We get to hear liver deposit by everyone, but reversible liver disorder associated with obesity and, in some patients, excessive alcohol intake. Usually fatty liver is asymptomatic but may progress to non-alcoholic steatohepatitis (NASH) and even cirrhosis. A moderate energy restriction that reduces excessive weight is associated with improvements in liver function tests and quality of life according to fatty liver dietician nutritionist in Mumbai Geetanjali Mengi . There is debate over the optimum dietary composition to achieve this but in the absence of definitive evidence, patients should be advised to follow the ‘Balance of Good Health’.

In the clinic, Reg Clinical Dietician Nutritionist Geetanjali Mengi gives customised diet plan with life style instructions and charts going through the reports.

Oesophageal varices

Bleeding oesophageal or gastric varices are a life-threatening complication of chronic liver disease. Patients remain ‘nil by mouth’ during active bleeding and until their condition stabilizes. Nutritional implications arise if the patient’s intake remains inadequate for prolonged periods, either because s/he is ‘nil by mouth’ or because of fear of eating.

There is no evidence that eating rough food, e.g. toast or crisps, increases the incidence of re-bleeding although some patients may prefer to take softer foods temporarily, particularly if they have undergone repeated endoscopic treatment. Nasogastric tubes can be used without increasing the incidence of re-bleeding or mortality or length of hospital stay.