Diet with duodenal ulcer: menu after surgery and exacerbation
Duodenal ulcer can develop in a healthy person due to increased acidity, due to infection by the Helicobacter pylori bacteria or other, more rare, causes. This disease is characterized by periods of exacerbations, which are followed by periods of remission. Heals an ulcer with the appearance of a scar on the affected organ.
Most often peptic ulcer affects men. A duodenal ulcer is formed more often than a stomach ulcer. This illness is characterized by pain in the upper part of the abdomen, which is strengthened with physical activity or eating food. Treatment should necessarily occur with the use of a special diet.
Knowing the symptoms of this disease, you can immediately consult a doctor and start a comprehensive treatment.
The first and most common symptom is pain. Most often it is felt in the abdomen, just above the navel, sometimes it can give to the scapula and the heart area, which is mistaken at first is perceived by pain in the heart.
The peculiarity of these pains is that they arise most often in the evening and at night, they are called "hungry". Particularly painful is the pain after eating, especially harmful after drinking alcoholic beverages.
The second symptom, without which there is no ulcer of the duodenum – is frequent eructations and attacks of heartburn. But such a symptom may be mild and many patients do not even notice it.
Bloating and nausea after eating also accompany this disease. Such symptoms can be observed after a person has overeaten and if the food was especially greasy and heavy. But with an ulcer, bloating is so painful that the pills do not help much.
Irregular stools also indicate abnormalities in the body. In addition, feces often reveal blood and mucus.
Also, with duodenal ulcer, weight loss occurs, even if the appetite has not changed.
A consequence of all this can be violations in the psycho-emotional aspect. Some patients become irritable, others suffer from insomnia.
The peak of such exacerbations occurs in autumn and spring.
Treatment of the disease occurs on the basis of diagnosis. Usually the patient is placed in a hospital, prescribed strict bed rest and calm.
Several groups of medicines are used for treatment. The first thing that is needed is antisecretory drugs, the main purpose of which is to reduce the intensity of the formation of gastric juice, reduce its aggressiveness.
If the cause of the disease are bacteria, then prescribe bismuth preparations (vikalin, de-nol and others). These drugs are designed to stop the vital activity of harmful bacteria and protect the intestine from the aggressive effects of gastric juice. Antibacterial drugs (tetracycline, clarithromycin and others) are also prescribed.
Prokinetics is used for better passage of food masses through the gastrointestinal tract. These drugs help to eliminate symptoms such as pain, nausea, heartburn and vomiting. If the heartburn does not go away, then prescribe drugs to neutralize the acid of the gastric juice.
Gastroprotective agents are needed to protect the affected organ from the effects of various enzymes.
On medication, treatment does not end. Physiotherapy and physiotherapy are prescribed. Surgery may be performed. And also must be conducted diet therapy. Usually prescribed therapeutic diet number 1.
Diet in the ulcer is based on the principles of proper nutrition. First, standard meals should be increased to 5-6 once a day. This is called a fractional power supply. Secondly, it is necessary to make meals from the right foods and to exclude the harmful ones.
- boiled lean meat;
- boiled fish of low-fat varieties;
- non-acidic dairy products;
- vegetables that do not contain coarse fiber, best ground in mashed potatoes;
- non-acid fruits and berries, ground or cooked;
- soft boiled cereals;
- cocoa with milk;
- weak tea;
- broths of herbs, best of all – dogrose.
- fried food;
- fatty dishes, especially meat and fish;
- pickled products;
- spicy dishes;
- highly salty foods;
- smoked products;
- canned food;
- products with coarse fiber (nuts, seeds, beans, peas, bran, whole grains, avocados, bananas, zucchini, celery, potatoes with peel);
- dairy products;
- sour fruits and berries (oranges, pineapple, grapefruit) and juices based on them;
- carbonated water and sweet fizzy drinks.
Surgical intervention occurs in the event that there is bleeding, narrowing the place of passage of the stomach into the duodenum or if the ulcer does not heal more than 4 months. And the operation does not solve all the problems. After it, complications may occur: intestinal obstruction, bleeding, suppuration, divergence of sutures. To avoid the emergence of complications, rehabilitation and dietary nutrition are needed.
The strictest diet. Only from the second day you can drink water, and then, just with teaspoons. From the third day you can enter into the diet of the patient a broth or strong tea, but the total amount of liquid should not exceed half a liter. On 4-5 day you can feed the patient with raw eggs, jelly, curdled milk and sour cream. Limitations on the amount of liquid are removed.
On 6-7 day, you can enter grinded soups in the diet, light semolina porridge, grated boiled meat in small amounts. And only on the ninth day you can go to the therapeutic diet No. 1, but only with the exception of milk dishes. You need to eat in small portions and often. At least six, or better, seven meals a day.
Features of the diet during exacerbation
Nutrition for exacerbation of the disease is based on the therapeutic diet number 1. The only thing is that in the early days you must follow the strictest rules. All dishes are steamed, it is better to take them for food ground, it is necessary to drink broth of dogrose and milk in the morning and in the evening. Berry jelly is also useful.
In a week, you can enter into your diet of milk soups and cereals, steam cutlets from low-fat meat, white bread crumbs, curds soufflé.
After half a month, the ulcer begins to heal, which means that it is possible to expand the diet. You can introduce vegetables and fruits in a garbled form, in the form of mousses, compotes, kissels. For dessert you can bake apples with sour cream and sugar. Low-fat meat and fish can be eaten whole, boiled.
Therapeutic diet should be adhered to about 2-3 months. So you can avoid repeated exacerbations.
A perforated ulcer is formed due to ineffective treatment and improper scarring. Thus, a through hole is formed, which must be treated with a surgical procedure. To rehabilitate a diet is necessary.
The main principles are food in small portions, but often, the food is grinded or finely chopped, the minimum amount of salt in dishes, and foods that do not irritate the mucous. Naturally, you can not drink alcohol, coffee, kvass, acidic drinks and juices. The advantage is given to warm milk and still water.
Recommended nutrition with ulcer of the bulb of the duodenum
Ulcer of the bulb of the duodenum can not be ignored, and self-medication is dangerous and can cause complications. Treatment in this case is aimed at the removal of acute inflammation and destruction of the bacterium that caused the disease – Helicobacter pylori. It is also necessary to protect the body from the corrosive effects of acids.
Complex treatment includes a special diet. The diet is similar to other forms of ulcers: there should not be fatty and fried foods, too salty and hot. Excludes fast food, sharp, sour dishes. The food is cooked or cooked on a steak, crushed. The food is taken in divided doses. Also it is necessary to give up smoking and try to avoid nervous overstrain.
Diet № 1 assumes approximately this ratio of proteins, fats and carbohydrates in grams – 1: 1: 4. Caloric content of the diet is about 3000 calories per day.
- The first breakfast includes two soft-boiled eggs, a mashed buckwheat porridge in milk, a weak tea with milk or a glass of warm milk.
- For the second breakfast you can eat one baked apple with sour cream.
- Lunch should include a mashed light soup on milk, for example, rice. On the second you can eat mashed potatoes with a steam chicken cutlet or meatballs.
- On a mid-morning snack white crackers and a glass of broth from a dogrose.
- Dinner consists of boiled fish, mashed potatoes and tea with a stiff or a glass of milk. At night, you can also drink a glass of milk.
This diet is preferably in case of gastric ulcer and duodenal ulcer. Diet 1 can also be more easy – 1 and more load and high-calorie – 1b.
Duodenal ulcer refers to chronic diseases. This means that its course alternates with periods of remission and relapse. The most frequent and pronounced symptoms are abdominal pains, which can be different in intensity. There is also heartburn, bloating, nausea, vomiting, stools.
You can live with this diagnosis, the main thing is to stick to a constant diet and visit a doctor twice a year. The diet assumes proper nutrition with some restrictions. Eat often, at least 5 once a day. Too hot and too cold food is prohibited, the temperature regime should be maintained within 25-30 degrees. Spices and salt should be reduced, and ideally – in general they should be abandoned. Preference should be given to low-fat varieties of fish and meat. Fruits and berries only eat ripe, without coarse plant fiber.
In detail about the duodenal ulcer the doctor tells the following video:
It is also important to lead a healthy way of life, to give up smoking and alcohol. A correct approach to the treatment of a disease can help to forget about an unpleasant illness for a long time.
Slacker diets here are given, I was hoping to find here something like abc, ad and similar diets From the summer I.
A good drug, most importantly – do not overdo it with a dosage, which seems to have been a couple of times.
Hey. I even did not know that there are such drugs for slimming, and it's very good to make them in syrups, pills, tablets.
And women also 3-4 times a week doing exercises?