PEPTIC ULCER

PEPTIC ULCER

Peptic ulcers are one of the most serious forms of gastrointestinal disorders of gastrointestinal tract particularly the stomach. This is known as a disease of Hurry, Worry and Curry. It occurs due to any localized erosion or disintegration of the mucosal lining that comes in contact with gastric juice. Mostly, the esophagus, stomach, jejunum (gastric ulcers) and duodenum (duodenum ulcers) lining is affected. It can occur at any age but the incidences are higher in middle adulthood i.e. 45-55 years. It occurs more often in men than women.

Whatever be the location of ulcers in GIT, the symptoms are similar. Hence dietary treatment is same for all ulcers.

Causes:

  1. Heredity

  2. Sedentary lifestyle

  3. Highly nervous, emotional, ambitious and aggressive individuals are more prone to ulcers

  4. Eating hurriedly, improper mastication of food and missing meals

  5. Gastric irritants like alcohol, caffeine, excess tea, meat extracts and spices

  6. Hyper-secretion of acid

  7. Nicotine and tobacco

  8. Anti – inflammatory drugs (NSAIDS), analgesics

Symptoms

The person feels extremely hungry one to three hours after meals. Pain is present and this may be of a burning, gnawing or piercing type. It is relieved on taking food or taking antacids.

In some cases hemorrhage (blood loss) is first indication of an ulcer. Other complications are irritability, obstruction, perforation and its carcinoma.

Treatment

Peptic ulcers are managed with objectives like restoration of good nutritional status, relieve symptoms, neutralize acids, and reduce acid secretion

  1. Drugs – Anticholinergic drugs, i.e. those which decrease the acid secretion may be given. Other drugs like antacids and anti-spasmodic may also be given.

  2. Rest – Complete relaxation of the mind, body and control of emotional stress helps a person. Yogasanas, when practiced correctly and regularly can also help in gaining control over mind and emotions.

  3. Dietary modifications

  • The diet is a bland and fiber restricted diet. The main objective is to avoid mechanical, chemical and thermal irritation to the GIT mucosa.

  • Bland diets are given in stages, starting from severely fiber restricted diet to those with lesser and lesser restriction till the person is able to take a normal diet.

  • Frequent feedings are prescribed to enable the stomach contents to be continuously diluted and neutralized.

  • The quantity of food eaten should be small to avoid overfilling the stomach and causing distension.

  • The stages thus follow a gradual progression in terms of the type of foods selected, keeping in mind their fiber content and the quantity to be eaten at any one meal.

  • An adequate energy intake, increased amounts of proteins; apart from restriction of certain types of proteins, adequate amounts of fats with modification in the amount and type is generally prescribed.

General guidelines:

  1. Eat smaller meals more often, eat slowly and savor your food in a calm environment.

  2. Avoid caffeine beverages such as coffee, cola and tea. Also avoid alcohol.

  3. Cut down or stop smoking cigarettes.

  4. Avoid excessive spices or concentrated meat broths and extractives. Avoid frequent use of aspirin or other drugs that may damage the stomach lining.

  5. Individual responses or tolerances to specific foods may vary and the same food may evoke different responses at different times depending on the stress factor.

Here at NUTRIDIETS, we will help you to plan a customized diet that is suitable for the respective disease and your requirements taking into consideration your eating habits and lifestyle. Following our diet plans, you will be eating not only healthy but also it will help you lose weight, which is one of the important part of a healthy life. With our diet you will also reduce the risk of further complications that are associated with the disease.

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