There are three main stages to the treatment of peptic ulcer.
Outpatient. Most patients with ulcer do not need to be in the hospital. The necessary examinations can be completed without changing the usual environment.
Inpatient (hospital). Most often, patients with a first-time ulcer or complications and concomitant diseases need hospitalization in the gastroenterological departments. Patients with bleeding, perforation, and penetration of an ulcer are hospitalized urgently in a surgical on-duty hospital.
Spa treatment. It is shown in the phase of subsiding exacerbation. The most important factor in curing peptic ulcer disease is the creation of a medical and protective regimen. Stress, emotional and mental overload are excluded. The second component of the treatment process is a special diet.
During the period of complications with severe pain, nutrition in the first week according to diet No. 1a, 1b. With an uncomplicated course of exacerbation – diet No. 1.
- The creation of the greatest rest of the mucous membrane of the stomach and duodenum.
- The exclusion of products with strong sokogonnym action. From food exclude meat and fish broths, any canned food, smoked meats, marinades and pickles, carbonated fruit water, coffee, cocoa and strong tea, confectionery, soft white and black bread.
- Exclusion of products that mechanically irritate the gastric mucosa (all food is given in pureed form).
- Inadmissibility of plentiful food intake at one time.
- Frequent and fractional nutrition – eating every 3-4 hours.
- Exclusion of too cold or hot food (food temperature is not lower than 15 and not higher than 45–55 ° C).
- Limitation of salt to 10-12 g per day.
- High nutritional value of the diet, determined by the content in it of a sufficient amount of proteins, fats, carbohydrates, mineral salts and vitamins, mainly A, B and C.
Diet menu for peptic ulcer
The diet menu is allowed to include the foods and dishes listed below.
Drinks – weak tea, tea with milk or cream, weak cocoa with milk or cream.
Bread products – white and gray wheat bread from yesterday’s baking, white crackers, low-acid buns, unbiscuit cookies.
Snacks – spiked salted caviar (in a small amount).
Milk and dairy products are the most valuable product for the nutrition of patients with peptic ulcer, as it contains all the necessary substances for the recovery processes in the body. In addition to whole milk, dry and condensed milk, cream, fresh non-acidic sour cream, fresh non-acidic cottage cheese, one-day yogurt with sugar are recommended.
Fats – unsalted butter (15–20 g in its pure form and 20–25 g for cooking), ghee, unsalted premium, refined sunflower and olive oil (25–30 g). The total amount of fat in the diet should not exceed 100-110 g, it should be borne in mind that 40 g of animal fat is found in foods included in the diet.
Eggs and egg dishes – soft-boiled eggs, steamed eggs, steamed fried eggs.
Soups – milk soups from mashed cereals, milk soups, mashed vegetables (except cabbage), cereal broth (without vegetable broth), milk soup with small noodles or homemade noodles.
Meat and poultry dishes – lean meats (beef, veal, chicken, rabbit, brains, liver, lean pork), preferably fresh, free of tendons and fat (cooked in boiled or steam form – meatballs, dumplings, meatballs, soufflé, mashed potatoes, roll, etc.), non-stiff meat in boiled form (piece) is periodically allowed.
Dishes from fish – various low-fat varieties of fish, better than river (pike, pikeperch, perch), in boiled, steam, chopped form and a piece.
Cereals and pasta – mashed milk cereals, steamed puddings from ground cereals, small vermicelli and boiled small pasta, home-cooked noodles.
Vegetables and greens – vegetable puree (except cabbage), vegetable steam puddings, early zucchini and boiled pumpkin with butter; fresh herbs, finely chopped, can be added to soups.
Berries are sweet varieties (strawberries, raspberries, strawberries). Fruits are soft, sweet and non-binding varieties in boiled, mashed or baked.
Sweet dishes – cream, jelly, jelly, mashed compotes from sweet berries and fruits.
Sauces – milk, egg-butter.
Vitamins – raw vegetable and non-acidic berry juices, broth of wild rose and wheat bran.
Meat, fish, and strong vegetable broths, especially mushroom broths, fatty meats and fish, fried foods, refractory fats (beef and pork fat, lamb fat), raw uncooked vegetable fiber, salty foods, savory foods, canned foods, sausages, and butter dough are forbidden , brown bread, cold drinks, ice cream, alcoholic drinks.