Dietary management for peptic ulcer

Objectives

• To provide adequate nutrition
• To provide rest to the digestive tract
• To maintain continuous neutralisation of gastric acid
• To minimize acid secretion
• To reduce mechanical, chemical and thermal irritation to the lining of the stomach

Dietary modifications

Energy: patients suffering from peptic ulcers are undernourished and therefore, need an increased energy intake. In case of patients at bed rest, the energy needs for activity are not utilised and make up the extra needs.

Proteins: A high protein diet is advised as this promotes healing. Proteins also have a buffering action. Though milk protein has a good buffering action, the high calcium content of milk stimulates acid production. A high milk intake delays the healing of the ulcers and thus milk should be used in moderation. Eggs and other high protein foods can be included to meet the requirements.

Fat: Fat should be used in moderate amounts. Emulsified fats like butter, cream etc. are better tolerated.

Carbohydrates: Carbohydrates are used to meet the energy needs. Foods containing harsh and irritating fibre should be avoided.

Sample diet plan

To remember

• Eat smaller meals
• Eat slowly
• Eat bland foods
• Avoid citrus fruits and juices
• Avoid coffee, tea and cola
• Avoid smoking
• Avoid stress