Managing Acute Gastritis: Gentle Foods and Healing Tips - Nutrition

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I have a question about gastrointestinal issues?


Hello, I apologize for the interruption.
I recently visited a doctor who diagnosed me with acute gastritis but suspected a peptic ulcer.
I haven't undergone an endoscopy, but I have a history of gastrointestinal issues.
I still need to be cautious about what I eat, and I usually drink a packet of gastric milk before meals for protection.
I would like to know, aside from the irritating foods mentioned in the online Q&A, what are some examples of mild foods? I'm considering having milk with white toast or some red bean or coconut-flavored toast for lunch.
Would these be considered mild foods? I generally enjoy somewhat stimulating foods, except for coffee and spicy dishes, but I might struggle with avoiding them.
However, I want to focus on healing my stomach first before gradually reintroducing my favorite foods.
Is that advisable? Additionally, if my gastritis improves, will taking gastric milk still be beneficial for protecting the stomach lining? I apologize for asking so many questions.
Thank you.

pin, 20~29 year old female. Ask Date: 2004/10/04

Dr. Qi Minghua reply Nutrition


Hello: Both acute gastritis and peptic ulcers require a consultation with a physician, and if necessary, an endoscopy to determine the exact cause.
In terms of diet, it is important to adhere to the guidelines for a bland diet and avoid certain prohibited foods (you can refer to the Miaoli Hospital website - Public Area - Nutrition Consultation - Nutrition Education, specifically section 10 on bland diets).
Did you have toast and milk for lunch? Are you not eating rice or vegetables? Red beans are considered unprocessed foods and can irritate the gastrointestinal tract, so it is advisable to consume them sparingly.
Additionally, avoid irritants such as spicy foods, curry, mustard, and overly sweet processed foods.
By doing so, you may not need to take gastric milk, as it is a medication that addresses symptoms rather than the underlying issue.
By taking good care of your gastrointestinal health, you may not require medication.
Wishing you a speedy recovery.

Miaoli Hospital, Nutrition Department, Qi Minghua

Reply Date: 2004/10/04

More Info


Managing acute gastritis, especially when there is a suspicion of peptic ulcer disease, requires careful attention to diet and lifestyle choices. It’s great that you are seeking advice on how to protect your stomach and promote healing. Here’s a comprehensive guide on gentle foods and healing tips that can help you manage your condition effectively.


Understanding Acute Gastritis
Acute gastritis is an inflammation of the stomach lining, which can be triggered by various factors, including excessive alcohol consumption, certain medications (like NSAIDs), stress, or infections. Symptoms often include stomach pain, nausea, vomiting, and a feeling of fullness. If left untreated, it can lead to complications such as ulcers or bleeding.


Gentle Foods for Gastritis
When managing acute gastritis, it’s crucial to focus on a diet that is gentle on the stomach. Here are some recommended foods:
1. Low-Fiber Foods: Initially, it may be beneficial to consume low-fiber foods that are easy to digest. Options include white rice, plain pasta, and white bread. However, whole grains can be gradually reintroduced as your symptoms improve.

2. Lean Proteins: Skinless poultry, fish, and eggs are good sources of protein that are less likely to irritate the stomach. Avoid fried or heavily seasoned options.

3. Cooked Vegetables: Steamed or boiled vegetables such as carrots, zucchini, and spinach can be easier on the stomach compared to raw vegetables, which may cause bloating or discomfort.

4. Fruits: Opt for non-citrus fruits like bananas, applesauce, and melons. These are generally well-tolerated and can provide essential nutrients.

5. Dairy: While some people may find dairy irritating, others tolerate low-fat options like yogurt or milk. However, if you notice discomfort after consuming dairy, it’s best to avoid it.

6. Broths and Soups: Clear broths can be soothing and provide hydration. Avoid creamy soups that may be harder to digest.


Foods to Avoid
Certain foods can exacerbate gastritis symptoms and should be avoided:
- Spicy Foods: These can irritate the stomach lining and should be eliminated from your diet.

- Caffeinated Beverages: Coffee and certain teas can increase stomach acid and worsen symptoms.

- Alcohol: Alcohol can irritate the stomach lining and should be avoided during recovery.

- Acidic Foods: Citrus fruits and juices can increase acidity and should be limited.

- Fried and Fatty Foods: These can slow digestion and lead to discomfort.


Healing Tips
1. Eat Smaller, Frequent Meals: Instead of three large meals, try eating smaller portions more frequently throughout the day. This can help reduce the burden on your stomach.

2. Stay Hydrated: Drink plenty of water, but avoid drinking large amounts during meals, as this can increase stomach pressure.

3. Avoid Stress: Stress can exacerbate gastritis symptoms. Consider relaxation techniques such as deep breathing, meditation, or gentle yoga.

4. Medication: If your doctor has prescribed medications like antacids or proton pump inhibitors (PPIs), take them as directed. These can help reduce stomach acid and promote healing.

5. Monitor Symptoms: Keep track of what foods trigger your symptoms and adjust your diet accordingly. This can help you identify which foods are safe for you.


Regarding Your Questions
As for your specific food choices, white toast and milk can be acceptable in moderation, but be cautious with the quantity and monitor how your body reacts. Red beans and other legumes can be more challenging to digest and may not be the best choice during the acute phase of gastritis.

Regarding the use of antacids or protective medications like "胃乳" (stomach milk), it can be beneficial to continue using them as directed by your physician, especially if you find they help alleviate symptoms. However, it’s essential to consult with your healthcare provider about the duration and necessity of these medications as your condition improves.

In conclusion, managing acute gastritis involves a careful selection of foods and lifestyle adjustments. By focusing on gentle, easily digestible foods and avoiding irritants, you can support your recovery and promote healing. Always consult with your healthcare provider for personalized advice and treatment options tailored to your specific condition.

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