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Treatment and rehabilitation of gastric ulcer (invited experts)
What should ulcer patients avoid eating?

Patients with peptic ulcer should avoid drinking tea.

Drinking tea is beneficial to healthy people, but harmful to patients with ulcers.

Because tea acts on gastric mucosa, it can promote gastric acid secretion, especially for patients with duodenal ulcer, this effect is more obvious. Excessive gastric acid secretion counteracts the efficacy of antacids and is not conducive to the healing of ulcers. Therefore, in order to promote the healing of ulcer surface, it is suggested that patients with ulcer should not drink tea, especially strong tea.

Patients with peptic ulcer should avoid drinking milk.

Milk is delicious and nutritious. It was once considered as an ideal drink for patients with gastric ulcer and duodenal ulcer. However, recent studies have found that drinking milk will aggravate the condition of patients with ulcers.

Because milk, like beer, can cause a lot of gastric acid secretion. When milk just enters the stomach, it can dilute the concentration of gastric acid, reduce the stimulation of gastric acid on gastric and duodenal ulcers, and temporarily relieve the discomfort of the upper abdomen. But after a while, milk became a stimulating factor of gastric mucosa, producing more gastric acid, which aggravated the condition. Therefore, patients with peptic ulcer should not drink milk.

How do patients with gastric ulcer care for themselves?

Gastric ulcer is a frequently-occurring and chronic disease, which is easy to recur and has a chronic course. Therefore, the cure of gastric ulcer needs a difficult and lasting process. In addition to cooperating with medical staff for active treatment, patients should also take care of themselves.

(l) Long-term medication must be adhered to: because gastric ulcer is a chronic disease, it is easy to relapse, and it must be adhered to for a long time to make it completely heal. Don't stop taking medicine suddenly when the symptoms get slightly better, or change to another medicine just a few days after taking one medicine. Generally speaking, a course of treatment takes 4 ~ 6 weeks. After the pain is relieved, I need to consolidate the treatment 1 ~ 3 months, or even longer.

(2) Avoid mental stress: Gastric ulcer is a typical psychosomatic disease, and psychological factors have a great influence on gastric ulcer. Mental stress, emotional excitement or excessive anxiety have a bad stimulation on the cerebral cortex, which weakens or loses the regulatory function of the subthalamic center and causes autonomic nervous dysfunction, which is not conducive to food digestion and ulcer healing. Keeping a relaxed and happy mood is the key to cure gastric ulcer.

(3) Pay attention to the law of life and climate change: Patients with gastric ulcer should have a certain law of life and should not be overworked. Overwork will not only affect the digestion of food, but also hinder the healing of ulcers. Patients with ulcers must pay attention to rest and regular life. The outbreak of ulcer disease has a certain relationship with climate change, so patients with ulcer disease must pay attention to climate change and increase or decrease clothes and quilts in time according to the changes of solar terms.

(4) Pay attention to food hygiene: Ignoring food hygiene, partial eclipse, overeating, excessive consumption of cold drinks and food, or liking irritating foods such as peppers, strong tea and coffee can all lead to gastrointestinal digestive dysfunction, which is not conducive to the healing of ulcers. Pay attention to food hygiene, do three meals a day regularly and quantitatively, moderately starve, chew slowly, which is a good habit to promote ulcer healing.

(5) Avoid taking drugs harmful to gastric mucosa: some drugs, such as aspirin, dexamethasone, prednisone, indomethacin, etc. It can stimulate gastric mucosa and aggravate the condition of gastric ulcer, and should be avoided as much as possible. If you have to take it because of illness, or explain to the doctor, switch to other drugs, or follow the doctor's advice, cooperate with other auxiliary drugs, or take it after meals to reduce adverse reactions to the stomach.

(6) Eliminating the causes of bacterial infection: In the past, it was thought that gastric ulcer was related to the disorder of gastric juice digestion and neuroendocrine function, so the traditional treatment methods were acid preparation, analgesia and analgesia. In recent years, according to the research of relevant scholars, some gastric ulcers are caused by bacterial infection, and the most common one is Helicobacter pylori. This kind of patient must be treated with antibiotics.

References:

Greater China Health Network

Self-care of patients with gastric ulcer

Gastric ulcer is a frequently-occurring and chronic disease, which is easy to recur and has a chronic course. Therefore, the cure of gastric ulcer needs a difficult and lasting process. In addition to cooperating with medical staff for active treatment, patients should also take care of themselves.

(l) Long-term medication must be adhered to: because gastric ulcer is a chronic disease, it is easy to relapse, and it must be adhered to for a long time to make it completely heal.

Don't stop taking medicine suddenly when the symptoms get slightly better, or change to another medicine just a few days after taking one medicine. Generally speaking, a course of treatment takes 4 ~ 6 weeks. After the pain is relieved, I need to consolidate the treatment 1 ~ 3 months, or even longer.

(2) Avoid mental stress: Gastric ulcer is a typical psychosomatic disease, and psychological factors have a great influence on gastric ulcer. Mental stress, emotional excitement or excessive anxiety have bad stimulation to the cerebral cortex, which weakens or loses the regulatory function of the subthalamic center, causing autonomic nervous dysfunction, which is not conducive to food digestion and ulcer healing. Keeping a relaxed and happy mood is the key to cure gastric ulcer.

(3) Pay attention to the law of life and climate change: Patients with gastric ulcer should have a certain law of life and should not be overworked. Overwork will not only affect the digestion of food, but also hinder the healing of ulcers. Patients with ulcers must pay attention to rest and regular life. The outbreak of ulcer disease has a certain relationship with climate change, so patients with ulcer disease must pay attention to climate change and increase or decrease clothes and quilts in time according to the changes of solar terms.

(4) Pay attention to food hygiene: Ignoring food hygiene, partial eclipse, overeating, excessive consumption of cold drinks and food, or liking irritating foods such as peppers, strong tea and coffee can all lead to gastrointestinal digestive dysfunction, which is not conducive to the healing of ulcers. Pay attention to food hygiene, do three meals a day regularly and quantitatively, moderately starve, chew slowly, which is a good habit to promote ulcer healing.

(5) Avoid taking drugs harmful to gastric mucosa: some drugs, such as aspirin, dexamethasone, prednisone, indomethacin, etc. It can stimulate gastric mucosa and aggravate the condition of gastric ulcer, and should be avoided as much as possible. If you have to take it because of illness, or explain to the doctor, switch to other drugs, or follow the doctor's advice, cooperate with other auxiliary drugs, or take it after meals to reduce adverse reactions to the stomach.

(6) Eliminating the causes of bacterial infection: In the past, it was thought that gastric ulcer was related to the disorder of gastric juice digestion and neuroendocrine function, so the traditional treatment methods were acid preparation, analgesia and analgesia. In recent years, according to the research of relevant scholars, some gastric ulcers are caused by bacterial infection, and the most common one is Helicobacter pylori. This kind of patient must be treated with antibiotics.

Diet and recuperation of gastric ulcer

Dietotherapy is an important link in the prevention and treatment of ulcers. Patients should pay attention to the following points in diet:

To strengthen nutrition, we should choose foods that are easy to digest, contain enough calories, have protein and are rich in vitamins. Such as porridge, fine flour, milk, soft rice, soybean milk, eggs, lean meat, tofu and bean products; Foods rich in vitamins A, B and C, such as fresh vegetables and fruits.

These foods can enhance the body's resistance, help repair damaged tissues and promote ulcer healing. Patients with more pantothenic acid should use less milk.

To limit foods rich in residues, we should avoid eating fried foods and celery, leeks, bean sprouts, ham, bacon, dried fish and various coarse grains with more crude fiber. These foods are not only rough and difficult to digest, but also cause a large amount of gastric juice secretion, which increases the burden on the stomach. But digestible food, such as vegetable puree, can be eaten after processing.

Do not eat foods that stimulate gastric acid secretion, such as broth, raw onions, raw garlic, concentrated juice, coffee, wine, strong tea, etc. And foods that are too sweet, too sour, too salty, too hot, and raw and cold. Sweet food can increase gastric acid secretion, stimulate ulcer surface and aggravate the condition; Overheated food stimulates the ulcer surface, causing pain, and even dilates the blood vessels on the ulcer surface, causing bleeding; Spicy food stimulates ulcer surface and increases gastric acid secretion; Too cold and hard food is not easy to digest, which will aggravate the condition. In addition, patients with ulcers should quit smoking. Nicotine in tobacco can change the pH value of gastric juice, disturb the normal activity of gastric pylorus, and induce or aggravate ulcer disease.

Cooking should be done by steaming, roasting, frying and stewing. Fried, fried, smoked and other cooked vegetables are not easy to digest and stay in the stomach for a long time, which affects the healing of ulcer surface.

Formulate a reasonable diet system, eat regularly and quantitatively, chew slowly, talk less, don't read books and newspapers, and don't watch TV; Let your mind relax and let your spirit slip away quickly. In the active period of ulcer, it is best to eat liquid or semi-liquid, digestible and nutritious food. In the past, some scholars formulated a system of eating less and eating more meals for patients with ulcers to avoid overeating or hunger. In recent years, it is believed that although eating can temporarily relieve pain, eating less and eating more meals constantly stimulates gastric acid secretion and makes gastric acid secretion active all day, which is obviously not conducive to ulcer healing. Therefore, in addition to acute attack complicated with bleeding and hematemesis, we should eat three meals a day regularly.

Treatment of boiled eggs: 1 eggs, put them in a bowl, stir them evenly with chopsticks and use boiled water; You can eat it after it is medium cooked. Modern medicine believes that boiled eggs are soft and easy to be digested and absorbed by the stomach, which can greatly reduce the burden on the stomach and is conducive to the healing of ulcer lesions. Egg yolk contains lecithin, which can form a thin hydrophobic layer on the surface of gastric mucosa, which has a strong protective effect on gastric mucosa and a defensive effect on the invasion of harmful factors.

In order to avoid patients with dry stool, it is necessary to eat some foods that can moisten the intestines, such as agar, bananas, honey, etc., which is very important for patients with ulcers.

Medicated diet skillfully treats gastric ulcer

Peach kernel pork tripe porridge

Raw materials and preparation method: peach kernel (peeled tip), Radix Rehmanniae each 10g, cooked pork tripe slices and rice each 50g, with appropriate amount of materials. Slice the stomach; Decoct with twice as much water to get juice, add pork tripe and rice and cook into porridge. When cooked, take the seasoning with you, daily 1 dose.

Efficacy: Yiqi Huoxue, Huayu analgesic.

Bergamot porridge

Raw materials and preparation method: bergamot 10g, white lentil, coix seed and yam each 30g, pork tripe soup and salt. Decoct bergamot with water to get juice, remove residues, add lentils, coix seed, yam and pork tripe soup, cook porridge, and season with salt, daily 1 dose.

Efficacy: It can clear away heat and regulate stomach, and is suitable for heartburn, burning pain, dry mouth and bitter taste, upset and irritable, constipation, etc.

Stewed eggs and notoginseng

Ingredients and production method: one egg, 30ml honey, 3g notoginseng. Beat the eggs into a bowl, add notoginseng, stir well, stew with water and mix well with honey before taking.

Efficacy: It can soothe the liver and regulate qi, regulate the stomach and strengthen the spleen, and is suitable for upper abdominal pain, vomiting, nausea and belching.

Stir-fried beef with cactus

Raw materials and production method: 50g cactus, tender beef 100g, and proper amount of seasoning. Peeling and pricking cactus, washing, and cutting into thin slices; Wash the beef, slice it, stir-fry it in a hot oil pan, and serve with seasonings. Efficacy: It can promote blood circulation, remove blood stasis, promote qi circulation and relieve pain, and is suitable for pain fixation or acupuncture and other pains.

References:

Sohu healthy

The recurrence rate of peptic ulcer is high, and the incidence of complications is high. The natural course of disease after treatment is 8 ~ 10 years, so drug maintenance treatment is an important measure. There are three options to choose from.

(1) Normal maintenance therapy: it is suitable for patients with recurrent symptoms, persistent symptoms and multiple risk factors or complications. Maintenance method: take cimetidine 400mg, ranitidine 150mg or famotidine 20mg once before going to bed, or take sucralfate 1g orally twice a day. The ideal time of routine long-term maintenance treatment is still difficult to determine. Most advocate at least 1 ~ 2 years. For the elderly and those who predict that ulcer recurrence will have serious consequences, it can be maintained for life.

(2) Intermittent full-dose therapy: When the patient has serious symptom recurrence or ulcer recurrence confirmed by endoscopic examination, a course of full-dose therapy can be given. It is reported that more than two thirds of patients can achieve satisfactory results. This method is simple and easy to be accepted by most patients.

(3) On-demand treatment: In this legal system, short-term treatment is given when symptoms recur, and drugs are stopped after symptoms disappear. For those with symptoms, short-term medication is used to control the symptoms and let the ulcer heal naturally. In fact, quite a few patients with peptic ulcer stop taking medicine automatically after the symptoms disappear. When treated as needed, although the ulcer healed slowly, the overall curative effect was not significantly different from the whole course of treatment. This law is not applicable to the following situations: those who are over 60 years old, have a history of ulcer bleeding or perforation, relapse more than twice a year, and are complicated with other serious diseases.

Gastric ulcer is a frequently-occurring and chronic disease, which is easy to recur and has a chronic course. Therefore, the cure of gastric ulcer needs a difficult and lasting process. In addition to cooperating with medical staff for active treatment, patients should also take care of themselves.

(l) Long-term medication must be adhered to: because gastric ulcer is a chronic disease, it is easy to relapse, and it must be adhered to for a long time to make it completely heal. Don't stop taking medicine suddenly when the symptoms get slightly better, or change to another medicine just a few days after taking one medicine. Generally speaking, a course of treatment takes 4 ~ 6 weeks. After the pain is relieved, I need to consolidate the treatment 1 ~ 3 months, or even longer.

(2) Avoid mental stress: Gastric ulcer is a typical psychosomatic disease, and psychological factors have a great influence on gastric ulcer. Mental stress, emotional excitement or excessive anxiety have bad stimulation to the cerebral cortex, which weakens or loses the regulatory function of the subthalamic center, causing autonomic nervous dysfunction, which is not conducive to food digestion and ulcer healing. Keeping a relaxed and happy mood is the key to cure gastric ulcer.

(3) Pay attention to the law of life and climate change: Patients with gastric ulcer should have a certain law of life and should not be overworked. Overwork will not only affect the digestion of food, but also hinder the healing of ulcers. Patients with ulcers must pay attention to rest and regular life. The outbreak of ulcer disease has a certain relationship with climate change, so patients with ulcer disease must pay attention to climate change and increase or decrease clothes and quilts in time according to the changes of solar terms.

(4) Pay attention to food hygiene: Ignoring food hygiene, partial eclipse, overeating, excessive consumption of cold drinks and food, or liking irritating foods such as peppers, strong tea and coffee can all lead to gastrointestinal digestive dysfunction, which is not conducive to the healing of ulcers. Pay attention to food hygiene, do three meals a day regularly and quantitatively, moderately starve, chew slowly, which is a good habit to promote ulcer healing.

(5) Avoid taking drugs harmful to gastric mucosa: some drugs, such as aspirin, dexamethasone, prednisone, indomethacin, etc. It can stimulate gastric mucosa and aggravate the condition of gastric ulcer, and should be avoided as much as possible. If you have to take it because of illness, or explain to the doctor, switch to other drugs, or follow the doctor's advice, cooperate with other auxiliary drugs, or take it after meals to reduce adverse reactions to the stomach.

(6) Eliminating the causes of bacterial infection: In the past, it was thought that gastric ulcer was related to the disorder of gastric juice digestion and neuroendocrine function, so the traditional treatment methods were acid preparation, analgesia and analgesia. In recent years, according to the research of relevant scholars, some gastric ulcers are caused by bacterial infection, and the most common one is Helicobacter pylori. This kind of patient must be treated with antibiotics.

References:

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