How to organize meals after gastric ulcer surgery

Postoperative dietary regimen

After surgery for a stomach ulcer, food intake is completely prohibited during the first two days due to the impossibility of full functioning of the organ. These days, you are allowed to drink a little warm water in small sips, allowing the gastric mucosa to recover after surgery. Compotes and juices diluted with water are allowed from the third day after surgery.

Weak teas and jelly, rosehip decoction to prevent vitamin deficiency are introduced into the menu the next day, supporting the human body with droppers. Depending on the general condition of the patient, he can begin to eat normally only on the fifth or sixth day after the operation.

Beneficial properties of apples for digestion

Apple fruits are the most common fruit, easily available both in summer and winter. They are perfectly preserved until spring without loss of vitamins and minerals. Of course, their use only brings benefits.

Children

Varieties with green fruits will be healthier for a child - they contain more important components and microelements. In addition, the hypoallergenic nature of such fruits is important.

We advise you to read how many calories are in Golden apples.

Systematic consumption of apples reduces pain during teething and softens the process itself. Fruits also train the gums and protect teeth from plaque formation. There is no need to be afraid that green varieties will damage the enamel.

Experts believe that there is no better way to strengthen the immune system - apples help fight viruses and bacteria . Consuming just one fruit a day will help you avoid frequent colds.

The best remedy for strengthening the immune system, fighting viruses and bacteria has not yet been invented

Adults

• Apples have the following positive effects:
• Reduces cholesterol levels. Pectin and plant fibers help excess fats leave the body faster. That is, these fruits cleanse blood vessels.
• Fights diarrhea and constipation. Despite the fact that the problems are opposite in nature, fruits cope with them perfectly. Of course, they do not eliminate the cause, but they can return the body to a normal rhythm.
• Improved metabolism. These fruits slow down the aging process and rejuvenate the body.
• Stabilization of the immune system. These fruits are indispensable during the recovery period when immunity is low.
• Supplied with natural sugar. Fructose is especially important for diabetics - it does not provoke hyperglycemia.
• Prevention of oncology. The healing properties of the fruit literally provide “armor” against cancer processes in the colon.
• Eliminates bad breath. It may seem like a small thing, but for people with gastrointestinal pathologies this is simply a salvation.

Did you know? The name of the apple comes from the Old Slavonic “ablon” - white. According to one version, this word was borrowed from the Celts (abla) or the Germans (aplya).

General nutrition rules

The main principle of a postoperative strict diet is to eat easily digestible foods that do not irritate the gastric mucosa and do not allow the gastrointestinal tract to work intensively.

Dishes are pureed, homogeneous, with all components thoroughly chopped. Large pieces that could cause complications should not be allowed into the stomach. You need to eat at the same time, in fractions, every 2 hours, which allows gastric juice to be produced at the right time. From the first day of eating regular food, you need to monitor the amount of food consumed.

At one time you can eat no more than 50 grams of pureed food from light, digestible foods. Gradually, the daily amount of food increases and by the 6th postoperative day it reaches 200 grams. Do not overload your stomach by eating at night. At least two hours before going to bed, you should have your last meal of light, quickly digestible foods.

Eating pears

Pears have many vitamins.

The rules for eating pears are similar to the rules for eating apples. You can always eat them, you just need to monitor the condition, and if there is an exacerbation, bake the pears.

It is also better not to eat the peel. Fresh fruits are first peeled and then eaten. It is imperative to include pears in your diet, because they are a source of vitamins, the beneficial effects of which can hardly be overestimated:

• Vikasol (K);
• Group B;
• Nicotinic acid (PP);
• Carotenoids (A);
• Ascorbic acid (C), other vitamins in small quantities.

Pears contain useful microelements:

Principles of a therapeutic diet

Food products for food after gastric ulcer surgery are subjected to heat treatment in the form of boiling in water or steaming, stewing, baking. Liquid, soft and puree foods are easily digestible. To ease the load on the gastrointestinal tract, you can use separate nutrition, which consists of consuming one product at one meal. It is recommended to eat 5-6 meals a day in small portions. Dishes are prepared from fresh, natural products.

Rules:

1. Cereals are ground or slightly ground before cooking.
2. It is better to sweeten tea with natural honey.
3. Bread is consumed in the form of crackers or biscuits. Fresh bread has a negative effect on the stomach.
4. Porridges occupy an important place in the diet of postoperative patients.
5. Salt is consumed in very limited quantities - no more than 5-6 grams per day.
6. It is acceptable to add a little butter or vegetable oil to purees or porridges.
7. Food should be warm, not cold or hot.
8. Hunger is contraindicated.
9. Marinated, fried, smoked and salted foods are excluded.

Attention: you should not eat coarse foods with a lot of fiber.

Duodenal ulcer - symptoms, signs, treatment, diet and prevention at the MEDSI Clinic

Table of contents

• What is a duodenal ulcer?
• Causes of duodenal ulcers
• Symptoms of duodenal ulcer
• Frequency of exacerbations and types of ulcers in the duodenum
• Complications of duodenal ulcer
• Diagnosis of duodenal ulcer
• Treatment of duodenal ulcers
• Prevention of duodenal ulcers
• Advantages of contacting MEDSI

The duodenum is part of the small intestine, located just behind the pylorus of the stomach. This organ is responsible for the process of digesting food in the gastrointestinal tract. Today, the most dangerous disease of the duodenum remains peptic ulcer. In the acute stage, the ulcer is accompanied by severe bleeding and aching pain in the upper abdomen. If treatment for the duodenum is not started promptly, it can be fatal. Let us consider in more detail the causes of duodenal ulcers, the symptoms of this disease, as well as modern methods of diagnosis and treatment, which have convincingly proven their effectiveness.

What is a duodenal ulcer?

A duodenal ulcer is a disease that affects the mucous membrane with further scar formation. The incidence of inflammatory processes is not directly related to a person’s gender or age. Statistics show that men and women suffer equally from peptic ulcers, although people who regularly violate basic nutritional rules are at particular risk. This disease progresses slowly, so stages of exacerbation may alternate with periods of remission. During moments of remission, a person feels much better, but then the deceptive calm suddenly gives way to severe pain. Therefore, in no case should you abandon treatment for stomach and duodenal ulcers.

Causes of duodenal ulcers

Statistics show that the main cause of duodenal ulcers is the spiral-shaped bacterium Helicobacter pylori. This bacterium is capable of existing for a long time in unfavorable conditions, actively multiplying and gradually damaging the mucous membranes.

In addition, the following reasons lead to peptic ulcer:

• Damage to the mucous membrane.
  As a rule, this occurs due to the intake of gastric juice with an increased concentration of acid.
• Inflammatory process.
  Very often, an ulcer occurs under the influence of pathogenic bacteria that can infect the stomach and duodenum.
• Nervous overstrain.
  As a result of stress, vascular spasms occur, which disrupt blood circulation and nutrition of the cells of the mucous membrane of the duodenum.
• Hereditary predisposition.
  Doctors note that a predisposition to duodenal ulcers is transmitted along the hereditary line
• Taking medications
  . In some cases, the cause of ulcers is the use of non-steroidal anti-inflammatory drugs and glucocorticosteroids, which contribute to the inhibition of protective factors of the gastrointestinal tract

It is worth noting separately that there are several dangerous factors that contribute to the occurrence of this disease. For example, infection with spiral shaped bacteria usually occurs through contact with a sick person or through contaminated food or water. In addition, do not forget about regular abuse of spicy and rough foods, as well as alcoholic beverages. This negatively affects the production of intestinal mucous substances and often causes disruption of intestinal motility. Sometimes treatment of the stomach and duodenum may be necessary after food poisoning.

Symptoms of duodenal ulcer

During an exacerbation of a peptic ulcer, the patient may experience severe pain below the sternum or on the right side just above the navel. Most often, such pain is especially severe on an empty stomach. They may subside after eating. This is due to an increase in the concentration of hydrochloric acid in the stomach. Very often, many patients feel unpleasant heartburn, as well as moderate and dull pain, which usually appears 2-3 hours after eating.

In addition, symptoms of a duodenal ulcer include:

• Nausea and vomiting.
  Patients suffering from this disease most often do not experience nausea all the time, but only after eating.
• Decreased appetite.
  Many patients report that they have no appetite at all. As a result, rapid weight loss may occur

It is worth noting that when a person does not treat stomach and duodenal ulcers, he becomes too nervous and irritable. Some patients complain of decreased vitality and lack of desire for any activity.

Frequency of exacerbations and types of ulcers in the duodenum

Duodenal ulcer disease is characterized by periods of exacerbation followed by periods of remission. When remission occurs, the patient may feel completely healthy. There is a feeling that the disease has receded, so many people begin to violate their diet and medical recommendations. But after this, an exacerbation occurs, which can last from several days to one and a half or two months. Most often, exacerbation is observed in the spring and autumn periods.

Complications of duodenal ulcer

Complications that can occur with duodenal ulcer:

• Formation of a through hole in the wall of the duodenum. This is an emergency condition where the patient experiences sudden and severe pain. Due to the entry of hydrochloric acid and bile into the free abdominal cavity, peritonitis occurs, which threatens the patient’s life and requires emergency medical care.
• Bleeding from an ulcer. Due to the increase in the size of the ulcer, the wall of the duodenal vessel is exposed. As a result, bleeding occurs. The patient experiences a drop in blood pressure and severe weakness. Treatment of bleeding is carried out only in a surgical hospital
• Difficulty in passing food from the stomach to the intestines. This complication occurs due to deformation or narrowing of the place where the stomach passes into the duodenum. This leads to retention of some food in the stomach, so patients complain of severe abdominal pain. With this type of complaint, you should immediately consult a doctor, as the patient requires emergency treatment
• Penetration of the ulcer into other internal organs. If the ulcer spreads to the pancreas, large intestine or liver, the pain increases sharply and becomes constant. In this case, urgent treatment of gastric and duodenal ulcers with surgical intervention is required

Diagnosis of duodenal ulcer

As part of the diagnosis of this disease, a whole range of procedures is carried out that make it possible to obtain the most accurate picture of the condition of the duodenum and the nature of the course of the disease. First of all, the doctor conducts an endoscopic examination, examining the walls of the gastrointestinal tract using a special gastroscope instrument inserted into the stomach through the mouth and esophagus.

After this, laboratory tests are carried out:

• General blood and urine tests
• Stool analysis
• Blood chemistry
• Gastric juice analysis

To identify the source of pathology, radiation examination of the upper parts of the digestive tract is used, carried out using contrast. If an abnormality is detected on radiographs, an endoscopic examination with the possibility of taking a biopsy is necessary. To detect the presence of the spiral-shaped bacterium Helicobacter pylori, an enzyme-linked immunosorbent assay for antibodies and a breath test are performed, which detects waste products of the bacterium in the air exhaled by the patient.

Treatment of duodenal ulcers

Treatment of duodenal ulcers is carried out strictly as prescribed by the doctor. Any attempts at self-medication lead to a deterioration of the condition and a sharp progression of the disease. As a rule, the course of treatment includes the use of medications that can not only reduce the manifestations of the disease, but also almost completely eliminate the possible causes of peptic ulcer disease. The use of gastric juice neutralizers, mucous membrane protectors and other medications makes it possible to destroy Helicobacter Pylori bacteria, prevent the possible development of complications, and also restore the duodenal mucosa. Physiotherapy is used to activate blood supply to the abdominal organs and reduce pain. In addition, this treatment method has an anti-inflammatory effect and helps to improve the secretory function of the entire digestive system. The choice of a specific method is made by the attending physician based on data obtained during the diagnosis of the patient.

Prevention of duodenal ulcers

For prevention purposes, the patient is required to follow a certain diet. To do this, you need to make sure that your diet is complete and balanced. It is best to eat foods that are high in fiber. Preference should be given to milk and vegetable soups, dishes with boiled meat and low-fat fish, as well as cereal porridges. Please note that food should be taken approximately 5-6 times a day in small portions. In this case, you need to avoid fatty, spicy and fried foods, as they increase the concentration of hydrochloric acid in the stomach. This is due to the fact that these products strongly stimulate gastric secretion, leading to excessive production of hydrochloric acid, which quickly destroys the cells of the duodenal mucosa. In addition to following a diet, patients need to avoid stressful situations and nervous strain.

Advantages of contacting MEDSI

The MEDSI Clinical Diagnostic Center provides professional treatment for duodenal ulcers, using the latest methods that guarantee a positive result. If a person is interested in treatment of the duodenum (symptoms, complications, diagnosis, etc.), with us he can undergo a quick and accurate examination, which allows us to assess the condition of the gastrointestinal tract and prescribe the most effective course of treatment.

Key advantages of treating duodenal ulcers in our medical center:

• High level of training of doctors.
  Treatment of the duodenum (ulcers and other diseases of the gastrointestinal tract) is carried out by qualified specialists. They have quite a lot of experience in this field
• Individual treatment plan.
  Every person who is concerned about a duodenal ulcer (symptoms and treatment) can count on attentive attention and a high level of service from all employees of our medical center
• Adequate cost of treatment.
  Even in times of economic crisis, we continue to keep the cost of treatment at an optimal level, quite affordable for many people who want to get rid of peptic ulcers forever

In order to undergo treatment for stomach and duodenal ulcers or to obtain additional information about our medical center, just call us.

What is allowed

The patient is allowed:

• porridge;
• eggs in the form of an omelet or boiled soft-boiled;
• low-fat cottage cheese, kefir, sour cream;
• zucchini, pumpkin puree with the addition of potatoes, carrots;
• chicken, lean beef, rabbit, turkey;
• broths, soups;
• steam cutlets or zrazy from dietary meat;
• biscuits, white bread crackers;
• lean fish;
• cheese;
• fruit soufflés, jelly-like desserts;
• bananas, sweet apples, pears, melons.

For drinks, it is recommended to consume herbal green teas, compotes, jelly, berry fruit drinks, milk and weak black tea with milk. Soups are prepared with vegetable broth or milk, less often with meat broth. Mucus soups with the addition of oatmeal are good for the stomach. Cream soups are also welcome in the patient’s diet.

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Causes

The most common cause of peptic ulcer disease is infection with the bacterium Helicobacter pilory. It can be contracted through saliva through close contact with another person. In patients with duodenal ulcers, helicobacter is detected in 90% of cases; in patients with gastric ulcers, the figure is 50–60%.

In addition to bacteria, stress, poor diet and long-term use of non-steroidal drugs can be a provoking factor. Many people believe that a peptic ulcer is a complication of gastritis, but this is not true: these are different diseases and gastritis does not develop into a peptic ulcer.

What is prohibited

The patient is prohibited from:

• alcohol;
• pearl barley and millet;
• fatty foods, including fatty broths;
• eggs fried in butter;
• sausages and cheeses with high fat content;
• canned food;
• kvass and carbonated drinks;
• food with a pronounced taste - bitter, sweet, sour foods and dishes with seasonings;
• citrus;
• tomatoes, cabbage, cucumbers, sorrel;
• peas, beans, beans;
• mushroom dishes;
• garlic, onions, a large amount of herbs;
• seeds, nuts;
• fast food, chips.

You should not eat freshly baked pastries and bread after gastric ulcer surgery. Cocoa, coffee and strong tea are excluded from drinks. Foods that are difficult for the stomach cause aggressive secretion of juice, which has an irritating effect on the mucous membrane of the diseased organ.

All store-bought products that contain a lot of salt, sugar and chemical compounds are prohibited. Serious complications after gastric ulcer surgery can be caused by smoking. Tobacco smoke, and with it harmful substances, enter the walls of the gastric mucosa, irritating it and preventing healing.

Fully or partially limited products

• Dishes that irritate the mucous membrane and stimulate secretion are excluded: strong meat/fish broths, fried and stewed dishes, mushrooms, pickles and pickled vegetables, hot and sour sauces, smoked meat and fish products, canned food, spices and seasonings;
• Fermented milk products with high acidity.
• Rye bread, puff pastry and pastry products.
• White cabbage, radish, sorrel, tomatoes, cucumbers, onions.
• Millet, barley, corn and pearl barley cereals, legumes, pasta.
• Sour fruits/berries.

Table of prohibited products

Sample menu after surgery for a week