What foods to eat for gastric ulcers?

Written by Li Xue Qing
Gastroenterology
Updated on September 22, 2024
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People with stomach ulcers should eat foods that are easy to digest and high in protein and vitamins, such as soft rice, porridge, and noodles. Foods rich in protein include fish, milk, and walnuts. Foods high in vitamins include tomatoes, carrots, bean sprouts, and spinach. Patients with stomach ulcers should avoid spicy and stimulating foods such as chili peppers, garlic, leeks, and ginger, as well as seasonings like cinnamon, star anise, and Sichuan pepper. They should also avoid overly acidic foods, raw and cold foods, fried foods, and foods that are high in rough fiber.

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Written by Li Xue Qing
Gastroenterology
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How to treat gastric ulcers?

The treatment of gastric ulcers mainly consists of general management and pharmacotherapy. General management involves patients avoiding spicy, stimulating, and cold foods, eating regular meals, and avoiding medications that may harm the stomach, such as non-steroidal anti-inflammatory drugs. Pharmacotherapy mainly includes gastroprotective therapy and treatment against Helicobacter pylori. Gastroprotective therapy includes neutralizing stomach acid with agents such as magnesium carbonate chewing tablets, acid-suppressing medications like proton pump inhibitors and H2 receptor antagonists, pantoprazole, cimetidine, etc. Medications to protect the gastric mucosa, such as sucralfate, bismuth preparations, etc., are also used. Treatment against Helicobacter pylori mainly includes triple and quadruple therapy. Triple therapy involves a proton pump inhibitor or a bismuth agent combined with two types of antibiotics, and quadruple therapy consists of a proton pump inhibitor, a bismuth agent, and two types of antibiotics. Antibiotics commonly used include amoxicillin, clarithromycin, furazolidone, levofloxacin, metronidazole, tetracycline, etc. Treatment generally lasts seven to ten days, with overall therapy for gastric ulcers spanning about a month. (Please undertake any medication under the guidance of a doctor.)

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Written by Ren Zheng Xin
Gastroenterology
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Can you smoke with a stomach ulcer?

Patients with gastric ulcers should not smoke, as the tar and nicotine in tobacco can damage the gastric mucosa and worsen ulcer symptoms. Patients should pay attention to proper rest, reduce mental stress, avoid excessive tension and irritability, develop regular living habits, eat meals at fixed times and in fixed amounts, eat more vegetables and fruits, eat less spicy and greasy food, and avoid smoking and drinking alcohol. It's also important to consume less strong tea and coffee. Actively use medications for treatment, commonly including drugs that inhibit gastric acid secretion and drugs that protect the gastric mucosa. If there is Helicobacter pylori infection, it is necessary to eradicate Helicobacter pylori. (Medications should be used under the guidance of a doctor.)

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Written by Li Xue Qing
Gastroenterology
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Foods to avoid for gastric ulcers

Foods to avoid for gastric ulcers include spicy and stimulating foods such as chili peppers, garlic, onions, leeks, ginger, and alcoholic beverages. Seasonings like cinnamon, star anise, black pepper, and fennel should also be avoided. Acidic foods such as lemons, limes, and green apples are not recommended, as well as foods that can cause bloating like soybeans and peanuts. Additionally, cold foods such as ice water and frozen fruits, as well as fried and grilled foods like street food and barbecues, should be avoided. It is also advisable to limit intake of foods high in roughage, such as corn, buckwheat, and celery.

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Written by Jiang Guo Ming
Gastroenterology
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How to treat bleeding from gastric ulcers?

If it is a mild gastric ulcer bleeding, it may only manifest as black stool without any obvious specific discomfort symptoms and stable vital signs. This condition can be managed by controlling the diet and appropriately taking or intravenously using proton pump inhibitors such as omeprazole, lansoprazole, etc., which often can be curative. If the bleeding is considerable, presenting symptoms like vomiting coffee-colored or dark red liquid, fainting, profuse sweating, blood pressure drop, etc., this condition requires timely hospital treatment. Medication primarily includes proton pump inhibitors combined with hemostatic drugs, nutritional support, prevention of complications, etc. If the medical treatment is ineffective, endoscopic hemostasis might be needed, and further more, surgical intervention may be considered.

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Written by Jiang Guo Ming
Gastroenterology
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What can I eat with a stomach ulcer?

Gastric ulcers are a common upper gastrointestinal disease. The main causes are related to Helicobacter pylori infection, poor dietary habits, medication irritation, or chronic mental stress. Incomplete treatment of gastric ulcers can lead to recurrent episodes, and in severe cases, may evolve into gastric cancer. Thus, it is crucial to develop good dietary and living habits while undergoing proper treatment. Dietarily, it is advised to eat light, easily digestible foods such as soft, mushy rice, noodles, porridge, and fresh fruits and vegetables. Meat products should be cooked in a light manner, avoiding overly greasy or spicy foods. Additionally, quitting smoking and alcohol and maintaining a positive mood are also beneficial.