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Diet
for Peptic Ulcer Disease
This diet is designed to restrict or
avoid foods that may cause gastric irritation and excessive gastric acid
secretion and help prevent uncomfortable side effects such as heartburn.
This diet has been designed for those
people with gastroesophageal reflux disease, esophageal ulcers, esophagitis,
peptic ulcer disease, dyspepsia, chronic gastritis, peptic esophageal
strictures, or have other problems involving the esophagus.
Dietary guidelines that may help
decrease reflux and/or stomach acid:
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Eat three small meals and three
snacks evenly spaced throughout the day. It is important to avoid periods of
hunger or overeating.
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Eat slowly and chew foods well.
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Be relaxed at mealtime.
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Sit up while eating and for 1 hour
afterward.
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Avoid eating within 3 hours before
bedtime. Bedtime snacks can cause gastric acid secretion during the night.
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Choose foods from the
low fat diet in
addition to the following diet
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Cut down on caffeine-containing
foods and beverages, citrus and tomato products, and chocolate if these foods
cause discomfort.
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Include a good source of protein
(milk, meat, egg, cheese, etc.) at each meal and snack.
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Antacids should be taken in the
prescribed dose, One-hour and 3 hours after meals and prior to bedtime. This
regimen is most likely to keep the acidity of the stomach at the most stable
and lowest level.
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Milk and cream feedings should not
be used as antacid therapy. Although milk protein has an initial neutralizing
effect on gastric acid, it is also a very potent stimulator. Hourly feedings
of milk have been shown to produce a lower pH than three regular meals.
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Caffeine-containing beverages
(coffee, tea, and cola drinks) and decaffeinated coffee cause increased
gastric acid production but may be taken in moderation at or near mealtime, if
tolerated.
There is little rationale for
completely eliminating any foods from the diet unless a particular food causes
you repeated discomfort.
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FOODS
RECOMMENDED |
FOODS THAT MAY
CAUSE DISTRESS |
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BREADS
& GRAINS 6-11 servings each day |
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Whole-grain or enriched, seedless breads, bagels, tortillas, English
muffins, hamburger/hot dog buns, dinner rolls, pita bread, and bagels
Whole-grain or enriched cereals
Enriched
rice, barley, noodles, spaghetti macaroni, and other pastas
French
toast, muffins, pancakes, and waffles made with low-fat ingredients
Low fat
crackers |
Breads and
cereals prepared with high-fat ingredients such as croissants, biscuits, and
granola-type cereals
Bread or bread
products with nuts or dried fruit
Seeds in or on
breads, and crackers
Very coarse
cereals such as bran
Wild rice
High fat snack
crackers |
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VEGETABLES 3-5 servings each day |
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Fresh,
frozen, or canned vegetables as tolerated |
Raw vegetables,
corn
Gas forming
vegetables such as: broccoli, Brussels sprouts, cabbage, onions,
cauliflower, cucumber, green pepper, rutabagas, turnips and sauerkraut
Vegetables
prepared with added fat
Tomatoes and
tomato products |
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FRUIT
2-4 servings each day |
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Fresh,
frozen, and canned fruits as tolerated
Fruit
juice as tolerated Grapefruit and orange sections without membrane
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Lemons,
grapefruit, oranges, pineapples, and tangerines
Citrus juices
such as orange, pineapple and grapefruit juice
Berries and figs |
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MILK &
DAIRY 2-3 servings each day |
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Low fat
and non-fat milk and milk products
Processed
cheese with less than 5 grams of fat per ounce
Plain mild
cheeses
Low-fat
cottage cheese
Low-fat
and nonfat yogurt |
Whole milk and
chocolate milk
Buttermilk made
with whole milk
Evaporated whole
milk and cream
Strong flavored
cheeses |
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MEAT &
MEAT SUBSTITUTES 2-3 servings or total of 6 oz daily |
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All lean,
tender beef, pork, lamb, veal, and poultry (without the skin) .
All fresh,
frozen, or canned fish packed in water
Crisp
bacon; lean ham
Eggs
(limit to 3-4 egg yolks weekly)
Smooth
peanut butter and nut butters
Soybean
curd (tofu) and other meat substitutes
Dry beans
and peas prepared without fat
Soups
Mildly
seasoned meat stock or cream soups made with allowed foods |
Highly seasoned,
meats, poultry or fish such as corned beef, luncheon meats, frankfurter and
other sausages, sardine anchovies
All fried, fatty
or heavily marbled meat, poultry, or fish
Dry beans and
peas prepared with fat or high-fat meat
Chunky peanut
butter and nuts and seeds |
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FATS &
SNACKS (use sparingly) |
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Non fat or
low-fat dressings and mayonnaise
Mild low
fat salad dressings
Mildly
flavored gravies and sauces
Butter or
margarine (preferably the light or low fat brands)
Sugar,
syrup, honey, jelly, seedless jam, hard candies, molasses, marshmallows
Sherbet,
fruit ice, gelatin, angel food cake, graham crackers, and nonfat desserts
Pretzels
(soft or hard), rice cakes |
Gravies, cream
soups
Highly seasoned
salad dressings
High-fat snacks
such as chips, fried potatoes and buttered popcorn
Cakes, cookies,
pies, pastries, and doughnuts
Coconut,
chocolate, or creamed candy
All sweets and
desserts containing nuts, coconut or fruit not allowed |
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MISC.
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Salt,
pepper, flavorings and most spices and herbs
Ketchup,
mustard and vinegar in moderation
All
beverages as tolerated |
Carbonated
beverages, coffee (regular or decaffeinated)
Strongly flavored
seasonings and condiments such as garlic, barbecue sauce, chili sauce, chili
pepper, horseradish, black pepper, chili powder and other highly spiced
foods
Pickles
Caffeine-containing beverages (coffee, tea, colas, orange soda, Dr. Pepper)
Alcoholic
beverages
Nicotine, aspirin
and aspirin-containing medicines |
The above opinionated
views and information serves to educated and informed consumer. The information
provided herein should not be used during any medical emergency or for the
diagnosis or treatment of any medical condition. It should not replaced
professional advise and consultation. A licensed physician should be consulted
for diagnosis and treatment of any and all medical conditions
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