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Gastric patients should reduce unnecessary taboos

BY Berton Gladstone 2020-05-03

  Gastrointestinal diseases have a special relationship with diet and nutrition: the main function of the gastrointestinal tract is to digest food and absorb nutrients, so when gastrointestinal diseases occur, it is bound to affect the intake of food or nutrition. As far as patients with chronic gastritis and ulcers are concerned, they often have to face the dilemma: gastrointestinal symptoms do not heal, abdominal pain, discomfort and other symptoms lead to reduced food intake and insufficient nutrition intake; inadequate nutrition intake, in turn, is not conducive to inflammation Or the healing of ulcers. Obviously, eliminating infections and filling ulcer foci requires adequate nutrition. This formed a vicious circle.

  In clinical work, we often see patients with stomach problems who have poor dietary intake and are very thin. To a certain extent, the treatment of chronic gastritis and ulcers must break this vicious circle, so that patients can take in sufficient nutrition and accelerate the healing of stomach diseases.

  In actual work, we can find that most patients with chronic gastritis and ulcers have many taboos. Raw, cold, cold, hot, sticky, hard, rough, irritating foods are all taboos. Listed, many patients took the initiative to give up eating "hard" rice, without any adverse reactions (such as abdominal pain, discomfort or bloating, etc.), preferring to drink porridge or just eat buns; give up "high fat" meat , Only eat vegetarian food. What''s worse is that some patients do not actively seek medical treatment, but rely on only eating (attention, only eating) those digestible foods (such as porridge) to avoid symptoms such as abdominal pain. The results can be imagined, not only It is not helpful for the treatment of chronic gastritis and ulcers, and it is not conducive to the rehabilitation of chronic gastritis and ulcers due to malnutrition.

What are the root causes of these errors? This has to start from the medical community’s understanding of chronic gastritis and ulcers. Before the 1990s, Helicobacter pylori has not been recognized by textbooks as the most important cause of chronic gastritis and ulcers. Doctors generally believe that the damage of the defense mechanism of gastric mucosa is the main cause of chronic gastritis and ulcers. Strengthening the protection of the gastric mucosa is the most important treatment principle. Naturally, people think that raw, cold, cold, hot, sticky, hard, rough, and irritating food will "harm" the gastric mucosa. In order to protect the gastric mucosa, these foods must be avoided.

  However, it is now known that Helicobacter pylori infection is the most important cause of chronic gastritis and ulcers. The above foods are not related to Helicobacter pylori infection, and the damage of the above foods to the gastric mucosa is not It''s not big, and it can''t even be counted as one of the important reasons to damage the defense mechanism of mucosa. Therefore, it is unnecessary to avoid the above foods as much as possible. On the contrary, avoiding the above foods or avoiding too many foods will inevitably lead to insufficient or uneven nutrition intake, which will do more harm than good, and will not be worth the gains.

   On the other hand, like a person’s body needs exercise to be healthy, a person’s gastrointestinal tract also needs to “exercise”, that is, eat some raw, cold, cold, hot, sticky, hard, rough Or irritating food is helpful.

  Here is called "appropriate" There are two meanings. First, the premise is not to aggravate the symptoms of chronic gastritis and ulcers, that is, the gastrointestinal tract is acceptable. However, conversely, if eating only a little irritating food, such as raw vegetables, will cause stomach pain, it means that gastritis or gastric ulcer symptoms are more serious, you need to take or adjust drugs to strengthen treatment, can not Just rely on "taboo" to avoid pain.

  Secondly, the purpose is to increase the intake of nutrients (such as eating raw fresh vegetables or fruits), not to stimulate for stimulation (such as eating ice cream, drinking raw water, etc.).

  In short, when choosing food, patients with chronic gastritis and ulcers should choose a variety of foods as much as possible as long as they do not aggravate pain or other symptoms (you will know after trying it). Dietary requirements should not be avoided. In actual work, medication is used to control pain and other symptoms, and active intake of nutrients to increase weight loss in patients with wasting gastritis or gastric ulcer is usually a more effective treatment.

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