What is the treatment of Stomach or Duodenal Ulcer?
It was customary to suggest a bland diet for ulcer patients. The bland diet is a diet which is mechanical, chemically and thermally non-irritating.
Mechanically irritating foods include those with indigestible carbohydrates, such as whole grains and most raw fruits and vegetables. Foods believed to be chemically irritating because of their stimulatory effect on gastric secretion include meat extractives, caffeine, alcohol, and some spicy foods. The capacity present in chilies causes shedding of surface stomach cells and may cause peptic distress. Foods believed to be thermally irritating are those ordinary served at extremes of temperatures, such as very hot or iced liquids may cause pain. This diet prevents irritation to the mucosa, avoids the increase in acidity and aids in control of pain.
sound total nutrition: There must be optimal overall nutritional intake to support recovery and maintain healthy tissue, basses on individual needs and foods tolerances.
Protien foods: Milk and protein foods do have some buffering effect but they also evoke gastric secretions more than carbohydrates and fats. Milk should be included as a source of nutrient factors for healing purpose. Protein provides the necessary amino acids for synthesis of tissue protein which helps in healing ulcers.
Fat: Moderate amount of fat helps to suppress gastric secretion and motility through the enterogastrone mechanism. a fat such as cream, butter, and olive oil can be particularly helpful in a thin patient. Fried foods are not advised as they are difficult to digest and often aggravate the symptoms.
Ascorbic acid: It helps in wound healing hence citrus fruit juice and tomato juice can be given. The pH of food before ingestion has little significance.
Gas former: In addition, certain foods traditionally are forbidden include strongly flavored vegetables such as cabbage, cauliflower, onions turnip and fried foods. Restriction of these foods is based on subjective evidence from patients who experience distress following ingestion of these items.
Fiber: A regular diet, including good food sources of dietary fibre, has proved to be beneficial. By trial and error patient should decide which foods to be included or avoided. Possible foods that are to be avoided and included are given below:
Foods to be included :-
Dairy products like milk, cream, butter, cheese and egg(not fried), steamed fish, rice flakes, puffed rice, well-cooked cereals, semolina, cooked green leafy vegetables, custards, malted drinks, cooked pulses(if they are not causing gas formation).
Foods to be a avoided:-
Alcohol, strong tea, coffee, cola beverages, gravies, pickles, spices, chillies, curries, condiments, all fried foods, pastries, cakes, heavy fruits, raw vegetables like cucumber, onions, radish