crackers.

Saturday

Breakfast: low-fat cottage cheese with sour cream, herbal tea.
Snack: any fruit.
Lunch: buckwheat, fish cutlets with tomato sauce.
Snack: a handful of nuts and dried fruits.
Dinner: boiled chicken fillet with vegetable salad.
Second dinner: a glass of kefir and biscuits.

Sunday

Breakfast: protein omelet with sour cream, herbal tea.
Snack: yogurt and any fruit.
Lunch: rice soup with chicken, stuffed peppers.
Snack: fresh carrot salad with sour cream and flax seeds or sesame seeds.
Dinner: boiled beef, baked eggplants with cheese.
Second dinner: banana and herbal tea.

Diet recipes for chronic hepatitis

In order for therapeutic nutrition to be not only effective, but also varied, there are recipes for delicious dishes that are prepared from permitted products.

Diet recipes for chronic hepatitis:

Fruit soup puree

Apples 1 pc.
Dried apricots 50 g.
Potato starch 5 g.
Honey 30 g.
Ground cinnamon, vanilla sugar – 0.1g.
Water 500 ml.

Peel the apples and remove seeds, rinse. Place apples and chopped dried apricots in a saucepan with water. Cook the fruit over low heat until tender, add honey, cinnamon and vanilla sugar.

Dilute potato starch in a small amount of fruit broth. To prepare puree, it is better to use a blender or grind the fruit through a sieve. Mix the puree with diluted starch and bring to a boil, cool.

Steam omelette with herbs

Egg whites 2-3 pcs.
Milk 30 ml.
Butter 3-5 g
Dill or parsley

Separate the whites from the yolks, add milk and beat until smooth and fluffy. Finely chop the greens and mix with the future omelette. Grease a baking dish with butter and pour the egg whites and milk into it. The dish can be cooked in the microwave, in a water bath or in the oven. The finished omelette is light yellow in color.

Let's look at what you can eat if you have chronic hepatitis:

Meat and fish dishes prepared from lean meats, poultry, and fish.
Various porridges, especially oatmeal and buckwheat.
Fresh, baked and stewed vegetables.
Fresh fruits and berries, compotes made from them, teas, soups and other dishes.
Low-fat dairy products: cottage cheese, kefir, milk, hard cheeses and eggs.
Various dried fruits and nuts.
Vegetable, olive and butter (no more than 6-8 g per day).

In addition to consuming the products described above, you must drink at least two liters of liquid per day. The diet is divided into five meals. Food should not be cold or hot, that is, served only warm with a minimum amount of spices.

What should you not eat if you have chronic hepatitis?

Inflammatory liver damage implies dietary restrictions. Diet therapy is necessary to ensure a gentle diet, adjust and improve metabolic processes, and reduce dystrophic and destructive processes. The treatment is based on diet No. 5, according to which the energy value of the diet should not exceed energy expenditure. The daily diet should contain 4-6 g of carbohydrates, 1.2-1.4 g of fat and up to 2.3 g of protein. These proportions are calculated for each kilogram of the patient’s weight.

Let's look at what you can't eat if you have chronic hepatitis:

Fatty meat, fish and poultry.
Kidneys, liver and brains.
Broths, canned food, pickled foods.
Fatty dairy products.
Hot spices and seasonings.
Mustard, pepper, horseradish.
Sorrel, green onions, garlic, mushrooms, spinach.
Sour fruits and berries, red currants, cranberries and gooseberries.
Chocolate, ice cream, baked goods and other sweets.

Foods that stimulate the secretion of the stomach and pancreas, fried foods, and foods high in cholesterol and purines are excluded from the diet. Products containing oxalic acid and nitrogenous extractives are prohibited.

Viral hepatitis C, or in other words, the “gentle killer,” is an infection that affects liver cells and is often asymptomatic. The danger of the disease is that it can lead to disability and, in some cases, death.

The diet for hepatitis C involves eating according to gentle menu No. 5. The goal of the diet is to restore impaired liver functionality. The total energy value is a maximum of 3200 kcal. Chemical composition of food:

proteins - no more than 100 grams;
fats - no more than 70 g;
carbohydrates - no more than 550 g;
salt - no more than 10 g;
fluid consumption - up to 2 liters.

When preparing dishes, mechanical sparing is not essential. With chronic hepatitis C, the consumption of animal fats is reduced to a minimum, and the products of their thermal breakdown are completely eliminated. Butter and vegetable fats cannot be heated and are used cold. Vegetables are used in salads or used raw; dishes are boiled and baked. It is forbidden to fry and sauté.

The diet for hepatitis C excludes patients from consuming nitrogenous extractives and cholesterol. Additionally, a large amount of animal protein, carbohydrates, vitamins and liquid are introduced. Salt is added to dishes in moderation. Therefore, nutrition for hepatitis C requires the presence of many dishes from cottage cheese, milk and fermented milk products, vegetables and fruits on the menu.

The menu includes the following products and dishes:

wheat bread crackers;
baked goods made from oatmeal;
mild and low-fat cheese;
vegetable salads;
milk and kefir;
not sour sour cream;
egg whites;
first courses based on vegetable broths without onions with vegetables and cereals;
boiled and baked main courses from lean veal, beef, rabbit, goose, turkey and fish;
cereal dishes;
milk and sour cream sauces, as well as sauces prepared with decoctions of vegetables with cold flour sauteing;
tea, tea with milk;
coffee substitutes;
jelly, mousse, jellies, honey, preserves, jams.

A diet for chronic hepatitis C involves excluding the following foods and dishes from the menu:

drinks containing caffeine;
broths based on meat, fish or mushrooms;
vegetables: sorrel, rhubarb, garlic, radishes, beans, mushrooms;
foods containing a lot of salt and acid;
egg yolks;
lard;
offal dishes.

In proper nutrition for chronic hepatitis C, raw and boiled vegetables, lean meat, poultry, rabbits, and fish are used to prepare cold dishes and snacks. You can’t consume a lot of salt, so its amount in the menu is reduced to a minimum. To improve the taste of dishes intended for diet No. 5, vegetables are combined with fruits and berries. Salads are dressed with sour cream. Salads, jellied and stuffed fish, fish pate, and marinated fish are prepared from fish.

The hepatitis C diet recommends a wide range of first courses. The liquid base for preparation is vegetable and cereal decoctions, milk, fermented milk products and kvass. Dishes are prepared without onions; vegetables are also stewed and simmered, but they cannot be sautéed. Dairy first courses are recommended, and in the summer you can have okroshka. First courses promote the secretion of gastric juice.

To prepare main courses, proper nutrition for chronic liver hepatitis involves the use of boiled and baked vegetables (sorrel, rhubarb, spinach and mushrooms are not allowed). You can also cook porridge with water or milk, cereal products such as steamed puddings, cutlets, meatballs and quenelles. You can add prunes and dried fruits to them.

Casseroles and puddings made from cottage cheese are not excluded. Legumes cannot be used. You can eat pasta dishes with tomatoes, cheese and vegetables. Lean fish and poultry are boiled and baked. The use of eggs is limited to 1 piece. in a day.

As for sweet dishes, the diet for chronic hepatitis allows the consumption of berries and fruits, as well as compotes, jelly, mousses, purees and baked apples. Apricots, grapes, plums, as well as sour berries and fruits are prohibited.

Recipes for preparing dietary dishes

Recipes for cold dishes and snacks:

Carrots with sour cream. Carrots should be grated with fine holes and seasoned with sugar and sour cream.
Salad of fresh tomatoes and cucumbers. Chop the vegetables, add salt and season with sour cream.
Cabbage with apples and carrots. Finely chopped cabbage is salted, tamped and left for 40 minutes. Apples are cut into strips, carrots are grated. Combine the ingredients and season with sour cream.
Fish pate. Finely grated carrots are stewed with butter. Fillet of pike perch or carp is poached, minced in a meat grinder, carrots and butter are added and beaten.

First course recipes:

Rice slimy soup. Boil the rice in water until completely cooked, then add milk and cook for another 10 minutes. The soup is seasoned with butter and served.
Soup with vegetables and barley. The pearl barley, pre-soaked in water, is boiled for 20–25 minutes, then potatoes cut into cubes and roots stewed in vegetable broth with butter are added: carrots, parsley. Cook for another 15 minutes, at the end add raw chopped tomatoes without skins and salt.
Zucchini puree soup. Finely chopped zucchini is simmered with milk and butter. The finished mass is pureed and diluted with boiled milk to the consistency of soup, brought to a boil and seasoned with beaten eggs and butter and salt.
Milk soup with Hercules. Hercules is poured into boiling milk and simmered over low heat for 40 minutes. At the end of cooking, add sugar and salt, and before serving add a piece of butter.

Recipes for main courses:

Potato zrazy with cheese. Boil potatoes in milk, drain the liquid, and puree the potatoes. Let cool, then add flour and 1/2 egg, mix and form into flat cakes. Place cottage cheese balls in the middle of the flatbread and pinch the edges. Steam.
Buckwheat pudding with steamed cottage cheese. Boil buckwheat in milk, cool and puree, add salt, sugar and cottage cheese, mix. Beat the egg white and carefully fold into the mixture. Transfer to a mold and steam until done.
Babka with vermicelli and cottage cheese. Vermicelli is boiled in water until tender and not filtered. Cottage cheese is mixed with egg, sugar and salt, added to vermicelli and seasoned with oil. Sprinkle the baking dish with breadcrumbs, spread the mixture and bake.
Steamed fish soufflé. Fish fillets are boiled in water until tender and minced in a meat grinder. Milk, butter and egg are added to the fish. The mass is beaten, placed in a greased mold and steamed.
Beef stroganoff. The beef is boiled, then cut into strips. The carrots are boiled and wiped. The ingredients are mixed, seasoned with sour cream and cooked for 5-10 minutes.

In case of chronic hepatitis C, following a diet helps relieve the liver and gradually restore its functionality, as well as improve the patient’s general condition and reduce pain.

About the disease

Hepatitis C is an inflammation of the liver tissue, which is provoked by an RNA-containing hepatotropic virus. Tropicness means orientation; The pathogen targets the liver. It penetrates into its cells - hepatocytes - where it carries out a chain of sequential reactions with the aim of replication (reproduction) of new viral particles.

In addition to hepatocytes, the virus is found in immunocompetent blood cells - monocytes and lymphocytes.

It is prone to mutations and has several main genotypes that respond differently to drug therapy.

It has a destructive (cytopathic) effect on cells, and its persistence (preservation) in hepatocytes leads to their damage as a result of an immune reaction.

How can a virus enter the body? To do this, it uses three mechanisms:

parenteral (contact with blood of the skin or mucous membrane when their integrity is violated, blood transfusion (blood transfusion) from an infected donor or carrier);
sexual (transmission of the pathogen through genital secretions during unprotected sexual contact; the presence of abrasions and other damage to the mucous membrane that may bleed is also important);
vertical (infection of a child in the womb or during passage through the birth canal).

Symptoms of hepatitis C may not appear immediately. The latent period of chronic infection is often observed, and its duration depends on many factors, including the condition of the liver and the body as a whole (concomitant diseases, immunodeficiency).

In its acute form, the disease can be erased, but even with a clear clinical picture, without laboratory testing it is impossible to differentiate hepatitis C from other infectious and non-infectious inflammatory lesions of the liver. Among the main features are:

Constant, unmotivated weakness, fatigue.
Lack of appetite, nausea.
Increased body temperature.
Enlarged liver (hepatomegaly).
Heaviness and pain in the right upper abdomen.
Joint pain.
Jaundice coloration of the skin, mucous membranes and sclera.
Skin itching.
Dark urine, gray feces.

The definitive diagnosis of hepatitis C is never made by clinical manifestations alone, even if complications such as cirrhosis, portal hypertension and chronic liver failure have developed.

Confirmation requires specific laboratory methods that detect antibodies to the pathogen (ELISA, or enzyme-linked immunosorbent assay) or its RNA (PCR, or polymerase chain reaction). Based on the results of ELISA, you can verify the duration of infection based on the class of antibodies detected.

Immunoglobulins M are signs of the acute phase of infection, and immunoglobulins G prove the chronic course.

This is important, first of all, for therapeutic tactics. Additional information is provided by general clinical and biochemical blood tests, ultrasound examination of the abdominal organs, and liver biopsy.

Diet principles

Nutrition for hepatitis C is an important aspect of treatment, the main goal is to reduce the load on the liver, which is achieved thanks to several rules:

Diet characteristics

Patients with hepatitis C are usually prescribed therapeutic diet No. 5 according to Pevzner. The energy value of the daily diet is 2800 kcal and contains: proteins - 80 g (animal - 60 g), fats 70-80 g (vegetables - 30 g), carbohydrates 350-400 g. Salt - up to 10 g. Drinking regime - 2 liters of water.

You should eat boiled, steamed, baked, pureed warm food.

What can you eat if you have hepatitis C:

among vegetables, preference is given to tomatoes, beets, potatoes, onions, bell peppers, carrots, cucumbers;
the best porridges are buckwheat, semolina, oatmeal, rice;
vegetable and fruit soups with cereals and pasta are shown;
you need to choose fish and meat with a low fat content;
boiled egg yolks, steamed egg white omelettes;
milk, cheese, kefir, cottage cheese;
butter can be either butter or vegetable;
yesterday's bread, drying;
fruit drinks, freshly squeezed juices, tea, compotes;
marshmallows, honey, marmalade;
bananas, raspberries, sweet apples.

What not to eat if you have hepatitis C:

bean, pearl barley, barley cereals;
sour fruits;
pickled cucumbers, tomatoes, garlic, green onions, radishes, radishes;
fatty meats and fish;
broths from fish, meat and mushrooms;
hot pepper and mustard;
fresh baked goods, chocolate, sweets with food coloring;
strong coffee, tea, alcohol.

A seasoning known for its taste properties, ginger, is prohibited for hepatitis C, as it has an adverse effect on secretory processes in liver tissue.

Alcoholic drinks are completely excluded - their effect on hepatocytes can significantly accelerate the course of the disease.

It is worth consulting with your doctor and stopping all medications that have hepatotoxicity, which the patient can refuse. If drugs with such an effect must be taken, their dose and combination with other medications are adjusted.

You should eat slowly, eating exactly as much as is required to satisfy your hunger, at least 5 times a day. The diet for patients with hepatitis C at first glance contains many restrictions, but thanks to them the liver recovers faster.

There are many recipes and even sample menus that can be used when planning your diet.

Hepatitis C and excess weight

Excess body weight is an additional burden on the body, including the liver. It has been proven that the results of antiviral therapy are better in people who are not obese. Exhaustion and weight loss in patients with hepatitis C are observed during the formation of cirrhosis; with compensated liver function, this manifestation is absent.

A diet implies nutrition that is balanced in calorie content and composition. It is worth giving up easily digestible carbohydrates (sweets, baked goods, white sugar), or limiting their amount. Otherwise, treatment table No. 5 is already a sufficient measure to normalize weight.

In addition to diet, patients are given an individual regimen of physical activity. Exercise should not cause excessive fatigue or worsen symptoms. With hepatitis C, patients can eat without starving, which leads to regulated weight loss and the absence of sharp fluctuations in eating habits.

The value of proper nutrition in the treatment of liver diseases is not at all exaggerated. In fact, a balanced diet has detoxifying and fortifying properties, replenishing the body's need for certain nutrients.

It is extremely important for the patient to know what diet is necessary for hepatitis C and to follow its principles to quickly normalize the condition of the liver.

Hepatitis is an inflammatory disease of the liver. Hepatitis A has the mildest course; the most dangerous is the pathology provoked by the hepatitis B and C viruses. Often the infection occurs without specific symptoms, so the patient is not even aware of his condition. If left untreated, hepatitis becomes chronic, and as a result, the likelihood of dangerous complications (cirrhosis, liver cancer, liver failure) increases.

Therapy must be comprehensive, that is, the patient must take medications, lead a healthy lifestyle and eat right. Diet for hepatitis is the most important condition on the path to recovery. The patient should reduce the amount of fat, while maintaining the amount of protein and carbohydrates. Such food should supply the body with useful substances and not harm the liver tissue.

Diet goal

The liver is the largest gland, which plays a special role in digestion. This organ produces enzymes that are necessary to break down food. In addition, it cleanses the body of toxic substances. With hepatitis, hepatocytes (liver cells) are affected, and the load on healthy cells increases. In order for hepatocytes to continue to perform their functions in emergency mode, the patient must reduce the load on the gland. This can be done with the help of diet.

Diet for hepatitis helps stop the development of pathology

Diet for hepatitis should be healthy so that the pathological process during the chronic course of the infection does not spread further. In addition, by following a diet, the patient can speed up recovery from acute hepatitis and reduce the likelihood of severe complications.

Nutrition for hepatitis A

This type of hepatitis has the mildest course, and after recovery the patient develops specific HAV immunity. To normalize the functionality of the hepatobiliary tract (liver, gallbladder and its ducts), the outflow of bile, and metabolism, the patient is advised to adhere to a diet. The diet needs to be replenished with easily digestible foods containing vitamins, minerals, amino acids, pectin, etc.

If you have hepatitis A, you should avoid foods that stimulate the production of digestive juices.

A patient with jaundice should limit the amount of fat and avoid foods that stimulate the production of gastric and pancreatic secretions. You should also exclude fried foods and foods with a high concentration of cholesterol, purines, and oxalic acid from your diet. It is recommended to boil food, cook in a double boiler or bake.

Some patients are interested in the question of what to eat if they have hepatitis A.

According to doctors, the following products are allowed to be included in the diet:

Stale bread (not older than 2 days).
Galette cookies.
Soups based on vegetable broth with the addition of rice, oatmeal, beetroot soup, etc.
Beef, rabbit, veal, chicken or turkey. Patients are interested in what dish can be prepared from meat. The meat is used to prepare goulash, cutlets, meatballs, cabbage rolls, etc.
Sausages with milk.
Low-fat fish (for example, perch, hake).
Fresh or cooked vegetables. They are boiled, stewed, made into salad or vegetable puree.
Pilaf with carrots, dried fruits, cottage cheese.
Pasta made from durum wheat is boiled.
An omelet is prepared from an egg (preferably with whites).
Sweet fruits or dried fruits.
The patient can eat strawberries, blueberries or wild strawberries.
Confectionery: meringues, marshmallows. In addition, it is not forbidden to eat honey and homemade jam.
Fermented milk products with a low fat content (milk, kefir, sour cream, etc.).
Refined vegetable oils are added to dishes.
Ready-made dishes can be seasoned with dill, parsley, vanilla, and cinnamon.
Weak black tea, compote of fruits, berries, vegetables, decoction of rose hips or wheat bran.

Proper nutrition involves eating food 4 to 6 times a day.

List of foods prohibited during the diet:

Freshly baked bread, flour products.
Meat, fish, mushroom soup or okroshka.
Duck, goose, offal (liver, stomachs, kidneys, etc.).
Smoked, canned products, sausage, marinades.
The patient is not recommended to eat dishes made from sorrel, spinach, radishes, green onions, mushrooms, and beans.
Hard-boiled or fried eggs are also contraindicated.
It is forbidden to eat ice cream, chocolate, as well as products made from it, and fatty creams.
Fermented milk products with a high percentage of fat content.
It is forbidden to season dishes with pepper, horseradish, and mustard.
Strong coffee, cocoa, cold or sour drinks are contraindicated.
Pork or cooking fat.
Alcoholic drinks.

Full recovery occurs 6–12 months after hepatitis A. To reduce the likelihood of complications, the patient must follow nutritional rules, take multivitamin complexes, and drink decoctions of choleretic herbs.

Diet for hepatitis B

Patients diagnosed with hepatitis B must adhere to special dietary rules. In the chronic course of the disease, a person must follow the doctor’s recommendations on nutrition for a long time, and sometimes throughout his life.

When treating hepatitis B, the patient can consume no more than 2800 kcal per day

Diet therapy has no contraindications; it helps reduce the load on the digestive organs (including the liver). The patient should eat with hepatitis B at intervals of 3-4 hours, that is, 4 to 6 times per day. Fractional nutrition helps stop the pathological process and restore liver tissue.

The number of calories in 24 hours is about 2800. In this case, the patient must take into account the ratio of proteins, lipids and carbohydrates (90-350-100g).

Many patients are interested in the question of what foods are contraindicated for hepatitis B. A person who has been diagnosed with HBV should not drink alcohol, eat smoked products, or eat food with a lot of herbs or spices. In addition, you should avoid vegetables with a high concentration of essential oils (radish, onion, garlic).

The patient must take into account the temperature of the food or drinks consumed; they should be warm, and cold or hot foods should be avoided. Foods high in cholesterol are also prohibited, as they impair liver function.

As a rule, when treating hepatitis, patients are prescribed diet No. 5 (it will be described below), which helps normalize the functioning of the gland and the entire digestive tract. If the patient does not follow the doctor’s recommendations, liver failure develops and the risk of general poisoning of the body increases.

Fractional meals consist of 3 meals and 2-3 snacks. Fried, fatty, too salty foods, confectionery products are contraindicated for hepatitis. Cooking fats can provoke an exacerbation of the disease. The amount of salt must be reduced, as it disrupts the water exchange process, which threatens to impair the functionality of various organs.

The patient must follow a drinking regime; within 24 hours, you need to drink at least 2 liters of still water. In addition to purified water, it is allowed to consume freshly squeezed juices from fruits, berries, vegetables, and herbal infusions.

Nutrition for acute and chronic hepatitis C

Hepatitis C is the most severe type of the disease. The disease has a latent course, that is, the patient does not show specific symptoms. Typically, HCV is detected incidentally during a blood test. Hepatitis C most often provokes cirrhosis and liver cancer.

For hepatitis C, it is recommended to increase the amount of carbohydrate-rich foods

To protect hepatocytes, the patient must follow a strict diet, the rules of which depend on his condition. If the patient follows the rules of nutrition, then his health improves, discomfort and pain on the right under the ribs are relieved. Otherwise, due to the high nutritional load, the restoration of the gland slows down, and the effectiveness of antiviral drugs that help destroy HCV is reduced.

Patients are interested in what foods can be included in the diet for hepatitis C. First of all, you need to remember that the daily dose of calories is 2800. In 24 hours, the patient can consume 100 g of proteins, the same amount of lipids, and about 450 g of carbohydrates. The daily dose of salt is 5 g.

As part of complex treatment, it is recommended to consume fruits, vegetables, and herbs. The diet should be supplemented with vegetable proteins. Protein-containing foods include seeds, nuts, and legumes. In addition, the patient should drink at least 2 liters of fluid.

Patients are allowed to eat dietary meat and fish, dairy products with a fat content of up to 2%, cereals, stale bread, fruits and vegetables, etc. It is worth giving up fried, fatty foods, smoked meats, marinades, and fresh baked goods. This restriction applies to beans, full-fat dairy products, canned goods, etc.

These nutritional principles should be followed even after hepatitis. This is necessary to stop the spread of pathology and restore liver function.

Therapy for the pathology is quite long and difficult. In addition, it is very expensive, so the Russian government has developed a program according to which Russian citizens can receive free treatment.

Table number 5 was developed by Dr. M.I. Pevzner. This is the best diet for patients who have been diagnosed with inflammatory diseases of the hepatobiliary tract. It is indicated in the following cases:

Hepatitis with a chronic course (beyond exacerbation).
Inflammation of the gallbladder (GB) in chronic form, as well as in remission.
Hepatitis, inflammation of the gallbladder in remission.

Diet No. 5 reduces the load on the liver and improves its functionality

Table No. 5 is prescribed for cirrhosis and drug-induced hepatitis. The main thing is that the patient does not have severe intestinal diseases.

According to diet No. 5, the patient can consume the following foods:
1. Drinks:

weak tea;
a decoction of rose hips or chamomile flowers;
freshly squeezed juices diluted with water;
compote, fruit drink, jelly.

2. Liquid dishes:

vegetable soups with buckwheat, rice, vermicelli (hard varieties);
dairy dishes;
borscht without meat;
cabbage soup without meat;
beetroot, etc.

3. Cereal dishes:

buckwheat, oatmeal, semolina, rice;
souffles, puddings, casseroles;
oatmeal, muesli (without chemical additives), etc.

4. Pasta made from high-quality pasta with the addition of safe products.

5. Meat, fish:

the patient can prepare dishes from veal, beef, rabbit, chicken, turkey (the skin is prohibited);
dishes from pike perch, cod, hake (no more than 3 times in 7 days);
the patient can enjoy fresh oysters, shrimp, squid, mussels (limited quantities).

6. Flour products:

bread made from bran, rye flour or stale wheat, crackers;
biscuits;
products made from soft dough with boiled minced meat, fish, cottage cheese or apples;
sponge cake without additives;
bran.

7. Fermented milk products:

Sour cream, cheese (not spicy), kefir, natural yogurt with a low fat content.

8. Vegetables:

potatoes, carrots, zucchini, beets and other starchy vegetables;
paprika;
avocado;
green beans;
broccoli.

9. Fruits, berries:

apples (non-acidic varieties);
banana (1 per day);
pomegranate;
prunes, dried apricots, etc.

In addition, patients can consume egg white omelettes. Dishes can be seasoned with butter or vegetable oil. The following snacks are allowed: salads from vegetables, fruits, seafood, boiled meat, etc. Sometimes patients can enjoy confectionery: meringues, marshmallows, marmalade, candies that do not contain chocolate and cocoa, etc.

For hepatitis, coffee, cocoa, soda, strong drinks, store-bought juices, drinks with chicory, and hibiscus are contraindicated. The patient should avoid first courses of meat, fish, mushrooms, and okroshka. It is prohibited to prepare dishes from pearl barley, corn, lentils, and barley.

The patient must give up offal, sausages, fats, canned food, salted, smoked fish, etc. Fresh baked goods, dishes made from puff pastry or butter dough are contraindicated. Salty cheeses and dairy products with a fat content of more than 3% are excluded. It is forbidden to eat mushrooms, corn, sorrel, spinach, eggplant, and radishes. You need to remove fresh figs, cranberries, lingonberries, dates, kiwis, tangerines, etc. from your diet.

A patient with hepatitis is prohibited from eating fried eggs, smoked meats, canned food, and store-bought sauces. It is worth excluding ice cream, fatty creams, chocolate, and condensed milk from the menu.

Your attending physician will advise you in more detail about nutritional rules.

Diet for the week

Doctors offer an example menu for hepatitis for 7 days:
1. Breakfast:

porridge, tea;
vegetable salad, tea;
egg white omelette, tea;
buckwheat, tea;
pudding with cottage cheese, jelly;
buckwheat and rice pancakes, compote;
cauliflower (steamed), juice.

After consultation with a doctor, patients can independently create a menu for each day

2. Second breakfast:

buckwheat porridge with boiled meat, juice;
cheesecakes, tea;
oatmeal, compote;
stewed zucchini, juice;
porridge with pumpkin, tea;
cottage cheese with dry fruits, tea;
oatmeal, jelly.

3. Lunch:

soup with vegetables, potatoes with fish, compote;
pumpkin soup, stewed chicken, salad with vegetables, jelly;
soup with potatoes, beef cutlets with rice, tea;
soup with rice, fish with salad, tea;
vegetable soup, rabbit stew, tea;
pumpkin soup, beef meatballs with salad, tea;
milk soup, boiled chicken with salad, tea.

4. Afternoon snack:

biscuits with kefir;
cheesecakes with tea;
buckwheat and rice pancakes, juice;
oatmeal cookies with kefir;
carrot pudding, jelly;
protein biscuit, tea;
boiled vegetables, rosehip decoction.

5. Dinner:

cottage cheese casserole, tea;
boiled chicken, salad, compote;
baked meat with vegetables, tea;
minced fish cutlets, vegetables, tea;
pilaf with meat, rosehip decoction;
baked fish, salad, tea;
oatmeal, kefir.

There are various recipes for delicious and healthy dishes that meet the requirements of diet No. 5.

For example, to make curd pudding, pour 3 tbsp. spoons of semolina 100 ml of milk, leave for 15 minutes. At this time, beat 3 tbsp. tablespoons butter with 2 eggs. Mix all ingredients, add a little sugar, raisins, lemon zest. Pour the mixture into molds and bake for a quarter of an hour (200°).

To prepare pumpkin soup, boil 100 g of chopped pumpkin until half cooked. Then simmer the pumpkin with the broth and ½ teaspoon of oil, add 2 tbsp. spoons of oatmeal and cook like porridge. Then beat the mixture in a blender, add a piece of butter.

To prepare beef cutlets, pass the meat through a meat grinder several times, add a little grated potatoes, stale bread, and salt. Form cutlets from the mixture, place in a mold, fill halfway with water, and bake.

Thus, diet for hepatitis is the most important component of complex treatment. The patient must follow the nutritional rules determined by the attending physician. Thus, it will stop the development of pathology and speed up liver recovery.