The dietary regulation of gastric bleeding has stages. If you are hospitalized, you should follow the dietary guidance of doctors and nutritionists. If you have recovered and come home, you should follow the principle of non-irritating, low-fiber, digestible and nutritious diet (mild diet), and then gradually return to normal diet according to your recovery. The following points should be noted: 1. Abundant rest, avoid staying up late and overworking. 2. Regularly quantify three meals, eat a little more, and don't overeat. 3. Quit smoking and avoid the intake of alcohol, caffeine (coffee, strong tea, cola, cocoa), peppers and other irritating foods. The food should not be too sweet and salty, too cold and too hot. 4. Eat slowly, relax your expression, and take a break after dinner before starting to do things. 5. Live regularly, avoid staying up late, keep a cheerful expression and reduce meaningless troubles. 6. Patients with gastric bleeding, such as steaming, boiling and stewing, should pay attention to the following points during the recovery period (after discharge): 1. Continue to complete a course of medication. Let's take ranitidine for example. A course of treatment is 4- 8 weeks, 1 capsule (0. 15g) every morning and evening. After completing a course of treatment, take 1 capsule daily for half a year, recheck the gastroscope, and stop taking the medicine after the ulcer heals. Second, quit smoking and drinking. Smoking will destroy the function of pyloric sphincter, make it out of balance, and promote bile to return to the stomach. High liquid concentration of bile salt has a strong damage to gastric mucosa, making it difficult for ulcers to heal, so it is very important to quit smoking. Alcohol, especially high alcohol, can dissolve the lipid in gastric mucosa and directly destroy the gastric mucosal barrier, which not only affects ulcer healing, but also is the primary cause of ulcer bleeding. Therefore, after the ulcer is cured, you must avoid alcohol. Third, the diet should be regular, quantitative and orderly, and you should not be too full or hungry. After rehabilitation, you can gradually transition from semi-liquid diet to soft food. Don't eat rough, sour and irritating food, such as bamboo shoots, vinegar, bayberry, pepper and coffee. 4. Fasting drugs harmful to gastric mucosa. Such as hormone, salicylic acid, indomethacin, erythromycin and reserpine. If you must use it, you can add gastric mucosal screening agents such as Smecta and sucralfate. 5. Prevent anemia. Although patients with stomach bleeding are often anemic after blood transfusion, they can eat some foods with high iron content, such as spinach, pig liver and egg yolk. You can also take some blood-enriching drugs, such as Yishui, iron dextran and so on. 6. Be happy. Many people often say that the stomach is a mirror of emotions, and the human forebrain is related to internal organs. Bad mood can also affect the healing of ulcers. Others should also pay attention to cold protection. What is peptic ulcer? Peptic ulcer refers to the phenomenon that the digestive tract is corroded by gastric juice, which leads to mucosal damage and chyle in the mucosal layer. It is generally believed that abnormal gastric acid excretion, abnormal eating habits and daily routine are related to personal personality and emotions. In recent years, it has been found that Helicobacter pylori is closely related to peptic ulcer, and some patients can be treated by eradicating Helicobacter pylori and adjusting their diet and life. In the early days, the principle of diet thought that patients with peptic ulcer should adopt a non-irritating, low-fiber, digestible and nutritious diet (mild diet) to reduce the burden of digestive tract. Recently, people think that as long as stimulating food (caffeine, alcohol, pepper, pepper, etc. ) is avoided and the symptoms of peptic ulcer can be alleviated. General principle: 1 Balanced nutrition and adequate intake of vitamins A, B, C and essential fatty acids. 2. Get enough rest to avoid staying up late and overworking three meals. Eat a little more. Don't overeat. 4. Quit smoking, avoid the intake of alcohol, caffeine (coffee, strong tea, cola, cocoa), peppers and other irritating foods, and the food should not be excessive. Eat slowly and relax your expression. Have a rest after dinner before you start to do things. 6 live regularly, keep a cheerful expression and reduce meaningless troubles. 7 Choose foods that are easy to digest (such as steaming, boiling and stewing). 1 Everyone has a specific reaction to food, so the amount of food should be properly adjusted according to different individuals, and there is no need to completely fast. Stimulating food coffee, wine, gravy, pepper, mustard, pepper, etc. Can stimulate gastric juice excretion or damage gastric mucosa, and should be avoided. 3 Sour food Fruits with high acidity, such as pineapple, Liu Ding and oranges. It is recommended to eat it after meals. If it will cause stomach discomfort, it is not advisable to eat it on an empty stomach. 4 gas-producing foods Some foods (such as sweet potatoes, taro, soybeans, etc.). ) are easy to produce gas, and you can decide whether to eat it according to your personal experience (whether it causes flatulence and pain). 5 Too hard foods such as fried rice and barbecue, glutinous rice products such as rice cakes and corn, various desserts, cakes, fried foods, frozen foods and soft drinks often cause stomach discomfort, so pay attention when choosing. 6 foods containing a lot of crude fiber, such as bran of grains, skins and seeds of fruits, and coarse society in vegetables, people with healthy teeth should chew slowly; Pay attention to those with bad teeth. Dietary nursing care of patients with gastric bleeding. Gastrorrhagia is a common complication of peptic ulcer. Generally speaking, you can eat it when you have stomach bleeding, as long as you don't vomit blood. However, patients with hematemesis must fast to prevent suffocation caused by vomiting or hematemesis. Usually, after stopping hematemesis 12 hours, whether there is black stool or not, you can consider resuming eating. If you vomit blood again, fast again. Generally, the following principles should be mastered for questions that need to be answered by others after eating stomach bleeding. It is better to eat liquid, rice soup and lotus root powder at first, and drink milk in moderation. Don't drink too sour and sweet food, which will increase the acid production. Eating a small amount of food, warm diet and overheated food may dilate gastric mucosal blood vessels, which is not conducive to hemostasis. Strong tea and coffee should be avoided. If the food is light and tasteless, adding a little salt is harmless. After the bleeding stops, you can gradually increase the variety and quantity of food. Gastrorrhagia is commonly known as upper gastrointestinal bleeding, of which more than 40% is caused by gastric and duodenal ulcers. People with a history of digestive tract diseases such as overwork, irregular diet and abnormal mood are prone to get sick. Followed by gastric bleeding caused by acute hemorrhagic gastritis, most of the gastric bleeding caused by these two reasons can be effectively treated after formal treatment. The other is gastric bleeding caused by liver cirrhosis. In cities, patients with liver cirrhosis usually have esophageal varices. If they eat coarse grains again and have excessive emotional stimulation, the venous vessels in the fundus of the esophagus will rupture and there will be massive bleeding. The mortality rate of gastric bleeding is as high as 10%. Don't underestimate stomach bleeding. If hematemesis or melena occurs, the possibility of bleeding from gastric and duodenal ulcers should be considered. Some people just complain about black stool, while others show sudden fainting or even shock. After being sent to the hospital for emergency treatment, it was discovered that it was bleeding from gastric and duodenal ulcers. Therefore, patients with gastric bleeding should check and master the coagulation function of the body plate, such as the quantity and quality of platelets, in order to maintain the hemostasis function of the body plate. Otherwise, once there is bleeding, some small bleeding can easily turn into massive bleeding, which is life-threatening.
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