What should a peptic ulcer patient eat

You will also be prescribed a medication that temporarily keeps your stomach from making or secreting as much acid as it normally would. This medication may be a proton pump inhibitor or H2 blocker. Most ulcers caused by H. But untreated stomach ulcers can lead to more serious problems, like internal bleeding and stomach cancer.

Speak to your provider, make a plan, and get treatment. Stomach ulcers are a relatively common and irritating medical condition. This article lists 9 scientifically backed natural ulcer remedies. Stomach ulcers are open sores in the lining of the stomach. They are often extremely painful. Read on to learn about easy stomach ulcer home remedies…. Gastric and duodenal ulcers are both types of peptic ulcers.

These ulcers can cause different symptoms, depending on where they are. A peptic ulcer on…. A bleeding ulcer requires immediate treatment. Learn more about the warning signs and what to expect during treatment. Peptic ulcers are painful sores in the lining of the stomach, esophagus, or small intestine. Learn about risk factors, complications, and…. Gastric tissue biopsy is the examination of tissue removed from the stomach.

The tissue is placed in a special dish to see if bacteria or other…. Helicobacter pylori H. You can get it though…. Stomach ulcers are painful sores in the lining of the stomach. They are a type of peptic ulcer disease. Stomach ulcers occur when the thick layer of…. Ferri-De-Barros et al. According to Reis 29 , smoking diminishes secretion of mucus and bicarbonate, raising the duodenal and gastric flow and increasing the risk of ulcers formation. Prospective and retrospective studies show higher mortality from peptic ulcer in smokers when compared to nonsmokers.

Researches show that, among other tobacco constituents, nicotine accounts for most of the peptic ulcer development, because it has a harmful effect on the protective mucus of the gastric epithelium, altering bicarbonate Coffee, even decaffeinated coffee, raises gastric acid production, resulting in mucosal irritations. The same goes for soft drinks, which, besides increasing acid production, are gaseous and cause gastric distension and is dyspepsia-related However, it is important to take into account individual tolerances, with attention to the existence of misconceptions about foods and their actions in the body.

Table 2 indicates foods that are prohibited and should be avoided by people with peptic ulcer. Allowed foods, foods that should be consumed with caution, and foods that must be avoided.

Deficiency of vitamin B 12 is common in patients with peptic ulcer due to the prolonged use of antacids, making difficult the bioavailability of this vitamin. Vitamin B 12 can be synthetized by the intestinal microbiota in the colon, but is not absorbed. Deficiency of this vitamin causes impaired cell division and megaloblastic anemia. As a result, recommendation is for 2. Antacids can also diminish absorption of iron, causing iron-deficiency anemia.

Gastrointestinal bleeding can be observed in gastroduodenal ulcer and infection by H. Gastric bleeding is a major complication of peptic ulcer Infection by H. Similarly to other kinds of bacteria, iron is essential for the growth of H. To prevent or even treat iron deficiency, an intake of 45 mg of iron daily is recommended, which can be supplied by the ingestion of meats, the main source of heme iron. It is estimated that g of meat correspond to 1 kg of beans non-heme iron.

The concomitant consumption of fruit juice containing vitamin C enhances the non-heme iron absorption from the diet 1. The potential of plants as source of new drugs still offers a large field for scientific research. Even if is observed a large number of known plants, a small percentage has already been phytochemically investigated and only a fraction of them has already been assessed to determine its pharmacological potential. Even among traditional medicinal plants there is still a large percentage that has not been studied to confirm their efficacy and safety in humans In peptic ulcer this is also observed.

In a study conducted by Mentz and Schenkel 20 , in which they assessed plants with popularly known effects to scientifically prove them, they observed that plants like Symphytum Officinale L. Comfrey , besides having no proven efficacy it may be harmful because of their pyrrolizidine alkaloids, of proven hepatotoxic action.

Another studied plant was Zantoxylon rhoifoliun Lan "mamica-de-cadela" , popularly indicated for ulcers and healing, but its benefits have not been proved either. In addition, Maytenus ilicifolia Mart, commonly known in Brazil as "espinheira-santa", used for healing peptic ulcer, has not proven this effect in trials either.

Studied the effects of Peumus boldus "boldo" and Baccharis genistelloides "carqueja" , both commonly used to treat digestive problems and ulcers. The studies that proved various activities popularly attributed to these plants are associated with the isolate chemical compounds, such as, for example, flavonoids, antioxidants found both in boldo and carqueja leaves.

However, the benefits of these teas in the cure of peptic ulcer have not been scientifically proven The use of natural products in treatment of ulcer has been widely studied. However, most of the studies 7 that have proven an anti-ulcer effect were conducted with animals, and therefore do not provide reliability for alternative treatments in the prevention of relapses or for treatment of peptic ulcer in humans.

However, there are few papers that innovate dietotherapy; so additional studies addressing more specifically the dietotherapy for treatment of peptic ulcer, a disease that affects a large part of the population, are necessary.

Conflicts of interest: none. Financial source: none. National Center for Biotechnology Information , U. Arq Bras Cir Dig. Author information Article notes Copyright and License information Disclaimer. E-mail: rb. Received Feb 13; Accepted May Copyright notice. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

This article has been cited by other articles in PMC. Abstract Introduction Peptic ulcer is a lesion of the mucosal lining of the upper gastrointestinal tract characterized by an imbalance between aggressive and protective factors of the mucosa, having H. Aim To update nutritional therapy in adults' peptic ulcer.

Results Dietotherapy, as well as caloric distribution, should be adjusted to the patient's needs aiming to normalize the nutritional status and promote healing. Conclusion A balanced diet is vital in the treatment of peptic ulcer, once food can prevent, treat or even alleviate the symptoms involving this pathology.

Keywords: Nutrition, Dietotherapy, Helicobacter pylori, Nutritional therapy, treatment. RESULTS Physiopathology and etiology Peptic ulcer is characterized by a solution of continuity the upper digestive tract mucosa exposed to chloride peptic secretion.

Nutritional assessment on peptic ulcer It aims to identify possible nutritional alterations and determine proper intervention to ensure the individuals' health.

Characteristics of nutritional therapy The objective of peptic ulcer dietotherapy is to prevent hyper secretion of peptic chloride in order to reduce the sore and pain in the gastric and duodenal mucosa. Table 1 Recommended daily diet for peptic ulcer. Open in a separate window. Use of food fibers in peptic ulcer treatment The physicochemical properties of fiber fractions produce different physiological effects in the organism.

Use of probiotics in peptic ulcer Probiotics are defined as a food supplement based on live microorganisms, which affect beneficially the human organism by providing a microbial balance Use of antioxidants to eradicate Helicobacter pylori Some authors show that the best treatment is the eradication of the bacteria Table 2 Allowed foods, foods that should be consumed with caution, and foods that must be avoided.

Antacids versus nutrients bioavailability Deficiency of vitamin B 12 is common in patients with peptic ulcer due to the prolonged use of antacids, making difficult the bioavailability of this vitamin. Alternative treatments without proven efficacy in peptic ulcer The potential of plants as source of new drugs still offers a large field for scientific research. Footnotes Conflicts of interest: none Financial source: none.

Iron deficiency anemia and Helicobacter pylori infection. International Journal of Antimicrobial Agents. Arnold M, Barbul A. Nutrition and wound healing. Plast Reconstr Surg. Effect of Helicobacter pylori and its eradication on gastric Juice ascorbic acid. Cats A. Effect of frequent consumption of a Lactobacillus case containing milk drink in Helicobacter pylori-colonized subjects. Contrary to long-standing common belief, stress does not cause ulcers. Instead, the leading cause of ulcer disease is a bacterium called Helicobacter pylori H.

Other causes include smoking and chronic use of non-steroidal anti-inflammatory drugs NSAIDs , such as aspirin and ibuprofen. The cause of your ulcer will determine the type of medical treatment that your physician recommends. Physicians often recommend lifestyle and dietary changes for persons with ulcers in addition to medications until complete healing occurs.

Although in the past patients were encouraged to follow a bland diet, current research does not support this dietary modification to be beneficial. Although spicy foods are an irritant for some people with ulcers, medical professionals now place more emphasis on a high fibre diet rich in vegetables and fruits. Research shows that a high fibre diet decreases the risk of developing ulcer disease. Although both insoluble and soluble fibres demonstrate this association, there is a stronger association between diets high in soluble fibre and a decreased risk for developing ulcers.

Foods that are high in soluble fibre include oats, psyllium husk, legumes, flax seeds, barley, nuts, and certain vegetables and fruits, such as oranges, apples, and carrots. Findings from a prospective cohort study that included 47, men, showed that a diet rich in vitamin A from all sources might reduce the development of duodenal ulcer, as might diets high in fruits and vegetables, possibly due to their fibre content. Animal studies demonstrate that vitamin A increases the production of mucus in the gastrointestinal tract.

Impaired mucosal defense can allow ulcers to develop. Therefore, vitamin A may have a protective effect against the development of ulcer disease. Good sources of vitamin A include liver, carrots, broccoli, sweet potatoes, kale, spinach, and collard greens. Emerging research from China shows the potential protective effects of green tea and other foods that are rich in flavonoids against chronic gastritis, H. Specifically, these foods seem to inhibit the growth of H. In addition, one recent laboratory study of green, white, oolong, and black teas indicated that these teas inhibit the growth of H.

However, this was an in vitro study, which means testing occurred directly between teas and bacteria in the laboratory, and we cannot draw direct conclusions as to what would happen inside the human body between these two substances.