Diet For Stomach Ulcers

2024 Author: Josephine Shorter | [email protected]. Last modified: 2024-01-07 17:49

A diet for stomach ulcers is a prerequisite for full therapy and prevention of recurrence of the disease.

Content:

General principles of diet for stomach ulcers

What can not be eaten with stomach ulcers?

What can you eat with a stomach ulcer?

What do you need to eat for stomach ulcers?

9 medicinal products for stomach ulcers

Can I eat, drink …?

The benefits of milk for stomach ulcers - a myth!

Menu for a week with stomach ulcer

Recipes for stomach ulcers

Other recommended diets for stomach ulcers

General principles of diet for stomach ulcers

Knowing and adhering to the general principles of the diet used for stomach ulcers, it will be possible to draw up your own menu as correctly as possible and not aggravate the course of the disease.

Among them are:

Balance. You can not deprive the patient in terms of the calorie content of dishes. The daily menu should be balanced, and the energy value should be at least 3000 kcal.
Fractionality. Breaks between meals should not be more than three hours.
Minimum Serving Size. Ideally, each meal should fit in a handful of folded hands.
A ban on fried and baked products until golden brown.
Prohibiting very hot or very cold foods. Dishes that have a temperature above or below 30 ° C inhibit the function of enzyme formation, slow down the process of restoration of the epithelial tissue of the stomach. This rule is especially true at the time of exacerbation of a stomach ulcer.
Refusal from products that increase gassing.
Complete rejection or minimization of the amount of salt consumed.
Increasing the volume of water up to 2 liters, in the absence of thyroid diseases and pathologies of the urinary system.
Exclusion of carbonated drinks and alcohol.
Refusal from any products that enhance the production of gastric juice.
Heat treatment of dishes is allowed: stewing, cooking, steaming, blanching.
The priority is sparing food that does not irritate the stomach wall.
The principle of sparing. Mechanical gastric sparing consists in the selection of certain foods eaten at one time. Chemical sparing consists in the exclusion of products that irritate the digestive secretions.
The principle of a zigzag power supply. He assumes that for short periods of time, the patient is allowed products from the prohibited list (within the reasonable), and then he is returned to the diet menu. This principle is intended to serve as a kind of training for the digestive tract and is used only at the recovery stage.
The principle of individuality. That is, when drawing up a menu, one cannot be guided by the same principles for all. Much depends on the stage at which the disease is, where the ulcer is located, what is the patient's age, what is his body weight, whether there are concomitant diseases, etc.
Tracking the time of food digestion. So 200 ml of water, tea or broth will stay in the stomach for an average of 1.5 hours. After three hours, meat, boiled vegetables, apples and bread will leave him. The longest time there is fatty fish, fried meat, legumes - up to 5 hours.

As for the timing, the diet must be adhered to for at least one year after an attack of an exacerbation of the disease. The main purpose of dietary nutrition in this case is to accelerate the regeneration of the mucous membrane lining the stomach and normalize the digestion process.

What can not be eaten with stomach ulcers?

All foods that irritate the gastric mucosa, increase gas formation, are digested for a long time, and contain large amounts of salt are prohibited.

It is imperative to avoid:

Primary boiled meat and fish broths and cooked soups from them;
Any dishes made from any mushrooms;
Okroshka and cabbage soup;
Any fatty meat and fish are prohibited, this also includes lard and caviar;
Smoked products, most sausages (sometimes, during the recovery phase, it is allowed to eat a little boiled sausage or ham);
Canned food, as well as pates;
Dairy products with acid, for example, ayran, tan, etc. (Kefir is prohibited only during the exacerbation period and +5 days after the end of the attack);
Fatty dairy products: buttermilk, condensed and whole milk, cream and cheeses;
Hard-boiled eggs, as well as fried eggs (soft-boiled eggs are allowed);
From cereal dishes banned barley, semolina, wild rice and corn, as well as bran in granules and muesli;
It is worth limiting the use of cucumbers and tomatoes, as well as tomato paste;
Vegetable products that can irritate the mucous membrane of the damaged organ: sorrel and rhubarb, garlic and onions;
Berries and fruits with acid: gooseberries, figs, grapes, currants, lemons, oranges, limes, tangerines, pineapples, etc.;
Nuts, dried fruits and apricots are prohibited;
Any spicy, salty and spicy sauces: mustard, horseradish, ketchup, vinegar;
Ice cream and chocolate;
Strong brewed drinks (strong tea, coffee);
All carbonated drinks;
Alcoholic drinks;
Rye bread, baked goods.

When processing meat products, cartilage and veins should be removed from them.

What can you eat with a stomach ulcer?

The list of those products that are allowed for use with stomach ulcer is quite extensive, so the patient does not have to starve:

Bread made from wheat flour. But it is important that it is not just baked. It is better if a day has passed since its manufacture.
Baking from unleavened dough (not with yeast) in small quantities. The filling for such pies can be: fish, apples, cottage cheese or lean meat.
Also allowed to eat crackers, cookies, but not sweet, biscuits.
Meat soups, but the most important rule in their preparation is the use of secondary broth. That is, after boiling, the broth is drained, the meat is again poured with clean water and the soup is prepared from this. As for the meat itself, used for cooking the soup, you can take either chicken or beef.
Cereal soups without a meat component.
Cottage cheese, sour cream, yogurt, fermented baked milk. You can also eat cheese, but it is better to grind it. It is necessary to give preference to unleavened cheeses.
Second courses made from lean meat containing a minimum amount of veins. You can take rabbit, turkey, beef, chicken. As for the dishes themselves, the priority is zrazy, meatballs, cutlets, soufflés, meatballs, but not fried ones. It is best to steam them.
Fish, but not fatty varieties. An excellent solution is minced fish dishes. Only fish need to be boiled or steamed (you can in the oven, in foil)
The patient needs to include eggs in his diet. You can cook an omelet from them, or boil them soft-boiled.
Boiled cereals and pasta are useful. You can consume rice, oatmeal or buckwheat porridge (except semolina).
Berries and fruits must first be peeled and rubbed to a puree state. You can also bake apples and pears.
From desserts, you can diversify your own menu with marmalade, honey, marshmallow, marshmallow, jam, preserves. Kissels, mousses, jellies, creams do not harm the damaged mucous membrane of the stomach.
Broths of wild rose and wheat bran, freshly pressed juices half diluted with water, teas not brewed strongly, as well as compotes are suitable as drinks.
In a small amount, you can consume olive and sunflower oil, not refined, as well as unsalted butter.
You can use white milk sauce as a dressing for dishes.

What do you need to eat for stomach ulcers?

A list of foods to help you speed up your recovery:

Cauliflower
White cabbage
Radish
Apples
Blueberry
Raspberry
Blackberry
Strawberry
Cherry
Bell pepper
Carrot
Leafy greens
Liquorice
Probiotic-rich foods such as yogurt, kefir (kefir is prohibited during an exacerbation)

Foods high in fiber can prevent excess secretion of stomach acid, which can relieve ulcer pain and protect the stomach lining as the ulcer heals.

Many high-fiber foods are also good sources of polyphenols, plant substances with antioxidant, anti-inflammatory, and protective properties that help promote healing.

9 medicinal products for stomach ulcers

The most useful foods for stomach ulcers are:

Cabbage juice. Cabbage has been a popular natural remedy for stomach ulcers for decades, and as it turns out, for good reason! Cabbage is rich in the anti-ulcer vitamin U. In one study in which participants took 950 ml during the day. cabbage juice, the ulcer healed in 7-10 days, which is 6 times faster than with conventional treatment ^[1]

Another study was conducted on 100 patients whose ulcers were difficult to treat. All of them also took 950 ml during the day. cabbage juice, as a result 81% did not experience any symptoms of an ulcer within a week. ^[2]
Fermented foods have shown promising results in clinical trials for ulcer treatment. These foods, such as miso (Japanese food, which ferments soybeans, rice, wheat), sauerkraut, kimchi (Korean food, which is spicy pickled vegetables), and kombucha, can prevent re-infection. ^[3]

The beneficial bacteria increase the effectiveness of conventional treatments by about 150%, while reducing diarrhea and other side effects associated with antibiotic use by up to 47%. ^[4]
Green tea. Scientists from Meiho University in Nagoya (Japan) published in the Biological and Pharmaceutical Bulletin in November 2006 a study that catechins from green tea promote the healing of stomach ulcers and also protect them from relapses of the disease.
Honey. Scientists believe that honey's antibacterial properties may help fight H. pylori. ^[5], ^[6]
Garlic. Garlic can speed up the recovery from ulcers and even reduce the likelihood of developing it, preventing the development of H. pylori. In a recent study, consuming two cloves of raw garlic per day for three days significantly reduced bacterial activity in the gastric lining of patients with H. pylori infection. ^[7]

* Garlic is prohibited during the period of exacerbation of the ulcer, after, it is allowed only after heat treatment.
Turmeric. Curcumin is the active ingredient in turmeric and has tremendous therapeutic potential, especially in the regeneration of stomach ulcers. As many as 2 human studies have been conducted, all patients received 500-600 mg. turmeric 4-5 times a day. As a result, after a month about 50% were cured, and after 2-3 months the figure reached 76% -87%. ^[8], ^[9]
Broccoli - This vegetable contains sulforaphane, a compound that is active against H. pylori (more on broccoli).
Olive oil. Some research suggests that the fatty acids in olive oil may also help treat H. pylori. ^[ten]
Aloe vera. Aloe Vera is an effective remedy for stomach ulcers that is as effective as omeprazole (a common antiulcer drug). ^[eleven]

On the subject: 10 effective folk remedies for stomach ulcers

Can I eat, drink …?

It would seem that the list of permitted and prohibited foods for use with stomach ulcers is pretty clear. However, after visiting a doctor, most patients have a number of questions regarding a particular unspecified product.

Therefore, it is worth answering in more detail the most popular questions that arise in people suffering from ulcers:

Can you drink kefir, fermented baked milk, yogurt? It is worthwhile to separately deal with each of these fermented milk products. So kefir is banned during the period of exacerbation of the disease, as well as 5 days later, after the attack passes. After this time, you can consume kefir, but it is important that it is fresh and non-acidic. The main thing is to slightly warm it up before using it inside. You can add a spoonful of vegetable oil to the drink, which will allow an existing ulcer to heal faster. Yogurt is one of the priority food products for the treatment of ulcers, since the bifidobacteria contained in it have a detrimental effect on Helicobacter pylori. If possible, you should prepare this product yourself, at home. As for fermented baked milk, it is also allowed for this stomach pathology. However, it is worth buying this fermented milk product with a minimum fat content.
Can you eat cucumbers and tomatoes? When the disease is in an acute stage, vegetables such as cucumbers are prohibited from consumption. After the stage of remission has begun, you can gradually include them in the diet, but in small quantities and without the skin. This vegetable is added to salads in various forms, but it is best to grind it on a grater. Tomatoes, as well as cucumbers, are prohibited at the time of exacerbation of the disease. This is due to the fact that they help to reduce the rate of ulcer healing and slightly increase the acidity of gastric juice. When the exacerbation of the disease is eliminated, you can use the fruits of tomatoes in the daily menu, but after pouring boiling water over them and removing the skin.
Can i eat a banana? Bananas are allowed for consumption by patients with gastric ulcer. Once in its cavity, they envelop the organ, thereby reducing the acidity of gastric juice. This contributes to the elimination of pain syndrome, the early healing of the existing ulcer. In addition, bananas have increased nutritional value.
Is it possible cheese, cottage cheese? Cottage cheese is a product that must be on the table of a patient with a stomach ulcer. It does not include anything that could provoke an attack of the disease or aggravate the patient's condition. In fact, curd is a curdled milk protein, without whey, which is endowed with vitamins B, PP, A, and iron. Therefore, it has an undeniable value for sick people. Moreover, cottage cheese can be purchased both in the store and cooked at home. The product can be used for the preparation of many dishes: casseroles, soufflés, mousses, creams, etc. It is worth choosing cottage cheese that has a low percentage of fat. Cheese is also a valuable staple in the diet of people with ulcers. It contains a lot of easily digestible protein and amino acids, as well as calcium. The main thing is to give preference to cheeses that have a low fat content and a low salt content.
Can I have eggs? Eggs are among those products that have high nutritional properties and provide an excellent opportunity to compensate for the lack of vitamin A, B6, B2, D, E, phosphorus, calcium, cobalt, glands and other trace elements in dietary nutrition. The protein that makes up the egg is perfectly absorbed by the human body, but it is important to prepare it correctly. It is not necessary to cook or fry eggs for a long time; patients with an ulcer are shown to use this product cooked soft-boiled or in the form of an omelet. A raw egg will be useful, but in this case, the risk of contracting salmonellosis increases.
Can I have a watermelon? Patients with stomach ulcers are prohibited from eating watermelon. This is due to the fact that it causes an increased secretion of gastric juice, increases its acidity, which will contribute to the exacerbation of the disease. During the period of remission, you can include a small amount of fresh watermelon in your menu, but you should not do it on an empty stomach.
Can you have seeds? Seeds are prohibited for stomach ulcers, as they irritate its mucous membrane, can additionally injure it and aggravate the pathological process. In addition, they contain hard-to-digest fats, which negatively affect the course of the disease. After the seeds enter the stomach of a person with an ulcer, he will begin to experience pain, as the acidity level will increase, flatulence and complications from the gallbladder are often observed. You should not consume seeds even during remission, as this can exacerbate the ulcerative process.
Is garlic ok? For the period of exacerbation of the disease, such a product as garlic is under the strictest ban. When the patient's condition reaches a stable remission, it is allowed to eat it. However, patients with a history of ulcers should first steam the garlic, or add dishes to the puree: mashed potatoes, boiled cereals, etc. You can add quite a small amount of it when stewing or cooking the dish, to give them some pungency and smell …
Can I have coffee? During an exacerbation of the disease, any coffee drink is prohibited. Neither natural nor instant coffee should be consumed. When the disease is in remission, you can sometimes add a small cup of natural coffee to your menu, provided that it is weakly brewed. However, remember that the reason for refusing this tonic drink in the presence of a peptic ulcer is that it affects the production of hydrochloric acid, increasing its production. This, in turn, affects the development of the disease, provoking its exacerbation.
Can i drink soda? With heartburn and belching, many people use baking soda to relieve unpleasant symptoms. This substance is really capable of having a neutralizing effect on hydrochloric acid, which is formed in excess in diseases of the stomach. However, after a very short time, when the soda leaves the organ and moves to the duodenum, the body will release a new portion of acid, but in even greater quantities. In addition, the interaction of acid and soda promotes the release of carbon dioxide, which, in turn, presses on the walls of the stomach. Where there is an ulcer, there is an increased risk of perforation. Therefore, soda with this pathology is strictly prohibited to drink.
Is smoking allowed? Smoking and stomach ulcers are two incompatible concepts. Firstly, tobacco smoke provokes the development of this pathology, has an unnecessary stimulating effect on the entire gastrointestinal tract. Secondly, getting into the stomach with the swallowed saliva, nicotine intensifies the existing inflammation, inhibits the regeneration processes, and prevents the ulcer from scarring. Thirdly, according to the latest data, smokers die from stomach ulcers 5 times more often than non-smokers with a similar disease. In addition, tobacco smoke provokes increased symptoms of the disease, in particular heartburn, belching, and pain. Therefore, it is necessary to abandon this addiction, especially if an ulcer has been diagnosed.
Can I have vodka, cognac? Doctors-gastroenterologists unambiguously agree that it is strictly forbidden to drink alcohol with stomach ulcer. This is justified by the fact that any alcohol, including vodka and cognac, provokes inflammation of the stomach walls, increases the acidity of its juice, and slows down the process of food digestion. All this, in turn, leads to an exacerbation of the pathological process and can even cause gastric bleeding. If you cannot refrain from drinking alcohol, then in small quantities and not during an exacerbation of the disease, you should give preference to strong, but high-quality drinks, best of all vodka. In this case, you must first have a dense lunch, but the food should be gentle and enveloping the stomach. Thus, it will be possible to somewhat protect its walls from the harmful effects of alcohol.

The benefits of milk for stomach ulcers - a myth

For many years, people with peptic ulcers have been advised to drink plenty of milk as it soothes the stomach and helps heal the ulcer. However, this is not quite true. Milk can help for a few minutes while it envelops the stomach. But milk is a powerful food that stimulates the production of hydrochloric acid, which makes the disease worse.

There is a study in which 60 patients with stomach ulcers took part. One group was on the usual classic diet, the experimental one received 500 ml. milk for breakfast, 750 ml. for lunch and the same amount for dinner (in addition to basic treatment). As a result, 78% of patients were cured of stomach ulcers in the group that was on the classic diet - this is a common norm in inpatient treatment. However, in the experimental group that drank milk, only 53% recovered. ^[12].

From this we can conclude that it is not advisable to drink whole milk during treatment.

Menu for a week with stomach ulcer

It is important to remember that during an exacerbation of the disease, you should adhere to a special diet, which is called table number 1. Subsequently, when the attack is eliminated, you can switch to a more varied diet.

Monday

You can start the day with a couple of soft-boiled chicken eggs and buckwheat porridge in the amount of 250 grams. A weak tea is used as a drink.
For lunch, you can use a baked apple, which can be washed down with a glass of low-fat yogurt.
For lunch, a patient with a stomach ulcer is offered chicken soup with boiled rice grits. For the second, you can make mashed potatoes with beef meatballs. Fruit jelly is suitable as a dessert. Rosehip broth acts as a drink.
An afternoon snack should consist of green tea and a couple of crackers.
For dinner, you can steam pike perch and supplement it with cabbage inflorescences, also cooked in a double boiler. You can use weak tea as a drink.
You can end your day with green tea or yogurt.

Tuesday

For breakfast, you can use egg porridge, which is prepared with 2 eggs, milk and butter. You can drink it with strawberry jelly.
As a second breakfast, the patient can be offered buckwheat porridge mashed in milk. Weak tea acts as a drink.
At lunchtime, a man is served a mashed zucchini soup. The second course is represented by a fish pâté appetizer (any lean fish), as well as a potato and beef casserole cooked in foil with sauerkraut. Apple mousse can be used as a dessert.
For an afternoon snack, you can eat a banana and wash it down with slightly warmed fresh kefir.
Jellied chicken meatballs and mashed potatoes are served for dinner. Sour cream spread over stale bread is used as a dessert. You can wash it down with weak tea.
Green tea or yogurt is drunk before bed.

Wednesday

For breakfast, you can cook mashed rice porridge in milk, wash it down with apple compote. The second breakfast can consist of cottage cheese and oatmeal jelly.
For lunch, you can serve noodle soup cooked in vegetable broth. Beet salad with vegetable oil is acceptable as a snack. For the second, you can use crumbly buckwheat porridge with herbs and Polish-style pike perch with sauerkraut. You can drink it with weak black tea.
In the afternoon snack, the patient is served biscuit croutons and a glass of low-fat yogurt.
Dinner consists of pilaf with boiled beef, vegetable risotto and vitamin jelly. As a dessert, you can cook apple nests.
Round off Wednesday's day with green tea and fruit jelly.

Thursday

For breakfast, you can offer a sweet slimy broth of pearl barley with milk and yolk, rusk and milk jelly with carrots.
Snowballs and warm weak tea are used as a snack.
For lunch, rice soup with pumpkin is prepared; as a second course, you can serve rabbit meat soufflé and boiled pasta with sauerkraut. For dessert, apples and pears in syrup are used, which can be washed down with grape jelly.
The ulcer patient's supper consists of beetroot and potato salad, pumpkin-squash puree, jellied turkey. Green tea.
As a snack before a night's rest, you can use cottage cheese pudding with apples and a glass of fermented baked milk.

Friday

For breakfast, cook buckwheat porridge with jam. Tea is used as a drink.
As a snack, you can offer lazy dumplings with cottage cheese and a strawberry cocktail.
For lunch, the patient is offered a salad of greens with sour cream, soup with dill and dumplings, as a second course - zucchini stuffed with meat, and sauerkraut.
At an afternoon snack, you can eat fruit salad and wash it down with strawberry jelly.
For dinner, the patient is served boiled tongue with mashed potatoes and pudding made from oatmeal and apples. You can drink it with weak black tea.
The evening ends with green tea or yoghurt.

Saturday

Breakfast can include milk soup with boiled noodles and warm tea.
The second breakfast consists of a glass of fermented baked milk and beet puree.
For lunch, you can eat apple soup with prunes and herring soaked with vegetables. Dessert - biscuit on proteins
For an afternoon snack, the patient can afford a yogurt and strawberry cocktail with apple pudding.
You can dine on Saturday with baked cod and crumbly barley porridge and with sauerkraut. You can complement your evening meal with a jelly dessert with fruit.
Green tea with croutons is used as an evening snack before bed.

Sunday

You can start the morning with boiled noodles with cheese and butter and weak tea.
You can have a snack before dinner with cottage cheese-potato casserole and vitamin jelly.
For lunch, boiled potatoes or mashed potatoes are used, and boiled meat with sauerkraut, as well as cauliflower soup and curd cheese with carrots. As a drink, mashed apple compote is used.
As an afternoon snack, you can offer an apple baked with honey.
For dinner, homemade kefir, beef stroganoff with soybean oil and boiled beef are used, complemented by mashed potatoes. You can drink it with berry compote.
As a snack before bed, you can drink green tea and eat one soft-boiled egg.

Recipes for stomach ulcers

There are many recipes for meals that can be prepared for a patient with a stomach ulcer.

Many of them are quite simple, but there are some that can be somewhat complex:

Pike perch in Polish. In order to cook Polish zander, the fish will need to be peeled, washed and boiled with the addition of 1 carrot and 1 bunch of parsley. As a sauce, butter-egg filling is used, which is laid out on a side dish: buckwheat, rice or boiled mashed potatoes.
Risotto. To prepare a dietary risotto for a patient with a stomach ulcer, it will be necessary to peel carrots, celery root and parsley and slightly simmer them in a small amount of water. Rice in the amount of 4 tablespoons is boiled in slightly salted water, then mixed with vegetables and transferred to a dish greased with sunflower oil, poured with milk and an egg and baked in the oven.
Diet snowball recipe. To prepare them, you will need to take a couple of eggs, about half a glass of pasteurized low-fat milk, a little flour and three tablespoons of powdered sugar. The whites are separated from the yolks and whipped, powdered sugar is added there. Squirrels are dipped into boiling milk with a spoon and boiled, but no more than 5 minutes. Then the sauce is prepared. To do this, the yolks are mixed with powdered sugar and hot milk and boiled in a water bath. The resulting sauce is poured into protein snowballs and served on the table.
Jellied turkey. In order to prepare aspic from turkey, the meat must first be boiled and cooled, get rid of the skin and cut into small slices. While the carrots are boiled, you can prepare the jelly by filling it with water 1 to 8 (for half an hour). Then jelly and salt are added to the boiling carrot broth, after which the mass is filtered. Parsley and dill are cut coarsely, poured into a gelatinous mass along with turkey and chopped boiled carrots. All this is put into the refrigerator for solidification.

Other recommended diets for stomach ulcers

DASH Diet: Also known as the high blood pressure diet. The focus is on fruits and vegetables, offering 8 to 10 servings a day. The DASH diet also includes low-fat dairy products, beans, lentils, nuts, fish, and poultry, and limits the use of oils, sugar-sweetened beverages, and desserts.
Mediterranean diet: It also emphasizes fruits, vegetables, beans, lentils, grains, nuts and seeds. The diet also includes some olive oil and wine. Limits dairy products, fish and poultry.

[Video] Dr. Berg - Causes of stomach ulcers, how to get rid of? What you can eat + diet:

The author of the article: Kuzmina Vera Valerievna | Endocrinologist, nutritionist

Education: Diploma of the Russian State Medical University named after NI Pirogov with a degree in General Medicine (2004). Residency at Moscow State University of Medicine and Dentistry, diploma in Endocrinology (2006).