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Stomach Ulcer Diet

A stomach ulcer diet, also known as peptic ulcer diet, is a diet plan to help people with stomach ulcers, decreasing the symptoms and helping the treatment process next to medications.
The main reason for peptic ulcer is Helicobacter pylori infection, gastritis or inflammation of the stomach, taking aspirin and other non-steroidal anti-inflammatory drugs (NSAIDs), corticosteroids, and stress. Using alcohol or concentrated ethanol can worsen symptoms of peptic ulcer. Moderate amounts of alcoholic beverages can be the reason for peptic ulcers. A low fiber diet can cause the recurrence of peptic ulcers. (1)

What is Peptic Ulcer?

Peptic ulcers or stomach ulcers are mild injury to the gastrointestinal tract. The condition that the inside linings of the stomach or upper part of the small intestine get injured, and it will have open sores. This situation is called peptic ulcers. (2)

What Causes Stomach Ulcers?

Using pain-relieving drugs such as non-steroidal anti-inflammatory drugs (NSAIDs, e.g. Advil, naproxen, diclofenac, celecoxib, mefenamic acid, ibuprofen) for the long term or being infected to bacteria such as Helicobacter pylori can induce peptic ulcers. Aspirin and NSAIDs will cause congestion, superficial ulcers, subarachnoid hemorrhage, and general ulcers. (1) The cause of these injuries is the suppression of endogenous prostaglandins. Suppose the peptic ulcer disease does not be controlled. In that case, it will complicate gastric cancer, hole and perforation in stomach linings, bleeding, and the blockage of passes of food through the gastrointestinal digestion system tracts. (3)

Peptic Ulcer Symptoms

Many people even don't know they have peptic ulcers because they don't have any symptoms. However, there are some common symptoms among patients. (4) It may start an hour after eating and lasts for hours. Starvation and an empty stomach can aggravate this pain. It is recommended to eat foods and meals frequently during days to avoid making the stomach empty.
♦ Dull pain
♦ Abnormal and unexplained weight loss
♦ Decreased appetite and unwillingness to eat due to stomach pain.
♦ Heartburn
♦ Stomach discomfort
♦ Stomach pain
♦ Nausea
♦ Pain in the upper abdomen
♦ Fat intolerance
♦ Bloating
♦ Stomach acid can worsen the pain.
♦ Gastrointestinal bleeding may occur in patients with aspirin / NSAID-induced injury, stress-related injury, and port hypertension-induced gastropathy.
♦ Anemia and dark stools can occur due to stomach bleeding
♦ Fatigue

Stomach Ulcer Treatments

Peptic ulcer Treatment varies according to the severity and cause of the disease. Stomach ulcers may require antibiotics medications to treat a microbial, which may be a combination of different antibiotics. (5)
The use of antacids and drugs that inhibit the production of acid in the gastrointestinal tract is another way to treat and relieve stomach ulcer pain; However, long-term use of these drugs can cause osteoporosis and increase bone risk fractures. Therefore, avoid taking these drugs arbitrarily and continue your medication under the supervision of a doctor.
The use of drugs that reduce stomach acid or have a protective effect on the gastric mucosa is another common drug used in treating gastric ulcers.
Patients should be aware that even if the disease's symptoms disappear, be sure to continue treating gastric ulcers until the disease is completely cured.
To cure stomach ulcers faster, the patient should follow the stomach ulcer diet tips to prevent the aggravation of the disease and cause the healing of stomach ulcers more quickly.
Some surgery may be needed to remove part of the stomach for stomach ulcer treatment in rare cases.
The peptic ulcer patient should be on a peptic ulcer diet for a while and be cautious about eating foods that worsen the disease. (6, 7, 8)

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Diet Therapy and Nutritional Treatments for Stomach Ulcer

The peptic ulcer diet needed to treat stomach ulcers and should be balanced and avoid bulky and high-fat foods. A stomach ulcer diet should be high in quality, without malnutrition in nutrients, and it should be without stimulants and intensifiers.

♦ Protein foods can lower gastric secretions' acidity and stimulate the secretion of gastrin hormones, acid, and the substance that can break down the proteins to amino acids and continue digestion. (9)
♦ A Fibre-rich diet is a unique way to protect the mucosal tissue of inner stomach linings. Adequate consumption of fruits and vegetables and adequate dietary fibre intake is effective in treating gastric ulcer disease. A peptic ulcer diet should include soluble fibre sources such as fruits, vegetables, oatmeal, brans, bran buds, legumes, and dried beans. (10)
♦ Dietitians limit high-fat foods such as high-fat dairy products, fried meats, cakes and muffins, and fast foods in stomach ulcer diet.
♦ Milk and cream will be used in the first days of peptic ulcer treatment to protect the stomach's linings, but it should not be a long-term treatment. You should note that high fat or whole milk is not suitable for a peptic ulcer diet. Fermented dairy foods are a good choice. (11)
♦ Wine and beer should be avoided in stomach ulcer diet, because they can increase stomach discharges. (12, 13)
♦ Coffee and caffeine can stimulate stomach acid secretion, and it may loosen the lower esophageal sphincter (LES) anyway; none of them can't cause peptic ulcers. Still, too much of them can occur to the related diseases. Caffeinated beverages, coffee, and tea should be avoided in peptic ulcer diet because they can worsen stomach ulcers by means of more secretion of gastric acids. (14, 15)
♦ Red and black pepper are seasonings that can increase acid secretion, but a low amount of them and their substitutes can increase mucus production and mucosal protection. However, a lot of pepper may lead to superficial mucosal damage. (16)
♦ Phenolic compounds, which are protective foods like soybean, oat, red cabbage, basil, ginger, red onion, black pepper, white pepper, shallot, thyme, grapefruit, lemon, sweet orange, black raspberry, etc. can lead to the eradication of Helicobacter pylori. Probiotics can reduce the side effects of eradicating Helicobacter pylori, such as diarrhea, nausea, and indigestion. Probiotic foods: tofu, tempeh, kimchi, miso, yogurt, kefir, some cheeses, and sourdough bread. (17, 18)
♦ The dietitians consider the foods with accurate pH based on the patient's condition who suffers from oral or esophageal ulcers.

Diet For Cure Stomach Ulcer

♦ Consumption of ginger in stomach ulcer diet can reduce nausea symptoms in patients with stomach ulcers. (19)
♦ It is recommended that eating 5 to 6 low volume meals rather than three bulky ones.
♦ Adequate rest, enough sleep, no stress are the general cares that can improve the natural healing process. The peptic ulcer patients should cope with stress conditions to reduce the destructive effects on their disease.
♦ Adequate exercise and physical activities help patients to relieve stress. (22)
♦ Smoking cigarettes will lead to the progress of wounds and ulcers and slow down the healing process, so this habit should be stopped. (20, 21)
♦ Some deficiencies may be occurred due to the ulcers, so correction and supplementation are needed. Patients with inflammation associated with gastric atrophy (thinning of the stomach's inner lining) have a low status of B12 due to the lack of internal gastric factor (IF) and acid. The decrease in stomach acid leads to decreased absorption of iron and calcium. Eradication of helicobacter pylori can improve the absorption of iron and increase the ferritin levels. (23)
♦ Peptic ulcer patients should avoid using NSAIDs and Aspirin arbitrarily and without a doctor's prescription. (24)
♦ Drinking moderate alcohol does not seem to have a pathological effect on the ulcers despite other risk factors.
♦ Curcumin, the substance available in turmeric, has an anti-inflammatory and protective effect against cancer-related to Helicobacter Pylori. (25) Studies have shown the eradication of foods such as green tea, kimchi, and black raisin oil on helicobacter pylori. Probiotics can prevent this condition. (26)
♦ Peptic ulcers may be connected with other diseases such as Crohn's disease, celiac disease, and some other infections that they should be cured to fight Stomach ulcers.

Foods to Eat with Peptic Ulcer

In the continuation of the above list, you can eat these foods in a stomach ulcer diet:
♦ Cherries
♦ Blackberries
♦ Raspberries
♦ Berries
♦ Blueberries
♦ Cauliflower
♦ Broccoli
♦ Cabbage
♦ Kale
♦ Spinach
♦ Bell peppers
♦ Honey
♦ Garlic
♦ Healthy fats and Olive oil
♦ Lean meats
♦ Eggs
♦ Fish and seafood

Foods to Avoid with Peptic Ulcer

These foods are very similar to foods that are avoided during being induced to acid reflux and GERD. Because they may worsen the symptoms, they have to be avoided and restricted them in stomach ulcer diet.
♦ Citrus fruits and their juices
♦ Alcohol and Alcoholic beverages
♦ Coffee
♦ Caffeine
♦ Salty foods
♦ Fried foods
♦ Chocolate
♦ Tomatoes and its products
♦ Spicy foods

Let us know if you have any questions or comments.