05/07/2022
Diet for patients with peptic ulcer disease
1. Signs of peptic ulcer disease
Epigastric abdominal pain: The most common sign, the most typical, because the damaged mucosa is more affected by stomach acid. The pain is initially aggravated by extreme hunger or satiety, then may appear very irregularly with greater frequency and severity.
Feeling bloated or full of indigestion: Usually occurs at a very early stage, so it is often overlooked.
sour or burp
Nausea, vomiting
Anorexia, weight loss
Vomiting bright red or black blood, passing black stools, signs of anemia, dizziness, lightheadedness: occurs when there is a complication of gastrointestinal bleeding.
2. Causes of gastritis - duodenal ulcer disease
Due to an imbalance between the aggressive (gastric acid levels) and protective factors in the stomach lining (the integrity of the stomach lining, the mucus that covers the stomach lining), damage to the lining of the stomach occurs. stomach, including the following causes:
Bacterial infection is the most common cause of peptic ulcer. Helicobacter pylori (HP) infection is very common in Vietnamese people (approximately 70%) because it is easily transmitted from person to person through contact with food and water. Helicobacter pylori can live and multiply in the mucus layer that covers the stomach lining without causing disease, but when the mucus covering the mucosa is broken, it will cause inflammation and lead to stomach ulcers.
Use of drugs: Anti-inflammatory pain relievers such as aspirin, ibuprofen, steroids, ... are used improperly or used regularly due to the need for treatment.
Some of the risk factors:
Smoking can increase stomach ulcers in people with H
Drinking alcohol increases irritation and wear down the mucus layer covering the stomach lining and causes irritation to increase acid production in the stomach.
Improper diet : Eating too many hot and spicy spices, fried foods, eating in moderation...
3. Diet for patients with peptic ulcer disease
3.1 Foods to eat
It is advisable to increase foods that have a protective effect on the stomach lining, foods that help heal ulcers or can help reduce acid secretion, and foods rich in vitamins and minerals.
Banana
Bananas are ranked at the top of the list of foods that are friendly to the stomach because of their ability to neutralize excess acid levels in gastric juice and reduce inflammation. Bananas are one of the fruits with a high amount of carbohydrates that help provide energy; high potassium content helps to make up for the deficiency if the patient has diarrhea or vomiting; Pectin soluble fiber is beneficial for people with digestive disorders, constipation and diarrhea.
Rice
The rice is soft, easy to digest, and avoids stimulating the stomach to secrete a lot of acid; Has the effect of reducing stomach pain, can absorb the liquid inside the stomach, reducing the risk of diarrhea. Same effect for sticky rice, bread, banh chung, porridge, potatoes... Note that unrefined raw foods such as brown rice, corn, brown glutinous rice or beans... are rich in fiber and vitamins. especially group B), minerals and antioxidants, although very good for health, are difficult to digest when the patient has a stomach disease.
Bread
Bread is also a good choice from the powdered sugar group, low in fat, easy to digest. However, avoid using with butter and jam until the stomach is healthier.
Soup/Soup
Soup / soup with cooked food, soft, does not put "pressure" on the digestive system, and a lot of water helps to dilute the acid concentration in the gastric juice, making it easier for the patient to digest food.
Apple juice
Apple juice is easy to digest and rich in nutrients, in which the soluble fiber component pectin promotes the activity of the stomach and intestines, preventing diarrhea and constipation.
Coconut water
Coconut water is rich in electrolytes of sodium, potassium, and calcium to help supplement deficiencies caused by poor diet or compensate for loss after diarrhea and vomiting.
Yogurt
Yogurt has many probiotics and enzymes that support the digestive system and improve resistance. There are mixed opinions about the use of yogurt in stomach ailments, the fact that fat-free yogurt can help in most cases, providing a cushion on the lining and reducing irritation of the stomach. However, you should start small and monitor your body's response when eating to adjust.
Herbal tea
Most herbal teas (without caffeine) help regulate the digestive system, preventing discomfort and bloating. Herbal tea extracted from chrysanthemum also works to help improve inflammation.
Ginger
Ginger can help improve digestive function, reduce symptoms of stomach pain, bloating, indigestion. You can add ginger to your daily menu such as drinking ginger tea or sipping a few slices of raw ginger.
Okra
Okra contains many vitamins B, C, E, and other nutrients, especially the mucilage in okra is a complex of protein binding polysaccharides, pectin and some other substances. These substances help protect the stomach lining, prevent the risk of damage to the stomach lining, and support the healing of ulcers in the stomach.
Turmeric and honey
The mixture of turmeric and honey is the main traditional medicine in the treatment of stomach ulcers. Turmeric has anti-inflammatory effects, reduces gastric secretion, alkalizes the acidity of gastric juice. Honey has the effect of regulating acid levels in the stomach, avoiding stomach irritation.
Food rich in nutrients, vitamins A, B, D, K, folic acid, calcium, iron, zinc, magnesium : rich in cereals, red and dark green vegetables, need to be fortified in the diet to improve deficiency of vitamins and minerals due to poor absorption in gastroduodenal disease.
3.2 Foods to avoid when stomach ulcer - duodenum
When you have a stomach ulcer - duodenum, you should avoid some unhealthy foods as follows:
Foods that cause damage to the stomach lining such as: Wine, beer, coffee, solid tea; old legumes, old radishes, roots...; hot and spicy spices such as pepper, chili, dried ginger...; greasy fried foods, spicy grilled dishes, prepared foods with preservatives, foods such as minced bones, cartilage, shrimp and crabs, wings, chicken feet, ducks, fish heads ...
Foods that increase stomach acid : Sour fruits (orange, lemon, tangerine, mango, star fruit...); sour foods (vinegar, batch);
Foods that cause gas and bloating such as: Bean sprouts, pickled cucumbers, onions, chives, celery... soft drinks, carbonated juices....
3.3 Eating right when stomach ulcers - duodenum
Food should be chopped, cooked thoroughly, soft, boiled, steamed or braised to help people with stomach pain easier to digest and absorb than stir-fried dishes.
Eat slowly and chew carefully, avoid eating while reading books, newspapers, watching movies, ... to help increase secretion of saliva, easier digestion.
Eat several small meals a day to help the stomach often have food to neutralize the acid.
Do not let the stomach be too hungry to make the stomach empty, stronger contractions causing pain, even bleeding; or eating too full makes the stomach and stomach stretch, weak contractions affect the process of mixing food, increasing rubbing increases pain.
Avoid eating too thick, making it difficult for gastric juices to pe*****te into the middle of the food, or eating too much liquid and too much water to dilute the gastric juice, reducing the ability to digest.
Avoid eating foods that are too hot or too cold, which both cause the stomach to contract harder, causing pain. Warm food about 40-50 degrees Celsius is good for digestion - absorption.
