Stomach and Duodenal Ulcers: Symptoms and Dietary Tips - Gastroenterology and Hepatology

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Gastric ulcer / Duodenal ulcer


Last month, I experienced symptoms of ulcers, which improved in the middle but have recently reappeared (hunger pangs when fasting that disappear after eating, and a burning sensation in the stomach, particularly before bed or right after waking up).
I'm wondering if this could be related to my daily tea consumption.
Can I adjust my diet to help improve this? I don’t smoke or drink alcohol.
Under what circumstances should I seek medical attention, and is it feasible to monitor my condition myself?

Dàxuéshēng, 20~29 year old female. Ask Date: 2020/03/14

Dr. Yang Zhichao reply Gastroenterology and Hepatology


Hello, college students.
Many diseases have symptoms that are quite similar to those of ulcers.
If you have been troubled by these symptoms for a while, please consult a gastroenterologist for an evaluation and receive appropriate lifestyle recommendations.
Changhua Hospital cares about your health.

Reply Date: 2020/03/14

More Info


Understanding stomach and duodenal ulcers is crucial for managing symptoms and promoting healing. Ulcers are open sores that develop on the lining of the stomach (gastric ulcers) or the upper part of the small intestine (duodenal ulcers). They can cause a variety of symptoms, including abdominal pain, bloating, indigestion, and a burning sensation, especially when the stomach is empty.
From your description, it seems that you have been experiencing symptoms such as hunger pangs that disappear after eating, and a burning sensation in your stomach, particularly in the morning or before bed. These symptoms are common in individuals with ulcers, and they can indeed be exacerbated by dietary choices, including the consumption of certain beverages like tea, which may increase stomach acidity.


Dietary Tips for Managing Ulcers
1. Avoid Irritating Foods and Beverages: While tea is generally considered healthy, certain types, especially caffeinated ones, can stimulate acid production in the stomach. It might be beneficial to reduce or eliminate tea from your diet, particularly if you notice a correlation between tea consumption and your symptoms.

2. Eat Smaller, More Frequent Meals: Instead of three large meals, try to eat smaller meals throughout the day. This can help manage hunger and reduce the amount of acid your stomach produces at any one time.

3. Incorporate Soothing Foods: Foods that are gentle on the stomach can help. Consider including:
- Low-fat dairy products: Such as yogurt or low-fat milk, which can help neutralize stomach acid.

- Fruits: Bananas are particularly good as they are low in acidity and can help coat the stomach lining.

- Vegetables: Non-spicy, cooked vegetables can be soothing.

- Whole grains: Oatmeal and whole grain bread can provide fiber and help with digestion.

4. Stay Hydrated: Drink plenty of water throughout the day, but avoid drinking large amounts during meals to prevent overfilling your stomach.

5. Limit Spicy and Fatty Foods: These can irritate the stomach lining and exacerbate symptoms. Fried foods, spicy dishes, and high-fat meats should be limited.

6. Avoid Alcohol and Smoking: While you mentioned you do not smoke or drink, it's important to maintain this lifestyle as both can worsen ulcer symptoms.


When to Seek Medical Attention
While self-management is important, there are specific situations where you should consult a healthcare professional:
- Persistent Symptoms: If your symptoms do not improve with dietary changes or if they worsen, it’s crucial to seek medical advice.

- Severe Pain: If you experience intense abdominal pain that is different from your usual symptoms, this could indicate a complication such as perforation.

- Signs of Bleeding: If you notice blood in your stool (which may appear black or tarry) or vomit that looks like coffee grounds, seek immediate medical attention.

- Unexplained Weight Loss: If you are losing weight without trying, this could be a sign of a more serious condition.


Self-Monitoring
You can keep a food diary to track what you eat and how it affects your symptoms. This can help you identify specific triggers and adjust your diet accordingly. Additionally, maintaining a regular eating schedule and managing stress through relaxation techniques can also be beneficial.

In conclusion, while dietary adjustments can significantly help manage symptoms of stomach and duodenal ulcers, it is essential to remain vigilant about your health and seek medical advice when necessary. Regular follow-ups with your healthcare provider can ensure that your condition is monitored and managed effectively.

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