饮食计划胃溃疡

Prior to the1980s，stomach ulcers were typically blamed on stress or spicy foods — and thus a bland diet was a common treatment. But we now know that ulcers aren't caused by these factors.

Instead, most stomach ulcers are a result of theHelicobacter pylori（幽门螺旋杆菌）的细菌，还有一些链接到长期使用的nonsteroidal anti-inflammatory drugs（NSAIDS），如布洛芬和阿司匹林。

但是，这也意味着目前还没有具体的饮食，治疗胃溃疡。然而，你可能会发现恶化某些食物或缓解你的症状，有的食品甚至可能帮助治愈溃疡。跟你的医生，你可以在寻找食物最适合你的组合一起工作。

So how do you know if you have a stomach ulcer? If you have any of the following症状，你要与你的医生。

• 钝痛，灼痛胃痛
  
• 腹胀、打嗝或一种丰满的感觉
• Nausea or vomiting
• Unexplained weight loss or poor appetite

While there's没有万能的饮食for treating stomach ulcers, a diet high in fiber appears a good place to start.High-fiber foodscan prevent excess stomach acid secretion, which can reduce ulcer pain and protect the stomach lining as the ulcer heals.

男子y high-fiber foods are also good sources of多酚，具有抗氧化，抗炎和防护性能的植物化学物质，努力改善愈合。

High-fiber foods包括：

• 山莓
• Pears
• 苹果
• Bananas
• 桔子
• 草莓
• 无花果
• Raisins
• 朝鲜蓟
• 青豆
• Broccoli
• Turnip greens
• 球芽甘蓝
• Sweet corn
• 土豆
• 番茄酱
• 萝卜
• 大麦
• 豆子
• Lentils
• 坚果
• Seeds
• 全谷物麦片
• 糙米
• Whole-wheat bread

Because the H. pylori bacteria causes70 percent所有的胃溃疡，有时是具有挑战性根除，研究人员正试图了解食物可以在这个感染的治疗有所帮助。

从A 2014研究世界华人消化杂志表明在酸奶中的健康的细菌和发酵乳产品 - 如培养的脱脂乳和酸乳酒 - 可能增加抗生素疗法的有效性为幽门螺杆菌。

In addition, the components in cranberry juice, green tea, garlic, turmeric, ginger, olive oil, broccoli and many other fruits and vegetables may also enhance standard antibiotic treatment, according to a 2016 study published in the世界日报胃肠药理学与治疗。But more research is needed to clearly understand their role in managing stomach ulcers.

如果你有胃溃疡，你可能会发现，某些食物和饮料会引起刺激。常见的罪魁祸首可能包括：

• 醇
• 咖啡
• 其他含咖啡因的饮料
• Spicy foods
  

However, these items might be well tolerated if consumed in small amounts or with other foods. And it's important to note that these items don't bother everyone with a stomach ulcer. So the best approach is to limit or avoid foods that clearly cause you discomfort and enjoy in moderation those that don't, as there are没有限制毯on foods if you have a stomach ulcer.

But less is known about the types of foods that impair healing or make H. pylori infections more difficult to treat — or if restricting certain foods or dietary components will help.

For instance, a 2016 study from消化内科的研究与实践suggests a high-salt environment in the stomach can promote the development of or worsen H. pylori infections. But quality research is not yet available to determine if reducing dietary sodium — or other suspect nutrients — prevents or helps treat H. pylori infections.

阅读更多：10种最差食品胃酸倒流

虽然没有建议对胃溃疡特定的饮食，也有一些以研究为基础的膳食模式，提供有益的重点放在水果，蔬菜和其他高纤维食物。通常推荐的饮食模式包括：

1. DASH饮食: A plan developed in the Dietary Approaches to Stop Hypertension research trials, this food plan emphasizes fruits and vegetables, suggesting eight to 10 servings daily. The DASH plan also includes whole grains, low-fat or nonfat dairy products, beans, lentils, nuts, fish and poultry and limits oils, sugar-sweetened beverages and desserts.
2. 地中海饮食：这个饮食计划还强调水果，蔬菜，豆类，扁豆，谷类，坚果和种子。它还包括低到中等量的橄榄油和葡萄酒和限制奶制品，鱼和家禽。
3. 整个食品，植物为主的饮食习惯: This particular approach to eating is centered on whole, minimally or unprocessed plant foods — such as fruits, vegetables, whole grains, nuts, seeds, lentils and beans — and minimizes or excludes animal-based products like milk, cheese, meat, chicken and fish.

到李尔王n more about an individualized food plan that will help manage your health conditions, ask your doctor for a referral to a dietitian.

有效治疗胃溃疡，根本原因需要拆除。所以，如果你有幽门螺旋杆菌感染，你的医生会开抗生素药物，其可包括阿莫西林，四环素，克拉霉素或碱式水杨酸铋。

如果溃疡的原因与长期使用NSAID，你的医生会建议替代止痛药像对乙酰氨基酚，双水杨三水杨酸或。

Along with these treatments, acid-blocking medicines calledproton pump inhibitors（如奥美拉唑，兰索拉唑和艾美拉唑）的常用的处方，以减少或中和胃酸的生产和保护胃的衬里，因为它愈合。

阅读更多：How to Know When to Go to the ER vs. Urgent Care

If you suspect you have a stomach ulcer, see your doctor right away so treatment can begin. Delaying treatment can risk complications, such as perforation and subsequent infection, bleeding or blockage.

Also let your doctor know if your treatment plan isn't working after several weeks, or sooner if your symptoms worsen. Seek urgent medical attention if you have blood in your stools, ongoing vomiting, if you're throwing up blood or food eaten hours or days before or if you feel unusually weak or dizzy.

Have you ever had a stomach ulcer? Did you see your doctor about it? Did she prescribe you any medication? Did you alter your diet in any way? Did you find that certain foods helped with your symptoms or made them worse in any way? Share your stories, suggestions and questions in the comments below!