Dietary Guidelines for Managing Stomach Ulcers: What to Eat and Avoid

Q: Dietary Guidelines for Managing Stomach Ulcers: What to Eat and Avoid

Hello： If consuming tea, coffee, sweets, cookies, or spicy foods causes gastrointestinal symptoms, it is advisable to avoid them as much as possible. <br>If you eat them without experiencing symptoms, it is still not recommended to consume them daily. <br>It is important to maint

Diet for Gastric Ulcer

Recently, I have been treating a gastric ulcer.
Basically, I eat normally but avoid spicy and acidic foods, as well as tea and coffee.
I also avoid milk.
For breakfast, I have sandwiches or egg pancakes, occasionally paired with unsweetened soy milk.
I eat an apple almost every day, and I don't have any specific restrictions on fruits.
However, my mother thinks that I am being too strict and keeps suggesting that I can have a little tea, some chocolate, cookies, or even a bit of spicy or fried food.
I am concerned that eating meat without vegetables might increase stomach acidity.
The ulcer symptoms include a small amount of blood, which suggests that it is not a mild ulcer but rather of some degree.
Is my mother's suggestion something that doctors would consider acceptable, or should I completely avoid those foods? My report did not show Helicobacter pylori, but I want to prevent a recurrence of the ulcer since I am still young.
Gastric ulcers are known to be easy to treat but also prone to recurrence, which is quite troubling for me.

xuan, 10~19 year old female. Ask Date: 2017/05/15

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: If consuming tea, coffee, sweets, cookies, or spicy foods causes gastrointestinal symptoms, it is advisable to avoid them as much as possible.
If you eat them without experiencing symptoms, it is still not recommended to consume them daily.
It is important to maintain a balanced diet.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2017/05/15

More Info

Managing stomach ulcers requires a careful approach to diet and lifestyle choices. Stomach ulcers, also known as peptic ulcers, can be aggravated by certain foods and beverages, and understanding what to eat and what to avoid is crucial for healing and preventing recurrence.

Foods to Avoid
1. Spicy Foods: Spices such as chili powder, black pepper, and hot sauces can irritate the stomach lining and exacerbate ulcer symptoms. It's best to avoid these entirely during the healing process.

2. Acidic Foods: Citrus fruits (like oranges and lemons), tomatoes, and vinegar can increase stomach acidity and may lead to discomfort. While some individuals may tolerate small amounts, it's generally advisable to limit these foods.

3. Caffeinated Beverages: Coffee, tea, and certain sodas can stimulate acid production in the stomach. Even decaffeinated coffee can sometimes cause issues, so it's wise to avoid all forms of coffee and limit tea intake.

4. Alcohol: Alcohol can irritate the stomach lining and increase acid production, making it a significant contributor to ulcer pain and discomfort. Complete abstinence is recommended.

5. Fried and Fatty Foods: Foods that are fried or high in fat can slow down digestion and increase the likelihood of discomfort. This includes items like fried chicken, doughnuts, and certain fast foods.

6. Chocolate: While it may be tempting, chocolate can stimulate acid secretion and may worsen ulcer symptoms for some individuals.

7. Processed Foods: Foods high in preservatives, additives, and artificial ingredients can be irritating to the stomach. It's best to focus on whole, minimally processed foods.

Foods to Include
1. Lean Proteins: Foods such as chicken, turkey, fish, and eggs are generally well-tolerated and can help in healing. Opting for grilled, baked, or steamed preparations is advisable.

2. Non-Acidic Fruits: Bananas, melons, and apples (without the skin) are gentle on the stomach and can provide necessary vitamins and minerals.

3. Vegetables: Cooked vegetables, especially those that are non-cruciferous (like carrots, spinach, and zucchini), are easier to digest and can provide essential nutrients.

4. Whole Grains: Foods like oatmeal, brown rice, and whole-grain bread can be soothing and provide fiber, which is important for digestive health.

5. Dairy: While some individuals may find dairy irritating, others may tolerate low-fat options like yogurt or milk. It's essential to monitor your body's response.

6. Probiotics: Foods rich in probiotics, such as yogurt with live cultures, can help restore gut health and may aid in digestion.

7. Hydration: Staying hydrated is crucial, but opt for water or herbal teas (non-caffeinated) instead of coffee or sodas.

General Dietary Guidelines
- Eat Smaller, More Frequent Meals: Instead of three large meals, aim for five to six smaller meals throughout the day. This can help reduce stomach acid production and prevent discomfort.

- Chew Thoroughly and Eat Slowly: Taking your time to chew food well can aid digestion and reduce the workload on your stomach.

- Monitor Symptoms: Keep a food diary to track what you eat and how it affects your symptoms. This can help identify any specific triggers.

- Consult with Healthcare Providers: Regular follow-ups with your healthcare provider or a dietitian can help tailor your diet to your specific needs and monitor your ulcer's healing progress.

Conclusion
Your concerns about dietary restrictions are valid, especially considering the potential for ulcer recurrence. While some foods may be tolerable for others, it's essential to listen to your body and prioritize healing. Avoiding irritants like spicy foods, caffeine, and alcohol while focusing on a balanced diet rich in lean proteins, non-acidic fruits, and vegetables can significantly aid in recovery. Always consult with your healthcare provider before making significant dietary changes, especially if you have specific symptoms or concerns about your ulcer's severity.

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