Ulcerative disease is a predisposition of the gastric mucosa and / or that of the duodenum (duodenum, the initial part of the small intestine) to the formation of defects - erosions or ulcers. While erosion is limited to the mucosa, the ulcer can damage the stomach wall or duodenum much more deeply.
In up to 90% of cases of peptic ulcer disease, the cause is Helicobacter pylori infection or non-steroidal anti-inflammatory drugs (NSAIDs). Smoking is also considered a risk factor, as the substances contained in tobacco lead to reduced blood supply to the mucosa, as well as reduced secretion of bicarbonate salts, which have a neutralizing effect on the action of hydrochloric acid.
Other factors include excessive alcohol consumption , gross errors in diet, family predisposition, the presence of stress, and some bacterial and viral infections.
Stomach pain is the most common symptom reported by patients. While in gastric ulcer the pain occurs immediately after eating, in duodenal - a few hours after eating, usually at night and is relieved after eating. Other symptoms include burning, discomfort, change in appetite, nausea and less frequent vomiting.
In addition to treating the root cause of peptic ulcer disease, it is important to choose the right food that does not irritate the mucous membranes. A change in eating habits is needed - number of meals per day, distribution of the amount of food and others.
A mucosal-sparing diet means avoiding all types of irritants - be they mechanical, chemical or thermal. Thermal means that the food and beverages consumed should be at a moderate temperature and not too hot or cold.
Some foods lead to significantly higher secretion of gastric juice than others, which is why it is recommended to reduce their consumption due to irritation of the mucous membrane by hydrochloric acid. Such foods are all types of meat broths, which contain a rich amount of extracts.
All rich in preservatives, marinated or smoked foods are recommended to be limited by the menu. This includes mainly semi-finished foods, pickles, sausages and others. In most patients there is a worsening of symptoms when eating onions, radishes and salty foods. This is the reason why they also belong to the group of foods that should be limited.
Cellulose-rich foods can lead to mechanical irritation of the damaged mucosa, which intensifies the symptoms. Such foods are all whole grain products - rye bread, brown rice and products made from whole grain flour . Immature fruits can often also irritate the mucous membranes.
Spicy foods, horseradish, ginger, black pepper have an adverse effect on the mucous membrane. It is recommended to consume vegetables that are steamed, boiled or mashed or as a cream soup. Desserts can be used to make pudding, sour, mousses, jellies.
Alcohol, as well as caffeine, have an irritating effect on the mucous membrane, which is why their consumption is stopped. It is permissible to drink one coffee a day, but it should be in combination with milk and not on an empty stomach. Carbonated drinks also cause discomfort. Fried foods as well as fatty meats with skin, tendons or skins are limited. Chicken, turkey, fish and rabbit are recommended.
The number of meals during the day should be more than the usual (three) and increase to 5-6 times . Accordingly, the portions need to be reduced according to the number of meals. 3687