Eating Well with Cirrhosis

Cirrhosis is a condition where the liver becomes scarred and cannot work as well as it should. Good nutrition plays an important role in helping maintain strength, prevent complications, and support overall health.

Many people with cirrhosis experience:

• Poor appetite
• Weight loss
• Muscle loss
• Low energy

Eating regularly and choosing the right foods can help your body function better.

Always ask your healthcare provider before making any significant dietary changes. Consider working with a dietician. Ask your healthcare provider what your specific dietary recommendations are based on your health conditions.

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Foods That Support Liver Health

A balanced diet can help your liver and overall wellbeing.

Focus On:

✔ Fruits and vegetables
✔ Whole grains (if tolerated)
✔ Lean proteins
✔ Healthy fats in small amounts

Examples include:

• Chicken or fish
• Beans or lentils (if tolerated)
• Eggs
• Olive oil
• Avocados

A daily multivitamin may be helpful — but always speak with your healthcare provider before starting supplements.

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Foods to Avoid or Limit

Certain foods can make cirrhosis worse or increase the risk of complications.

Avoid:

🚫 Alcohol — even small amounts can cause further liver damage

🚫 High-fat, fried, or heavily processed foods

🚫 Raw or undercooked shellfish
People with cirrhosis are at higher risk for serious infections from bacteria found in shellfish.

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Dietary Tips for Common Cirrhosis Complications

Nutrition can help manage some common cirrhosis-related problems.

Fluid Buildup (Ascites)

Ascites is an abnormal buildup of fluid in the abdomen.

Helpful tips:

✔ Limit salt intake
✔ Choose fresh foods instead of packaged items
✔ Avoid adding salt during cooking

Low-sodium choices include:

• Fresh meats
• Fruits
• Vegetables
• Whole grains

Hepatic Encephalopathy

This occurs when toxins build up in the blood, due to liver dysfunction. This can be life-threatening.

Helpful nutrition tips:

✔ Eat small amounts of protein throughout the day
✔ Plant-based proteins may be easier to tolerate

Examples:

• Beans
• Lentils
• Tofu

Ask your care team for specific protein guidance.

Low Blood Sugar

Cirrhosis can affect how your body stores energy.

Helpful tips:

✔ Eat small meals every 3–4 hours
✔ Include both protein and carbohydrates

Examples:

• Whole grain toast with eggs
• Rice with lean protein

This helps maintain steady energy levels.

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Additional Helpful Tips

✔ Eat smaller meals more often
✔ Avoid skipping meals
✔ Stay hydrated
✔ Focus on nutrient-dense foods

Because appetite may be reduced with age and liver disease, regular eating is important to maintain strength.

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When to Talk to Your Doctor

Contact your healthcare provider if you notice:

• Rapid weight changes
• Swelling in the abdomen or legs
• Loss of appetite
• Increasing fatigue
• Confusion or memory changes
• Always ask your healthcare provider for specific advice on when to call to report symptoms, and when to seek urgent/emergency care.  

Your care team may adjust your diet based on your condition.

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Medical Disclaimer

This material is for educational purposes only and is not intended to replace medical advice, diagnosis, or treatment from a qualified healthcare provider. Individuals should consult their physician or registered dietitian regarding personal medical concerns, symptoms, or before making changes to diet or treatment plans. Seek prompt medical attention if symptoms worsen or new concerning symptoms develop. Call 911 if you are experiencing a medical emergency.