Stephen J. Schueler, M.D.

Overview Symptoms liver failure Evaluation Treatment diet questions for doctor specialist Home Care anorexia liver diet vomiting warning signs Outlook Complications Underlying Cause Anatomy

Alcoholic Hepatitis Home Care

Home care for alcoholic hepatitis includes:

Alcoholic Hepatitis Anorexia

Many patients with alcoholic hepatitis will suffer from anorexia.

Anorexia means a loss of appetite. Anorexia is a persistent problem with many chronic or serious diseases.

Home care for anorexia includes:

  • Avoid stomach irritants such as aspirin or ibuprofen.
  • Avoid excessive caffeine and other stimulants.
  • Check with your doctor about drinking alcohol.
  • Do not force yourself to eat at standard times. Eat when you are hungry instead.
  • Concentrate on eating a healthy diet. Avoid junk foods.
  • Select healthy, high-calorie foods that you enjoy.
  • Eat more frequent, smaller meals.
  • Get some exercise every day.
  • Keep a daily log of your weight.
  • Don't smoke. Nicotine can suppress the appetite.
  • Ask your doctor or nutritionist about dietary supplements.
  • Ask your doctor if any medications you may be taking can cause anorexia.
  • Take any prescribed medications as directed.
  • Anti-nausea medications:
  • Appetite stimulants:

Alcoholic Hepatitis Liver Diet

A person with alcoholic hepatitis may benefit from the following diet.

Liver Disease Diet
A diet for people with advanced liver disease is based on:

  • High carbohydrates. This is the major source of calories for people with severe liver disease.
  • Moderate fat intake. The increased carbohydrate and fat help in preserving the protein in the body and prevent muscle wasting.
  • Restrict protein to 1 gram of protein per kilogram of body weight per day. Severe liver disease may require protein supplements in the form of essential amino acids.
  • Restrict salt (sodium) to no more than 2 grams per day.
  • Vitamin supplements (particularly B complex vitamins), but avoid excessive vitamin A.

Ask your doctor prior to making any changes in your diet. Prolonged protein restriction can cause deficiencies of certain amino acids. Supplementation may be necessary.

Alcoholic Hepatitis Vomiting

Home care measures for vomiting in adults with alcoholic hepatitis include:

  • Start with small sips of clear liquids to allow the intestinal tract to rest. Use 1 to 3 tablespoons every 1 to 5 minutes. Gradually increase oral intake as tolerated.
  • Clear liquids include anything you can see through, such as:
    • Dilute fruit juice
    • Dilute tea
    • Gatorade
    • Liquid Jell-O
    • Water
  • If nausea or vomiting continues, consider taking a nonprescription medicine, such as:
  • Slowly advance the diet with small, frequent meals. Begin by snacking on starchy or bland foods such as crackers. Gradually work up to other foods.
    • Avoid fatty foods and stomach irritants, such as citrus juices, alcohol, and coffee.
  • Take any prescribed nausea medications as directed.

Alcoholic Hepatitis Warning Signs

Continue to Alcoholic Hepatitis Outlook

Last Updated: Nov 29, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Alcoholic Hepatitis References
  1. Haber PS, Warner R, Seth D, Gorrell MD, McCaughan GW. Pathogenesis and management of alcoholic hepatitis. J Gastroenterol Hepatol. 2003 Dec;18(12):1332-44. [14675260]
  2. Madhotra R, Gilmore IT. Recent developments in the treatment of alcoholic hepatitis. QJM. 2003 Jun;96(6):391-400. [12788957]
  3. O'Shea RS, McCullough AJ. Treatment of alcoholic hepatitis. Clin Liver Dis. 2005 Feb;9(1):103-34. [15763232]
  4. Willner IR, Reuben A. Alcohol and the liver. Curr Opin Gastroenterol. 2005 May;21(3):323-30. [15818153]
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