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Diet and regimen for Stomach Ulcer Patients

posted 2 Jun 2012, 01:34 by Rajmi Arun   [ updated 20 Apr 2014, 07:51 ]



Gone are the days when they used to say that acidity is aggravated by eating spicy fod and it will get better only by eating bland food. Even the saying that milk cures thee ulcer is no more valid.
Surprised! But it is true that spicy food does not cause ulcers. How spicy foods do not aggravate ulcers and in that stead are preventive against ulcers is discussed in this article.
Thus in this new stand, how should one prepare and eat food or maintain diet so that the trouble of ulcer gets over?
To note one thing is that some foods if not causative for ulcers can still be aggravating factors for ulcers. And still it is very much subjective that any specific food will aggravate ulcers and it varies from person to person. This has changed the protocol of one diet for all to a tailormade diet for each individual person.
Thus when you or your near ones observe that a particular food causes troubles of ulcers for you should be avoided.
What are the guidelines for cooking food for people suffering from Ulcers? 
Which food should be avoided to slow down or stop worsening of Ulcers?
  1. Meats with a high fat content
  2. High-fat condiments
  3. Citrus fruits and juices
  4. Tomato products
  5. Coffee and tea — either caffeinated or decaffeinated
  6. Alcoholic beverages
  7. Spicy foods
  8. Chocolate
Again, these foods may not cause or aggravate ulcers in every individual. Thus, one has to judge accordingly which foods to avoid and which not.
Which foods should be taken to prevent or cure ulcer?
  1. Lean meats, fish, beans, eggs, or tofu as good protein sources
  2. High-fiber foods, especially fruits and vegetables, as long as they don’t irritate the stomach
  3. Caffeine-free drinks
  4. Nuts and nut butters
  5. Heart-healthy oils, such as olive or canola oils, for cooking
  6. Fat-free or low-fat mayonnaise and salad dressings
Again, these foods may not prevent or ameliorate ulcers in every individual. Thus, one has to judge accordingly which foods to avoid and which not.
What are the best cooking methods for the Ulcer Patient?
Even though spices may not cause ulcers but they can surely aggravate the existing ulcers in your tummy and this has to be taken care of by finding out what troubles the patient and thus prepare food according. The best preparation methods for ulcer patients are by: -
  1. Avoiding deep fat frying
  2. Avoid using spices that can cause discomfort and pain;
  3. Limit any additional sources of fats and oil intake to the patient like butter, margarine, regular salad dressings, mayonnaise, and sour cream.
What are the better ways of cooking food for ulcer patients in accordance to limiting added fat are: - 
  1. Baking
  2. Roasting
  3. Sautéing
  4. Broiling
  5. Grilling
How do I plan meals for my dear one who is suffering from ulcers?
The best thumb rule for meals for your dear one suffering from ulcers is "Give small amount and give repeatedly". Small quantity of food is tolerated by patient with ulcer and thus a snack or a small meal over 2 hours are better tolerated and infact may help in reducing the ulcer towards normalcy.

Signs and Sympotms of Ulcer

posted 2 Jun 2012, 01:27 by Rajmi Arun   [ updated 27 Sep 2012, 03:01 ]

Ulcers are the open wounds which appear on the skin on inside the body in the hollow organs which are painful and burn a lot and appear mainly because of reduced blood supply to the part of the skin or the organ.
They appear as open craters in the skin, are mostly round in shape - with an exception of highly advanced ulcers which have irregular shape - and have skin corroded in layers. The center most part is many a times the maximum corroded with the destruction of the epidermis, the dermis, the fat layer; the outer part curves towards the normal skin where the destruction is of the upper layer of the skin - the epidermis - with increasing involvement of the dermis and fat layer. The skin around the ulcer is red, tender to touch, painful and swollen.
Sometimes patient can feel pain around the ulcer and fluid oozes our from the ulcer and rarely he may also have fever if the ulcer is superseded with bacterial infection where pus formation takes place. Sometimes ulcer also bleed which can be in large quantity or sometimes in small clots.

Classification of Ulcers
Ulcers are classified according to the time which they require to heal. Ulcers are basically very slow in healing. If an ulcer heals in up to 12 weeks (3 months) time, then it is termed as Acute Ulcer. If an Ulcer takes more than 12 weeks times to heal, then it is known as chronic ulcer.

Stages of development of Ulcer
Ulcer formation first stage
The skin becomes red along with the soft underlying tissue.
Ulcer formation second stage
The redness of the skin becomes more and more pronounced and the part starts swelling. Slowly, one or two blisters appear on the swollen part and and the skin layers above the blisters stats to become dead and peel off.
Ulcer formation third stage 
Now the area where the skin peeled off, becomes dead and straight downwards it becomes dead, which is known as necrosis of the skin. In such a dead skin area, the fat beneath this skin is exposed.
Ulcer formation fourth stage 
More skin becomes dead deep till the fat layer is exposed more and more and destruction of the fat layer also starts. Muscles beneath the fat layer are also exposed.
Ulcer formation fifth stage
Destruction of the muscle layers initiate and above more fat and skin loss happens. Bones beneath the muscle layer are exposed.
Ulcer formation sixth stage - the final stage
Destruction of the bone can initiate and septic formation of the joints initiates. This condition is a serious condition.

Ulcers can reverse in any stage provided they get proper treatment, cleaning, dressing and medication.

Symptoms of Chronic Ulcers
Chronic ulcers are those in which there is ongoing destruction and no sign of recovery or very slow healing and where three months have passed but no healing is observed.
Chronic ulcers show the following appearances and complaints: - 
  1. Constant pain at night and during the day
  2. Have increasing pain
  3. Friable granulation tissue
  4. Foul odor
  5. Wound breakdown instead of healing
  6. Symptoms worsen once the wound gets infected

Venous skin ulcers
Ulcers also appear at other prominent sites such as the veins. Such sites include areas around the veins of lower legs, the calf and the lower side of the ankle where the pressure of the whole body on the ankle joint is the maximum.
These ulcers cause the legs to ache a lot and are swollen. There are lot of chances that these ulcers would get infected and thus, they develop unpleasant odour, increased tenderness and redness. 
The areas where a venous ulcer can develop, gets a dark red or purple skin above which the skin gets thickened, dried and gets a lot of itching.
People suffering from Diabetes have a higher concern of these Venous skin ulcers, as these people are at higher risk of developing diabetic neuropathy.

Other uncommon sites where ulcers can develop
Although rare, ulcers have developed at other sites such as cheeks, soft palate, the tongue, and on the inside of the lower lip. These ulcers are painful but are acute in nature and can heal in one or two weeks time. 
Dr. Apurva Tamhane

Introduction to Ulcer

posted 2 Jun 2012, 01:24 by Rajmi Arun   [ updated 27 Sep 2012, 03:04 ]

Many a times we see that we have pain in some or the other part of the body and the skin is rough to touch. Many a times it so happens that the touch to that part is unbearable and
it burns. On the other instance, one can also observe that when he eats food, immediately he has burning sensation on the touch of food to the mouth and pungent or spicy food is not bearable to the mouth. 
The same feeling appears when the food when reaches the stomach causes a lot of acidity, burning, nausea and vomiting. And sometimes it also happens that burning starts 2 to 3 hours after eating food. One cannot bear the pain, the burning and when he goes to the toilet to pass stools, there is lots of burning sensation in the stools as well.

What is all this? This is nothing but the injuries to the skin and mucous membranes (The lips, the anal region, the tongue, the internal parts of the throat, the food pipe i.e. the esophagus, the stomach, the intestines, the rectum and the anal canal are all sensitive parts to extremes of circumstances and injuries happen to these parts which have no external reason in their formation and are known as Ulcers.

What is an Ulcer?
A sore on the skin or mucous membrane in which there is destruction of the local tissues is known as Ulcer.
In the destruction of the tissues, the uppermost layer - the Epidermis - is destroyed completely and the layer below the epidermis - the Dermis - is destroyed in portions. To some extent, the fat layer may also get corroded in an ulcer.
Common Sites of Ulcer
Ulcers happen most commonly on the lower extremities, the stomach and the intestines, accordingly get their different names.
How does a Ulcer form?
Whenever skin or any particular tissue is exposed to extreme environments like heat or cold, irritation or if the particular part of skin is deprived of blood and oxygen supply, an Ulcer can occur in that part. This situation happens because of lack of movements, constant pressure on the part of skin, which causes stress to the circulation of blood to that part of the skin and thus any part of the body which does not receive proper nutrition gets destroyed - Ulcer formation takes place. Sometimes these ulcers, being open parts in the skin, get invaded by micro-organisms and infection happens to that part and pus formation takes place.

How does a Ulcer appear?
Ulcer appears as a discontinuation in the skin which is very red and sometimes swollen or sometimes depressed deeper than the normal skin layer. It is fiery red in color and the surrounding skin is also reddened.

Dr. Apurva Tamhane

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