Dietary nutrition for duodenal ulcers. Nutrition for gastric and duodenal ulcers during exacerbation and remission

Content

Duodenal ulcers are caused by special bacteria that, when they enter the body, quickly corrode the walls of the stomach. This disease is treated using a complex method. It is difficult to get rid of painful symptoms without medications, but an equally important role is played by proper nutrition, as well as the selection of certain products. A diet for duodenal ulcers is not just a nutrition program, but also a method of treating the disease. The menu must be thought through to the smallest detail.

Features of therapeutic nutrition

The diet for duodenal ulcers has its own distinctive features. Not only the range of products is important, but also the method of preparing them, the time of consumption, and the size of the portions. Therapeutic nutrition involves split meals. Some rules must be followed exactly as prescribed. Only by taking into account all the nuances will the process of healing the disease be accelerated, and you will feel significant relief from your condition.

The main principles of diet, as well as selection of foods for duodenal ulcers:

you need to eat food 5-6 times a day in small portions;
frying of products must be replaced by steam processing;
chew food slowly and as thoroughly as possible;
It is recommended to drink at least 2 liters of water per day;
prepared dishes must contain a minimum amount of salt;
seasonings and spices should be completely excluded from the diet;
the last meal is taken no later than three hours before bedtime;
food should be warm when consumed;
hot and cold food is strictly prohibited.

Permitted and prohibited products

When drawing up a dietary menu, you must clearly understand the principle of food selection. There are certain categories of food that are strictly prohibited for consumption in the presence of a duodenal ulcer. A special group contains products that are recommended to be included in the diet in the presence of such a disease. One of the basic principles of the diet is the complete exclusion of foods that negatively affect the mucous membranes of the stomach. Vivid examples are spicy or salty foods, fast food, and carbonated drinks.

Allowed foods for duodenal ulcers:

vegetable, milk, chicken soups;
cereals (porridge with milk or water);
white bread;
boiled lean meat;
mineral water;
low-fat dairy products;
cheese with low fat content;
frozen vegetables and fruits that do not cause discomfort and gas evolution;
fiber;
boiled eggs.

Prohibited foods for duodenal ulcers:

salo;
rich beef and pork broth;
fried meat;
fat (pork, beef);
black rye bread;
yeast baked goods;
pickled dishes;
smoked meats;
raw vegetables;
tomatoes;
cabbage;
citrus;
candies;
cookie;
cakes;
fatty dairy products;
coffee;
strong black tea;
carbonated drinks;
alcohol.

Diet for duodenal ulcer

Some diseases digestive system have similar symptoms. The development of the disease leads to internal bleeding, perforated ulcers and chronic gastritis. After diagnosing abnormalities in the functioning of the digestive system, the diet should be changed immediately. An ulcer of the duodenal bulb has a number of features in the area of symptoms and nutritional therapy.

The main causes of a bulbous duodenal ulcer are considered to be sudden stress or a sharp reduction in food intake as a way to lose weight. Painful sensations, which arise in the stomach in the presence of such a disease, are called “hungry”. Diet in in this case plays a special role. The range of foods consumed becomes both the cause of the disease and the way to treat it. Spicy, salty and fried foods cause irritation of the bulb and lead to the appearance of the first pain symptoms.

Food portions should be minimal, but food should be consumed at least five times a day. Bad habits, carbonated drinks and seasonings will have to be completely eliminated from the diet. Smoking and alcohol are often the main causes of duodenal ulcer development. The maximum amount of food per day should not exceed 2.5 kilograms.

Therapeutic diet table No. 1

The portion size of the foods consumed when following the “Table No. 1” diet should be such that there is no feeling of heaviness in the stomach. The allowed amount of carbohydrates per meal reaches 400 g, fats – 90 g, proteins – 90 g. It is recommended to consume at least one and a half liters of liquid per day. All ingredients are steamed, boiled with minimal addition of salt and crushed with a blender or meat grinder.

Sample menu for a duodenal ulcer for a day:

First breakfast: omelet with low-fat milk, green tea, cottage cheese with honey.
Second breakfast: salad of fruits that do not cause stomach discomfort (the range of products depends on the individual characteristics of the body).
Lunch: rice soup, steamed cutlets with vegetable puree, fruit jelly.
Afternoon snack: a glass of low-fat milk or kefir.
Dinner: steamed meat balls, boiled beet salad, jelly or compote.

Table No. 1 A - during exacerbation

There are several types of diets for duodenal ulcers recommended by doctors. In the first two weeks after diagnosing an exacerbation of the disease, specialists prescribe a diet to patients, which is called “table No. 1A”. A diet based on permitted foods must be prepared in accordance with certain nuances. Meals are taken strictly at certain times 5-6 times a day.

An example of a menu for a duodenal ulcer for one day in accordance with the requirements of the diet “table No. 1A”:

First breakfast - boiled egg, glass of milk.
Second breakfast – fruit jelly.
Lunch – vegetable soup, steamed fish, fruit jelly.
Afternoon snack – omelet with milk, fruit compote.
Dinner - porridge with water, a decoction based on dried rose hips.

One serving of consumed foods should not exceed the permitted standards: the amount of carbohydrates - 200 g, proteins - 100 g, fats - 90 g. If this rule is not followed, the effectiveness of the diet is significantly reduced. Experts recommend taking short breaks while eating food. For example, at lunchtime, do not rush to eat fish immediately after soup. Wait a few minutes and allow the foods to digest in your stomach.

Diet menu for duodenal ulcer

The main goal of the diet in the presence of a duodenal ulcer is to normalize the digestion process and eliminate the negative effects of foods on the mucous membranes of the stomach. The complex of dietary nutrition is carried out for 3-4 months, and in chronic forms it is maintained for life. Changing the diet and the range of foods consumed is part of the overall treatment of ulcers.

Example menu when peptic ulcer:

First breakfast - rice porridge with low-fat milk, boiled egg, green tea.
Second breakfast – baked apples.
Lunch – vegetable soup, steamed cutlets, carrot puree, compote.
Afternoon snack – dietary marshmallows, cocoa or a glass of low-fat milk.
Dinner – mashed potatoes, steamed fish, low-fat kefir or fruit jelly.

Experts distinguish two types of dietary food, differing in the method of preparing dishes. In the first case, the products are processed and cut traditional method. The second option involves thoroughly grinding all the ingredients using a blender, mixer or meat grinder. The type of diet is selected depending on the form of the disease and the degree of neglect.

Recipes for preparing dietary dishes

The range of permitted and prohibited foods for duodenal ulcers is only at first glance frightening with a large number of changes in the usual diet. Dietary food is a special section of cooking. From a simple set of products it is easy to prepare many tasty and healthy dishes. The main thing in this case is to adhere to the rules for processing and consuming individual ingredients. Here are some delicious and easy recipes:

Vegetable cream soup. To prepare this dish, prepare the following ingredients: potatoes, carrots, turnips, skim milk, butter. Select the quantity of ingredients at your discretion. Boil all vegetables and chop in a blender. To dilute the mixture to a puree consistency, use vegetable broth and milk. Before eating the soup, add a small piece to your plate. butter.

Oatmeal with pumpkin. For 1 cup of rolled oats, prepare 2 cups of skim milk, 1 cup of finely grated pumpkin pulp, butter, two tablespoons of honey. Oatmeal Boil with milk until tender. Mix the porridge with pumpkin and leave the mixture for 10-15 minutes, covering the pan with a lid. Add a small amount of butter and also honey.

Diet pumpkin pudding. To prepare the dish you will need: 150 g pumpkin pulp, 10 g semolina, 10 g honey, 20 g low-fat milk, 140 g apples, 2 eggs. Grind the apples and pumpkin in a blender. Add semolina and milk, bring the mixture to a boil. Add honey and beaten eggs to the prepared mixture. The pudding should be prepared by steaming or in a slow cooker.

Video: causes, symptoms, treatment and diet

Duodenal ulcer is a complex but curable disease. Find out from the video below how to correctly diagnose the disease and treat it. After looking through it, you will understand which foods aggravate the symptoms of an ulcer, get acquainted with the approximate diet for peptic ulcers, as well as the features of the complex aimed at quickly relieving pain.

Attention! The information presented in the article is for informational purposes only. The materials in the article do not encourage self-treatment. Only a qualified doctor can make a diagnosis and give treatment recommendations based on the individual characteristics of a particular patient.

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Symptoms, treatment, diet for exacerbation of peptic ulcer

During exacerbation of gastric and duodenal ulcers, patients are concerned about the following symptoms:

Acute pain associated with eating: early pain begins 45-60 minutes after eating, it intensifies within an hour, and when the food leaves the stomach, the pain subsides. Late pain is felt 2 hours after eating; there are also “hunger” pains and night pains.
Nausea, attacks of vomiting.
Heartburn.
Belching.
Appetite is often increased.
Constipation.

For treatment, patients are prescribed:

Inpatient or outpatient treatment.
Medicines, lowering acidity and blocking the secretion of gastric juice, painkillers, stimulants of healing.
Diet for stomach and duodenal ulcers during exacerbation.

Prescribing dietary nutrition during an exacerbation of an ulcer helps to normalize digestion, reduce the secretion of gastric juice, protect the mucous membrane from destruction and provide the body with nutrients for recovery.

Diet in the first ten days of exacerbation - table No. 1a

Dietary nutrition in the first decade of exacerbation should be extremely gentle. Boiling and also steaming are allowed. All food is pureed, semi-liquid or pureed. Calorie content – 1800 kcal, salt 6 g, water 1.5 liters, servings of 300 g, fractional meals – 7 times.

The menu should only contain products that have little effect on the secretion of hydrochloric acid in the stomach. They have this property:

Rice, semolina, oatmeal soup with cream, butter or vegetable oil. Ground cereals or flakes are also used for dietary or baby food.
The meat is steamed in the form of a soufflé. You can cook it from beef or veal, chicken, rabbit, pork without fat.
The fish can be boiled, steamed, pureed, or in the form of a fish soufflé. Cod, navaga and pike, hake, icefish, and pike perch are used.
Milk can be 3% fat, fresh and non-acidic cottage cheese, cream. You can add condensed milk or cream to tea or porridge.
Porridge, pureed, liquid, made from rice or semolina, oatmeal and buckwheat, cereal, flour. You can add cream or milk to the porridge when cooking.
Steam omelette, soft-boiled eggs.
Alkaline mineral waters.
Recommended drinks include sweet juices, ripe fruit jelly, and weak tea with cream or milk.

All foods that irritate the stomach or intestines are excluded from the menu during exacerbation of peptic ulcer disease:

Broths from mushrooms, meat, poultry, fish.
All canned foods.
Fried and stewed fish or meat.
Pickles, smoked and marinated products.
Bread, flour products.
Carbonated drinks, packaged sour juices.
Alcohol.
Strong tea and coffee.
Vegetables.

Diet menu No. 1a for the day could be like this:

Breakfast at 7-30: semolina porridge with milk and butter, weak tea with cream.
Snack at 11 o'clock: baked and pureed apples.
Lunch at 13-30: oatmeal soup, pike perch soufflé, rosehip broth.
Afternoon snack at 16:30: milk jelly and pureed cottage cheese.
Dinner at 18-30: steamed omelette, dried apricot jelly.
Before bed at 21-00: milk.

To prepare a rosehip decoction, add two tablespoons of chopped berries to half a liter of boiling water. Cook for 15 minutes. Drink 100 ml of warm, strained decoction.

Dietary table No. 1b in the second decade of exacerbation

In the second decade, patients usually feel better, pain decreases, activity and diet expand. In addition to the foods that were allowed in the early days, you can include in the menu:

White crackers – 100 g.
From meat or minced fish prepare steamed dumplings, meatballs or steamed meatballs.
Pumpkin, potato, carrot and beet puree.

Diet menu No. 1b for the day:

Breakfast at 7-30: milk oatmeal with baked apple, rosehip infusion.
Snack at 10-30: pumpkin porridge with rice and cream, jelly made from a decoction of dried fruits.
Lunch at 13-30: potato soup with semolina and croutons, steamed rabbit cutlets.
Afternoon snack at 16-30: soft-boiled egg, zucchini soufflé, weak tea.
Dinner at 18-30: cod dumplings, mashed potatoes, diluted apple juice.
Before bed at 21-00: milk jelly.

Diet when the exacerbation subsides

Diet during subsidence inflammatory process and in the scarring phase it is more complete. Calorie content of diet No. 1 is 2900 kcal. The volume of water drunk is 1500 ml. The frequency of meals is recommended to be at least six. Before going to bed, drink milk or cream. Boiled products are first pureed, then you can eat boiled whole or sliced.

When the exacerbation subsides, you can use the following in therapeutic nutrition:

Dried white flour bread, dry sponge cake or biscuits.
Vegetarian soups with boiled cereals and vegetables. You can cook with bran decoction.
From low-fat minced meat or fish, meatballs, cutlets, and quenelles are steamed or baked without crust. Beef stroganoff is allowed from boiled meat; you can eat liver and tongue.
Cheese pancakes, soufflés, lazy dumplings and puddings are made from unleavened cottage cheese. Sour cream, milk, and cream are allowed.
Porridge can be prepared from all cereals, with the exception of millet and pearl barley. Cereals should be well boiled or viscous. They are used to make puddings, steamed cereal cutlets, and soufflés. Boiled pasta and vermicelli are allowed on the menu.
Mashed potatoes and stews are prepared from potatoes, pumpkin, cauliflower, and zucchini. You can use boiled young green peas and beets to a limited extent. You can eat 100 g of tomatoes per day. Carrot and beet juice are recommended.
Fruits are used boiled, baked, pureed. Compotes, jellies and mousses, and jelly are prepared with them. Fruits should be sweet and ripe, without peel.
Honey, jam and jam.
Sauces are prepared from milk, sour cream, and fruit. You can add vegetable oil or butter to dishes.

The following are excluded from the diet during the period of ulcer scarring:

Fresh, rye and bran bread and pastries.
Broths of fish, meat and mushrooms.
Fatty meat, brains, kidneys.
Duck and goose.
Cod liver, horse mackerel, fatty herring.
Any canned food, pickles and pickled vegetables.
Spicy and salty dishes.
Smoked and dried products.
Legumes.
Sauces - mayonnaise, ketchup, tomato, adjika, horseradish, mustard.
Vinegar and pepper.
Kale and kohlrabi, radish, radishes and daikon.
Spinach, arugula and sorrel.
Onions, garlic, mushrooms, cucumbers.
Ice cream.
Chocolate and cocoa.

Breakfast at 7-30: pureed buckwheat porridge with milk, butter, tea with milk.
Snack at 10:30: pureed cottage cheese with raspberry jelly, compote.
Lunch at 13-30: vermicelli soup with cauliflower and sour cream, chicken cutlets with rice porridge.
Afternoon snack at 16-30: soft-boiled egg, dried bread, Adyghe cheese, jelly.
Dinner at 18-30: steamed pike meatballs, mashed potatoes, rosehip broth.
Before bed at 21-00: a glass of milk and crackers.

And the duodenum, today we can definitely say that for the development of the disease, infection with the bacterium Helicobacter pylory is necessary. Due to the special role of the duodenum in the digestive process, a special diet is required in such cases.

It is worth remembering that the food you eat daily can either help you fight the symptoms of peptic ulcers or worsen your condition. It all depends on what products are on the menu. In fact, most people can eat tasty and healthy food without experiencing any problems. To do this, you just need to create a balanced diet.

There are general concepts about nutrition for duodenal ulcers, and in each case the set of products should be determined individually. However, there are foods that cause worsening of the condition in all patients without exception (fatty, fried, spicy, stimulating gas formation).

Key features of the diet

Fried and fatty foods are prohibited.

Eat 5-6 times a day in small portions. This way you will avoid overeating, which will overload the diseased organ and increase symptoms.
Eat foods high in fiber (vegetables, fruits, whole grain baked goods).
Rest before and after meals, take breaks during meals. This is necessary so that the stomach and small intestines have time to cope with incoming portions of food.
Eat slowly and chew your food thoroughly. One of the principles of diet for diseases gastrointestinal tract– mechanical sparing of the gastric and duodenal mucosa.
Try to eat no later than 3 hours before bedtime.
Eat foods low in fat.
Try to drink at least 2 liters of water per day.
Do not eat food that is too hot or too cold, as this will irritate the mucous membrane of the stomach and intestines and increase pain.
Limit your salt and seasoning intake.
Don't drink carbonated drinks.
Take vitamin complexes.

Avoid:

alcohol;
smoking;
carbonated drinks.

Reduce your intake of the following foods:

coffee, strong tea;
tomatoes and all products made from them (juices, pastes, etc.);
chocolate.

It is not recommended to use if you have a duodenal ulcer.

Cereal products:

bread and pastries made from flour premium high in fat (cookies, croissants, biscuits);
baked goods with nuts and/or dried fruits;
crackers with a lot of salt and fat.

Vegetables:

any raw vegetables;
corn;
broccoli;
sauerkraut;
tomatoes and dishes made from them.

grapefruits;
oranges;
pineapples;
tangerines;
citrus juices.

Milk and dairy products:

high fat whole milk;
chocolate milk;
cream;
whole milk powder.

Meat, meat products, and seafood:

any marinated meat or meat products with a lot of seasoning;
sausages and sausages;
sardines, anchovies;
fried fish;
fried meat;
any fatty fish and meat.

Snacks:

chips;
french fries;
buttered popcorn;
pies;
cookie;
donuts;
candies.

It is recommended to use for duodenal ulcers

Oatmeal is allowed.

Grain products and cereals.

Any whole grain flour products:

porridge;
bread;
bakery;
cupcakes;
flakes;
brown rice;
long-lasting cookies (type “Zoological”).

Vegetables:

frozen;
canned.

Fruits:

fresh, seasonal, not causing you increased gas formation;
frozen;
canned;
fruit juices in small quantities, diluted.

and dairy products:

skim or low-fat milk and dairy products;
low fat cheese;
fat-free or low-fat yogurt.

Meat and meat products, fish and seafood, eggs:

lean meats (veal, turkey, rabbit);
chicken (without skin);
any low-fat fish;
eggs.

Refills:

low-fat mayonnaise;
mild and low-fat homemade sauces;
jam.

Snacks and sweets:

marshmallows;
sherbet;
fruit ice;
puffed rice cookies.

If you follow a diet, avoid stress and undergo treatment for Helicobacter pylori, then the symptoms of duodenal ulcer will no longer bother you. But in any case, first consult a specialist. He will help you create a nutrition plan, prescribe treatment and monitor your health.

26.04.2019

Most people have experienced peptic ulcer disease. The main thing is not only the use of medications, but also proper nutrition for duodenal ulcers.

It is the attending physician who must choose the right diet, which will be accompanied by taking medications.

Diet for duodenal ulcers

It has been established that approximately 10% of the total population has peptic ulcer disease. If you also have a duodenal ulcer, symptoms of the disease may appear immediately or after some time. When symptoms and treatment have been identified, it is necessary to switch to a certain diet.

Minimal irritation of the duodenum, bulb and stomach. Food recipes should include boiled, best pureed foods, the temperature of which should be approximately 30 degrees, and should not contain components that stimulate the production of gastric juice.
If there is intestinal colitis and, that is, it is necessary in small portions, after a certain period of time, for example, 3 hours. When an ulcer worsens, it is necessary to eat dietary foods at least five times a day, and there must be a snack before bedtime. The sequence of dishes included in the menu should take into account the digestion time of the products included in their composition.
The calorie content of daily food, except during periods of exacerbation of the disease, should be at least 3 thousand calories. The approximate amount of protein, fat and carbohydrates should be 100 g, 110 g and 450 g respectively. The menu for ulcers should include foods high in microelements and vitamins, in particular B1, C and A.

The classic diet for stomach and duodenal ulcers is called “Table No. 1”. In this case, food for stomach ulcers should include pasta, boiled cereals, soups, fruit and vegetable purees, lean fish and meat, eggs, cream, milk, jelly, jelly, puddings, a variety of casseroles, crackers and white bread.

When choosing a diet plan, you need to remember about a sufficient amount of liquid that should enter the body (at least 1.5 liters); you can also drink weak tea, rosehip decoction and mineral water that does not contain gas.

If you need a diet for duodenal ulcers, recipes should exclude baking until golden brown, breading, frying and pickling.

All menu components must be natural and fresh, and the preservatives, flavorings and vegetable fats they contain must be controlled.

Thanks to the presence of a clear list of acceptable products, cooking delicious dishes will be possible even in the presence of peptic ulcer.

Speaking about the list of products that are acceptable for use, the following should be noted:

Cream and fresh milk, which can be separated, drunk or added to other dishes, like fresh sour cream. Low-fat and non-acidic cottage cheese can be used to prepare lazy dumplings, casseroles, soufflés and puddings.
Lean meat (rabbit, turkey, chicken, beef, veal) with cut skin, veins, fat layer, lean fish. It is recommended to consume these products baked or boiled, as well as in the form of minced meat for preparing steamed meatballs, cutlets, casseroles and soufflés.
Cereals (oatmeal, buckwheat, semolina, rice) are included in the menu in the form of various cereals and soups, including dairy ones, or served as a side dish.
Vegetables (pumpkin, cauliflower, beets, carrots, potatoes), baked or marketed until soft, preferably crushed to puree. Fresh juices from beets, carrots, and white cabbage are diluted half with water and taken as a medicine.
It is recommended to use butter as fat; if dressing is required, then vegetable oil is used, or better yet olive oil no more than 30 grams per day.
Eggs in the form of a steam omelet, soft-boiled, as part of other dishes (egg-milk dressing).
Pasta in the form of casseroles, side dishes and milk soups.
Dried biscuit, crackers, yesterday's white bread.
Soft, sweet berries and fruits, preferably as a puree, as well as juices squeezed from them, diluted half with water.
Recommended sweets include mousse, jelly, jelly, as well as jam, marshmallows and marmalade. Honey is beneficial when added to drinks or cereals, or eaten separately.

What foods should you not eat?

If you have been diagnosed with a duodenal ulcer, you should avoid taking certain foods:

It is strictly forbidden to consume dishes containing a lot of fat, salt and spices.
It is contraindicated to eat spicy vegetables, including radish, horseradish, garlic and onions; you cannot eat rich broths, mushrooms, legumes, fatty meats (goose, duck, pork, lamb).
You need to give up puff pastry and butter dough, and bread products made from wholemeal flour.
You should not eat smoked meats, canned food, marinades and pickles.

If you have a peptic ulcer, it is forbidden to eat fruits and vegetables with a sour taste, primarily currants, all citrus fruits, tomatoes, gooseberries, as well as those with internal fibers and hard peel. White cabbage prohibited in any form (except for juice, which allows you to restore the mucous membrane and eliminate the pain symptom).

The group of forbidden foods includes all dried fruits, in particular dates, dried apricots, and figs. At the same time, jelly or dried fruit compote is not only possible, but also should be included in the diet.

Menu and diet for ulcers

Depending on the stage of the disease, the list of recipes varies greatly. In case of exacerbation of the disease, the patient is prescribed the most gentle diet, as well as after surgery (on the third day).

In this case, it is necessary to consume boiled fatty porridge, pureed chicken meat, weak tea, decoction wheat bran and rose hips.

With a decrease in painful symptoms, food recipes should meet “Table No. 1”, including following products power supply:

pureed slimy soups and pureed liquid porridges made from oatmeal, semolina, barley and rice with the addition of butter, cream and milk;
steamed soufflé from boiled fish or meat (once a day);
no more than three eggs per day, in the form of soft-boiled, omelet or egg-milk dressing;
cottage cheese prepared in the form of soufflé, cream or milk;
jelly from sweet fruits, apples, milk, honey, a small amount of sugar;
rosehip decoction, weak tea, fresh juice diluted with water;
crackers.

After the exacerbation of the peptic ulcer has passed, it is recommended to adhere to the less strict “Table No. 1” diet, the menu of which includes dishes such as:

First breakfast: milk soup from noodles or cereals, curd soufflé, cottage cheese casserole, omelette, lazy dumplings or soft-boiled egg. Drinks: diluted juices, rosehip decoction, tea, milk.
Second breakfast: jelly, jelly, fruit puree, mousse, baked or grated apple, crackers, berries with cream, biscuits.
For lunch the following is allowed: for starters, pureed or slimy soup from cereals or vegetables, crackers, white bread. Second course: fish or meat (baked or boiled), steamed cutlets or meatballs, casserole of vegetables and meat, meat soufflé. As a side dish: porridge, vegetable puree, vermicelli, pasta seasoned with milk sauce, cream or butter.
Afternoon snack: identical to second breakfast.
For dinner: choose dishes from the breakfast or lunch menu.
Before bed: drink of choice (preferably milk), honey.

By adhering to a diet, the patient will be able to reduce the painful manifestations of peptic ulcer disease and avoid its relapse.

A chronic duodenal ulcer is a lesion of the intestinal mucosa, which entails a lot of serious complications if the disease is not given due attention in time, leaving it without proper treatment. The course of therapy lasts at least twelve days.

The diet for exacerbations, recommended for those suffering from chronic disease of the duodenum, is not just a list of necessary and approved medications. Such dietary gentle nutrition has a therapeutic effect on the area of scarring of the ulcerative process. The products consumed should contribute to the speedy healing of ulcerative defects of the intestinal mucosa and be part of a comprehensive treatment.

The treatment menu for exacerbation of stomach and duodenal ulcers must be thought out to the smallest detail and contain vitamins and nutrients. The menu should be drawn up by a specialist in the field of nutrition, and the patient should definitely consult a doctor.

Nutrition for duodenal ulcers reveals a number of characteristic distinctive features. It is important to take into account the names of products allowed for consumption, the method and proportions of cooking. The serving size per meal matters. When therapeutic nutrition is required, the patient takes food in small portions - fractionally and often. If you follow the rule, the treatment will go much faster and more effectively, the duodenal ulcer will heal intensively.

There are known rules that must be strictly followed in order to avoid deterioration of the condition and the development of complications. Strict adherence to dietary requirements and taking into account the subtleties of the diet will help speed up the healing of stomach and duodenal ulcers.

Basic principles of therapeutic nutrition

When selecting a treatment menu, be guided by simple norms and rules that guarantee successful treatment:

The number of meals during the day should be 5–6 times. You need to eat often.
Portions are supposed to be small, the size of a tea saucer.
Food should not be fried; the process is replaced by steaming in water.
It is necessary to chew each piece of food consumed extremely slowly and thoroughly.
You need to drink two liters of fluid throughout the day.
Dishes and healthy products for dietary nutrition they must contain a minimum of table salt.
Spicy foods and spicy seasonings are excluded from the dietary diet.
You should eat before bed a couple of hours before going to bed.
It is strictly forbidden to eat hot or cold foods at lunch or breakfast.
Food should be heated to warm or room temperature.
If you have an ulcer, you can drink low-fat milk, not in the acute stage. Sometimes patients drink milk when they have an ulcer, stopping an attack of pain, especially at night. It is better to discuss with your doctor whether this is acceptable in a particular case. The attending physician will suggest the right solution.
Tea for ulcers is allowed not too concentrated, warm.

The basic principles of compliance with the diet for stomach and duodenal ulcers are listed.

Which foods are allowed and which are absolutely unacceptable to consume?

A list of products strictly prohibited for use by patients diagnosed with peptic ulcer has been compiled. A separate group includes a list of dishes included in the dietary table, indicated for use, bringing benefit and relief. The main condition of the diet for diseases of the stomach and intestines is the exclusion from the diet of foods that irritate the mucous membranes mechanically or through chemical action.

Prominent representatives of the first group include spicy dishes, pickles, fatty foods, sweet carbonated and alcoholic drinks. Products for duodenal ulcers should first of all create comfortable conditions for the sensitive mucous membrane of the intestines and stomach.

List of products recommended for use during an exacerbation of peptic ulcer

These products should be included in the diet for peptic ulcers.

Products prohibited for use for ulcers

Lard in any form, pork, beef, lamb fat.
Fatty, rich, strong broths made from fatty meat.
Black, bran, freshly baked white bread.
Yeast baked goods.
Marinades and pickled products.
Smoked products.
Raw vegetables rich in coarse fiber - cabbage, tomatoes, cucumbers. A similar rule applies to fruits.
Fried fatty meat.
Citrus fruits and sour fruits with hard skin.
Sweets – chocolate, cookies, sweets, cakes, pastries.
Fatty or sour sour cream, milk, butter.
Strong tea, caffeinated drinks, sweet carbonated lemonades, alcoholic drinks.

Diet for a week

In the stage of exacerbation of the ulcerative process, the patient is prescribed a particularly strict diet 1, called table 1. Diet 1 for ulcers prescribes patients to eat mucous porridges and soups and steamed, mechanically gentle dishes. A similar rule applies in cases where the patient suffers a complication, a major operation on the stomach or duodenum, and is in a fairly serious condition. If the disease is less severe, a gastroenterologist or nutritionist recommends excluding from daily diet prohibited foods and diversify the menu within acceptable limits.

Below is an approximate weekly diet menu for ulcers for the subacute stage of the ulcerative process and the remission stage.

Monday

For breakfast if you have an intestinal ulcer, prepare an omelette from two chicken eggs in milk and drink it with a glass of green, not too strong tea, take some cheese. Second breakfast may consist of oatmeal with half and half milk and water, applesauce or oven-baked apple.

For lunch, pasta and meatballs from turkey or chicken are allowed for ulcers. You can wash down lunch with dried fruit compote. Dinner can consist of baked lean fish without salt, a glass of low-fat milk.

Tuesday

Breakfast included buckwheat porridge in milk, thoroughly boiled with a little added sugar, a glass of weak black or green tea. The next meal is in the form of a couple of bananas, juice from carrots and apples, squeezed through a juicer.

The lunch menu consists of unsweetened rice porridge and boiled lean fish. Serve a vegetable salad and a glass of green tea, take a modest dose of cheese.

Dinner includes mashed potatoes or a casserole of vegetables - zucchini and potatoes with stewed pieces of lean beef without streaks or films. It is permissible to wash it down with tea or compote.

Wednesday

Lunch consists of celery soup, baked pumpkin puree with a piece of boiled lean chicken. Wash it down with black tea. Dinner consists of chicken omelet and cottage cheese, washed down with tea, with which you are allowed to take cheese.

Saturday

In the morning, treat yourself to a home-baked biscuit, sweet ripe fruit, and drink a glass of low-fat milk. Prepare the next meal from corn flakes or oatmeal porridge. Add a glass of juice to your dishes.

The lunch ration consists of buckwheat porridge on water with a piece of baked fish, a saucer of vegetable salad and a glass of tea. For dinner, you can indulge in a plate of light dietary noodle soup and wash it down with tea.

Sunday

Breakfast consists of scrambled eggs with vegetable salad and a glass of juice. The second meal includes a small portion of boiled lean meat and a glass of green tea.

The lunch menu can be made up of mashed potatoes without oil and a piece of boiled unsalted fish. The above is served with a salad of fresh vegetables and a glass of tea. You can end the day with dinner, consisting of a fruit dessert and a glass of compote.

The menu is approximate and is intended to illustrate an approximate list of permitted dishes. You can modify the menu by including other healthy dishes and products. The diet for duodenal ulcers can be quite healthy, tasty, and varied. The main requirement is not to include alcohol and other aggressive products that cause worsening of the condition in the treatment diet.

If the above rules are followed, the condition of the stomach and intestines will soon return to normal and will remain for a long time.

When consulting a doctor, undergoing a regular medical examination, get advice on what is allowed in the acute stage and in the remission stage. In particular, ask whether fresh vegetables or fruits are allowed for duodenal ulcers, specify the names and quantities of allowed products.

The effectiveness of nutritional therapy

In order for a diet for duodenal ulcer to be useful and effective, a nutritionist must prepare the diet. This requirement is not always easy to fulfill.

If you cannot get a doctor’s consultation, you will have to independently select a special therapeutic diet. You will need to remember the rules for matching nutrition to the disease - duodenal ulcer.

Therapeutic nutrition must be prepared to eliminate intestinal problems, but not to provoke weight loss.

The composition of the diet is assumed to be balanced. You should not focus on a single product to the detriment of others unnecessarily. The diet should be varied, include necessary products of plant or animal origin, enriched with vitamins, proteins, carbohydrates, and minerals.

If you do not follow the rules of the therapeutic diet, the effect of the medication or surgical treatment will be reduced. There will be a relapse, a complication of the disease. Even a single hamburger can greatly upset the delicate balance in chronic intestinal diseases.

The diet must be varied. There are many healthy dietary dishes known that are safe for consumption by patients suffering from peptic ulcers.

A mono-diet, constant intake of repeated foods, will be harmful to health. A meager menu and excessively small portions will put the body into a stressful situation and lead to deterioration. Often patients interrupt such a diet.

You should not overeat - this will lead to stretching of the walls of the stomach and intestines, worsening digestion and absorption of foods.

Immediately after eating, you should not take a horizontal position, preventing the backflow of undigested food into the lumen of the esophagus. The phenomenon leads to heartburn. If you eat an abundance of plant foods - juicy fruits and fresh vegetables, you will be able to reduce the amount of liquid you drink. The total amount of water, taking into account soups and fruits, should be one and a half to two liters per day.