Peptic ulcer of the duodenum is a fairly common pathology in modern people. However, for the most part, it manifests itself in the contingent of working age, which is associated with the diet and emotional stress within the workforce. Also, a certain value is given to the bacterial pathogen H. pylory, which is a direct etiological factor in the occurrence of ulcers.
Duodenal ulcer: diet and nutrition in conditions of pathology
The organs that affect the ulcer are directly related to the digestive function, which means that this environment is aggressive, which is very important in the presence of a defect in the mucosa. Therefore, for such a pathology as a duodenal ulcer, the diet must obey two important principles. The first is to minimize the mechanical and temperature effects on the exposed area of the intestinal mucosa. Accordingly, it is worth knowing that food should be at room temperature, thoroughly chopped or chewed. It is also forbidden to eat acidic foods, for example, fruit juices, fresh apples, pomegranate, orange, etc.
The second point of the diet for ulcers of the initial part of the small intestine is fractional nutrition, that is, the use of small portions. In general, the patient eats about the same amount, but less stretches the walls of the affected organs. This helps to partially cover the eroded or ulcerated area with a fold of the mucous membrane. With excessive filling of the organ, such a fold never forms, and the activated gastric juice will begin to affect the living tissues of the organ. Therefore, for such a pathology as a duodenal ulcer, the diet must follow these principles, otherwise the condition will worsen significantly. And this, along with epigastric pain of a aching character, will lead to an exacerbation of the disease. The pain will become paroxysmal and will appear 2 or 3 hours after the previous intake of the last serving of food.
Duodenal ulcer: diet and its basic principles at different stages of the disease
Diet for stomach ulcer or duodenal ulcer differs depending on the stage of the disease. During the period of remission, it is enough to follow the simple principles of fractional nutrition and mechanical preservation of the mucosa, while with an exacerbation of the disease, food intake should be limited. With fractional nutrition, small portions of food at room temperature are used, which also must be easily digestible. Optimally, if it does not contain a large amount of fat, as this will lead to a contraction of the gallbladder and portioned secretion of bile - another aggressive agent that can aggravate the course of the disease. Often, with peptic ulcer of the stomach and small intestine, vomiting is observed, which is explained by irritation of the painful endings in the pyloric department, although such localization in the reflexogenic zone is not typical.
It is also necessary to take some drugs with food. Among them are those drugs that reduce the manifestation of an aggressive factor, for example, proton pump blockers. The second direction of conservative therapy is the use of antibiotics, which significantly reduces the likelihood that surgery will be required for treatment.
Diet for gastric ulcer and duodenal ulcer in case of destructive complications
Destructive complications quite often accompany chronic ulcers and are subject to emergency surgical intervention. Moreover, nutrition is often a serious problem for such patients, since some of these patients enter hospitals after a long course of the disease, as a result of which they are depleted. However, no matter how pronounced the degree of emaciation, it is impossible to eat, and even more to drink liquid, when perforated or bleeding from an ulcer, as this will cause more serious complications. Among these complications is limited or diffuse peritonitis.