Pepc Ulcer Disease

Pep c Ulcer Disease Sub mucosa Fig . : Pathogenisis of Peptic Ulcer The common symptoms are • Abdominal pain • Abdominal discomfort • Nausea • Vomiting • Hematemesis (blood vomit) • Heart burn • Loss of appetite • Weight loss • Melena (dark and foul smelling stool) COMPLICATIONS OF PEPTIC ULCER! Gastrointestinal bleeding Gastric outlet obstruction Perforation in the lining Penetration of ulcers Stomach Cancer Know the drugs! List any five NSAIDs which are commonly present in medicine cabinet. Activity : UNIT- IN GASTRO INTESTINAL AND LIVER - - DIET IN GASTRO INTESTINAL AND LIVER DISORDERS after its ingestion. After some time, it may stimulate acid production because of high calcium content. Therefore, use of milk should be limited. It gives relief for short period only. Proteins from egg, chicken, cheese and fish is beneficial for regeneration of tissue. Fat Fats delay the gastric emptying. Poly unsaturated fatty acids have been found to be effective against duodenal ulcer by inhibiting the growth of Helicobacter pylori. Around - 30g of visible fat may be given to the patient. Fried foods should be avoided. Carbohydrate Carbohydrates should provide around - % of the total calories. Simple and Complex carbohydrates can be consumed in soft well- cooked form. Fibre Low fibre may be given for the patient. Soluble fibre is more beneficial than insoluble fibre. The presence of fibre in the diet is preferred because it delays gastric emptying time and hence prevents the mucosal damage by acidic gastric juice. The fibre requirement is around 20g per day for the patient. BLAND DIET! Mechanically irritating foods Foods which contain indigestible carbohydrates or roughage; Eg. Whole grains, Raw vegetables and fruits Chemically irritating foods Foods which have a stimulatory effect on the gastric secretions; Eg. Alcohol, Meat extracts, Caffeine, Spicy foods, Chillies, garlic Powder. Thermally irritating foods Foods which are consumed at extremely hot or cold temperatures; Eg. Hot broths or soups, Iced liquids. Bland diet A diet which contains mechanically, chemically and thermally non-irritating foods that are generally soft, well cooked, low in dietary fibre and not spicy. Foods to be included and avoided for Peptic Ulcer Foods to be included Foods to be avoided • Soft cooked rice • Whole grains • Legumes, Flax seeds, nuts, oats, barley • Pulses, Soyabean • Oily fish, egg, chicken • Raw vegetable and fruits • Cheddar cheese, Almonds, • Cabbage, cauliflower, onions • Vegetable juices or cooked pureed vegetables • Chillies, Garlic Powder, • Coffee or Tea • Alcohol