In severe cirrhosis with ascites, what should diet therapy focus on?

In cases of severe cirrhosis accompanied by ascites, the primary focus of diet therapy is typically on sodium restriction. Ascites refers to the accumulation of fluid in the abdominal cavity, which is often a complication of cirrhosis. High sodium intake can lead to fluid retention, exacerbating the condition and leading to increased abdominal pressure, discomfort, and further complications.

Restricting sodium in the diet helps to manage fluid balance and reduces the risk of worsening edema and ascites. This approach is critical in the dietary management of patients with liver disease, as it helps to prevent or limit the accumulation of excess fluid.

While increasing protein intake may seem beneficial for some patients to prevent muscle wasting, those with severe liver disease often have difficulty metabolizing protein due to impaired liver function. A high carbohydrate diet can provide energy, but it is not the primary focus in managing ascites. Increasing fiber intake is generally a healthy recommendation but does not specifically address the challenges posed by cirrhosis with ascites. Thus, sodium restriction is fundamental in effectively managing the complications associated with this condition.