A stomach ulcer is one of the most dangerous problems associated with digestion, which, like a snowball, drags along a bunch of difficult-to-solve health problems in general. An ulcer sometimes resembles gastritis, during which digestive substances enter the stomach and seriously damage the mucous membrane of the gastrointestinal tract, which is accompanied by acute pain, and all digestion processes are disrupted. In addition to drug treatment, a diet, strict adherence to it, and a regimen are urgently needed. An ulcer is a consequence of an unhealthy lifestyle, diet, and smoking.
List of permitted and prohibited products
This disease entails processes that aggravate the further normal functioning of all other digestive organs; it has moments of remission and exacerbation, sometimes even surgery is used. Eating many, even seemingly healthy foods is extremely unacceptable, because they can irritate the walls of the stomach, stimulate secretion, take a long time to process and even cause bleeding. Therefore, you should literally know by heart the list of permitted foods for stomach ulcers, and those that should be categorically avoided.
To promote the fastest possible recovery, basic nutritional principles should include the following components:
- slightly dried white bread (sometimes they say: “yesterday’s”), oven-baked crackers, special unsweetened dietary cookies, unleavened, dryish biscuit;
- cook steamed egg omelet or soft-boiled eggs (however, no more than 4 pieces during the week);
- light, not rich soups, broths with chicken, vegetables, cereals, milk;
- non-acidic dairy products also favorably contribute to the treatment of ulcers, but only low-fat ones, in small quantities;
- cottage cheese casseroles prepared in the oven with the addition of butter;
- meat dishes with white meat of chicken, rabbit, beef, steamed, boiled, in the form of tender soufflés, cutlets, meatballs (during cooking, be sure to remove the skin, all fat, veins, tendons);
- Fish allows you to diversify the menu for stomach ulcers: boiled low-fat types, only sea fish;
- eat vegetables such as zucchini, pumpkin, potatoes, beets, carrots, fresh or cooked (boiled, stewed, steamed);
- use certain fruits in your diet: avocado, banana, pear, baked apples, generally soft in consistency and not sour;
- for a child, add baked berries to certain dishes;
- porridges have a particularly good effect on the healing of ulcers (be sure to season them with vegetable or olive oil), pasta is acceptable;
- Vegetable, olive, and butter oils are especially recommended for consumption;
- prepare fruit jelly, mousse, jelly, low-fat milk cream as dessert;
- for drinks, use exclusively non-carbonated water, medicinal water, weakly brewed tea, add milk if desired, properly brewed rose hip decoction, compotes;
- The permissible amount of salt per day for people suffering from ulcers is 6 grams per day (or better yet, exclude it altogether).
If you suffer from a stomach ulcer, eating these foods should be completely avoided:
- wholemeal bread (also rye), baked goods, including homemade fresh or stale baked goods;
- white cabbage, spinach with sorrel, cucumbers, turnips with radishes, corn, tomatoes, sour varieties of berries, citrus fruits are excluded;
- it is strictly forbidden to cook porridge with legumes, millet, barley;
- mushroom soups, mushrooms in general, fatty rich broths, borscht;
- You should not take spicy foods, pickled, sour, salty, spices, foods with dyes, as well as any canned, pickled or fried food;
- hard-boiled eggs;
- completely eliminate the use of onions and garlic;
- various snacks: chips, seeds, nuts, popcorn;
- red meat (it can significantly affect the increase in acidity in the stomach), fatty fish;
- Never drink alcohol of any kind or smoke during a stomach ulcer;
- cross out fatty meats, smoked meats, sausages of all types, lard, sausages, and other offal;
- your drinks should not contain carbonated water, ice cocktails, kvass, or coffee;
- forget about eating ice cream, chocolate and other sweets.
What diet is prescribed?
Diet for gastrointestinal ulcers is an integral part of treatment; in addition to the consumption of certain foods, it implies a strict regime, special rules for cooking and nutrition. Nutritionists pursue a single goal, which is to balance nutrition for stomach ulcers, restore and stabilize all digestive processes occurring in the body. You should pay special attention to the following points when planning a diet for ulcers:
- The first and mandatory condition of the diet for gastrointestinal ulcers is: do not increase the acidity of the gastric environment;
- the daily diet should be well balanced, it is important that the food consumed has increased energy value (this is approximately 3200 calories per day);
- the daily dose of food for stomach ulcers is 60% animal proteins, 30% vegetable fats and 10% carbohydrate-containing products;
- The eating interval should be at least three hours in a row (eat little, but more often);
- it is necessary to adhere to fractional meals;
- the size of one serving is equal to the size of your fist;
- eat only gentle food that will not irritate the damaged layers of the mucous membrane and walls of the stomach;
- the diet excludes the consumption of hot or cold foods;
- food should be ground, crushed, or pureed - this will prevent mechanical damage to the gastric walls;
- the diet menu should include plenty of drinking (at least one and a half liters daily), all kinds of decoctions with rose hips, oatmeal, compotes, fruit drinks, juices with non-acidic fruits;
- fasting is the first enemy in case of peptic ulcer, when the stomach becomes food for itself;
- special attention is paid to milk during the diet, because it has a beneficial effect on the microflora in the stomach and promotes a speedy recovery (drink it warm or add it to other drinks);
- be sure to pay attention to chewing food (do it carefully, slowly, without distractions, sit straight);
- in a daily routine, it is necessary to ensure that the last meal takes place at least two hours before bedtime;
- It is necessary to monitor those medications that you may sometimes use, for example, acetylsalicylic acid. It is a component of many medications and can negatively affect the increase in acidity in the stomach.
There are pre-prepared and detailed diets that are universally used during stomach ulcers for many patients. There are several of them, used at different periods of the disease. For example, diet No. 1a is prescribed during an acute period of a stomach ulcer, accompanied by severe pain, for up to 20 days, after which they gradually switch to an expanded, more simplified diet No. 1. During the period of remission, diet table No. 1 or No. 5 is used, to which less strict foods are added. The regimen prescribed by treatment with one or another diet should be strictly followed.
Menu 1
The diet for stomach ulcers was developed by Mikhail Pevzner, an outstanding nutritionist of the Soviet Union. It has been proven for more than one generation that this diet is very effective in treating stomach ulcers. It is prescribed during a period of regressive exacerbation of a stomach ulcer, or during recovery and is used for five months. Grinded dishes are used for food that do not irritate and do not have mechanical effects on the stomach (boiled, steamed). Meals occur every two to three hours, and the ratio of carbohydrates-proteins-fat is maintained in proportions of 5:1:1.
The diet menu for ulcers includes:
- Stale baked goods, unleavened biscuits, lean boiled meat, egg whites.
- Milk soup, vegetable (without cabbage), seasoned with butter, vegetable or olive oil.
- Boiled or steamed low-fat sea fish without skin and bones is allowed.
- Garnish: boiled porridge and puree with vegetables, in the form of puddings, noodles.
- Milk, cottage cheese, cottage cheese casseroles, sour cream.
- Instead of dessert, for stomach ulcers, use honey, non-sour jam, and a little marshmallow.
- It is good to bake fruits, such as apples or pears.
- The diet includes weak juices (half and half with water), tea diluted with milk, and still water at room temperature.
Menu 1a
Diet 1a is based on the basis of 1, but differs in a more strict abstinence and approach to nutrition, because... used during intense gastric ulcers, accompanied by acute pain and bed rest. All products that cause the secretion of gastric juice and irritate the gastric mucosa are completely excluded here. The number of meals per day with such a diet is reduced to eight meals and the ratio of proteins-fat-carbohydrates is 2:0.8:0.8. The daily amount of calories consumed should not exceed 2000.
With such a diet for stomach ulcers, bread and vegetable dishes are completely removed from the menu. Non-acidic fruit and berry jellies, soufflés, juices, jelly, and honey are suitable for the diet. The basis is widely used in all kinds of puree soups, mucous soups, oatmeal, semolina, rice porridges, low-fat sea fish, white boiled meat, it is allowed to add eggs, butter, and milk to dishes. Dishes are prepared exclusively pureed, in order to avoid damaging the walls of the stomach.
Diet 5
The fifth table during a stomach ulcer already serves as a complete diet for the patient, which beneficially creates all the conditions for recovery and restoration of all functions of the digestive system affected by the ulcer. Dietary table No. 5 is prescribed after all the symptoms of a stomach ulcer and its exacerbation have been relieved, and the body is confidently recovering.
In this case, nutritious food is used, rich in minerals and vitamins, balanced and healthy. However, there are significant restrictions: for example, you cannot consume ether-containing foods (ginger, onions, garlic), fried, fatty and cholesterol-rich foods. There is an emphasis on permitted fruits and vegetables. Food is still boiled, steamed, stewed.
In the diet menu for ulcers, it is allowed to use bread, only yesterday's bread or crackers, cheesecakes, and diet cookies. Allowed: borscht, cabbage soups, cabbage soup, beetroot soup. The food is also varied by adding hard cheeses (mild), aspic, caviar, tongue, and ham sausages. Coffee is allowed (only natural and always with milk).
Menu for the week
Imagination does not always work well for a variety of tastes, so that it is nutritious, healthy, and as close as possible to the diet for gastrointestinal ulcers. Check out the suggested dietary menu for the week using a video that is designed to help heal stomach ulcers:
Diet for a week:
Monday:
- For breakfast: boil slimy rice porridge (porridge is always made with milk), prepare an omelette, 200 g of milk as a drink.
- Snack: 200 g of milk.
- For lunch, cook slimy milk soup, steam meat souffle, compote with dried fruits.
- For your afternoon snack, boil one egg and drink 200 g of milk.
- Dinner: cook slimy milk buckwheat porridge, one soft-boiled egg and 200 g of milk.
- Before going to bed, drink 200 g of milk.
- Breakfast: prepare semolina porridge, an omelette, drink 200 g of milk.
- Lunch: cook slimy rice milk soup, steam fish, compote for drinking.
- Afternoon snack: drink 200 g of milk and one soft-boiled egg.
- Dinner: boiled milk porridge-oatmeal, plus a soft-boiled egg and again a glass of milk.
- Last supper: milk.
- Breakfast: milky oatmeal, milk.
- For a snack: milk.
- Lunch: slimy oatmeal soup, boiled meat soufflé, jelly with dried cherries.
- Afternoon snack: a glass of milk plus a soft-boiled egg.
- A glass of milk at night.
- Breakfast: slimy oatmeal porridge plus milk.
- Snack: a glass of milk.
- Lunch: milk soup with semolina, steamed cottage cheese soufflé with cherry sauce, compote.
- In the afternoon, drink milk with a soft-boiled egg.
- Dinner: slimy buckwheat porridge, a glass of milk.
- At night: milk.
- Breakfast: semolina, egg, milk.
- Snack: a glass of milk.
- Lunch: slimy oatmeal soup, steamed pike perch fish soufflé in butter, compote with dried fruits.
- Afternoon snack: egg with milk.
- Dinner: slimy buckwheat plus a glass of milk.
- At night: milk.
- Breakfast: slimy rice porridge, plus a glass of milk.
- Snack: milk.
- Lunch: slimy oat milk soup; steamed meat soufflé and compote.
- Afternoon snack: milk with a soft-boiled egg.
- Dinner: slimy buckwheat plus a soft-boiled egg and a glass of milk.
- At night: a glass of milk.
Sunday:
- Breakfast: slimy oatmeal, one soft-boiled egg, a glass of milk.
- Snack: a glass of milk.
- Lunch: slimy soup with rice, omelette, glass of milk.
- Before going to bed, drink a glass of milk.
Dish recipes
The diet menu can be not only dietary, but also delicious. Here you will find some useful recipes:
- Chicken soufflé with sour cream, ingredients:
Half a chicken breast plus an egg, plus 1 g of salt with one tablespoon of sour cream, add a teaspoon of butter. The fillet is boiled and put through a meat grinder; the resulting minced meat is added to the yolk with sour cream. The protein is separately beaten well and added to the ingredients. Pour the resulting mixture into a greased mold and cook in a steam bath.
Check out recipes on how to make fish soufflé for children.
- Fish pudding, ingredients:
For 100 g of sea fish fillet - a tablespoon of milk, half a piece of bread, 2 eggs, a teaspoon of butter, a pinch of salt. Half of the fish fillet is boiled and minced with bread and milk. Mix the rest with salt, butter and yolks. Beat the whites until foamy, add to the rest and steam.
- Rice porridge, ingredients:
A couple of tablespoons of rice with a glass of milk and 1 tbsp. water, plus a teaspoon of butter with a pinch of salt and sugar. Wash the rice thoroughly and cook over low heat for 2 hours; then grind it using a sieve, and then pour in hot milk with sugar, salt, butter, and bring to a boil.
- Berry cupcake, ingredients:
Half a glass of raspberries or strawberries, half a tablespoon of sugar, 3 egg whites and half a teaspoon of butter. The berries are washed through a sieve, sugar is added, and cooked until thick. The whites are whipped, added to the puree and baked in the oven at 200 degrees for about 10 minutes.
Use these tips for the fastest results. Diet for gastrointestinal ulcers is the key to successful recovery. You can compose it yourself, following the information provided above, but remember that you should never prescribe treatment yourself, take into account the individuality of your body, and also prefer to consult with specialists.
Proper nutrition for stomach ulcers is an indispensable attribute of the correct therapeutic effect, a preventive measure aimed at counteracting the recurrence of ulcers.
General nutrition rules
A diet for stomach ulcers, compiled correctly and without violations, accepted by the patient as a guide, can speed up recovery and stimulate rapid healing of stomach ulcers. Below are the main principles that must be followed by a patient suffering from a stomach ulcer, with chronic gastritis, which can later develop into a chronic peptic ulcer.
If it comes to the duration of the diet, you will need to adhere to the menu for a year after the end of the exacerbation of the ulcerative process. The main purpose of dietary nutrition is to help the regeneration processes of epithelial tissues.
Prohibited Products
Below is a list of foods prohibited for consumption for peptic ulcers. It is recommended to exclude from the diet foods that have an irritating effect on the wall of the digestive tube, increase the formation of gases in the intestines, and are filled with an excess of sodium and chlorine ions.
Veins and cartilage will need to be removed from meat products. A nutritionist or gastroenterologist will provide other recommendations for proper nutrition for ulcers.
Authorized products
A list of dishes and products allowed for diet number 1 is provided. The list of products is extensive, the patient’s food will not seem limited and boring.
Weekly diet for an ulcer patient
Below is the patient's diet. The menu for the week is an approximate diagram.
Monday
In the morning, it is useful to boil oatmeal in water and wash it down with a glass of tea. Second breakfast can consist of baked apples and low-fat yogurt. For lunch, it’s good to eat vegetable broth soup with rolled oats. Meatball with a side dish of potatoes or veal are suitable as a second course. For dessert you are allowed to eat fruit jelly. Take with rosehip decoction.
For an afternoon snack, the diet after an ulcer consists of milk with crackers. For dinner, you can cook steamed pike perch with stewed cauliflower from a steamer. Drink with weak tea.
Tuesday
For breakfast, prepare dietary dishes - a mixture of 2 eggs, butter and milk. Wash it down with strawberry jelly, your diet will become complete, tasty and nutritious. The second breakfast for ulcers with high acidity is buckwheat porridge with milk, thoroughly mashed. Should be washed down with tea.
Zucchini soup is prepared for lunch. The main course is served with pate from any variety of lean fish, potato casserole in foil with beef. For dessert, offer the patient apple mousse. For an afternoon snack, a banana washed down with a glass of fresh kefir would not go amiss. Such a diet after removal of part of the stomach is considered to be as gentle as possible.
For dinner after the stomach is removed, chicken meatballs with vegetable puree are prepared. For dessert - sour cream and yesterday's bread. Wash it down with compote or tea. Before going to bed - a glass of milk. It is important to follow the rules prescribed by diet therapy.
Wednesday
Breakfast consists of pureed rice porridge cooked in milk and apple compote. A similar diet after gastric resection is timely. The second breakfast consists of cottage cheese and oatmeal jelly.
Lunch, if a diet is necessary for stomach ulcers, is presented on the menu with vermicelli soup in vegetable broth. The dish is served with boiled beets with vegetable oil. For the second course, serve the patient buckwheat porridge and pike perch. Washed down with a glass of tea.
For an afternoon snack, the patient can eat a glass of yogurt and crackers. The evening meal consists of rice pilaf with beef and jelly. Try adding vegetable risotto.
Thursday
For breakfast, the diet after surgery includes a decoction of barley, boiled to a slimy state with milk, and milk jelly with carrots. A glass of tea with cookies is allowed for a snack after duodenal ulcer surgery.
The patient's lunch consists of rice soup with the addition of pumpkin; for the second, a meat soufflé of rabbit meat with boiled vermicelli is served. Dessert in the form of apples, pears and grape jelly.
Dinner – beetroot salad with potatoes, pumpkin and zucchini puree, jellied turkey. Wash it down with milk jelly. For an evening snack – curd pudding and fermented baked milk.
Friday
Breakfast – semolina porridge with jam and tea. Second breakfast – lazy dumplings and strawberry smoothie.
For lunch they offer a salad with vegetables and herbs with sour cream, soup with dumplings, and for the main course - zucchini stuffed with chicken, baked in the oven. An afternoon snack for peptic ulcer disease consists of fruit salad and strawberry jelly.
For dinner they serve tongue and potatoes. For dessert - oatmeal pudding with apple and tea. Evening meal – a glass of warm milk.
Saturday
Breakfast – milk soup and warm tea. Second breakfast – a glass of fermented baked milk and boiled beet puree.
For lunch, prepare the patient soup from prunes and apples and herring soaked in water. Snack – protein biscuit. For an afternoon snack, kefir cocktail with strawberries.
Baked cod and barley porridge are allowed for dinner. For dessert - jelly and fruit. Such a menu will not increase stomach acidity.
In the evening before bed - milk with crackers. Replace with yogurt if necessary. An incorrect diet that increases acidity leads to deterioration.
Sunday
The morning menu includes boiled macaroni and cheese and tea. For a snack – cottage cheese casserole, fruit and berry jelly.
Lunch consists of boiled meat and potatoes. For the first course - cauliflower soup, cheese mixture with carrots, plus compote.
Afternoon snack – baked apple with honey. Dinner – kefir, meatballs and vegetable puree and berry juice or compote. Before going to bed, you are allowed to drink milk and eat a soft-boiled egg.
This diet can be changed for a week, improvements are made to the list taking into account the patient’s tastes. The diet for a week for stomach ulcers should be based on the principles described.
Today in the media and on the Internet you can find a lot of recipes on how to prepare tasty and nutritious meals for stomach ulcers. They determine proper nutrition and become the key to a healthy lifestyle. Dietary nutrition is an important condition for proper treatment.
What should be the diet for stomach ulcers? In medical and treatment-and-prophylactic institutions, this is table No. 1. What characterizes this mysterious table? Can you stick to it at home and eat deliciously?
Stomach ulcer and traditional medicine
A stomach ulcer is a disease in which a defect forms on the mucous membrane and in the deeper layers of the stomach, acidic stomach contents enter it, and pain occurs. In severe cases, a stomach ulcer can perforate into the abdominal cavity. In this case, surgical treatment is necessary. In the early stages of the disease, after treatment has been carried out and table No. 1 has been followed, the stomach ulcer scars until complete healing.
The main causes of gastric ulcer development are the activity of Helicobacter Pylori and poor diet. To get rid of pathogenic bacteria, treatment is carried out with antibacterial drugs. To restore damaged mucous membranes, dietary nutrition is used.
Stomach ulcers can be treated well with cabbage juice. This method is very effective, since cabbage juice contains sulfolane. This substance prevents the proliferation of Helicobacter Pylori. Studies have been conducted that have found that people who regularly consume fresh cabbage are less likely to suffer from gastritis and stomach ulcers. During an exacerbation of the disease, you should not eat fresh vegetables and fruits; you should only consume them boiled or cooked in the oven. It is worth noting that meals for stomach ulcers should be fractional, 5-6 times a day, in small portions.
You can eat white cabbage, cauliflower, and Brussels sprouts. You can use fresh or frozen vegetables. They are boiled and cooked in a double boiler. Used for preparing salads, soups, and as a side dish. The diet for stomach ulcers in the first 2 weeks of the disease does not involve the use of cabbage; later it is recommended.
The disease is often treated with raw potato juice. This drink contains a large amount of astringents and starch. They tighten the mucous layer and prevent further spread of the ulcer. You should drink 50 ml of juice before meals for 1-2 weeks.
Therapeutic diet
Let's consider what nutrition should be like for a stomach ulcer.
Can be used:
- pureed soups;
- boiled lean meat;
- fish;
- root vegetables, squash, cabbage;
- some dairy products.
Do not use:
- black coffee;
- strong tea;
- hot, spicy, salty dishes;
- fatty foods;
- rough food;
- alcohol;
- fresh fruits.
Puree soup is one of the main dishes for stomach ulcers.
It is easily digestible, easy to prepare, and a must-have for lunch. The dish is prepared in a light broth made from vegetables. Meat broths should be avoided, as they provoke the secretion of gastric juice. Finely ground cereals are added to pureed vegetable soup. Cereals such as pearl barley, corn, and barley should be excluded.
The menu for stomach ulcers is quite high in calories and amounts to 2000-3000 Kcal. To achieve this calorie content, it is necessary to consume protein foods, namely meat and fish. These products must be cleaned of layers of fat, steamed, baked without crust or boiled. Meat recipes for dishes for ulcers are varied, and with the advent of the multicooker, there are even more of them.
Vegetables for stomach ulcers must first be boiled or baked. Then chop and then eat. The most commonly used are potatoes, carrots, pumpkin, and beets; you should be careful with onions (you can’t eat them raw). You can add some finely chopped greens. To make delicious vegetable broths, use some green peas.
If you have a stomach ulcer, you must exclude kefir from the menu (as it is sour), but you can leave yogurt (its treatment is not limited). Currently, yogurt with a bactericidal effect is being developed; it contains bacteria that limit the growth of Helicobacter Pylori. There is a debate about whether or not it is worth consuming whole milk; dietary table No. 1 includes this product and even uses low-fat cream. Now nutritionists say that milk should be excluded from the diet of patients with ulcers.
The dangers of poor nutrition
All of the prohibited products have common properties. They lead to irritation of the stomach and stimulation of the secretory activity of the glands. A large amount of acidic juice is produced, irritating the surface of the ulcer, pain occurs, and the ulcer increases in size. Also, some of the products provoke the growth of Helicobacter Pylori.
Following a diet requires disciplined behavior and a desire to get well from the patient. Yes, you will have to give up snacks on the run, sweet cakes (they can be replaced with dry cookies, baked fruit, a small amount of dried fruit), long feasts, drinking alcohol and smoking. During smoking, a significant part of the nicotine and tar enters the stomach and provokes cramps. If the treatment is carried out correctly and the diet is followed, after a few months the attacks of pain will disappear, after a year the diet will be normal, and treatment with medications can be avoided. At the same time, we must not forget the basics of proper nutrition.
Menu for stomach ulcers
Approximate menu for one week.
- Breakfast: semolina porridge with honey, broth.
- Afternoon snack: baked apple or pear.
- Lunch: vegetable soup with rice, lean fish cutlet, mashed potatoes, still mineral water.
- Afternoon snack: rye crackers, jelly.
- Dinner: carrot rice casserole, herbal tea.
- Breakfast: oatmeal porridge with raisins, herbal tea.
- Afternoon snack: cottage cheese muffin.
- Lunch: pumpkin puree soup, homemade beef pate, boiled potatoes, rye croutons.
- Afternoon snack: white grapes, yogurt.
- Dinner: vegetable puree and boiled chicken breast, boiled beet salad, with prunes.
We see that for stomach ulcers, recipes for a week can be varied and interesting.
- Breakfast: rice porridge with prunes, yogurt.
- Afternoon snack: apple-peach puree.
- Lunch: vegetable puree soup, beef cutlets, small pasta, herbal tea.
- Afternoon snack: boiled beets.
- Dinner: boiled cauliflower, boiled fish, jelly.
- Breakfast: steamed curd soufflé, pureed rice porridge - milk, tea with milk.
- Afternoon snack: fruit jelly.
- Lunch: pureed rice soup, carrot puree, steamed meat cutlets, dried fruit compote.
- Afternoon snack: rye crackers, rose hip decoction.
- Dinner: pasta casserole with cottage cheese, milk.
- Breakfast: jellied tongue, tea with milk.
- Afternoon snack: semolina porridge with milk, compote.
- Lunch: oatmeal-carrot soup, steamed fish balls, mashed potatoes.
- Afternoon snack: fruit jelly, rose hip decoction.
- Dinner: steamed chicken cutlets, beet puree, jelly.
For stomach ulcers, the menu is very varied, the dishes are tasty and healthy. Of course, the menu you use for the week may be slightly different, but the general principles will remain the same: breakfast of porridge, lunch with vegetable or cereal soup and steamed hot main course, dinner from sweet to meat and afternoon snacks rich in vitamins. Even the most sophisticated gourmet will enjoy this treatment. For stomach diseases, the diet is approximately the same. The menu for Saturday and Sunday is within the same framework; there is no need to list it so as not to be repeated.
Recipes for acceptable dishes
Semolina porridge with honey. To prepare you will need:
- 2 tbsp. l. semolina;
- 50 ml milk;
- 5 g butter;
- 250 g of water.
Pour the cereal into boiling water. Cook for 7-10 minutes, then add milk, cook for another 7-10 minutes, add butter. Cool. If you have a stomach ulcer, all dishes should be eaten warm; you should not eat hot or cold.
Explosion. To prepare you will need:
- half a glass of dried apples;
- ¼ cup raisins;
- and ¼ cup rose hips;
- 3 tbsp. l. Sahara;
- 2 liters of water.
Boil water and add fruit, cook for 15 minutes, add sugar 5 minutes before readiness.
Baked apple. To prepare, you will need 2 ripe apples, cut them into pieces 1 cm thick and bake in the oven until ready.
Vegetable soup with rice. To prepare you need:
- 1 carrot;
- 1 medium sized onion;
- 2 potatoes;
- dill greens - 2 g;
- 2 tbsp. l. rice
Boil rice in a bowl. Boil 1.5 liters of water, add peeled whole vegetables, cook for 30 minutes, then remove the vegetables and chop the onion, if desired. Add cooked rice to the puree, add a little salt and add chopped dill.
Fish cutlet. Required:
- 400 g minced fish;
- 1 chicken egg;
- 1 medium sized onion;
- 1/4 tsp. salt.
Mix all ingredients, steam or bake in the oven. The dish is rich in essential amino acids, which are necessary for the restoration of ulcerative defects. This dish is used for nutrition during gastritis, after surgical treatment of the stomach and duodenum.
Mashed potatoes. To prepare you will need:
- 400 g potatoes;
- 1.5 liters of water;
- 1/4 tsp. salt.
Wash the potatoes thoroughly, peel, boil for 30-40 minutes, and add salt after softening. Crush the puree and pour in the broth until it reaches the appropriate consistency. You can add 5 g of butter or vegetable oil.
Rye crackers. To prepare, use 1/2 loaf of bread. Cut the bread into small pieces and bake until golden brown.
Kissel. For cooking, you can use jelly - briquette or fruit and starch. Dissolve starch in cold water (the thickness of the jelly varies depending on its amount), lightly boil the fruit in a saucepan, pour in the diluted starch, bring to a boil and remove. You can add a little sugar.
Rice casserole with carrots. To prepare you will need:
- 2 medium sized carrots;
- 1 cup boiled rice;
- 2 eggs;
- oil for lubricating the mold;
- 100 ml milk.
Boil rice and carrots separately. Grate the cooked carrots, mix with rice, and place in a greased baking dish. Pour in beaten eggs and milk and bake until done. What a wonderful casserole!
Gastritis and stomach ulcers are common diseases of the gastrointestinal tract associated with bad habits and poor diet. The causes of both diseases are almost the same; more often, either Helicobacter or dietary errors are to blame. The diet for gastritis and stomach ulcers is approximately the same. There are also differences that are taken into account when creating an individual menu for the patient.
The question rightly arises: are stomach ulcers and gastritis possible at the same time? The answer is yes, since this combination of gastrointestinal diseases occurs frequently. Gastritis, becoming chronic, subsequently leads to peptic ulcer disease. It happens that a person has a stomach ulcer, and under certain conditions (unexpected stress, consumption of alcoholic beverages or prohibited foods), ulcerative gastritis also develops. This happens due to the increased vulnerability of the epithelial tissue of the stomach.
Allergic gastritis often causes a skin disease called urticaria.
Urticaria in a patient
For peptic ulcers and gastritis, it is necessary to follow the recommendations of nutritionists regarding nutrition:
- Ensure the correct balance of protein, fat and carbohydrates to restore and maintain metabolism.
- Fractional meals, which involve frequent meals in small portions, will help the stomach efficiently digest incoming food.
- The patient should eat healthy foods, whether steamed, boiled or stewed. Fried foods will make the situation worse.
- You should not feed the patient foods that lead to increased gas formation.
- Dishes are served at the optimal temperature, not hot or cold, avoiding exacerbation of diseases.
- It is advisable to serve certain dishes in ground form.
- When preparing food, do not use large amounts of salt, which irritates the epithelium of the digestive organ, and refrain from using spices and spicy food additives.
- You can't eat right before bed, and you can't overeat.
Nutrition for gastritis and stomach ulcers must be complete and regular, providing the sick person’s body with important elements and vitamins. Usually, diet No. 1 is prescribed, which is strict, but allows you to reduce the inflammatory process and promote rapid regeneration of damage to the mucosa. Optimization of gastric secretion is achieved through a gentle food intake regimen. Diet number 1 is applicable for patients suffering from gastric ulcers and gastritis with high acidity. The products consumed are designed to reduce the negative impact of the increased content of hydrochloric acid in the digestive fluid on the inner lining of the stomach.
It will be necessary to take into account other possible diseases of the patient, for example, diabetes, when it is necessary to exclude sugar-containing products from the diet. To identify the disease, a special test is performed to help determine the elevated level of glucose in the patient’s blood.
Products allowed for gastritis and peptic ulcers
We also present an impressive list of prohibited foods for stomach ulcers or gastritis.
Products not recommended for use for stomach ulcers and gastritis
Selected products are worth mentioning separately. For example, olives or olives. Berries can deliver enormous benefits to the human body; olives, like olives, contain drops of invaluable olive oil. Unfortunately, products are often only available in canned form. And canned food is contraindicated for the diseases in question.
Jellied meat lovers are wondering whether the dish is acceptable during diseases of the digestive system. The answer is positive only for patients with low acidity levels. Let's add a number of basic conditions: only lean meat without fat is used, the broth must be strained, and do not add spices or hot seasonings.
With the development of serious diseases such as stomach ulcers and gastritis, athletes have a question about consuming proteins. Doctors are unable to come to a consensus, but most sports nutrition nutritionists have come to the conclusion that it is possible to consume protein for gastritis. The product consists entirely of protein, which is important for health. A similar statement applies to gainers, but you will need to make sure there is no excess monosaccharides.
There is often a need to turn to traditional medicine to treat diseases of the digestive system. The use of kombucha kvass has a good effect. Kombucha for gastritis is possible with reduced secretion of gastric juice. The drink is allowed to be drunk during remission, but not during an exacerbation.
Vegetarianism and gastritis
Vegetarianism is a complete rejection of animal products. The condition for switching to the stated nutritional system is considered to be good human health and age over 25 years. When deciding to take such a step, it is recommended to undergo a consultation and examination with a gastroenterologist; gastritis and peptic ulcers will be contraindications for a vegetarian diet. A possible transition to vegetative nutrition is possible when signs of disease are completely excluded.
There are cases where the symptoms of gastritis disappeared after switching to vegetarianism. The process depends on the individual characteristics of a particular organism and the signs of the disease (acidity level, what type of gastritis, stage of the disease, acute or chronic form).
During gastritis or ulcers, it is useful to have a fasting day, preferably with oatmeal, which is cooked in water. It is possible to unload in this way at the time of exacerbation of diseases - the benefits of oatmeal are difficult to overestimate, especially when it comes to the digestive organs.
With such unloading, active cleansing of the intestines occurs and digestion is optimized. But consultation with your doctor is required.
Sample menu for every day
The patient’s nutrition remains gentle and at the same time complete, and it is desirable that the food is crushed. Do not go more than 2-2.5 hours between meals.
- 1 day. For breakfast, eat oatmeal and drink compote. After a couple of hours, cookies and jelly, or steamed cheesecakes. For lunch - dumplings with potatoes and vegetable soup. Then you can drink tea with biscuits. And for dinner, steamed meat cutlets with a side dish of pasta.
- Day 2. Start the day with a baked apple and cheesecakes, washed down with tea with milk. For second breakfast, jelly or compote are suitable. Have lunch with vegetable broth and a piece of boiled fish. Then tea with crackers, and bake a cottage cheese casserole for dinner.
- Day 3. Similar to the first one.
- Day 4 Similar to the second one.
- Day 5 For breakfast, boil a soft-boiled egg and drink compote. For second breakfast, charlotte with apples, washed down with tea. Dine on vegetable stew. Fermented baked milk with cookies or grated fruit are suitable for an afternoon snack. And for dinner, steamed fish with porridge and rosehip tea.
- Day 6 Have breakfast with oatmeal and compote. Then, with the onset of second breakfast, you can eat biscuits and drink jelly. For lunch, steamed meatballs and vegetable puree soup, “lazy” dumplings. Kefir for afternoon snack, and cheesecakes for dinner.
- Day 7 Similar to the fifth.
Selected products are interchangeable (for example, fermented baked milk, kefir). Make sure that your diet remains rich in proteins, carbohydrates and fats, and other essential elements. Be sure to include a variety of fruits, vegetables and dairy products in your diet.
In the article we discuss table No. 1 for gastric ulcers. You will learn what this disease is. We will tell you which products are useful for this diagnosis and which are prohibited. Let's look at diets No. 1a and 1b and draw up a sample menu for the week. By following our advice, you will learn how to prepare dietary meals and learn about nutritional habits during an exacerbation of the disease.
Every person, one way or another, at least once in his life has experienced a feeling of heaviness in the stomach and discomfort. Most often they are associated with the consequences of overeating and it is believed that they will go away on their own. If these symptoms become more frequent, this may indicate an incipient ulcer. In this case, pain appears or intensifies.
Table No. 1 - a therapeutic diet prescribed for gastritis and stomach ulcers
Gastric ulcers are trophic disorders of the integrity of the gastric or duodenal mucosa. As a rule, these are local defects. Moreover, they can form not only individually, but also represent multiple pathological changes in the mucosa.
An ulcer is characterized by deeper damage to the mucous membrane than erosion, so it heals with the formation of a scar. The disease itself has a certain cyclical nature. Periods of exacerbation are followed by remissions, when the symptoms of the disease may not bother you at all.
For more effective treatment, it is not enough to just take medications. It is also important to follow diet number 1 for stomach ulcers. We will talk about it in more detail below.
What you can and cannot eat if you have a stomach ulcer (table)
If ulcerative lesions of the gastric mucosa are diagnosed, the patient is prescribed a diet for gastritis and stomach ulcers - table 1. This diet excludes from the diet foods that are irritants to the mucous membrane, as well as strong stimulants for the production of gastric juice.
The therapeutic diet consists of well-balanced foods and contains sufficient energy value to maintain health and restore the functionality of the gastrointestinal tract. Look in the table at what is possible and what is not allowed for stomach ulcers on the 1 table diet.
| Allowed foods and dishes | Forbidden food |
| Vegetable and milk soups. | Fatty and rich soups with meat broth. |
| Lean meats and fish. | Lean and fatty meats and poultry. |
| Rice, oatmeal, buckwheat and semolina porridge. | Pearl barley, corn, millet and barley porridge. |
| Soufflés and puddings made from ground cereals. | Whole pasta, legumes. |
| Steamed vegetables: potatoes, cauliflower, pumpkin, zucchini, beets, carrots. | White cabbage, radish, spinach, onion, sorrel, pickled and pickled vegetables. |
| Eggs soft-boiled or scrambled. | Sauces, mustard, spices. |
| Milk, kefir, cream, yogurt, sour cream, pureed cottage cheese. | High acid dairy products, sharp and salty cheeses. |
| Yesterday's wheat bread, savory buns, dry cookies. | Fresh bread, butter and puff pastry. |
| Mashed or baked sweet fruits and berries. | Sour and unripe fruits and berries. |
| Fruit jams, purees, soufflés, pastilles. | Ice cream, chocolate. |
| Milk and fruit jelly, weak tea, weak coffee and cocoa. | Strong coffee, kvass, carbonated drinks. |
You learned what you can eat on a therapeutic diet, table 1, for stomach ulcers, and what foods it is better to avoid. Now let’s take a closer look at the features of different types of therapeutic nutrition with a sample menu for the week.
Diet No. 1 for stomach ulcers
With diet No. 1, foods are boiled, steamed, baked
Menu 1 table for patients with stomach ulcers consists of products balanced in nutritional value. This includes proteins (60% animal origin), fats (20-30% plant origin), carbohydrates, water and salt.
The daily norm of a therapeutic diet is 2900 - 3100 Kcal. In this case, the diet should be fractional. During the day you need to have 5-6 meals.
Indications for therapeutic diet No. 1 include:
- peptic ulcer during periods of exacerbation and remission;
- acute and chronic gastritis;
- gastroesophageal reflux disease (GERD);
- esophagitis.
Depending on the stage of the disease, diets No. 1a and No. 1b are distinguished. Let's look at them separately in more detail.
Diet No. 1a
Diet 1a for stomach ulcers is prescribed to patients during periods of exacerbation of the disease. This nutritional system is aimed at quickly relieving pain symptoms and relieving the acute phase of the disease. To do this, the calorie content of the daily diet is reduced to 1800-2000 Kcal.
At the same time, salt and any irritants of the mucous membrane are practically excluded from the diet. This type of nutrition is designed for a period of time during the acute phase of the disease - from several days to a week.
At this time, you should give preference to warm foods with a liquid or puree consistency. Solid and rough foods should be excluded from the diet during the period of exacerbation of the disease.
Diet No. 1b
Diet 1b for exacerbation of a gastric ulcer is aimed at accelerating the recovery of the mucous membrane. It is most often prescribed during periods of remission. This power system is suitable for a long period.
With diet No. 1b, food is boiled, baked or steamed. Food is also taken in fractions 5-6 times a day. At the same time, this power system is less strict. For example, kefir is allowed here, unlike diet No. 1a.
Sample menu for a week (for every day)
To make it easier to navigate what can be prepared on a therapeutic diet, it is best to prescribe the menu for the week ahead. Look at the example in the menu table for every day - 1 table of food for stomach ulcers.
| Day of the week | Menu |
| Monday |
Breakfast: banana milkshake, rice porridge, weak tea. Second breakfast: baked apple. Lunch: milk and vegetable puree soup, boiled chicken breast. cauliflower. Afternoon snack: fruit jelly. Dinner: beef soufflé, boiled vegetables, tea. Before bed: warm milk. |
| Tuesday |
Breakfast: semolina pudding, cottage cheese with fruit, tea. Second breakfast: milk jelly. Lunch: potato and oatmeal soup, boiled carrot salad, compote. Afternoon snack: cottage cheese soufflé with fruit. Dinner: milk-rice porridge, vegetable salad, tea. Before bed: green tea with milk. |
| Wednesday |
Breakfast: oatmeal, soft-boiled egg, weak coffee with milk. Second breakfast: rosehip decoction. Lunch: potato soup, steamed fish, bread. Afternoon snack: semolina pie. Dinner: buckwheat porridge, steamed turkey cutlets, tea with milk. Before bed: mashed banana with cream. |
| Thursday |
Breakfast: omelet, semolina porridge, tea with milk. Second breakfast: cottage cheese soufflé. Lunch: vegetable soup, steamed beef meatballs, tea. Afternoon snack: pastila. Dinner: steamed chicken fillet, rice porridge, vegetable salad. compote. Before bed: tea with milk. |
| Friday |
Breakfast: milk-pumpkin porridge, cocoa. Second breakfast: salad of bananas, pears and sweet berries with cream. Lunch: mashed potato soup, fish with vegetables, compote. Afternoon snack: apple-peach puree. Dinner: macaroni and cheese, meat soufflé, sour milk. Before bed: milk with honey. |
| Saturday |
Breakfast: semolina porridge, cottage cheese with dried apricots or raisins. Second breakfast: fruit pastille. Lunch: vegetable casserole, steamed cutlets, tea. Afternoon snack: baked apple. Dinner: mashed potatoes with milk, steamed fish, tea. Before bed: peach puree with cream. |
| Sunday |
Breakfast: milk soup with noodles, cheesecake with cottage cheese. Second breakfast: fruit puree. Lunch: vegetable cauliflower soup, steamed fish, compote. Afternoon snack: semolina pie. Dinner: cauliflower puree, steamed beef cutlets, vegetable salad, tea. Before bed: kefir. |
Examples of recipes for diet No. 1
Dietary dishes to restore the gastric mucosa should have a liquid or puree consistency. Most often, soups, purees, soufflés and steamed dishes are prepared for diet No. 1. Let's look at a few simple recipes for diet number 1 for stomach ulcers.
For the first course, milk or vegetable soups are most often prepared. Puree soups are perfect for therapeutic nutrition. To obtain a uniform, delicate consistency, the finished dish is passed through a blender.
You will need:
- turkey fillet - 200 gr.;
- milk - 100 ml;
- butter - 1 tablespoon;
- potatoes - 100 gr.;
- rice flour - 1 tablespoon;
- carrots - 60 gr.;
- water (for broth) - 500 ml;
- salt - to taste.
How to cook:
- Place the turkey fillet with some salt in boiling water.
- Cook the meat for 20 minutes, add diced carrots and potatoes.
- Cool the prepared vegetables and meat, then pass them through a meat grinder or grind in a blender.
- Melt the butter in a frying pan, add rice flour to it and stir until golden brown.
- Pour 4 tablespoons of broth into the pan, stir until smooth. To eliminate lumps, pass the liquid through cheesecloth.
- Pour the broth and flour into a saucepan, add the meat and vegetable puree and simmer over low heat for 7 minutes.
Calorie content:
Calorie content of 100 ml of turkey puree soup is 55 Kcal.
For the second course, you can cook steamed poultry cutlets, lean meat, and fish. Boiled vegetables or salad are suitable as a side dish.
You will need:
- beef - 300 gr.;
- milk - 100 ml;
- egg - 1 pc.;
- wheat bread - 1 slice;
- salt and pepper - to taste.
How to cook:
- Soak a slice of bread in milk for 5 minutes, squeeze out excess liquid and crumble the bread.
- Pass the beef through a meat grinder twice, combine with bread and add an egg.
- Add salt to taste, add a pinch of pepper and mix thoroughly.
- Form cutlets from the resulting minced meat, place them in a double boiler and cook for 25-30 minutes.
Calorie content:
Calorie content 100 gr. steamed beef cutlets 160 Kcal.
As a dessert for second breakfast or afternoon snack, cottage cheese, fruit or vegetable casseroles are prepared. Consider the recipe for manna.
You will need:
- semolina - 250 gr.;
- kefir - 2 tablespoons;
- eggs - 3 pcs.;
- granulated sugar - 200 gr.;
- salt - 1 pinch;
- soda - 1 gr.
How to cook:
- Mix kefir, granulated sugar and salt in a deep bowl.
- Beat the eggs with a whisk for 5-7 minutes, then add them to the kefir and sugar mixture.
- Gradually sift the semolina into the resulting mass and mix thoroughly so that no lumps form.
- Cover the container with a lid and leave to infuse at room temperature for 30-40 minutes. During this time, the cereal should swell and increase in size.
- Add soda, mix thoroughly and pour the dough into a baking dish.
- Place the container in an oven preheated to 180 degrees for 30 minutes.
Calorie content:
Calorie content 100 gr. manna 269 Kcal.
You have learned the most common recipes for diet 1a for stomach ulcers and the menu for the week. Now we will talk about the features of therapeutic nutrition during periods of exacerbation.
Features of the diet during exacerbation of ulcers
Diet 1a for stomach and duodenal ulcers during an exacerbation period consists of strictly avoiding any foods that stimulate the production of gastric juice and ingredients that irritate the mucous membrane. At this time, you should completely eliminate seasonings and especially salt from your diet.
For a week you must adhere to a strict diet and eat only liquid or pureed food. As a cooking process, preference is given to boiled and steamed dishes.
The total daily calorie content of meals during an exacerbation of a stomach ulcer should not exceed 2000 Kcal. The amount of food consumed per day is no more than 2 kg.
Absolutely contraindicated during an exacerbation of an ulcer:
- coffee and cocoa;
- baked goods;
- dairy products;
- fatty and fried foods;
- sauces;
- fresh vegetables and fruits;
- marinades, salted and smoked products;
- canned food;
- carbonated drinks;
- confectionery;
- cheeses;
- spices (including salt);
- alcohol.
Features of the diet in the presence of gastritis and duodenal ulcers
When following diet 1 for gastric and duodenal ulcers, you must adhere to the following rules:
- the food consumed should be warm (hot and cold foods are excluded);
- You should avoid salt or limit it to 5 grams. per day;
- you need to eat in small portions - 5-6 times a day;
- the serving volume should not exceed 300 g;
- the daily diet should contain proteins, fats and carbohydrates;
- preference should be given to boiled or steamed food;
- Vitamins of group B, A and C must be present in the diet;
- All products must be ground or crushed in a blender.
When the symptoms of the ulcers subside, they gradually move from a strict diet to table No. 1b. New products must be introduced into the diet one at a time, gradually expanding the daily menu.
What happens if you don't follow a diet
If the therapeutic diet is not followed, the patient risks complications of the disease. The presence in the diet of foods that irritate the mucous membrane of the stomach and duodenum, as well as stimulants for the production of gastric secretion, complicate and delay the recovery process.
If you do not follow the diet, the pain syndrome will soon intensify, and inflammation may spread to neighboring tissues and organs. It is necessary to understand that drug treatment is not enough for recovery. If the diet is not followed in advanced cases, medicine is powerless.
Lack of diet threatens the formation of internal bleeding and the transition of ulcerative neoplasms to atypical forms. In a short time, multiple lesions of the mucous and submucosal membranes can form from one ulcer, which will be impossible to cure without surgery.
For more information about therapeutic diet No. 1, watch the video:
What to remember
- Diet table No. 1 excludes from the diet foods that are irritants to the mucous membrane, as well as strong stimulants for the production of gastric juice.
- During periods of exacerbation of the ulcer, it is necessary to follow a strict diet for faster restoration of the mucous membrane.
- If you do not follow a therapeutic nutrition regimen, the pain syndrome will soon intensify, and inflammation may spread to neighboring tissues and organs.
Patients suffering from heartburn know firsthand how its symptoms (pain, nausea and vomiting, heartburn) can worsen the quality of life and disable the body during an exacerbation.
This disease is characterized by periods of remission (when healing of the mucosal defect occurs, elimination of clinical symptoms and normalization of well-being) and exacerbation, which can even occur from errors in nutrition.
Irritating, hot, spicy, coarse, too hot or cold foods cause increased secretion of gastric juice, including excessive formation of HCL. And the increased production of hydrochloric acid in this pathology is a predisposing factor, “fertile ground” for relapse.
If a patient with an existing stomach ulcer does not adhere to the correct diet and nutrition, other methods - drug treatment, herbal medicine, physical therapy - may not have the desired effect and the ulcer will not heal.
Nutritional therapy, both during exacerbation and remission, is an important component of complex therapy for the disease.
Often, the pain syndrome that accompanies this disease forces patients to refuse to eat at all. Doing this is strictly prohibited!
Prolonged fasting will not alleviate the situation, but will worsen it. After all, the gastric juice produced by the glands begins to corrode its own mucosa, further contributing to inflammation and trauma.
It is very important to know what you can eat if you have a stomach ulcer, and how to eat properly. There are a number of rules for eating food for the stomach without pain:
- You should adhere to frequent and small meals 6-7 times a day, the portion of food eaten should not exceed the size of a fist
Under no circumstances should you overload your stomach with volume. A diseased organ should not be burdened with the backbreaking work of digesting large amounts of food.
If the patient is prone to overeating, this habit needs to be stopped. A smaller plate instead of the usual one will help to visually increase the portion.
- chew food thoroughly
It is very easy to provoke an exacerbation of the disease by “snacks on the run” or hastily swallowed food.
Large pieces can mechanically injure the delicate inner wall of the organ, cause pain, and impair motor skills.
The digestion process begins in the oral cavity. By thoroughly chewing and preparing the bolus of food for further “travel” through the gastrointestinal tract, we make the task easier for other departments - digestion occurs better, the breakdown of macromolecules into particles is faster, and absorption is facilitated.
- observe the temperature regime
Food that is too hot (above 550C) or too cold (below 150C) is harmful to the diseased organ. Errors in temperature conditions distort the processes of enzyme formation, contribute to excessive production of HCL, and disrupt healing processes.
The optimal temperature for consumed food is 28-33 0C
- The diet must be balanced, contain the optimal amount of protein, vitamins, Ca, Mg
Despite the fact that diet therapy for illness introduces its own prohibitions on many foods, especially at the height of the pathological process, the patient’s body should not suffer from a lack of essential nutrients, vitamins and microelements.
Every day you should receive at least: 110-120 g of protein (60-70% animal), 100-110 g fat (30-40% vegetable), 400-450 g carbohydrates.
It is very important to saturate the diet with protein, since it is protein that, when entering the body in sufficient quantities, helps to enhance regenerative processes, binds HCL, reduces the activity of the gastric glands, reduces the production of pepsin, and has a neutralizing effect on acidic contents.
- The calorie content of all foods consumed per day should be 2800-3000 kcal
Excess calories can lead to obesity and the development of metabolic syndrome. Insufficient supply of energy resources disrupts the healing processes of the inflamed membrane and submucosa, leads to exhaustion and aggravates the disease.
Violating these rules means deliberately delaying the moment of reduction of clinical symptoms and recovery.
What you can and cannot eat if you have a stomach ulcer
This disease is characterized by increased acid-forming function of the organ with the release of large quantities of hydrochloric acid and pepsinogen into its lumen with gastric juice.
Excessive acidity, in combination with other causative factors, negatively affects the inner membrane and submucosal layer, destroying and injuring it, causing the formation of a defect.
It should be remembered that the menu for stomach ulcers should exclude foods that contribute to:
- even greater production of HCl
- traumatization of the inner wall
Stimulate the production of hydrochloric acid (and therefore contraindicated for ulcers):
- alcohol
During the acute stage, even a minimal amount of alcoholic drinks can provoke serious complications in the form of bleeding or even perforation of an organ.
In addition to increased secretion of HCl, alcohol causes a disruption in the formation of a protective factor - gastric mucus, and helps to increase the concentration of pepsinogen-I.
Under the influence of the “green serpent,” a person becomes tipsy, loses self-control, and begins to eat foods prohibited for his illness, which worsens his condition.
- black coffee
Fans of this drink in the morning on an empty stomach should reconsider their preferences. Caffeine also stimulates the production of HCl, promotes the development of oxygen starvation of the capillaries of the inner wall, accelerates the evacuation of food, and creates conditions for the formation of gastroduodenal reflux. Coffee is a “grater” for the stomach of a patient suffering from this disease.
- fatty meat, fish, pickles, canned food, smoked meats
- rich broths, cabbage soup
- salty cheeses
- sour berries and fruits
- spices, spices, garlic
Any products with “pepper” and seasonings that make the taste of dishes richer are strictly contraindicated in this pathology precisely due to the increased production of gastric juice.
The expression “drooling” is not figurative at all. If such an effect is observed on spicy or smoked foods, it should be remembered that gastric secretion also increases. But with an ulcer, this is not acceptable!
Also contraindicated for consumption are foods that contribute to organ trauma, are coarse, and difficult to digest:
- stringy meats, poultry
- fried foods
- coarse vegetables: cabbage, radish, turnip,
- legumes
- Rye bread
- mushrooms in any type of processing
- margarine, animal fats
Contribute to the development of fermentation processes, excessive accumulation of carbon dioxide and aggravation of the clinical picture (increased nausea, pain, etc.) consumption:
- fresh bread, flour products with the addition of yeast (when fermented, these products release gases that distend the walls of the stomach and increase pain and bloating)
- chocolate
- ice cream
- soda, kvass
Diet for stomach ulcers at home - “white” list of products
The goal of proper nutrition is to quickly transfer the ulcerative defect to the scarring stage and prevent exacerbation. Therefore, the “white” list of what can be safely consumed for this disease consists of foods that are mechanically and chemically gentle on the stomach. The diet includes:
- white stale bread, “Croquet”, “Maria” cookies
- milk soups made from oatmeal, rice, semolina porridge
- pureed vegetable soups, noodles with butter or cream dressing
- boiled rice, buckwheat, oatmeal
- boiled beef, rabbit, turkey,
- lean fish
- low fat milk, yogurt, curdled milk
- boiled pasta
- boiled potatoes, carrots, beets, cauliflower
- pumpkin, zucchini
- boiled tongue
- jellied fish in a broth of vegetables
- dietary boiled sausage
- puree, jelly, sweet berry mousse
- milk jelly
- marshmallows, marshmallows, honey, jam in small quantities
- milk sauce
- weak tea, coffee with milk
- low concentration fruit compotes, rosehip decoction
- unsalted butter
The white list is quite diverse, from it you can create a menu that fully meets the requirements for caloric content and balanced diet.
Diet No. 1
With the advent of drugs such as proton pump inhibitors in the treatment of peptic ulcers, the opinions of doctors and scientists regarding diet are divided.
Opponents of strict dietary restrictions have emerged, who explain their position as follows: modern medications are capable of sufficiently blocking acid production, which is stimulated by food, so sometimes you can allow yourself too much according to the principle “if you really want it, then you can.”
Many doctors adhere to strict dietary restrictions and, in the old fashioned way, recommend that patients refrain from any dietary errors. Prohibited foods are a strict taboo even during the period of persistent attenuation of inflammatory changes.
Most doctors are for the “golden mean” and moderation in restrictions: antiulcer treatment diets No. 1a and No. 1b are prescribed only for severe symptoms of exacerbation for a short time, then patients are transferred to diet No. 1.
It stimulates the repair processes of the affected organ, restores appetite, prevents the development of constipation, and has a positive effect on the general well-being of the patient.
This table No. 1 is physiologically complete both in caloric content and in the balance of nutrients with a predominance of protein. It excludes the consumption of spicy, peppery foods rich in dyes and preservatives, which can have an irritating effect on the mucous membrane.
Otherwise, table No. 1 fully complies with the rules described above and all dishes from the “white” list are allowed in it. It is also recommended to limit the intake of table salt to no more than 5-6 g per day, taking into account its content in food products.
You should not think that this table No. 1 is indicated only for the first time after the disease has subsided, and two years later after the exacerbation has disappeared, you can return to the usual French fries and soda.
This diet should be taken as a constant basis of nutrition for life, because an ulcer that has already occurred may heal, but the tendency for it to reoccur will not disappear.
Therapeutic diet for exacerbation of stomach ulcers
In case of severe exacerbation, intense acute pain syndrome, emerging or possible complications, table No. 1a is prescribed.
Its goal is to minimize irritating effects on the mucous membrane, both mechanical and chemical. The patient is simultaneously prescribed bed rest.
Food is accepted exclusively in liquid or pureed form, the “white” list is shortened, all types of fruits and vegetables, bread and baked goods in any form, and fermented milk products disappear from it.
Salt consumption is practically absent or significantly reduced (down to 1-2.5 g per day).
Cream soups, slimy porridges with water, and soufflé are widely used. The energy value decreases to 1900-2000 kcal.
Table No. 1b is prescribed after cessation of nutrition on table No. 1a during the period of attenuation of inflammation. Food can be taken not only in pureed and liquid form, but in small pieces. This is a gentle regime, gradual preparation and a transition to a more expanded diet.
Calorie content increases to 2500 kcal. It is allowed to take boiled vegetables, steamed cutlets from lean dietary meat, and white stale bread.
Drinking regime is within 1.2-1.5 liters.
The sequence reflecting the gradual expansion of the diet for this diagnosis looks like this: table No. 1a -1b-1.
Antiulcer diets No. 1a - 1b are prescribed during the period of exacerbation and beginning remission for a short period of time from 3-5 to 10-14 days, and then patients are transferred to diet No. 1, which is recommended to be followed for at least a year, and ideally for life.
Dish recipes
Proper dietary nutrition can be not only healthy, but also tasty. And here is confirmation of this - recipes for table dishes No. 1, which anyone can easily prepare:
1. Oatmeal soup with vegetables.
Carrots - 1 pc., potatoes - 3 pcs. Finely chop the medium size, add water to the oatmeal, bring to a boil. Add vegetables, cook for 10 minutes. When serving, add a teaspoon of low-fat sour cream and eat warm.
2. Zucchini stuffed with boiled meat and rice.
Zucchini – 5 pcs. Remove seeds and stems, scald with boiling water, remove skin. Mix boiled rice (3 tablespoons) with boiled lean meat (100 g), minced twice. Add 5g butter to the minced meat. Fill the zucchini with minced meat, place in a heat-resistant container and simmer in the oven at 180 0C for at least 20 minutes.
3. Curd soufflé with jelly.
Cool the pre-cooked semolina. Rub non-acidic cottage cheese (200g) through a sieve, mix with semolina, add 1 tbsp. sugar, 5 g butter, grind, put in a mold and steam for 20 minutes. Pour pre-cooked and cooled blueberry jelly over the cooled souffle
Is it possible to use...
Milk
Yes. If we are not talking about fresh fresh milk, from morning milking, but about a pasteurized store-bought product with a low fat content.
Garlic
No. Its acute irritating effect negatively affects the recovery process of the ulcer.
Yes. In small quantities, this product has a beneficial effect on the gastrointestinal tract, helps lower elevated pH levels, and eliminates the symptoms of heartburn.
Adherents of traditional medicine use honey as a healing drink that envelops the mucous membrane, relieves inflammation and irritation, and eliminates heartburn. 1 teaspoon of the product is dissolved in a glass of water at room temperature and taken orally either before meals or 3 hours after meals.
You can take this drink after making sure that you are not allergic to honey.
It is possible, but only during the period of remission in small quantities, lightly salted with a low percentage of fat content. It is better not to use varieties like feta cheese and Adyghe cheese.
Bananas
Yes. Even during a period of unstable remission, this fruit is not prohibited from being taken in pureed form. The exception is unripe bananas.
Citrus
Not during exacerbation. They promote irritation and increase inflammation, increase the pH of gastric juice, aggravate heartburn, belching, and pain. If the pathology is persistently attenuated, it can be taken once a month in a small amount.
Sushi
No. Fresh sea fish and seafood are dangerous food for a sore stomach, especially in combination with hot sauces and seasonings that are served with this dish.
Nuts and seeds
Not in the acute phase of the disease, since these products are difficult to digest and are a mechanical irritant. During the subsiding phase of the pathology, they can be taken in moderation, but they should be thoroughly chewed in the oral cavity.
Apples and pears
Yes. They can be taken in the phase of unstable remission in pureed form without peel. The pectin contained in apples has a beneficial effect on digestion and has a wound-healing and enveloping effect. Jelly and compotes made from these fruits are useful.
Grape juice
No. Grapes and sugar ferment in the gastrointestinal tract, increase bloating and can increase pain and discomfort.
We are what we eat. You can't argue with this statement. We can only add: what people eat when they have a stomach ulcer determines their health and well-being. A competent approach to choosing food products, responsible adherence to the regime and rules of food intake will allow you to keep the disease in remission for a long time and forget about pain.
Nutrition for stomach ulcers is a very important point in treating the disease and preventing exacerbations. No drug therapy will give the desired effect without an accompanying diet. For patients with peptic ulcers, the standard is table No. 1 according to Pevzner. Below we will take a closer look at what to eat if you have a stomach ulcer.
The Pevzner diet No. 1 involves reducing the load on the stomach through mechanical, thermal and chemical sparing. It is divided into several successive stages, which are prescribed at different periods of the disease.
Table 1a
Diet 1a is prescribed for exacerbation of stomach ulcers and gastritis. During the acute period (10-12 days), patients are allowed only pureed and mushy dishes, which weakly stimulate gastric secretion. The calorie content of the food is about 2000 kcal.
The basis of the diet is slimy decoctions of cereals, semi-liquid soufflés of lean meat and fish, pureed porridge with water. Eggs can only be eaten soft-boiled or as a steam omelet. The preferred drinks are jelly, milk, and low-fat cream. It is allowed to add butter and vegetable oil (especially olive) to food. Other foods, including bread, are excluded.
The daily diet for exacerbation of a stomach ulcer contains 80-90 grams of fats and proteins, about 200 grams of carbohydrates and a sufficient amount of vitamins. Salt is limited to 5-6g/day. There should be at least 6 small meals per day. All food and drinks are served warm; cold or hot drinks are not allowed.
For diet 1 and for stomach ulcers, the daily menu looks something like this:
- breakfast – steam omelette, weak tea;
- 2nd breakfast – semolina porridge on water with butter, jelly;
- lunch – slimy oatmeal soup, meat soufflé, milk;
- afternoon snack – pureed rice porridge, fruit jelly;
- dinner – mashed potato soup;
- second dinner - soft-boiled eggs and a decoction of dried fruits.
Table 1b
When the exacerbation of the disease subsides, the next stage of the diet begins, which also lasts 10-12 days. The diet is gradually expanded to include white bread in the form of crackers (up to 70-100 g per day). The calorie content of daily food is 2500-2600 kcal. In addition to dishes from diet 1a for stomach ulcers, the menu includes vegetable purees, steamed fish or meat cutlets, mashed milk porridges, syrups, and jellies. The frequency of meals is 5 times a day.Sample diet menu 1b:
- breakfast – mashed non-sour cottage cheese and a glass of natural yogurt;
- 2nd breakfast – pureed rice porridge with milk, jelly, white bread crackers;
- lunch - boiled oatmeal with steamed beef cutlet, pureed vegetable soup, rosehip compote;
- afternoon snack – weak sweet tea and crackers, baked apple;
- dinner - fish soufflé with semi-liquid mashed potatoes, bran decoction.
Nutrition for stomach ulcers at the next (third) stage is close to normal in calorie content (about 3000 kcal). Stale white bread, boiled porridge with water and milk, boiled meat (beef, rabbit, chicken), boiled or steamed fish, pasta, cocoa, weak coffee with milk or cream are added to the diet. During the healing stage, fruits for stomach ulcers can only be eaten sour and ripe, in the form of puree or baked. The same applies to berries.
The third stage of therapeutic nutrition lasts as long as the previous ones, but it is not final. For 5-6 months, they adhere to some rules and restrictions, very gradually expanding the diet and bringing it to normal. And even with complete remission of the disease, you should limit the consumption of certain foods:
- fatty meat, fish, poultry;
- spices and herbs;
- sweet confectionery products;
- marinades, smoked meats, pickles;
- sausages;
- salted fish;
- "fast food";
- mushrooms;
- strong coffee.
The same principles should be followed to prevent stomach ulcers.
It is better to give up alcohol completely so as not to provoke a new exacerbation. It is also not recommended to eat fried foods. Food should be prepared by boiling, stewing, baking or steaming.
Nutrition after surgical treatment of ulcers
Diet after surgery to remove a stomach ulcer requires a special approach. Typically, this procedure usually removes two-thirds of the organ, so the volume of the stomach is significantly reduced. In the first days, a zero surgical diet is prescribed, which involves consuming only mucous decoctions and very weak broths and jelly. That is, all food is mainly given in the form of drinks. Gradually switch to diet 1, described above.
Bananas and stomach ulcers
Bananas are tasty and healthy fruits. They also contain a lot of starch, which envelops the mucous membranes of the gastrointestinal tract and protects them from the action of acid. Therefore, bananas for stomach ulcers help quickly relieve pain and alleviate the condition. If the patient tolerates this product well, it can be taken even during an exacerbation in the form of a puree. Of course, you shouldn’t overdo it; it’s enough to eat one fruit a day.
Bananas are a valuable source of vitamins, minerals and energy, which are needed in increased quantities for peptic ulcers.
Can I drink milk?
You can drink milk if you have a stomach ulcer, and it is very beneficial. During an exacerbation, the body especially needs vitamins and nutrients, which are contained in sufficient quantities in dairy products. But you should know that in the acute period you should not drink fermented milk drinks, they can irritate the inflamed mucous membrane and negatively affect the healing process of the ulcer.
It is allowed to drink skim or low-fat milk warm (boiled or pasteurized). You can drink not only cow's milk, but also goat's milk, but it must be diluted with boiled water. When the ulcer heals, you can gradually consume fermented milk products.
Ulcer and quail eggs
This product is considered dietary and is used to treat many diseases, including peptic ulcers.
Quail eggs are used for the prevention and treatment of ulcerative lesions of the gastrointestinal tract
Quail eggs for stomach ulcers contribute to faster healing of the defect and also help prevent exacerbation. They can be eaten as a steamed omelette or soft-boiled. Outside of an exacerbation, it is useful to take this product raw half an hour before meals with diluted juice or water. Eggs are also added to cereals, purees, and soups. Adults can eat up to 5-6 pieces per day.
Of course, in many cases, proper nutrition alone cannot overcome a stomach ulcer, although it is a necessary condition for treatment. We talked about all modern methods of combating the disease in the article, which we recommend that everyone who suffers from this disease read.
You can learn more about how to eat if you have a stomach ulcer by clicking on the link:
