Why is the diet for hepatic coma restricted in protein?

The diet for hepatic coma is restricted in protein primarily due to high ammonia levels in the body. In liver dysfunction or disease, the liver’s ability to metabolize amino acids and convert excess ammonia into urea is compromised. As a result, ammonia accumulates in the bloodstream, which can lead to neurological symptoms and exacerbate the condition known as hepatic encephalopathy.

By limiting dietary protein, the goal is to reduce the intake of amino acids that would otherwise produce ammonia during their metabolism. This restriction helps to lower the overall ammonia levels, minimizing the risk of further neurological impairment and improving the patient’s condition. Monitoring and adjusting protein intake is crucial for managing the balance between providing enough nutrients for recovery while preventing the detrimental effects associated with elevated ammonia levels.