Frequent small meals?
Hello, Director Shi.
Last week, I went to Chang Gung for an endoscopy, and the doctor told me that I have gastritis and prescribed medication for me.
However, I still experience stomach pain while working, even though I am taking the medication as prescribed.
I've heard that treating gastritis requires about three months along with dietary control.
I would like to ask you about the advice I found online regarding eating smaller, more frequent meals.
I really don't understand what "smaller, more frequent meals" means.
Could you please give me an example of how much I should eat for breakfast (since I often eat out)?
Additionally, I have a physically demanding job and need to drink about 3000 cc of water daily.
However, my friends say that I shouldn't drink too much water with gastritis.
Isn't it true that a normal person should drink around 2000 cc of water a day? I am also taking medication for a chronic condition, and I tend to feel dry and want to drink more water.
Could you please clarify this for me? Thank you.
Cai Xiansheng, 30~39 year old female. Ask Date: 2016/04/21
Dr. Shi Guimei reply Nutrition
Dear Mr.
Tsai,
Hello! Each individual's gastrointestinal tolerance to various foods can vary, so it is advisable to avoid foods known to cause discomfort.
The diet should limit foods that are high in spices to reduce gastric irritation; regardless of whether they contain caffeine, coffee, tea, alcohol, chili, broth, fatty, fried, and sugary foods should also be minimized.
It is best to consume softer-textured foods, eat at regular intervals and in moderation, aiming for about 70-80% fullness at each meal.
Snacks such as fresh milk, unsweetened soy milk, buns, toast, or crackers can be taken between breakfast and lunch or between lunch and dinner.
During meals, avoid drinking too much water, as this may lead to discomfort due to gastric distension; if thirsty, you can drink water slowly, in smaller amounts over several intervals, to quench your thirst while avoiding excessive fullness.
Wishing you health and happiness!
Sincerely,
Dietitian Shih Kuei-Mei
Director of the Nutrition Department, Taoyuan General Hospital, Ministry of Health and Welfare
Reply Date: 2016/04/21
More Info
Managing gastritis effectively often involves dietary adjustments, including the concept of "small frequent meals." This approach is particularly beneficial for individuals suffering from gastritis, as it helps to minimize gastric irritation and promote healing.
Understanding Small Frequent Meals
The idea behind small frequent meals is to consume smaller portions of food more often throughout the day, rather than having three large meals. This method can help reduce the burden on the stomach, allowing it to digest food more easily and minimizing the production of excess gastric acid, which can exacerbate symptoms of gastritis.
For example, instead of having a traditional breakfast that might consist of a large plate of eggs, toast, and bacon, you could opt for a smaller meal that includes a slice of toast with a thin layer of peanut butter and a small banana. This smaller portion is less likely to irritate your stomach while still providing necessary nutrients.
A typical day might look like this:
- Breakfast: A small bowl of oatmeal with a few berries.
- Mid-Morning Snack: A small apple or a handful of nuts.
- Lunch: A small portion of grilled chicken with steamed vegetables.
- Afternoon Snack: A yogurt or a small smoothie.
- Dinner: A small serving of fish with quinoa and a side salad.
- Evening Snack: A few whole-grain crackers with cheese.
This approach not only helps in managing gastritis symptoms but also ensures that you are getting a balanced intake of nutrients throughout the day.
Hydration Considerations
Regarding hydration, it is essential to drink enough water, especially if you are physically active and working in a demanding job. The general recommendation for water intake is around 2,000 to 3,000 cc (or 2 to 3 liters) per day for most adults, but this can vary based on individual needs, activity levels, and climate.
While some people with gastritis may be advised to limit their fluid intake to avoid over-distending the stomach, it is crucial to listen to your body. If you feel thirsty, especially when taking medications for chronic conditions, it is important to stay hydrated. You can spread your water intake throughout the day, sipping small amounts regularly rather than consuming large quantities at once, which can help prevent discomfort.
Dietary Recommendations
In addition to eating smaller, more frequent meals, consider the following dietary recommendations:
1. Avoid Irritants: Stay away from spicy foods, acidic foods (like citrus and tomatoes), and caffeine, as these can aggravate gastritis.
2. Choose Gentle Foods: Opt for bland, easy-to-digest foods such as bananas, rice, applesauce, and toast (often referred to as the BRAT diet).
3. Limit Alcohol and Carbonated Beverages: These can irritate the stomach lining and should be minimized or avoided altogether.
4. Monitor Dairy Intake: Some individuals may find that dairy products can irritate their stomach, while others may tolerate them well. Pay attention to how your body reacts.
5. Cook at Home: Whenever possible, prepare meals at home to control ingredients and avoid preservatives and additives that can irritate the stomach.
Conclusion
In summary, managing gastritis through dietary changes, including eating small frequent meals and staying adequately hydrated, can significantly improve your symptoms and overall well-being. It is essential to listen to your body and adjust your intake based on how you feel. If symptoms persist despite these changes, it is advisable to consult with your healthcare provider for further evaluation and management.
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