What to eat for nutrition when suffering from bleeding gastric ulcers?

Written by Jiang Guo Ming
Gastroenterology
Updated on September 10, 2024
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This condition should be a benign gastric ulcer with bleeding, during the recovery period after treatment. In addition to adhering to medical advice and maintaining medication, daily living habits are especially important. The stomach needs care; firstly, it is essential to quit smoking and drinking, avoid getting cold, and one can engage in appropriate activity, but avoid strenuous sports. Regarding diet, it should consist of light, easily digestible foods, such as soft rice, noodles, and porridge, among others. In particular, various fresh vegetables and fruits should be chosen. Try to avoid consuming too much raw, greasy, spicy foods, and alcoholic beverages. Patients with gastric ulcers need to have regular check-ups, and it's also important to maintain a positive mindset.

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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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How long does it take for a stomach ulcer to heal?

Gastric ulcers are a very common disease in gastroenterology. For minor ulcers, adjustments in diet, quitting smoking and drinking, consuming more green vegetables, getting more rest, and reducing mental stress can gradually lead to recovery. More severe ulcers require active medication use. To achieve ulcer healing, the course of acid-reducing medication usually lasts four to six weeks. Commonly used medications include those that inhibit gastric acid secretion, such as HR receptor antagonists and proton pump inhibitors, as well as some bismuth agents and weakly alkaline antacids to protect the stomach lining. Meanwhile, dietary management should be strengthened. Through effective medical treatment, the healing rate of gastric ulcers can reach over 95%. (Specific medication use should be conducted under the guidance of a doctor.)

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Written by Li Xue Qing
Gastroenterology
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Complications of gastric ulcers

The main complications of gastric ulcers are fourfold: one is upper gastrointestinal bleeding; the second is perforation; the third is pyloric obstruction; the fourth is malignant transformation. Upper gastrointestinal bleeding is the most common complication of gastric ulcers. If a patient has experienced bleeding, there is a high likelihood of recurrence. Perforations mainly occur in elderly individuals. Pyloric obstruction is primarily caused by ulcers in the pyloric canal and pre-pyloric area. It is divided into mechanical obstruction and functional obstruction. Mechanical obstruction results from scarring after the ulcer heals, which narrows the pyloric opening. Functional obstruction is due to congestion and edema of the mucosa after the ulcer, causing relative narrowing of the pylorus. As for malignant transformation, it is still controversial, but it is generally believed to be around 1%-7%.

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Written by Ren Zheng Xin
Gastroenterology
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Early symptoms of gastric ulcer

Gastric ulcers refer to ulcerative lesions on the gastric mucosa and are very common in gastroenterology. Typical symptoms include pain in the upper abdomen, often presenting as dull pain or a burning sensation in the early stages. Particularly after eating, pain in the upper abdomen occurs within an hour and gradually eases after two hours. As the condition progresses, complications such as gastric bleeding and gastric perforation may occur. Diagnosis can be confirmed clinically through a barium meal examination and gastroscopy. Currently, with the development of internal medicine drugs, most gastric ulcers can be treated with medication.

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Written by Ren Zheng Xin
Gastroenterology
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How is a gastric ulcer diagnosed?

Gastric ulcers are inflammatory defects that occur on the gastric mucosa, related to the gastric acid and digestive actions of gastric juices. Diagnosis mainly relies on clinical manifestations and auxiliary examinations, with typical symptoms including recurring or periodic upper abdominal pain that worsens after eating, as well as occurrences of belching. X-ray barium meal examinations can reveal filling defects, and gastroscopy can provide a full view of the ulcer. Treatment primarily involves the use of medications that suppress gastric acid secretion and protect the gastric mucosa. Additionally, it is important to enhance health education, eat less spicy and greasy food, have meals regularly and in measured amounts, and consume more green vegetables. (Specific medication use should be carried out under the guidance of a doctor.)