When someone has a long-term liver problem such as PSC, the liver’s ability to carry out its many functions may not be as good as in a healthy person. In particular, the liver’s ability to break down alcohol and medicines may be impaired, however this is often not a problem. If in doubt, check with your doctor.
Many people with PSC can eat a normal diet, while others may need more detailed advice. If you are well with few symptoms you may not need to make any changes, although it is important to eat as healthily as possible. vA few people have problems digesting fat and can develop a type of diarrhoea called steatorrhoea, in which stools are bulky, pale and difficult to flush away. There may also be nausea. If this occurs, it may help to reduce the amount of fat in the diet but only under the supervision of a dietician. Some people may need energy supplements and injections of fat-soluble vitamins. Others are prescribed medium chain triglycerides (MCT) which are fats that are easier to digest.
It is important to talk to your doctor or dietician before making any changes in your diet.
Tiredness is the commonest symptom of PSC. Some people may need to consider making changes to their lifestyle and pacing their daily activities helps to preserve stamina and energy. Gentle exercise such as walking and swimming can be beneficial.
Do tell your dentist that you have PSC as there may be an increased risk of bleeding.
It is Important that you talk to your doctor before taking any medicine (not prescribed by him or her), including paracetamol, herbal remedies and Chinese medicine.
If you are female and middle aged, it is important to discuss with your doctor the best way of reducing your risk of developing osteoporosis.Your doctor may advise various measures which might include increasing the intake of calcium in your diet, taking calcium supplements and HRT (hormone replacement therapy) if appropriate.