The expression “yazhennik-temperance” became winged by chance. For people with peptic ulcer alcohol is deadly.
However, in order to put health in order, patients of the gastroenterologist should refuse from many other dishes. And at different stages of the disease different medical menu is prescribed.
What kind of diet is needed for gastric and duodenal ulcers during an exacerbation?
What does the diagnosis of “peptic ulcer”? About the presence of a deep defect in the wall of the affected organ. This is a chronic disease, which, then calms down, then sharpens.
Symptoms of peptic ulcer increases in spring and autumn, when the immune system is weakened.
“Data from some studies show that the incidence of peptic ulcer disease in the world tends to decrease. However, the disease remains a serious and fairly common pathology. Especially in the CIS countries, ”says gastroenterologist-pediatrician, doctor of the specialized medical center“ Gastro-Line ”Andrei Naletov. – Peptic ulcer causes a number of unpleasant, painful symptoms and reduces the patient’s quality of life.
But it is far more dangerous that a peptic ulcer can lead to the development of a number of complications followed by disability of the patient. ”
Andrey Vasilievich emphasizes that quite often a peptic ulcer can occur with complications. Especially if the patient later asked for help or ignored the recommendations of the doctor.
For example, internal bleeding begins with the further development of anemia.
Among the possible complications of peptic ulcer is perforation. When in the place of formation of the ulcer, the disease seems to “gnaw” the wall of the affected organ.
Formed through hole in the abdominal cavity, where the contents of the body flows. Here ascertain perforated gastric or duodenal ulcer.
Helicobacter pylori bacterium close up
If we talk about the causes of peptic ulcer, then modern medicine refers to a violation of the diet and stress more to concomitant factors. “Yes, there is a peptic ulcer, induced by stress or long-term use of anti-inflammatory drugs. In particular, aspirin.
But the main etiological factor is the infection with the Helicobacter pylori bacterium, ”says Andrei Naletov.
90-95% of patients with peptic ulcer disease diagnosed this infection. But in general, up to 80% of the population of the CIS countries are carriers of Helicobacter pylori.
It is interesting that in the countries of Europe and North America only about 10-15% of residents are infected. This is probably due to a higher standard of living, mental characteristics and hygienic habits.
Andrey Naletov emphasizes that peptic ulcer disease traditionally occurs “in company” with gastritis or gastroduodenitis. That is, the ulcer is diagnosed against the background of mucosal inflammation.
Moreover, peptic ulcer disease is called a consequence of neglected gastritis.
Symptoms of peptic ulcer are quite controversial. Pain can be different.
Someone has acute pain of peptic ulcer, someone has “aching”. In duodenal ulcers, “hungry pains” are noted, which subside if something is eaten.
And in children, peptic ulcer in general in the painful sense is mute.
But the classically peptic ulcer is accompanied by dyspeptic disorders:
- reduced appetite
With the development of bleeding, additional symptoms of peptic ulcer disease also appear:
- vomiting and stool with blood (black feces);
- increased heart rate;
- lower blood pressure;
- increased fatigue
Diet for gastric ulcer and duodenal ulcer is an important part of treatment, but not leading. The primary task is to overcome the infection. Andrei Naletov says that in Europe and in the West, where Helicobacter pylori infection is not so common, when a microorganism is detected, it is killed by antibiotics.
In the post-Soviet countries, the situation is different.
“Imagine that all 80% of the population who are infected with Helicobacter pylori will undergo a course of antibiotics. The infection will die, but in the future we will not be able to use these antimicrobials for other, even more complex diseases.
Bacteria produce “immunity” to existing antibiotics, and new pharmaceutical developments in this area are not foreseen in the coming decades, ”says Andrei Naletov.
Proper nutrition for stomach ulcers, the doctor prescribes depending on many factors. For example, with latent or apparent bleeding, it is important to achieve a homeostatic effect.
A patient with a bleeding ulcer is hospitalized. If you can do without surgery, then stop bleeding with drugs. The first day or two, any food and drink is prohibited.
The body receives parenteral nutrition – intravenous administration of solutions.
After 48 hours, when the patient’s condition is stabilized, the gradual introduction of some liquid food begins. Be sure to chilled.
For example, they give milk, filtered through a sieve of cereal soups, rosehip drink. Gradually, the patient with peptic ulcer moves to the “rubbed” table No. 1 by Pevzner.
Despite the wide possibilities of modern pharmacotherapy, a number of patients with peptic ulcer disease require surgical treatment. The first day after surgery in a hospital, the patient should refrain from eating.
It is allowed to water the patient from a spoon in small portions.
The next stage introduces a small amount of broth of the second or third penetration. During the week, new foods are added to the diet day after day.
Kissel, filtered soups, semolina, cottage cheese, boiled boiled meat appear in the menu of the ulcer.
A postoperative diet for stomach ulcers at home provides for fractional meals in small portions. The diet of the ulcer is painted for at least six tables.
The table is becoming more generous with each passing month, but smoked, fatty, spicy, and alcohol will have to be forgotten.
If a patient with a peptic ulcer has no concomitant diseases of the liver, pancreas, and gallbladder, a therapeutic diet No. 2 may be prescribed for the period of postoperative recovery. Table No. 2 is regarded as a transitional stage from benign to rational menu.
The peculiarity is that products that are difficult to digest are excluded from the diet. As well as dishes that irritate the mucous.
Already appears lumpy food, which is important for training the operated organ. But it needs to be chewed thoroughly.
Adhere to the treatment table number 2 is recommended up to seven days.
Diet for gastric ulcer during exacerbation and remission
Nutrition for gastric and duodenal ulcers depends on the characteristics of the course of the disease. When the illness is exacerbated, the patient is recommended diet number 1. And during periods of calm follow diet number 5, which is also recommended for the treatment of gastritis and cholecystitis.
Treatment table number 1 is balanced in nutrients and contains a sufficient amount of calories. At the same time, the diet is sparing, it has an anti-inflammatory effect, normalizes motility and regulates the secretion production.
Medical nutrition for stomach ulcers during the period of exacerbation is: food is boiled, stewed, cooked with steam. Roasting is possible, but without a crust. It is better to beat the food with a blender or wipe through a sieve.
Fish and meat are served in the form of meatballs and meatballs. Provided that the patient will chew them thoroughly. What can I eat at the appointment of table number 1?
Table – How to eat during an acute ulcer
|– Crackers; |
– galetny cookies;
– starchy vegetables;
– tomatoes – rarely and moderately;
– vegetable broth;
– dairy liquid dishes;
– rabbit, beef and chicken;
– hake, pollock, pike perch;
– chicken eggs, steamed or boiled soft-boiled;
– milk, kefir, cottage cheese, sour cream with a low percentage of fat;
– buckwheat, semolina, rice, oatmeal;
– baked or boiled fruit;
– weak black tea;
– drink from wild rose;
– refined sunflower seed oil – moderately;
– cow oil – moderately;
– Salt – up to 12 g;
– sugar – moderate
|– Still warm bread; |
– muffins and puffs;
– rich first courses on meat and fish;
– high-calorie fish, meat and poultry;
– canned food;
– salted, spicy, pickled and smoked;
– “heavy” barley-type grits;
– ice cream;
– sweet soda
Below is an example of the daily menu in the diet number 1.
- Morning . Chicken mince patties. The dish is steamed. Whipped milk oatmeal. Tea with milk.
- Reinforcement. Sweet apples from the oven.
- Lunch Chopped rice soup with milk. Beef stew. The dish is steamed. Kissel.
- Reinforcement. Sweet crackers. Drinking from the hips.
- Evening. Boiled fish. Curd bun. Milk.
- For the night. Low fat milk.
A diet for stomach ulcers between relapses suggests a relatively rich list of foods. For the most part – it is a carbohydrate-protein table.
But fats are limited. Dishes are mostly boiled, steamed and baked.
Meat is processed into minced meat.
Traditionally, the fifth table is called hepatic. It is associated with the treatment of diseases of the liver and gallbladder.
But in modern medicine, diet plan No. 5 is also recommended in the stage of persistent remission of peptic ulcer.
Table – How to eat during periods of peptic ulcer
|– Crackers; |
– galetny cookies;
– liquid from cereals, vegetables, milk and fruits;
– low-fat beef;
– rabbit meat;
– hake, pollock, pike perch;
– low-fat milk, kefir,
– chicken eggs – mostly protein;
– starchy vegetables, non-acidic fruit and berry set – mainly thermally processed;
– tea with milk;
– drink from wild rose;
– salt – up to 10 g;
– sugar – up to 80 g;
– refined vegetable oil – moderately
|– Fresh bread; |
– fried, sweet, puff pies;
– green and red tea;
– fish, meat and mushroom broths;
– sausages and sausages;
– canned food;
– red, salted and smoked fish;
– crab sticks;
– peas, lentils and other legumes;
– “heavy” cereals;
– fatty milk;
– ice cream;
– cow oil;
– unrefined vegetable oil
Below is an example of the daily menu in the diet number 5.
- Morning . Oatmeal on the water. Boiled chicken whipped in pate. Poor tea.
- Reinforcement. Low-fat cottage cheese without lumps.
- Lunch Buckwheat soup with vegetable broth. Buckwheat. Beef goulash Compote.
- Reinforce Sweet Rusks. Drinking from the hips.
- Evening. Fish pate. Boiled potatoes. Kissel fruit.
- For the night. Kefir.
Continuing the conversation about how to eat with a stomach ulcer, gastroenterologist Andrei Naletov emphasizes the importance of drinking regime. A patient with a peptic ulcer should drink between one and a half and two liters of fluid per day.
This can be, for example, dried fruit compotes. Useful alkaline water without gas, not cold.
It is especially good if the patient goes into the habit of drinking half a glass of “Essentuki”, “Borjomi” or “Mirgorodskaya” a few minutes before meals.
Whatever therapeutic diet a patient with a peptic ulcer adheres to, it is important to remember the temperature of the dishes used. Food should not be cold – the temperature is not lower than 15 ° C. For example, a patient with a peptic ulcer cannot have frozen juice.
And heating food, you need to make sure that the temperature does not exceed 60 ° C.
The complexity of clinical nutrition lies in the fact that a patient with peptic ulcer takes time to organize a diet. A healthy person can sin by eating on the go or forget about breakfast. These same actions of a patient with a diagnosis of “peptic ulcer” can be regarded as a crime.
The slightest failure in the diet of the patient uses the disease in their favor.
Andrey Naletov emphasizes that a diet with a stomach ulcer during an exacerbation costs nothing without a change in the patient’s lifestyle. To improve health, it is important to give up bad habits.
Cigarettes, alcohol, lack of sleep, disregard for the elementary rules of personal hygiene … If you do not eliminate these “gaps”, then the diet for a stomach ulcer and the treatment of peptic ulcer disease will not lead to the patient’s recovery. And once again: the treatment of patients with peptic ulcer should be prescribed exclusively by a gastroenterologist!