What you can and cannot eat if you have a stomach ulcer, the right diet with menu

Poor nutrition, snacking on sandwiches and fast food at work, and lack of physical activity are the main reasons for the development of serious diseases of the digestive tract. One of the common ailments is a stomach ulcer, which can result in serious health problems. Doctors warn: you won’t be able to cope with the disease with drugs alone; a diet for stomach ulcers is also included in the course of drug therapy.

What not to eat if you have an ulcer

Nutrition for duodenal ulcers includes a number of restrictions that should not be neglected. Many products are prohibited for consumption due to their harmful effects on the walls of the gastric mucosa; some provoke excessive production of gastric juice and force the intestines to work harder.

If you have a peptic ulcer of the stomach or duodenum, you should not eat:

• rye bread, freshly baked buns, pies, fried pancakes;
• fatty, multi-ingredient soups with rich broths, okroshka with kvass;
• gas-forming products (legumes, cabbage, grapes);
• millet, corn, pearl barley or barley cereals;
• smoked products, fatty meat and fish, seafood in large quantities;
• preserves, marinades, sauces;
• high-fat dairy products, salty and spicy cheeses;
• fried eggs, hard-boiled eggs, fried omelette;
• mushrooms;
• raw vegetables and fruits, especially sour ones (gooseberries, oranges and others);
• store-bought sweets;
• alcohol, soda with and without dyes, caffeinated drinks.

All of these foods have a detrimental effect on the health of the duodenum and other parts of the intestine. During remission, their use should be limited as much as possible; if an exacerbation is diagnosed, it should be completely excluded for the entire period of treatment.

Attention! The recommended diet for duodenal ulcers should be followed for life. This is the only way to avoid other complications.

What can you eat if you have gastritis?

The list of allowed foods for dietary nutrition is quite limited, but even in this case, you can prepare varied and healthy dishes every day. The gastroenterologist will tell you in detail during the consultation about what you can eat if you have an ulcer.

To make meals enjoyable, you should prepare a menu for the week in advance from those ingredients that are approved by your doctor.

Allowed foods for duodenal ulcers:

• unhealthy pastries;
• pureed vegetable soups;
• rice, buckwheat or oatmeal porridge, which must be prepared with low-fat milk;
• lean varieties of meat and fish;
• low-fat dairy products;
• Use eggs only in steamed omelettes;
• non-sour boiled vegetables and fruits;
• honey, not sour jam;
• green tea, compotes, homemade juices (be sure to dilute with water in equal proportions).

The diet for duodenal bulb ulcers should include only these foods. The diet for ulcers with low acidity includes various meat or fish broths, citrus fruits are allowed. With high acidity, light chicken broths or milk soups should be consumed more often.

Therapeutic diet recipes No. 1

It is useful for people suffering from ulcers to eat soups cooked on cereals with a small amount of potatoes and carrots. If you cook soup with oatmeal porridge, the patient will receive a healing liquid that envelops and restores the mucous membrane. Rice soup has a similar effect.

Vegetable soups are also very healthy. To prepare them, carrots, young zucchini and potatoes are used. These soups are seasoned with olive oil.

The range of permitted and prohibited foods for duodenal ulcers is only at first glance frightening with a large number of changes in the usual diet. Dietary food is a special section of cooking. From a simple set of products it is easy to prepare many tasty and healthy dishes. The main thing in this case is to adhere to the rules for processing and consuming individual ingredients. Here are some delicious and easy recipes:

• Vegetable cream soup. To prepare this dish, prepare the following ingredients: potatoes, carrots, turnips, skim milk, butter. Select the quantity of ingredients at your discretion. Boil all vegetables and chop in a blender. To dilute the mixture to a puree consistency, use vegetable broth and milk. Before eating the soup, place a small piece of butter in the plate.

• Oatmeal with pumpkin. For 1 cup of rolled oats, prepare 2 cups of skim milk, 1 cup of finely grated pumpkin pulp, butter, two tablespoons of honey. Boil oatmeal with milk until tender. Mix the porridge with pumpkin and leave the mixture for 10-15 minutes, covering the pan with a lid. Add a small amount of butter and also honey.

• Diet pumpkin pudding. To prepare the dish you will need: 150 g pumpkin pulp, 10 g semolina, 10 g honey, 20 g low-fat milk, 140 g apples, 2 eggs. Grind the apples and pumpkin in a blender. Add semolina and milk, bring the mixture to a boil. Add honey and beaten eggs to the prepared mixture. The pudding should be prepared by steaming or in a slow cooker.

Suitable for anyone who has problems with the stomach and duodenum. This soup coats the walls of the stomach well and saturates the patient. To prepare we will need:

• rice;
• milk;
• egg;
• boiled carrots;
• some greenery;
• a piece of butter.

Boil the rice in water until tender, then strain it through a fine sieve. Add a few tablespoons of rice to the rice water and bring to a boil over low heat. Mix the egg with milk, as for an omelette, and pour the milk-egg mixture into the rice water. After a few minutes, remove from heat. If desired, you can add finely chopped boiled carrots, some herbs and a piece of butter.

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For this diet, you can prepare noodle soup with minced meat or fish, as well as low-fat cottage cheese. For the recipe you will need the following products:

• noodles or vermicelli;
• minced meat or cottage cheese;
• eggs;
• salt;
• a little sour cream.

Break the noodles into small pieces and cook until tender (there should be some liquid left in the pan with the pasta). Add minced meat or cottage cheese, a few eggs to the pasta, mix thoroughly. Grease a baking sheet with a small amount of vegetable oil. Spread the noodle soup in a thin layer, spread sour cream on top, and bake until done for 20-40 minutes, depending on the filling. Then cut the finished noodle maker into portioned pieces, and before serving, place a piece of butter on each portion.

Zrazy for a couple

To prepare the recipe you will need:

• ground beef or chicken;
• a little salt;
• egg;
• quail eggs according to the number of times.

Boil quail eggs until tender, cool and peel. Add a little salt and a raw chicken egg to the minced meat. You can also add some chopped herbs. Form zrazy, place a quail egg inside each cutlet. Steam zrazy in a double boiler, in a slow cooker, in a water bath or in the oven.

Beef soufflé is suitable for both patients with gastrointestinal diseases and for children's menus. Ingredients:

• beef;
• flour;
• milk;
• butter;
• chicken eggs;
• salt.

Rinse the beef well and boil until tender, then pass through a meat grinder several times. Immerse raw meat in boiling water to retain more vitamins and nutrients. In a dry frying pan, fry the flour until golden brown, then add butter to the flour and thoroughly stir the flour with the melted butter.

Pour a little milk into the pan and simmer, stirring thoroughly, until thickened. Add the egg yolk, beaten egg white, milk sauce and salt to taste to the ground beef. Mix everything well and place on a greased baking sheet. Bake the souffle steamed or in the oven. Fish soufflé is prepared using the same principle, but instead of beef, use lean fish fillet.

Nutrition during periods of exacerbation

Gentle nutrition for stomach ulcers during an exacerbation includes the same points as during remission. You should definitely avoid acidic, fatty, and heavy-for-the-stomach foods.

On the first day, only drinks are allowed. This is fruit drink, weak tea, compote. This limitation is explained by the fact that it is not easy for the intestines with inflamed mucosa to digest food. The next day, you can introduce vegetable broths, grated steamed vegetables, and water-based porridge. Dishes should not be salted and peppered. They should not be very cold or hot, spicy or hot.

A strict diet for stomach or intestinal ulcers is followed for about 2-3 weeks. Gradually, dishes consisting of several components, dairy products, lean meat and fish are added to the diet. In addition to the three main meals, snacks must be present. You are allowed to eat a baked apple, natural yogurt, and banana.

It is strictly not recommended to drink alcohol even in small quantities. Getting into the stomach, it injures the already inflamed walls of the organ, causing their irritation and severe pain. Smoking on an empty stomach works by the same mechanism.

To prevent an acute duodenal ulcer from transforming into a chronic form or stomach cancer, it is necessary to adhere to a strict diet throughout the entire exacerbation stage. By normalizing the diet, you can achieve stable remission of the disease for many years.

Sample menu for the day

For breakfast, if you have a stomach ulcer or duodenal ulcer, you can eat permitted cereals with milk, eat unsweetened cookies, drink a cup of green tea with or without milk.

Lunch necessarily includes a one-ingredient soup with a light broth; for the second you can serve boiled cauliflower with steamed fish. You are allowed to drink compote made from non-acidic berries or dried fruits.

Dinner during the diet, prescribed for duodenal ulcers, includes pureed soup from carrots and potatoes or other vegetables, fruit juice.

Between the three usual meal breaks, you should have several light snacks. You should drink yogurt or eat a savory bun. You can eat more vegetables and fruits if you have an ulcer with low acidity (tangerines, carrots, cabbage, apples are allowed). If the concentration of stomach acid is too high, it is better to eat a lean cracker with tea. Snacks must also be accompanied by permitted drinks.

Menu for the week

When compiling a menu list for an ulcer localized in the duodenum area, it is necessary to adhere to variety and general nutritional recommendations. Food should be healthy and tasty, this will help to avoid breakdowns in the desire to eat something tasty, but very harmful. Below are a selection of dishes that the diet allows for duodenal ulcers.

• Breakfast
• Lunches
• Dinners
• Snacks

Porridge with milk, baked cheesecakes, steamed vegetable cutlets or steamed omelet.
Be sure to include compote or herbal tea in your meals. Cream soup, chicken broth with noodles, vegetable soup. For the second course, steamed meat or fish is served with a side dish in the form of vegetable puree or buckwheat or rice porridge. Wash down your food with fruit drink.

Steamed vegetable or meat cutlets, casserole, stewed or boiled vegetables. You can drink weak green tea with or without milk.

They include tea with yesterday's buns, cheesecakes, cottage cheese casserole or boiled fruit puree, and banana.

The ingredients can be changed as desired. In the remission stage, with the doctor’s permission, you can occasionally allow yourself a forbidden dish. Only this should happen no more often than once a month and under supervision. The rest of the time, the diet for duodenal ulcers should be strictly followed.

Group of products of animal origin

This group is quite diverse and involves the use of the following products:

• puddings and casseroles made from low-fat cottage cheese, topped with low-fat sour cream;
• lazy cottage cheese dumplings with cream;
• steamed cutlets made from chicken or turkey;
• oven-baked young beef meatballs in sour cream sauce;
• boiled lean fish or fish cutlets baked in the oven;
• eggs beaten with milk and baked in the oven with cauliflower.

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Such products are easy to prepare, are well absorbed by the body and can be eaten several times a day.

Doctors' recommendations

General recommendations regarding diet for duodenal ulcers must be followed for life. This will help stop the progression of the disease into the chronic stage, and will also relieve the patient from regular use of medications.

1. Food should be steamed or boiled; fried food should not be on the menu. It is better to instill in a child a craving for such products from an early age. Children quickly get used to this principle of nutrition and do not experience any inconvenience in adulthood.
2. It is not recommended to eat overly hot food. It is optimal if the food served is slightly warmer than room temperature.
3. Quick snacks should be avoided. It is better to provide the child with nutritious school lunches; an adult can have lunch at the nearest canteen, which he trusts.
4. Overeating is also strictly prohibited. You need to eat in portions, following the rule of 5-6 small meals a day.
5. It is recommended to chew foods for stomach ulcers thoroughly and avoid haste.
6. Do not eat dry food. Every lunch or dinner should be accompanied by drinks. It is better to drink 10-15 minutes after eating. Liquid consumed before meals reduces the concentration of gastric juice and contributes to poor digestion.

By adhering to these simple rules of the treatment process, you can significantly alleviate the patient’s condition with diseases of the duodenum. If you always use the recommendations, starting from childhood, the risk of developing the disease is significantly reduced. Even if a person has a genetic predisposition.

Treatment

All organs of the gastrointestinal tract must be in a delicate balance between the aggressive environment created by enzymes and hydrochloric acid, and protective factors that do not allow gastric juice to begin to digest the organs themselves. It often happens that the balance is disturbed, and then various diseases develop, including duodenal ulcers (DU).

Why does this happen? There are several reasons. And the most important is the bacterium Helicobacter pylori. It occurs in 8 out of 10 people, but not everyone behaves aggressively, causing the appearance of ulcers.

Specific enzymes produced by the microorganism damage the protective layer of the intestinal wall, mucus production is disrupted, and ulcers appear.

The increased acidity of gastric juice (essentially hydrochloric acid) that enters the duodenum also leads to inflammation and further formation of ulcers. There is an opinion that men suffer more from this disease because they do not adhere to a healthy lifestyle: they abuse alcoholic beverages, smoking, and strong coffee.

It must be admitted that any person who consumes large quantities of junk food (smoked, fatty, fried, fermented foods, soda) and violates the diet by taking long intervals between snacks is at risk.

Interestingly, the disease can occur even during or after psychological stress, overexertion or an unstable emotional state, when, as a result of dysfunction of the autonomic nervous system, vasospasm occurs and the normal functioning of the protective system of the gastrointestinal tract organs stops.

The presence of an ulcer can be detected in the acute period, when severe stabbing pain appears in the abdomen below the sternum (under the rib) or on the right side above the navel (sometimes the pain radiates to the back on the right). The appearance of pain is associated with eating: most often the stomach hurts 1.5–2 hours before eating and after eating, after the same time. Also, pain develops at night, when there is an increase in the secretion of hydrochloric acid, and in the autumn-spring period.

One of the symptoms of duodenal ulcers is the appearance of a feeling of hunger almost immediately after eating and lack of appetite due to pain, and as a result, weight loss.

Accompanying the disease are heartburn, nausea, vomiting and bloating.

If treatment is not carried out, then perforation of the ulcer and internal bleeding may occur, indicators of which are black stool and severe pain in the stomach area.

In very rare cases, pain is not observed with a duodenal ulcer. There are no clear signs of the disease that, without diagnostics and tests, can make a diagnosis.

At the first syndromes characteristic of a duodenal ulcer, you need to consult a doctor who, after diagnosis, will prescribe an individual treatment regimen that prevents further development of the disease.

Depending on the patient’s condition, there are several treatment methods:

1. Drug treatment involves taking antibiotics (Macrolides, Penicillins, Nitroimidazoles) to destroy Helicobacter pylori infection, inhibitors (Omeprozole, Ranitidine) and bismuth preparations to eliminate pain by reducing the secretion of hydrochloric acid and antacids (Almagel) to form a protective film on the duodenal mucosa.
2. Surgical treatment is performed when the disease becomes more complicated. During surgery, the affected area or the intersection of the branches of the vagus nerve is usually removed to reduce gastric secretion and lower the acidity of digestive juice.

In order to alleviate the suffering of the patient and speed up the treatment process, natural remedies are also used: an analgesic and anti-spasm infusion of chamomile, a carminative (for flatulence) infusion of dill, anise and fennel, and an infusion of flax seeds as an enveloping agent.