Dietary Guidelines for Duodenal Ulcer and Helicobacter Pylori Infection

Dietary Issues Related to Duodenal Ulcers

Hello Doctor, I recently underwent an upper gastrointestinal endoscopy and biopsy, which revealed a duodenal ulcer and Helicobacter pylori infection.
I have just completed a triple therapy and have been taking pantoprazole for nearly a month.
However, in the past week, I have experienced sharp pain in the upper abdomen, chest tightness, and burning sensations.
I'm unsure if this is due to something I ate that may have irritated my condition.
I would like to ask about dietary considerations: 1.
Is it permissible to drink low-fat milk or soy milk? 2.
Can I eat bananas or honey? 3.
If the above two are acceptable, does it matter if they are consumed on an empty stomach or not? 4.
Are there specific foods I should increase in my diet to promote ulcer healing? Thank you.

Cai Xiansheng, 30~39 year old female. Ask Date: 2016/06/22

Dr. Shi Guimei reply Nutrition

Dear Mr.
Tsai,
Hello! Currently, a gentle diet should be adopted, with the following dietary principles:
1.
Develop good eating habits by eating at regular times and in appropriate portions; avoid binge eating.
2.
Ensure adequate nutritional intake by focusing on the six major food groups (whole grains, legumes, fish, meat, eggs, low-fat dairy, vegetables, fruits, and plant-based oils).
Aim for a wide variety of foods to achieve a balanced intake of nutrients.
3.
Maintain a regular daily routine, keep a pleasant mood during meals, chew slowly, and avoid gulping down food.
4.
Eat small, frequent meals.
Each meal should ideally include protein-rich foods (such as dairy, eggs, meat, fish) and fats, rather than solely consuming carbohydrates, to prevent excessive gastric acid secretion.
5.
Pay attention to cooking methods; avoid frying, grilling, and deep-frying.
It is recommended to use steaming, boiling, stewing, or pureeing foods, as they are easier to digest.
6.
Some foods can cause gas and bloating, such as onions, legumes, and broccoli; individual experiences should guide whether to consume these foods.
7.
Hard foods like fried rice and barbecued meats, sticky rice products like rice cakes and zongzi, various sugary foods, sugary beverages, fried foods, and ice cream can often lead to discomfort for patients, so be cautious in your choices.
Everyone reacts differently to foods, so the selection of foods should be adjusted according to individual circumstances.
If a particular food causes discomfort, it is best to avoid it for now.
Wishing you health and happiness!
Sincerely,
Director of the Nutrition Department, Taoyuan Hospital, Ministry of Health and Welfare
Dietitian Shih Kuei-Mei

Reply Date: 2016/06/22

More Info

When dealing with a duodenal ulcer and Helicobacter pylori (H. pylori) infection, dietary choices play a significant role in managing symptoms and promoting healing. Here are some dietary guidelines and considerations based on your situation:
1. Low-Fat Milk and Soy Milk: Both low-fat milk and soy milk can be beneficial for individuals with duodenal ulcers. They can provide a soothing effect on the stomach lining and may help alleviate discomfort. However, it is essential to consume them in moderation. It is advisable to drink them in small amounts and observe how your body reacts. If you notice any increase in discomfort, it might be best to limit or avoid them.

2. Bananas and Honey: Bananas are generally well-tolerated and can be a good choice for those with ulcers. They are soft, easy to digest, and may help coat the stomach lining. Honey also has natural antibacterial properties and can be soothing. Both can be consumed either on an empty stomach or after meals. However, if you are experiencing significant discomfort, it may be wise to introduce these foods gradually and monitor your symptoms.

3. Timing of Consumption: While both low-fat milk and bananas can be consumed at any time, it is often recommended to avoid eating large meals or consuming heavy foods right before bedtime. Eating smaller, more frequent meals can help manage symptoms better. If you choose to consume these items, doing so after meals may help buffer any potential irritation.

4. Foods to Promote Healing: To enhance the healing of your ulcer, consider incorporating the following foods into your diet:
- Fiber-Rich Foods: Whole grains, fruits, and vegetables can help improve digestion and promote gut health. Foods like oats, brown rice, and leafy greens are excellent choices.

- Lean Proteins: Skinless poultry, fish, and legumes are good sources of protein that are less likely to irritate the stomach.

- Probiotics: Foods like yogurt with live cultures, kefir, and fermented vegetables can help restore the balance of good bacteria in your gut, which is particularly important after antibiotic treatment for H. pylori.

- Healthy Fats: Incorporate sources of healthy fats, such as avocados, olive oil, and nuts, which can be less irritating than saturated fats.

5. Foods to Avoid: It is crucial to avoid foods that can exacerbate ulcer symptoms. These include:
- Spicy foods
- Caffeinated beverages
- Alcohol
- Acidic foods (like citrus fruits and tomatoes)
- Fried or fatty foods
6. Hydration: Staying well-hydrated is essential for overall health and can aid in digestion. Water is the best choice, but herbal teas (non-caffeinated) can also be soothing.

7. Monitoring Symptoms: Keep a food diary to track what you eat and any symptoms that arise. This can help identify any specific triggers that worsen your condition.

8. Consultation with Healthcare Providers: Since you are experiencing symptoms like upper abdominal pain, chest tightness, and burning sensations, it is crucial to discuss these with your healthcare provider. They may recommend adjustments to your treatment plan or further investigations to rule out other potential issues.

In summary, while certain foods can be beneficial for managing duodenal ulcers and H. pylori infections, individual responses can vary. It is essential to listen to your body, maintain a balanced diet, and consult with your healthcare provider for personalized advice.

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