The weather is cold, and the gastric ulcer has already been committed. What should gastric ulcer eat?

With the acceleration of social rhythm, many urbanites eat irregularly, leading to various gastrointestinal diseases, such as gastric ulcer, which is a common stomach disease. What should gastric ulcer eat? Suffering from gastric ulcer, it is suggested to treat it from two aspects, diet adjustment+drug treatment.

What is good for gastric ulcer? Understand the pathogenic factors of gastric ulcer

Gastric ulcer is a kind of peptic ulcer, which mainly has the following pathogenic factors:

1. Helicobacter pylori infection

A large number of studies have shown that Helicobacter pylori plays an important role in the pathogenesis of gastric ulcer. Hp infection will destroy the tissue layer on the surface of gastric mucosa that prevents gastric mucosa from contacting with harmful substances such as acid, weaken the barrier function of gastric mucosa, and make gastric acid and some toxic substances freely contact gastric mucosa, thus damaging gastric mucosa and leading to gastric ulcer.

2. Abnormal gastric acid secretion

Through the analysis of gastric juice, it is found that only 16% patients with gastric ulcer have excessive gastric acid secretion, and many patients have normal or even lower gastric acid secretion. It can be seen that gastric acid secretion is not an important factor in the pathogenesis of gastric ulcer, but the defense ability of gastric mucosa decreases and the attack of gastric acid increases, which may be an important reason for the formation of gastric ulcer.

3.？ Nonsteroidal anti-inflammatory drugs (such as aspirin) are widely used.

Non-steroidal anti-inflammatory drugs enter the cell body through gastrointestinal epithelial cells, which are toxic to mucosa, destroy the integrity of mucosal cell connection, increase the permeability of epithelial cell membrane, activate neutrophil-mediated inflammatory reaction, promote epithelial erosion and ulcer formation, and cause local damage.

Non-steroidal anti-inflammatory drugs inhibit cyclooxygenase-1, reduce the synthesis of prostaglandin, reduce the blood supply of gastric mucosa, weaken the barrier function of epithelial cells, lead to the formation of ulcers and erosion, and cause systemic damage.

4.？ Neurological and endocrine dysfunction

Patients with peptic ulcer often have mental stress or anxiety, gastric juice secretion disorder and vagus nerve dysfunction. Vagal nerve excitability decreases, gastric peristalsis weakens, gastric acid secretion increases through gastrin secretion, leading to gastric ulcer.

5. Genetic factors

The incidence of ulcer is high in some families, so the occurrence of gastric ulcer may be related to genetic factors.

What is good for gastric ulcer? ? Understand the treatment of gastric ulcer.

The pathogenic factors of gastric ulcer are diverse, and the degree of ulcer is different, so different treatment measures should be taken according to their own specific conditions.

1. Acid inhibition and acid treatment

PPI is the first choice of acid inhibitors, and commonly used drugs are omeprazole, lansoprazole, rabeprazole and so on. H2 receptor antagonists can also be used for acid suppression therapy, and commonly used drugs are cimetidine and ranitidine. Acidifier, such as aluminum hydroxide, aluminum magnesium carbonate, etc. , generally used to relieve symptoms temporarily, but not for a long time.

2. Mucosal protective agent

Mucosal protectant is the basic means to promote mucosal repair and improve the quality of ulcer healing. Commonly used mucosal protective agents include bismuth, sucralfate and compound glutamine.

3. Eradication of Helicobacter pylori treatment

At present, bismuth quadruple (PPI+ bismuth +2 antibiotics) is recommended as the main empirical treatment to eradicate Hp.

4. Treatment of ulcer caused by non-steroidal anti-inflammatory drugs

It is recommended to stop taking medicine. If you can't stop taking medicine because of the primary disease, you can change to selective COX-2 inhibitor according to your doctor's advice and take PPI at the same time.

5. Diet and psychotherapy

Eat more digestible, nutritious and less irritating foods, maintain a comfortable, optimistic and peaceful attitude, and give sedatives or antidepressants when necessary.

6. Chinese medicine treatment

For patients with no obvious complications, but with weak constitution or older age, TCM syndrome differentiation treatment can be considered first.

However, due to the inconvenience of decocting Chinese herbal medicines, more and more people began to take convenient Chinese patent medicines. These Chinese patent medicines are mild in nature, have the effects of harmonizing the stomach, reducing adverse reactions, strengthening the spleen, relieving flatulence, dredging collaterals and relieving pain, and can be used to relieve stomach discomfort symptoms such as stomach pain, flatulence, belching and heartburn. Among them, Panax notoginseng and Pollen Typhae have the efficacy of removing blood stasis and stopping bleeding, Ligusticum Chuanxiong, Angelica sinensis and Rhizoma Corydalis have the efficacy of promoting blood circulation and relieving pain, and Radix Paeoniae Alba has the efficacy of enriching blood, which can be used?

What is good for gastric ulcer? I believe that after reading the above, everyone has understood that for patients with gastric ulcer, besides paying attention to diet and medication, they should also have a regular life and rest. Excessive fatigue and emotional tension will affect the body's ability to digest food, which is not conducive to the healing of gastric ulcer.