What ulcers should not eat. Features of the diet for gastric ulcer. Proper nutrition for stomach ulcers

Food can be a medicine for many diseases. And you can't argue with that. It is not for nothing that in Soviet times, health care gave priority to diet for stomach ulcers. Compliance with the principles of nutritional therapy was strictly required.

The secret is that peptic ulcer disease of the digestive tract often heals even without treatment, but with proper nutrition.

Briefly about the ulcer

An ulcer is a single or multiple defect in the lining of the stomach or duodenum that leaves a scar after healing. When performing EGD, it can be barely noticeable (1-2 mm) or huge (more than 1 centimeter).

Even today, it is a pathology from which people die. Invisible enemy - bleeding takes away thousands of lives every year. Peptic ulcer loves large cities and is off scale where there is a high level of economic development. Among the population, he prefers carriers of the first blood group.

There are so many reasons causing ulcers that almost every person is at risk. You can start a list of factors of its appearance from the stomach - this is a violation of the secretory, motor and protective functions. Add the state of neuropsychic activity, hormonal levels and finish with heredity with the presence of pathogenic bacteria. But this is not a complete list.

One of the important points in the appearance of an ulcer is an unhealthy diet, when a person prefers spicy, rough food, eats hastily, often drinks alcohol and smokes a lot.

Features of nutrition for stomach ulcers, general principles

How do you need to eat to live without stomach pain?

The first thing to do is evaluate your diet. Gastritis and peptic ulcer disease in themselves signal the need to change habits and eating habits. Food should become medicine, water that wears away the stone.

Diet therapy will help with this. It solves a number of problems: it normalizes gastric motility, increases the protective properties of mucus, neutralizes acid, and stimulates the healing process. In fact, medical nutrition should be based on products that slightly stimulate secretion, quickly leave the stomach and slightly irritate its mucous membrane.

Principle one - reduce the aggressive effect of hydrochloric acid.

She is the leading damaging factor. It is necessary to remove products that stimulate the secretion of gastric juice. This includes everything that makes food spicy, piquant, and stimulates appetite: spices, spices.

All drinks containing alcohol, strong tea, coffee, coca-cola, citro. Rich meat broths. Food prepared during the frying process: meat, fish, potatoes and other vegetables.

The second principle is do not injure the mucous membrane. Eliminate coarse foods: raw vegetables with hard fiber (radishes, turnips), coarsely chopped cucumbers. Dried, dried fish, tough meat, sour berries with small bones (gooseberries, currants). Extremely cold or hot food.

Food cooked in a multicooker or double boiler is ideal.

Principle three - do not overeat. Fractional meals (5-6 times a day) should become habitual. The daily calorie content of the diet should be 2800-3000 kcal

How to manage gastric acid secretion? By consuming certain foods, you can increase or decrease the release of hydrochloric acid. Compliance with simple recommendations will allow you to forget about the disease.

Prohibited foods for ulcers:

• Flour products: black bread, especially fresh, fried pies, pastries with cream.
• From the meat set: fatty fried meat, meat broths, cabbage soup, rich borscht, canned food.
• Fruits and vegetables: sour with coarse fiber, raw chopped. Better to bake or boil.
• Drinks: with gas, coffee, citro, coca-cola.
• Spices: red and black pepper, hot sauces, mustard, horseradish.

You also need to pay attention to individual intolerance to foods that cause heartburn and indigestion. Eliminate food processing such as frying.

Allowed meals and products:

• From flour products: white stale bread, crackers, dry biscuits.
• Meat dishes: boiled and lean meat, fish, white poultry meat. Boiled lamb, beef, pork, poultry. Steam cutlets, meatballs, zrazy are also allowed.
• Dairy products: cream, milk, low-fat sour cream. Everything is not sour and non-greasy.
• First courses: various slimy soups with milk and cereals.
• Vegetables and fruits: not sour without rough skin and fiber in a boiled form.
• Drinks: still water, jelly, compotes, weak black tea, herbal tea. Vegetable juices (potatoes, cabbage), decoctions of flax seeds, rose hips, oats.

From the list of the named products, you can make an approximate diet.

Diet for stomach ulcers - menu for a week

• Monday

Prepare any slimy porridge with milk and butter tea. Something from baked fruit with rosehip decoction. Can be chicken noodle soup and mashed potatoes. Dry biscuits, jelly. Pumpkin casserole for dinner and a glass of flax seeds an hour before bed.

• Tuesday

Milk with black tea, dry biscuits and scrambled eggs. Any vegetable puree soup with boiled meat, compote, curd mass with pumpkin and fruit jelly. Semolina porridge with jam and still mineral water an hour before bedtime.

• Wednesday

Herbal tea (linden), raw egg, white bread with butter, low-fat cottage cheese, baked fruit and vegetable puree. Steamed fish and slimy porridge. Boiled beets with prunes. Before going to bed, a glass of milk.

• Thursday

Lazy dumplings, milk and tea. Baked vegetables and porridge in the form of "smear" with meat pâté. Vegetable puree soup and beef with pumpkin, oatmeal jelly. Semolina porridge with tea and butter. At night, a rosehip drink.

• Friday

Omelet with steamed vegetables, jelly. Boiled white poultry meat and mashed porridge, bananas, baked apples and curd mass with noodles. Yogurt.

• Saturday

Burak with noodles baked in the oven, milk, peach, cereal soup with carrots and steamed cutlets with porridge (buckwheat, rice).

• Sunday

Meat pâté, jelly and mashed potatoes. Vegetable stew baked in the oven or slow cooker. Barley soup with poultry, semolina porridge with jam and tea with milk. Before bed: tea with chamomile.

What diet is prescribed for stomach ulcers?

Depending on the stage of peptic ulcer disease (open ulcer, stage of scarring or period of remission), different types of diets are provided. Some types of tables are further subdivided into "a" and "b", designed for a more strict diet.

For diseases of the stomach and duodenal ulcer, diets No. 1, No. 1 "a" and No. 1 "b" are shown. As a person recovers, he switches from one diet to another, thus expanding his diet. This is reasonable, adherence to the rehabilitation period will avoid relapse.

Diet number 1 for stomach ulcers

This diet takes place during the formation of a fresh scar, when the exacerbation of peptic ulcer and the phenomenon of acute gastritis subsides.

Provided for moderately mechanically and chemically gentle food, with a decrease in irritants. In fact, this is a physiologically complete diet, but pureed, steamed or water. Baking without a crust is acceptable.

Table salt is moderately limited. Very cold and hot dishes are excluded. Multiplicity of food at least 6 times a day. Good milk before bed.

With gastritis with high acidity. It is allowed to add stale white bread, low-fat cottage cheese, dry biscuits, non-sour dairy products, porridge with the addition of butter, steamed cutlets, white poultry meat, boiled meat, fish (pike perch) to table 1 "a". Finely chopped greens and vegetables or chopped with a blender are allowed, berries are allowed, but sweet.

Diet 1 "a" for stomach ulcers

It is also called - pureed food. The strictest diet. This is a diet for exacerbation of stomach ulcers, gastritis, burns of the esophagus.

Appointed for 8-10 days. Its goal is maximum sparing and peace of the inflamed gastric mucosa. The basic principle: frequent meals (at least 6 times a day), in small portions in liquid form. Emphasis on milk, slimy soups (barley, oatmeal, rice), eggs, both raw and soft-boiled, various types of jellies, and sweet fruit jelly. Porridge "spread" with milk and rice is allowed. Semolina is good for the gastric mucosa.

Boiled meat in the form of a soufflé. Bread, rusks are prohibited. Vegetable side dishes are not recommended. Limit salt when cooking (it increases secretion). It is good to introduce drinks from rose hips, raw potatoes, cabbage, wheat bran on an "empty" stomach into the diet for stomach ulcers during an exacerbation.

Diet number 1 "b" for stomach ulcers

This table is less strict, shown after table number 1 "a".

Such a diet for stomach and duodenal ulcers can be considered stressful. Here you can add 50 grams of crackers, mashed porridge with butter, mashed potatoes, meat and fish dumplings, meatballs. Soups are cereal, milk, pureed. Shown are pureed milk porridge.

The multiplicity of food intake is maintained up to 6 times.

With a stomach ulcer during an exacerbation of a peptic ulcer, it is not prescribed. It is indicated for hepatitis and cholecystitis in remission. Its goal is nutritious nutrition that a healthy stomach should provide.

Suitable diet for gastric ulcer table No. 5 "a" and No. 5 "p". They recommend gentle food that does not contradict stomach ailments.

Diet for stomach ulcers during an exacerbation, menu

During this period, for 10 -14 days, table number 1 "a" is shown, then table number 1 "b" and only then we go to table number 1.

Sample menu

In the early days, you need the strictest diet.

• Cabbage juice (half a glass);
• Milk steam omelet, a glass of milk;
• Then milk jelly (glass);
• Slimy rice soup, pâté meat;
• Potato juice (half a glass);
• Pike perch pate, oatmeal, jelly;
• At night: milk (half a glass).

During this period, the meat is carefully processed, tendons and fat are removed. After boiling, it is passed through a meat grinder (several times). If the fish, then boiled and low-fat varieties.

On the third day, you can add white bread croutons to soups, which should be soaked. Vegetables and fruits only in pureed form.

After a week, we can introduce curd mass, slimy cereals with the addition of butter into the diet, and exchange the meat soufflé for boiled finely chopped poultry.

After 3 weeks, the diet expands as much as possible. The ulcer is already in the stage of a fresh scar. Therefore, vegetables and fruits are permissible in baked form, in the form of jelly, compotes and jelly. Boiled meat and fish are served in one piece.

With appropriate treatment and sparing nutrition, the ulcer heals rather quickly, but the inflammation persists for a long time. Therefore, a diet for ulcers and gastritis must be followed for another 2-3 months.

In addition, the threat of exacerbation of peptic ulcer disease remains in the future. Therefore, the principles of therapeutic nutrition must be adhered to throughout your life.

Diet after a stomach ulcer is a prerequisite for comprehensive treatment. Proper nutrition will help prevent disease recurrence. The diet after the ulcer provides for the exclusion of all foods that provoke an increase in the production of hydrochloric acid.

It is a constituent of gastric juice. Excessive amounts of acid provoke irritation and inflammation. You should know what you can eat and what foods are prohibited.

Basic diet rules

You should know the basic rules of nutrition and adhere to them. In this case, a person will be able to forget about the illness forever.

What rules should be followed:

• nutrition after a stomach ulcer should be balanced. High-calorie foods (daily calorie intake - not less than 2800);
• stick to fractional meals. It is very difficult for a sick stomach to digest large amounts of food. Therefore, you need and can eat often, in small portions;
• chop products as much as possible;
• exclude fried, salted, smoked, spicy foods;
• fresh vegetables are best avoided. You can eat them boiled, baked;
• you can not eat hot or cold dishes;
• reduce salt intake;
• drink liquid in sufficient quantity - not less than 2-3 liters per knocking;
• diet therapy - timing. It is recommended that you stick to your diet for the rest of your life.

What should be limited:

• unrefined vegetable oil;
• strong broths (fatty meat, fish, mushrooms);
• Salo;
• red and black caviar;
• smoked meats;
• conservation;
• fermented and fatty dairy products: condensed milk and cow's milk, cream, cheeses;
• cool eggs;
• pearl barley, corn porridge;
• radishes, cabbage, turnips, legumes;
• cucumbers, tomatoes, tomato paste, ketchup;
• mayonnaise;
• sorrel, garlic and onion;
• grapes, currants, citrus fruits;
• spicy dressings;
• ice cream;
• strong tea, coffee drinks;
• sparkling water;
• alcohol;
• baking.

What you can eat:

• wheat bread;
• unleavened dough dishes;
• crackers, biscuits, diet biscuits;
• broths from lean meats (chicken breast, quail, rabbit);
• dairy first courses with the addition of pasta, rice, buckwheat, rolled oats;
• vegetable first courses with cereals;
• meatballs, cutlets, meatballs (steam, boiled, stewed);
• lean fish (minced fish);
• low fat dairy products;
• omelets, soft-boiled eggs;
• porridge (rice, buckwheat, semolina, oatmeal) and noodles;
• berries, fruits;
• desserts - marmalade, marshmallow, jam, jelly, mousse, jelly, marshmallow;
• decoctions of medicinal plants, freshly squeezed juices, tea, compote;
• vegetable oil.

What foods are very useful after an ulcer

• Milk - helps to envelop the mucous membrane. Gastric juice and toxins will not be able to damage and injure the lining of the stomach.
• Honey - use in small quantities prevents inflammation and irritation. Neutralizes hydrochloric acid.
• Cabbage juice. Contains ascorbic acid and vitamins. Destroys the infection that provokes ulcers - Helicobacter bacteria.

Frequently Asked Questions

Despite the fact that doctors clearly prescribe the rules of the diet, people still have many questions about what foods are prohibited and allowed.

Can you eat kefir, fermented baked milk and yoghurts?

If the peptic ulcer enters the stage of exacerbation, then it is better to refuse kefir. After the last attack, kefir can be drunk after 5 days. Kefir should not be sour. It is not forbidden to eat yoghurts. They contain beneficial bacteria. With an ulcer, you can drink fermented baked milk, but only fat-free and without adding any ingredients.

Can bananas be eaten?

This fruit is an excellent remedy to reduce pain and acidity. In addition, when bananas enter the stomach, they envelop the mucous membrane.

Are there any benefits to cheese and cottage cheese?

Undoubtedly, but with a low percentage of fat. You can use these products at any stage of peptic ulcer disease and after treatment.

Can i eat raw eggs?

It is not only possible, but also necessary. Egg white envelops the mucous membrane, protects against toxins, prevents gastric juice from destroying the lining of the stomach. But it is better to opt for quail eggs. They are rich in multiple vitamins and micronutrients.

Can you eat watermelons?

Watermelons are not prohibited, but you don't need to eat a lot of them. In large quantities, fiber will provoke an increased production of hydrochloric acid. They can only be eaten in remission.

Are seeds allowed?

Sunflower seeds are prohibited for people with peptic ulcer disease. They irritate the epithelial membrane, injure it. Prohibited during an exacerbation and after treatment of stomach ulcers.

Why is garlic prohibited?

Garlic is very healthy. But because of its severity in ulcers, it is prohibited. In the stage of remission, it can be eaten after heat treatment.

Why is alcoholic drinks prohibited?

Ethanol, which is found in alcoholic beverages, causes inflammation in the stomach lining. Moreover, regardless of the strength of the drink. Therefore, it is categorically prohibited with such a diagnosis as peptic ulcer disease.

What should be the nutrition and diet after stitching?

If the decision is made that the ulcer should be sutured, it is necessary to adhere to the following diet for the first week. During the first days after the operation, the patient is not given food. On the second day, a glass of weak tea, fruit jelly, mineral water, unsweetened compote is allowed.

On the third and fourth days, it is allowed to eat 1 egg, mashed rice porridge, and drink a cup of tea. On the fifth day, meat soufflé, tea with milk and meat steamed cutlet are included. On the seventh day, you can eat fish soufflé, cottage cheese, crackers.

Proper nutrition is a must. No medicine, other methods of treatment will be effective if the diet is not adhered to. Many people think that following a diet you cannot eat tasty and satisfying food. But this is absolutely not the case. A lot of healthy, tasty dishes can be prepared from permitted products.

Peptic ulcer disease is one of the most common problems with the digestive system. A disease that completely changes the entire human life and subjugates itself - this is how all the problems with stomach ulcers can be characterized.

The diet is strict and restrictive. It arises from the bacteria, Helicobacter pylori, which manifests itself when the harmony in the secretion of the stomach is disturbed. An imbalance of hydrochloric acid occurs, which destroys enzymes in the mucous membranes.

All this makes it important to eat the right food for stomach ulcers, since it is impossible to cure it with one medication. All life habits are completely reversed.

Features of the correct diet

All nutrition for an ulcer must be structured and obey certain rules, since a sick stomach requires a certain proper nutrition.

The problem of peptic ulcer disease and proper diet during illness has been studied for a long time, and many scientific studies have been collected that follow these rules to alleviate the disease:

With the correct preparation of the menu, such a diet should help as much as possible in recovery from illness. You need to adhere to it for at least a year after ulcerative exacerbations. Nutrition with a diet is aimed at accelerating the regeneration of the stomach.

Most topical diets:

• a gentle diet during recovery and all treatment is indicated for each patient;
• severe during an exacerbation;
• a vegetarian diet, especially the vegetable puree portion, is most beneficial for ulcers;
• for weight loss, you should stick to green vegetables, oatmeal and nuts. You can't starve.

List of featured products

A prerequisite for such a diet must be the complete absence of irritants, but at the same time a gradual expansion of nutrition, which leads to the usual consumption of food.

If you have a stomach ulcer, you should not change your diet in conjunction with, only add much-needed amounts of protein and reduce your fat intake.

Table number 1, with proper recovery, can be reduced to 3 months, and then gradually introduce whole, unpolished foods and fresh vegetables and fruits into food. During this period, you should not start losing weight, since the body is recovering, and nutritional therapy contributes to weight loss.

Fasting is strictly prohibited, as is the addition of spices or medications to the diet that increase metabolism. By following all the recommendations and avoiding bad habits, you can achieve a relapse-free cure of the ulcer.

Especially useful and harmful products

Among the most useful foods for the diet during stomach ulcers, the first thing to do is porridge.

This is especially true for oatmeal, which has an enveloping property.

Milk and kissels cooked on it have a similar property and act on the body using mild and gentle methods.

Low-fat cottage cheese with various cooking options has a beneficial effect on the stomach.

Products must be filled with 3 vitamins - A, B1 and C.

Harmful and even dangerous with an ulcer can be considered:

• radish, turnip, radish;
• gooseberries, grapes;
• sausages, smoked meats;
• hard or stringy meat;
• spices and hot seasonings;
• legumes.

These foods contain a huge amount of fiber or connective tissue that can damage the delicate texture of the stomach, irritating it, so they should be completely eliminated from the diet.

Diet prescribed for stomach ulcers

All the principles of nutrition at the stage of development of a stomach ulcer are created on the basis of ensuring the elimination of pain, dyspeptic symptoms and contribute to the acceleration of the regeneration of the ulcer. There are 3 known principles of nutrition for illness, each of which is aimed at a certain period of development and fulfills its properties.

Diet number 1

The main postulate of the diet is a large number of calories with a harmonious ratio of allowed foods. All strong stimulants for gastric juice, chemical and thermal irritants are completely excluded from it.

About 3000 calories are consumed per day in the proportion of 100 g of protein, 100 g of fat and 400 g of carbohydrates. The weight of the food consumed per day is 3 kg, divided into 6 parts.

Permitted menus include:

Diet number 1 is calculated for six months and has moderate sparing properties, useful to the body on the way to recovery.

Diet number 1a

It has the maximum number of restrictions, so the patient cannot stay on it for a long time. Usually prescribed in the first days after surgery and during exacerbations. Total calories - 1900 and unbalanced. It is required to reduce to a minimum proteins and fats, to almost halve the amount of carbohydrates consumed.

Completely removed:

• broths, vegetables and other irritants;
• all foods that are difficult to digest: meat, mushrooms.

Diet No. 1a is intended for patients with bed rest, so all food is served only boiled and then mashed.

Food must be semi-liquid and have optimal heating. All meals are divided into 6 meals with limited amounts of food consumed. Optimal conditions are created to reduce inflammation and gradually increase natural regeneration.

Diet number 5

It is prescribed during the recovery period, since after scarring of the ulcer, a gradual expansion of the diet is required. Table number 5 is built on the fragmentation of food to eliminate overeating, but at the same time balance allows you to maintain an energy balance that promotes recovery.

The diet is intended for those who cease to bother the ulcer, therefore the optimal amount of protein is added, corresponding to the standard norms of a healthy person.

Food does not require wiping and is steamed, cooked or stewed. Contains an enlarged list of food, the consumption of fruits and berries is allowed.

Menu for the whole week

This menu is an approximate order of correct consumption, however, it should be built by nutritionists, depending on the stage of the disease.

This list is built on Table No.5, designed for the period of remission, therefore, it uses sparing methods and an increased amount of products:

Day of week	Calculated diet
Monday	1 breakfast: cottage cheese with sour cream and rosehip decoction; 2nd breakfast: natural yogurt with baked apple; Lunch: chicken soup, oven-baked fish and mashed potatoes, fruit compote; Afternoon snack: jelly with fruit; Dinner: light tea, baked potato roll and small pieces of beef; After dinner: milk with a spoonful of honey.
Tuesday	1 breakfast: milk semolina, tea; 2 breakfast: cottage cheese casserole, rosehip broth; Lunch: meat soup, boiled fish, pasta, fruit jelly; Afternoon snack: a glass of milk with dry biscuit; Dinner: white fish soufflé and compote; After supper: a glass of kefir.
Wednesday	1 breakfast: steamed omelet and milk tea; 2 breakfast: salad with fruits and cottage cheese, seasoned with sour cream, rosehip broth; Lunch: soup with pearl barley, steamed chicken cutlets with cauliflower garnish, compote; Afternoon snack: a glass of kefir with a banana; Dinner: beef soufflé, a piece of yesterday's white bread and tea; After dinner: a glass of milk with honey.
Thursday	1 breakfast: lazy dumplings with sour cream and rosehip broth; 2 breakfast: casserole with apples and light tea; Lunch: soup with meatballs, boiled pike perch with buckwheat porridge, fruit jelly; Afternoon snack: creamy jelly with mashed berries or fruits; Dinner: vegetable casserole with a slice of chicken, bread and compote; After dinner: yoghurt with dry biscuit.
Friday	1 breakfast: 2 soft-boiled eggs, white dry bread with butter and tea; 2nd breakfast: kefir and strawberry cocktail; Lunch: pumpkin puree soup, pasta with beef stroganoff, compote; Afternoon snack: apple and semolina mousse with rosehip decoction; Dinner: beet salad, fish meatballs and fruit jelly; After supper: a glass of fermented baked milk.
Saturday	1 breakfast: rice porridge with milk and honey, tea; 2 breakfast: casserole of carrots and cottage cheese; Lunch: potato soup with rolled oats, boiled chicken with cauliflower puree and compote; Afternoon snack: milk jelly with apple pudding; Dinner: potato and beetroot salad dressed with vegetable oil, fish pate and tea; After supper: a glass of milk with a biscuit.
Sunday	1 breakfast: milk noodle soup, rosehip broth with honey; 2 breakfast: salad of apples and carrots, seasoned with cream; Lunch: vegetable puree soup with croutons, steamed beef cutlets, boiled rice and compote; Afternoon snack: fruit jelly and marshmallows; Dinner: baked zucchini stuffed with minced meat and rice, tea; After dinner: natural yoghurt

Basic principles of building a diet

When building a menu, you must adhere to the following rules.

Every day in the diet must be:

• lean fish with meat;
• fresh milk or low-fat fermented milk products with low acidity;
• low-fiber vegetables and sweet fruits;
• butter and vegetable oils are used in the form of fats - they are used in salads, cereals and soups.

Basic cooking methods- cooking or double boiler, baking is allowed.

Required items are daily consumption of soups and rosehip broth. The laid cereals must be boiled and grated.

The meat is cooked separately from the soup and fed into it in the form of minced meat or meatballs. White bread, dried or as crackers, is important.

Diet recipes for stomach ulcer patients

Diet restrictions do not imply that meals should not be tasty or creative.

100 g of chicken breast is required to boil and grind in a meat grinder until finely minced. Chicken yolk with a tablespoon of sour cream is added to it, everything is added a little and mixed. Beat the egg white lightly and add to the minced meat. The soufflé is prepared in a water bath until fully cooked.

Pour 300 ml of water and about 40 g of pearl barley into a saucepan. Allow the water to boil and reduce the temperature slightly. Cook everything until the pearl barley softens.

The boiled cereal is rubbed through a sieve. 3⁄4 cup milk is added to the water, the soup is brought to a boil again. Pearl barley is added and the soup is seasoned with butter.

Boil 2 potatoes and carrots in unsalted water. Vegetables are ground through a sieve or blender, after which 100 ml of milk are filled. A small amount of butter is added and served as a side dish.

To create an omelet, an egg is mixed together, a teaspoon of sour cream and flour are mixed. Everything is whipped and salted a little. The consistency of the omelet is liquid, reminiscent of sour cream. A steamed omelet is prepared in a special form, greased with butter.

It is required to take a glass of cold water and dissolve gelatin in it (1 teaspoon). In a separate bowl, mix together 5 tablespoons of water and 10 g of sugar.

The mixture is boiled, after which 3 tablespoons of currant juice are added to it. Gelatin is poured into the finished mass, the jelly is mixed and poured into molds for solidification.

Pros and cons of dietary nutrition for stomach ulcers

Such a dietary food is considered curative, therefore, it is built as a therapy for stomach ulcers.

Diet Pros:

• creation of optimal conditions for improving regeneration;
• providing the body with all the necessary nutrients;
• removes the possibility of pain attacks;
• is gentle and easily tolerated by the body.

Cons of the diet:

• you need to adhere to strict dietary rules;
• a large amount of food is consumed per day, cooking for a long time;
• the taste of the dishes leaves much to be desired due to the unusual heat treatment.

Diet drug therapy

Treatment of stomach ulcers requires an integrated approach that helps not to provoke further development of the disease. In addition to proper nutrition, it is imperative to take medications prescribed by the doctor according to a special scheme.

Used to get rid of stomach ulcers, they are divided into 3 groups - antibiotics, proton pump inhibitors and histamine receptor blockers:

Treatment is supplemented with drugs with antispasmodic, antiemetic, analgesic properties to reduce symptoms and accelerate recovery.

Stomach and duodenal ulcers are serious conditions that require treatment to avoid exacerbations. In addition to the medical recommendations of the doctor, adherence to a therapeutic diet is shown, aimed at sparing the stomach. Proper nutrition will relieve pain during an exacerbation, promote effective treatment and recovery.

Therapeutic diet for stomach and duodenal ulcers

An ulcer of the stomach and duodenum occurs as a result of damage to the spiral microbe Helicobacter pylori of the mucous membrane. The disease is accompanied by pain in the upper abdomen, heartburn, nausea, belching. Late treatment leads to complications that are life-threatening.

A therapeutic diet for gastric and duodenal ulcers is prescribed in combination with the drugs indicated by the doctor and is aimed at sparing the stomach by using products on the menu that do not stimulate the secretion of gastric juice. Useful nutrition in the treatment of the disease is aimed at protecting the gastric mucosa from thermal and mechanical damage, and therefore food is consumed in a processed form at room temperature.

Nutrition principles

The diet for gastric ulcer and duodenal ulcer is recognized to reduce the use of foods on the menu that increase the secretion of gastric juice. The diet should be dominated by: cereals, soups, dairy products, poultry, steamed or boiled, heat-treated vegetables. Appointed for a period of 10 to 12 days.

Nutrition in the treatment of the duodenum should be fractional (4-5 times a day) and low-calorie. All products during the diet are boiled, steamed, and then crushed, passed through a meat grinder, rubbed through a sieve. It is necessary to eat dishes in the consistency of soup or liquid porridge. Food should be at room temperature. Salt intake should be kept to a minimum.

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Diet for stomach and duodenal ulcers - a list of foods that you can include in your diet:

• Dried wheat bread, dry biscuits, crackers;
• Chicken, dairy, cereal, vegetable soups;
• Beef, veal, chicken;
• Milk, yogurt, sour cream, cream;
• Low-fat river fish: pike, perch, pike perch;
• Potatoes, pumpkin, beets, carrots, zucchini;
• Buckwheat, semolina, oatmeal, rice, pearl barley;
• Pasta;
• Raspberries, strawberries, strawberries;
• Butter and vegetable oil;
• Compotes, jelly, jelly;

From drinks with a diet for the treatment of ulcers and duodenal ulcers, the use of mineral water without gas, decoctions of berries, vegetable and fruit juices (non-acidic) is shown.

Should be excluded from your diet with a therapeutic diet shown for ulcers and duodenal ulcers:

• Fatty meats;
• Fatty fish (marine);
• Mushrooms;
• Fatty, fried, salty foods;
• Fresh baked goods, rye bread;
• Sausages and canned food;
• Lard, animal fats;
• Ice cream;
• Alcoholic and carbonated drinks.

Menu for every day

Menu for every day for a diet for stomach ulcers and duodenal ulcers (breakfast, lunch, afternoon tea, dinner):
Monday:

• Steamed omelet;
• Chicken soup;
• Milk;
• Buckwheat porridge with beef cutlets.

Tuesday:

• Butter sandwich. Jelly;
• Milk soup;
• Kissel;
• Rice with boiled chicken breast.

Wednesday:

• Semolina. Strawberries;
• Vegetable soup;
• Compote;
• Pasta. Veal medallions.

Thursday:

• 2 soft-boiled eggs;
• Pike ear;
• Milk. Cracker;
• Spaghetti. Beef meatballs.

Friday:

• Buckwheat. Raspberries;
• Steamed pike perch. Carrot salad;
• Yogurt;
• Vegetable puree. Steamed beef cutlets.

Saturday:

• Pumpkin porridge;
• Beef roll. Beetroot salad;
• Jelly;
• Pearl barley. Steamed chicken meatballs.

Sunday:

• Oatmeal. Strawberry;
• Bouillon. Steamed chicken fillet;
• Yogurt;
• Perch fillet. Mashed potatoes.

Diet for stomach and duodenal ulcers during an exacerbation should be as gentle as possible. Its main goal is to heal ulcers and erosions, to reduce inflammation of the mucous membrane of the gastrointestinal tract. Diet during an exacerbation of stomach and duodenal ulcers helps to reduce irritation of the mucous membrane, normalizes the processes of its reparation.

All chemical and mechanical irritants are excluded during the diet. All dishes are cooked either steamed, or boiled and ground to the consistency of soup or liquid porridge. Meals should be fractional ( 5-6 meals a day). Dishes are eaten warm from 15 to 65 degrees. During an exacerbation excluded from diets s for stomach and duodenal ulcers: bread and baked goods, raw vegetables, snacks, fresh fruits, spices and sauces.

Recipes

Recipes for a therapeutic diet for duodenal ulcers and stomach ulcers:
Steamed beef cutlets

Steamed beef cutlets

Ingredients:

• Beef;
• Butter;
• Breadcrumbs;
• Chicken egg;
• Milk;
• Wheat bread;
• Salt.

Grind beef in a meat grinder. Soak the bread in milk until it swells, grind it in a meat grinder, add to the ground beef. Add the egg, butter and salt. Stir until smooth. We form cutlets. Roll each cutlet in breadcrumbs on all sides. Add a glass of water to the multicooker, turn on the "Steam cooking" mode. Depending on the size, cutlets will be cooked in 30-50 minutes.
Healthy and delicious beef patties are perfect for lunch or dinner when dieting for the treatment of stomach and duodenal ulcers.

Steamed vegetable meatballs

Steamed vegetable meatballs

Ingredients:

• Potato;
• Carrot;
• Sour cream;
• Wheat flour;
• Salt.

Peel potatoes and carrots. We rub vegetables on a fine grater, squeeze out excess moisture. Add sour cream and flour. Salt to taste, mix until smooth. We form the meatballs. We send them to a double boiler for 35-40 minutes until cooked.
Observing a diet for stomach and duodenal ulcers, you can include vegetable meatballs in your diet as an independent dish or as a side dish.

Milk noodle soup

Milk noodle soup

A stomach ulcer is a serious medical condition that requires immediate treatment under constant medical supervision.

The defeat of the gastric mucosa with the formation of defects should be constantly examined.

In the absence of proper treatment, serious consequences leading to death are possible.

Permanent drug treatment can irritate the affected mucous membrane of the diseased organ, therefore, a special diet for stomach ulcers should be an important component of complex treatment.

What should be the diet of a patient with this pathology, what can be eaten, and what should be discarded, more on this.

The principles of nutritional therapy

• All incoming food should be healthy, with good energy value.
• Food should not be acidic.
• They prefer grated and mushy consistency of food.
• You should eat often, but in small portions (4-6 meals a day).
• Eliminate the use of hot or cold food. You can only eat food at room temperature.
• You can not eat salty, fried, fatty, spicy, sour, smoked food.
• It is important to drink plenty of purified, still water. The daily rate varies from 1.5 to 2 liters.
• Food for stomach ulcers, despite many prohibitions, should be varied and complete. Fermented milk and dairy products occupy a predominant place in the menu of a sick patient.

Be sure to monitor the reaction of the body. A gastroenterologist or nutritionist should be involved in the preparation of a special diet.

Prohibited foods

The list of prohibited foods includes food and dishes that can aggravate the course of the disease, harm damaged areas, and irritate the affected mucous membrane.

What is forbidden to eat with stomach ulcers:

• broths from fish and meat of primary boiling, any first courses based on them;
• all types of mushrooms and dishes from them;
• cabbage soup, okroshka, sauerkraut;
• all kinds of fat slaves and meat, caviar, lard;
• sausages, smoked meats (only a minimum amount of boiled sausage is allowed during the recovery period);
• canned food, pickles, pates;
• dairy products with a high acid content;
• dairy products with a high fat content;
• fried and hard-boiled eggs (only soft-boiled eggs are allowed);
• some types of cereals - barley, semolina, corn, wild rice, granulated bran, muesli;
• vegetables containing fiber in their composition, it complicates the digestion process (radish, cabbage, turnip, radish);
• products that provoke gas formation (peas, beans);
• exclude tomatoes, tomato paste, cucumbers from the diet;
• vegetable products that have an irritating effect on the gastric mucosa - onions, garlic, sorrel;
• sour fruits and berries - pineapples, citrus fruits (lime, lemon, orange, tangerine, grapefruit), raspberries, gooseberries, grapes;
• apricots, dried fruits, nuts;
• spices, hot and salty sauces - mustard, horseradish, ketchup, vinegar;
• confectionery and chocolate products, ice cream;
• strong tea, coffee;
• drinks with gas;
• alcohol;
• muffin, rye bread

When preparing dietary meals, meat is carefully processed. Be sure to remove all bones, veins, cartilage.

Allowed Products

Medical nutrition includes all healthy dishes that are not capable of harming in case of illness. Therefore, the diet for stomach ulcers is not limited to the consumption of a meager set of foods.

It contains a sufficient amount of healthy food that allows you to cook delicious meals and eat in a variety of ways.

What can you eat with pathology:

• wheat bread (they prefer yesterday's bread);
• a little baking from unleavened non-yeast dough (fish, cottage cheese, apples, lean meats are used as the filling);
• biscuits and croutons;
• soups in meat broth of secondary boiling (it is better to use chicken or veal);
• milk soup with cereals, pasta;
• cereal soups without meat;
• side dishes, second courses of lean meat (rabbit, chicken, veal, beef, turkey);
• steamed dishes - meatballs, cutlets, soufflé, pudding, meatballs;
• lean fish as an independent dish, baked in foil, steamed, baked or steamed fish cakes, fish casserole;
• dairy products with a minimum fat content - milk, cottage cheese, yogurt;
• fresh varieties of cheese in a grated state;
• omelets, soft-boiled eggs;
• pasta and cereals (always boiled);
• puree from berries and fruits (pre-peeled);
• delicious healthy desserts - jelly, jelly, low-fat cream, marshmallow, marshmallow, marmalade, natural bee honey;
• drinks - rosehip decoctions, freshly squeezed juices in diluted form, weakly brewed tea, compote;
• in minimum quantities, olive, linseed, unrefined sunflower and butter are allowed;

The disease involves a complete rejection of various sauces, as they can harm. Alternatively, you can use white milk sauce.

Healing diets

One of the most important methods of treating stomach ulcers is a diet that is correctly selected at a certain stage of the pathological process.

It is important to seek medical advice on time. An experienced nutritionist or gastroenterologist will prescribe the correct special diet for stomach and duodenal ulcers, a list of foods allowed for consumption, and other important recommendations.

Depending on the degree of damage, the stage of the disease, there are several types of dietary tables.

Each menu contains the necessary dishes, specially selected for a specific situation.

Diet number 1

This menu is prescribed for chronic peptic ulcer disease during an exacerbation. Sometimes the pathology is accompanied by blood secretions.

The following ratio is adhered to - carbohydrates, proteins, fats (5: 1: 1). There are 2-3 hour breaks between each meal.

At this stage, patients complain of pain in the stomach, so all food should be sparing.

Based on the products presented, a menu is drawn up for a stomach ulcer for a week. What is included in this list:

• lean boiled meat;
• dried bread;
• vegetable, butter;
• low-fat cottage cheese, sour cream, milk;
• boiled, stewed, steamed vegetables;
• sea ​​fish cleared of bones and skin;
• baked apples and pears;
• from drinks - purified water without gas, medicinal mineral water (Essentuki), weakly brewed tea with milk, freshly squeezed juices diluted with water.

Nutrition for stomach ulcers at this table excludes the use of radishes, radishes, legumes, cauliflower, cabbage and Brussels sprouts.

Diet number 1 - a

This diet provides nutrition for stomach ulcers, provided by the dietary table No. 1.

This type of diet has a more restrictive option, suitable for patients with an exacerbation of a chronic ulcer with bleeding.

With this course of the disease, bed rest is prescribed. Prepare a menu in advance for stomach ulcers for a week, based on the permitted food.

Exclude all food that can provoke the secretion of gastric juice. They eat fractionally, 6-8 times a day.

The daily norm is no more than 2000 kcal. For quick scarring of the ulcer, you should switch to light soups, semolina, oatmeal, lean fish, white meat.

Diet number 16

After completing the course of treatment with diet No. 1 - a, they move on to the next stage of treatment.

This dietary table differs from the previous one in a large number of calories in the ratio of proteins, fats, carbohydrates.

With this diet, products with chemical and mechanical irritants that can harm the gastrointestinal tract are unacceptable.

The menu includes bread (white croutons from the highest grades of wheat), fish and meat patties, dumplings, meatballs.

This includes mashed soups, mashed cereals. Food should be liquid, mushy. The number of meals a day is 5 - 6 times. It is unacceptable to eat fruits, bread, vegetables.

Diet number 5

This dietary food is prescribed for the relief of all signs and symptoms of the disease.

When the normal functioning of the digestive system resumes, it is allowed to eat:

• dried bread;
• biscuit biscuits, oatmeal;
• vegetable soups, borscht;
• hard cheese without spices;
• all fresh juices except pomegranate;
• natural coffee with milk;
• herbal decoctions, teas.

It is still contraindicated to eat:

• onions, garlic, ginger;
• fried food;
• dumplings, dumplings;
• ear, fatty rich soups, mushrooms;
• soy and hot sauce;
• radish, radish;
• sorrel.

When removing unpleasant symptoms, all heavy foods should be excluded. Any irritating factor can provoke an exacerbation.

Diet recipes

The list of permitted foods allows many foods to be consumed. To make the diet for stomach and duodenal ulcers, the list of foods and drinks more diverse, there are many delicious recipes.

Eating such food is not only healthy, but also delicious. All recipes for stomach ulcers are specially developed by nutritionists, so they are absolutely safe.

Chicken souffle

To prepare a tender chicken soufflé, prepare all the necessary ingredients:

• boiled chicken breast;
• 1 egg;
• salt;
• thick sour cream - 1 tbsp. l .;
• butter - 1 tsp

Using a meat grinder, grind the chicken breast 2 times. Add chicken yolk and sour cream to a bowl of minced meat.

Beat the protein until thick foam. Gently add the whipped protein to the prepared minced meat. Grease the baking dish with oil, spread the mixture, cook on a steam bath.

Berry soufflé

Before starting cooking, you should prepare all the ingredients:

• berries (currants, raspberries, strawberries) - 100 g;
• granulated sugar - 1.5 tbsp. l .;
• egg white - 3 pcs.;
• butter - 0.5 tsp

The berries are crushed, ground through a sieve. Pour granulated sugar into the resulting mass, mix thoroughly, cook over low heat until thick.

Beat the egg whites separately until a thick foam forms, gently add them into the mixture. Set aside the workpiece until it cools.

Baking dishes are greased with butter, spread the mixture. Bake at 200 ° C for 10 minutes.

Nutrition rules

There are several types of stomach ulcers. Each stage of development of pathology provides for its own characteristics in nutrition.

It is important to adhere to certain dietary rules in order to maximize the effect of therapeutic therapy.

Open ulcer

The first days at this stage of the disease provide for therapeutic fasting (1-2 days). At this time, it is allowed to drink purified non-carbonated water, herbal teas, carrot juice diluted with water in equal proportions.

Withstand such nutrition for 1-12 days until scarring is formed.

Acute ulcer

During the period of exacerbation, all symptoms intensify. The patient feels a strong pain syndrome.

All food consumed should be grated, preference is given to a mushy consistency.

Exclude hot or cold food, it should be at room temperature. Food must not be salted.

Bleeding ulcer

At this stage of the disease, a very strict diet is required. Be sure to eat liquid food. This list includes soups of a weak consistency, diluted with water.

Porridge is also eaten in a liquid state, diluted with milk. You can cook steamed omelet, herbal teas, weak weak teas, freshly squeezed juices diluted with water (carrots, potatoes).

Eliminate the risk of new bleeding, achieve scarring.

After operation

After surgery, special meals are also prescribed. It should be developed by the attending physician on an individual basis.

With a positive dynamics of recovery without concomitant complications, the usual diet is prescribed as for all patients with an ulcer.

• 1 day the patient is not allowed to eat anything;
• 2 day, if there are no complications, drink 0.5 glasses of liquid;
• 3 days drink 2 glasses of liquid at room temperature (water, tea, broth of low concentration);
• Day 4 provides for the introduction of soup with oatmeal, fluid intake;
• 5 day they drink liquid in unlimited quantities, eat semolina, light grated soup, cottage cheese, meat soufflé, grated boiled meat.

Any dietary food should be prescribed exclusively by the attending physician. A gastroenterologist or nutritionist will draw up an approximate menu for a week, according to which the patient will eat right.

Self-treatment is unacceptable, it leads to unpleasant consequences.

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