Diet during exacerbation of gastric ulcers
So, the most important question is what can you eat with a stomach ulcer? A medical diet accompanies the pharmacological treatment of an ulcer during a diminishing exacerbation and remission and lasts from 6 months to a year. The diet aims to minimize the mechanical, chemical and thermal stress on the damaged stomach. Food should intensify the regeneration and healing of injuries, reduce inflammation, adjust the secretion and motility of the stomach. This high-calorie diet – about 3000 kcal per day.
A therapeutic diet for gastric ulcer involves boiling, baking and steaming all allowed foods. Meat and fish should be completely free of skin, ossicles, cartilage, veins, tendons and fat. When cooking meat, you need to change the boiled water twice to minimize the concentration of animal fat.
Protein food is useful: lean meat of rabbit, turkey, chicken, veal, beef, sea lean fish, soft-boiled eggs or scrambled eggs. It is necessary to enrich the diet and fats in the form of unsalted butter, and add vegetable oils only to ready-made meals, without using in the process of heat treatment.
Some vegetables are recommended from carbohydrate foods (potatoes, beets, carrots, cauliflower, broccoli, pumpkin, zucchini), well-boiled cereals (oatmeal, semolina, rice, buckwheat), as well as various pasta, dried white bread, crackers, biscuits , fresh biscuits.
Desserts in the diet include mashed potatoes, mousses, jelly of soft, sweet berries and fruits, baked fruit, natural marshmallows, marshmallow, marmalade, jam and jam. Recommended honey, which soothes pain and inflammation, helps to neutralize the acid.
It is useful to drink milk, which envelops the walls of the stomach and protects the mucous. Dairy products should be included with caution and make sure that they are not added vegetable fats (eg palm oil), which adversely affect digestion. Suppose low-fat cottage cheese in the form of casseroles, acidophilus, fresh kefir, natural yogurt and sour cream, unleavened cheese.
Recommended drink – decoctions of chamomile, rosehip, peppermint, weak tea, compotes, jelly, fruit drinks, diluted sweet juices, as well as room temperature water. With the approval of the doctor, you can drink fresh cabbage juice, which has an antibacterial effect, normalizes the enzymatic processing of food, promotes healing of the damaged walls of the stomach.
Special mention deserves the role of salt in the diet number 1. The maximum allowable amount of salt is 6 grams per day. But the less it enters the body of a person suffering from a stomach ulcer, the better. It should be borne in mind that salt enters the body also with finished products, for example, it is present in large amounts in cheeses, including processed ones.
It is important to note that many products for ulcer patients are completely unacceptable because they irritate the mucous membranes, digest for a long time and provoke bleeding. All fat, spicy, salty, sour, smoked, fried and canned food, sausages, offal, spices, ketchups, sauces and pickles are excluded. It is necessary to abandon white cabbage, radish, radish, turnip, sour greens (sorrel, spinach), cucumbers, legumes, mushrooms, garlic, horseradish, mustard, onions.
Strong tea and coffee, citrus fruits, nuts, whole-grain bread, any baking, including home-made pastries, chocolate, ice cream, alcoholic and carbonated drinks are also on the banned list.
At different stages of the disease, different subspecies of table 1 are used. What diet to follow in case of a stomach ulcer depends on the patient’s well-being and the strength of symptoms.
So, to facilitate a sharp exacerbation, a more strict diet is intended – table No. 1a. It is prescribed during the intensive course of the disease, accompanied by acute pain and bed rest. The purpose of the diet is a particularly sensitive attitude to digestion and the maximum exclusion of any effect of food on the stomach.
What can you eat with an exacerbation of gastric ulcers and what can not? Diet for acute gastric ulcers suggests fractional 6–7 meals a day, in very small portions, and lowered energy value (up to 2010 kcal). Absolutely unacceptable all products that cause the secretion of gastric juice and irritate the mucous membrane. Salt intake is significantly reduced. Food, boiled and steam, served in a liquid or shabby state. Soups, mashed potatoes, liquid and mucous porridge, soufflé are widely used.
In addition to the main list of prohibited foods, bread in any form, dairy products, all vegetables and fruits are completely excluded from diet No. 1a.
This diet is prescribed until the ulcer begins to scar. After that, the patient goes on a diet number 1, which means “gentle”, the purpose of which is not only to protect the mucous membrane, but also to speed up its recovery. The essence of the diet as a whole is preserved, only the list of permissible products is expanded and the nature of preparation changes: from completely liquid, pureed food to the state of “small pieces”.
Energy value increases to 2500 kcal per day, the frequency of food intake is reduced to six times a day. Dried white bread is allowed, as well as mashed potatoes or souffles from potatoes, beets and carrots. Various mousses, jellies, jellies with milk, sweet fruits and juices, honey and sugar are introduced. Allowed steamed dishes from the fresh cottage cheese and egg whites, sour cream, fresh cheese, butter.
The third type of the first table is the diet №1l / f (lipotropic fat). Compared to the base diet, the amount of fat increases and the presence of simple carbohydrates (sugar) is minimized. Diet №1l / zh has a normal energy value – up to 2600 kcal. The value of vegetable and dairy fats increases (up to 50% of the total lipid content). The basis of the diet – sources of fat and lipotropic products – low-fat protein sources (lean meat and white fish, egg white).
Viscous porridges are made from cereals, while vegetable crops are preferred to cauliflower, broccoli, potatoes and pumpkin. Cooking methods are the same as in the basic diet. Meals can be either mashed or in small pieces.
There is another specific type – diet № 1p (mashed or surgical). It is applied after operations performed on the stomach, for example, during ulcer perforation. Naturally, the immediate postoperative period in patients is severe and the role of clinical nutrition becomes more significant. This low-calorie diet (1650-1850 kcal) involves eating only homogenized food from boiled or steamed ingredients. Only liquid and puree food is allowed in small portions 8 times a day.
Many are interested in the question: how to diet on stomach ulcers? In fact, it is important to understand that eating behavior, even if the ulcer healed and no longer bother, should be benign. In order not to provoke new exacerbations and complications such as bleeding, perforation or peritonitis. The established restrictions must be adhered to for a long time.
What can you eat after a stomach ulcer? Of course, you need a complete, balanced diet, which will create conditions for recovery and recovery of the functions of the digestive system affected by the ulcer. The recommended energy value is up to 3200 kcal per day, while the food should contain carbohydrates, fats and proteins in the recommended proportions, and also be rich in vitamins B, C, A, K, zinc, magnesium, calcium and other chemical elements.