Stomach Ulcers: Diet, Stress, and Recovery Tips - Gastroenterology and Hepatology

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Gastric ulcers and stress issues?


Hello Doctor, I recently experienced a loss of appetite and had an upper gastrointestinal endoscopy last Saturday.
The doctor diagnosed me with a gastric ulcer.
I have been on medication for a week now, and my appetite has improved (I originally had no desire to eat, but now I feel like eating).
However, I still feel like I can't eat much.
Is this normal? Also, can I eat scallion pancakes with a gastric ulcer? If I have it occasionally, will that be okay? Recently, I've been feeling a lot of stress and worrying about many things.
Will this have an impact on my condition? How can I improve this?

Mr. Zhu, 20~29 year old female. Ask Date: 2022/05/01

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: It is better not to eat too much, as this can reduce the burden on the stomach.
Eating scallion pancakes occasionally should not be a problem; if you feel uncomfortable after eating them, it may be due to their greasiness.
Emotions can lead to stomach cramps or excessive gastric acid secretion.
It is recommended to avoid tea (black tea/green tea/milk tea), coffee, spicy foods, fried foods, high-fat, and high-protein foods.
If there is no improvement, it is advisable to consult a gastroenterologist.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2022/05/01

More Info


When dealing with stomach ulcers, it's essential to understand the interplay between diet, stress, and recovery. Stomach ulcers, also known as peptic ulcers, can be exacerbated by various factors, including diet and emotional stress. It’s great to hear that your appetite has improved after a week of medication, but it’s also common for individuals recovering from ulcers to still experience some limitations in their food intake.

Firstly, it’s important to recognize that while your appetite is returning, it may take time for your stomach to fully heal. The healing process can vary from person to person, and it’s not unusual to still feel hesitant about eating larger meals. Gradually increasing your food intake while listening to your body’s signals is a good approach. Eating smaller, more frequent meals can help manage discomfort and ensure you’re getting adequate nutrition without overwhelming your stomach.

Regarding your question about eating scallion pancakes (蔥油餅), it’s crucial to consider the ingredients and cooking method. Scallion pancakes are typically fried, which can be problematic for someone with a stomach ulcer. Fried foods can irritate the stomach lining and increase acid production, potentially worsening your symptoms. If you really want to indulge, consider having a small portion and observe how your body reacts. If you experience discomfort afterward, it may be best to avoid them in the future.

Stress management is another vital aspect of ulcer recovery. Stress can indeed exacerbate ulcer symptoms and hinder healing. Here are some strategies to help manage stress effectively:
1. Mindfulness and Relaxation Techniques: Practices such as meditation, deep breathing exercises, or yoga can help reduce stress levels. Taking time each day to engage in these activities can promote relaxation and improve your overall well-being.

2. Regular Physical Activity: Engaging in regular exercise, even if it’s just a brisk walk, can significantly reduce stress and improve your mood. Exercise releases endorphins, which are natural mood lifters.

3. Adequate Sleep: Ensure you’re getting enough restful sleep. Poor sleep can contribute to stress and affect your body’s ability to heal. Establishing a regular sleep routine can help improve your sleep quality.

4. Support System: Don’t hesitate to reach out to friends, family, or support groups. Sharing your feelings and experiences can alleviate stress and provide you with emotional support.

5. Balanced Diet: Focus on a diet that is gentle on your stomach. Foods that are easy to digest, such as bananas, oatmeal, and yogurt, can be beneficial. Avoid spicy, acidic, or fried foods, as these can irritate your stomach lining.

6. Consult Your Doctor: If your stress levels are significantly impacting your recovery or if you have ongoing concerns about your diet or symptoms, it’s essential to discuss these with your healthcare provider. They can provide tailored advice and possibly refer you to a nutritionist or counselor if needed.

In summary, while it’s normal to experience fluctuations in appetite during recovery from a stomach ulcer, it’s crucial to be mindful of what you eat and how you manage stress. Avoiding irritating foods like fried items and incorporating stress-reducing practices into your daily routine can significantly aid in your recovery. Remember, healing takes time, and being patient with yourself is key. If you have any further questions or concerns, don’t hesitate to reach out to your healthcare provider for personalized advice.

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