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Proper nutrition for duodenal ulcers involves including fast-digesting foods in the diet. There is a false idea that with such a disease you can only eat porridge with water. On the contrary, the diet should be balanced, allowing you to get enough proteins, fats and carbohydrates. Permitted products include:

List of recommended products

The composition of the “Table No. 1” menu usually prescribes the consumption of the following products:

• 
  dried or yesterday's bread made from premium flour;

• vegetable broths, soups made from lean fillet, well-cooked cereals, slimy soups or puree soups from cereals or vegetables, it is permissible to eat milk soups;
• as a dressing for soups, you can use a mixture of eggs and milk, small pieces of butter;
• olive or linseed oil;
• boiled or steamed steaks from lean fillet of beef, chicken, turkey, red and white fish, low-fat pork parts;
• You can also make boiled steamed cutlets and meatballs from meat; it is permissible to mix unsalted minced meat without spices with various well-cooked cereals;
• boiled offal and various dishes made from them, for example: soft puddings or cutlets. Among those allowed: liver, tongue;
• rolled oats porridge with water or a mixture of water and milk, buckwheat, semolina.
  note

  Porridges should be very thoroughly pureed, to a semi-viscous consistency;

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• boiled and mashed vegetables: potatoes, cauliflower, carrots, beets. Gradually, dishes can be complicated and vegetables can be prepared into stews or puddings;
• dairy products with low fat content and acidity, without dyes and preservatives;
• boiled eggs and various soft dishes made from them, for example: omelet;
• berries (necessarily ripened, without acid) and fruits are added to the menu gradually, only after transition from the acute stage. It is acceptable to eat bananas, apples, pears;
• various types of herbal infusions and teas from medicinal herbs (chamomile decoction, mint, rose hips, special mixtures for the treatment of acute and chronic ulcerative pathologies of the stomach and duodenum;
• viscous oatmeal jelly or from non-acidic fruits and berries;
• when the symptoms of the disease weaken, it is permissible to add small amounts of honey, marshmallows, marshmallows or low-sugar marmalade to the menu;
• healing mineral waters (Essentuki, Borjomi).

Proper nutrition for peptic ulcers of the gastrointestinal system includes not only compliance with the standards of preparation and consumption, but also a correctly composed menu.

Important

In order for the diet to be beneficial, you need to take into account the stage in which the disease is located, the severity of the course and other individual characteristics. That is why it is best to entrust the preparation of a diet according to the “Table No. 1” nutrition list to a gastroenterologist.

In the acute stage of the disease, only viscous porridges made from a mixture of water and 1% milk, and slimy jelly without added sugar are allowed for consumption. You need to drink plenty of fluids and be sure to take medications prescribed by your doctor to relieve acute symptoms.

After the disease begins to subside with the help of gentle nutrition, other foods are gradually introduced into the daily diet, carefully, one at a time. If, after adding any new dish, your health condition worsens, this component must be immediately excluded from the menu and again switched to a more gentle composition of products.

Despite the fact that the transition from normal everyday eating to a diet will seem bleak and tiring, it is important to remember that it is the correct composition of the menu that will help the body recover faster and completely get rid of the inflammatory disease.

Kuznetsova Irina, medical observer

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Prohibited Products

Below is a list of products recommended for exclusion at the stage of exacerbation and remission of duodenal ulcers:

• lard;
• fat of animal origin (beef, lamb, pork);
• strong meat broths;
• fresh bread and other baked goods made from yeast dough;
• pickled products;
• smoked meats;
• vegetables and fruits rich in fiber (tomatoes, cucumbers, apples, pears, etc.);
• grilled meat;
• citruses and all hard-skinned fruits;
• sweets;
• fatty dairy products;
• soda, alcohol, strong tea and coffee.

Diet menu for duodenal ulcer

In medicine, therapeutic nutrition for patients with DCP ulcers is called Diet No. 1. It is quite tough, but this is the only way to restore the affected digestive system and maintain it.

Depending on the stage of the disease and severity, the diet menu depends. When a chronic ulcer worsens after surgery, doctors recommend diet No. 1, which includes pureed dishes, liquid porridges and soups with vegetable or weak meat broth, and steamed omelettes.

As soon as the condition improves and severe pain stops, you can move on to menu No. 1b. It's more gentle. The diet includes dishes made from minced chicken and other white meat, grated vegetables, and cottage cheese.

The daily energy value of food should not exceed 3000 kcal, the BZHU ratio is 100/100/420.

Menu options for the day:

Option #1

Option No. 2

Option #3

Recommended diets

The nutrition of patients with duodenal and gastric ulcers is differentiated depending on the stage of the disease and the severity of the patient’s condition by using several diet options.

Table No. 1

The main one, used in the period of complete and incomplete remission, is diet No. 1, or pureed diet.

It helps to subside inflammation and heal ulcers and erosions on the surface of the mucosa.

It is prescribed during the absence of severe pain symptoms and irritation of the lining of the stomach and intestines.

Diet No. 1 includes products that regulate the secretory and motor-evacuation functions of the gastrointestinal tract, while fully meeting the physiological needs of the body for food ingredients.

Excluded from the diet : foods containing fiber and stimulants of gastric secretion. Exclusively steam and mashed methods are used for preparing all dishes.

The frequency of meals when using diet No. 1 is at least five times a day, in small portions, while the daily calorie content is at least 2500–3000 calories.

Diet food set is presented as:

• wheat bread and yesterday's baked goods, dry cookies and biscuits, savory pies filled with jam, apples, boiled fish, eggs or meat;
• low-fiber vegetables in the form of puree or steamed puddings - potato, beetroot, squash, carrot, pumpkin;
• lean varieties of meat (teltin, young lamb, rabbit, trimmed pork, chicken, chicken, turkey) and mainly river varieties of fish (perch, pike, pike perch, cod) without fascial layers, skin and tendons;
• whole milk, cream, unleavened cottage cheese in the form of casseroles and soufflés, sour cream;
• fresh eggs in the form of steam omelets or soft-boiled;
• sweet and ripe berries and fruits in the form of preserves, jams, marshmallows or marmalade, mashed or baked. Sweet fruit juices (raspberry, strawberry) must be diluted with water in equal parts.
• fats in the form of butter or refined vegetable oils, which are added to dishes in their natural form, without frying.

To obtain a good therapeutic effect, diet No. 1 is used for 6-12 months from the onset of an exacerbation.

Sample menu No. 1 consists of dishes prepared boiled, mashed or baked:

• pureed soups - cereal, vegetable (except cabbage) or dairy, with pureed carrots, beets or mashed potatoes, with the addition of butter, olive and other refined vegetable oils;
• pureed or minced meat and fish cutlets, soufflés or rolls, or boiled in water in whole large pieces;
• mashed milk or semi-vyazka porridges, steam puddings (except wheat), cheese cakes and soufflés, boiled pasta or vermicelli, cutlets from mashed cereals;
• drinks in the form of weak tea with milk or cream, vegetable juices (beetroot and carrot), decoction or compote of rose hips or wheat bran.
• sweets in the form of boiled or baked berries and fruits, purees, milk jelly, mousses, honey and jelly, butter cream, honey, marshmallows and marshmallows.

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To season dishes, you can use milk and fruit sauces, as well as finely chopped parsley or dill.

Table No. 1a

Diet N 1a, or the most gentle diet, is used at the height of exacerbations of the ulcerative process, when the symptoms of irritation of the stomach and intestines are pronounced.

Typically, such a diet is prescribed simultaneously with bed rest.

Diet No. 1a is characterized by a sharper limitation of mechanical and chemical stimuli, in comparison with the previous version.

All dishes are prepared exclusively using steam or pureed methods, the consistency is liquid or semi-liquid. Meals are divided up to 6 times a day with food temperatures ranging from 15 to 65 degrees C.

Completely excluded from the diet:

• all bakery products;
• vegetables in any form;
• any snacks, sauces, seasonings and spices.

Sample menu No. 1a consists of:

• slimy oatmeal, semolina, buckwheat or rice soups;
• steamed fish and meat soufflés - no more than once a day. Lean varieties of meat (veal, rabbit), fish (pike perch, pike, cod, perch) or poultry (turkey, chicken) are used, excluding tendon tissue, skin and fascia;
• liquid pureed porridge in water with milk or cream from cereals, excluding wheat - no more than once per day;
• whole milk, non-acidic milk-containing products, cream, curd mousse or steamed soufflé;
• egg dishes - steam omelettes, soft-boiled eggs (from one to three pieces per day);
• drinks in the form of fruit and berry jelly from sweet varieties, juices diluted with water, rosehip decoction or wheat bran;
• butter - as an additive to ready-made dishes.

Steamed cutlets, zrazy, boiled beef stroganoff, quenelles, meatballs and soufflé are also allowed.

This strict restrictive diet is indicated in the first two weeks after the onset of exacerbation of the ulcerative process.

It is also used in patients in the postoperative period after surgery on the stomach or intestines.

Table No. 1b

It is prescribed at a later period, immediately after completion of the course of treatment using table No. 1a.

The diet differs from the previous one in the ratio of proteins, fats and carbohydrates and higher calorie content.

It also significantly limits the list of mechanical and chemical irritants of the stomach and intestines.

The diet includes bread in the form of white crackers of the highest grade, meat and fish cutlets, meatballs or quenelles.

In addition to pureed soups, pureed porridges are allowed in the diet; the frequency of their consumption is also increased. .

Dishes are also prepared in liquid or porridge form, and you need to eat 5-6 times; vegetables, fruits and bread remain prohibited.

Nutritional recipes for duodenal ulcers

Table No. 1 is predominantly rich in cream soups. During the period of escalation of the crisis, special attention must be paid to the rules for preparing these particular dishes.

First courses for stomach ulcers

There are many recipes for dietary dishes that are used for peptic ulcers. During an exacerbation of the disease, first courses will be especially useful. Soups for stomach and duodenal ulcers should be consumed at least once a day. For stomach ulcers, first course recipes do not include spices, seasonings, or fried vegetables.

The best option is soups in the form of puree or cream. They can be prepared using chicken broth or milk with the addition of vermicelli and cereals (buckwheat, rice, pearl barley). Dishes made from rich broth (cabbage soup, borscht) are completely excluded from the diet. But you should also avoid pea soup.

Rice soup with meat broth

Rice is extremely useful for ulcerative pathology. Soup made from cereals envelops a sore stomach, promoting the speedy healing of the wound. To prepare rice soup with meat for ulcer patients you will need:

• water – 300 ml;
• cooked rice - 1 tbsp. l.;
• boiled beef – 100 g;
• milk – 50 ml;
• egg – 1 pc.

The cooked cereal is rubbed through a sieve, and the meat is ground using a meat grinder. The crushed ingredients are mixed and boiled again. Lightly beat the egg with milk and add to the soup, cook for another 5 minutes.

Season the finished dish with sour cream and butter (1 tsp each). If desired, you can add pureed vegetables to the soup, for example, boiled potatoes and carrots.

Potato and pumpkin soup

For patients with stomach ulcers, you can prepare a vegetable slimy soup consisting of the following components:

• potatoes – 2 pcs.;
• pumpkin – 120 g;
• cream – 2 tbsp;
• greens, salt - optional.

Boil pumpkin and carrots in a small amount of water. The prepared vegetables are rubbed through a sieve and mixed with the remaining vegetable broth, salt and cream are added. Place on the fire again and bring to a boil. A hearty and nutritious soup is ready. Before use, sprinkle with chopped herbs.

Chicken soup

If you have a stomach ulcer, you can eat soups based on concentrated chicken broth 10 days after an exacerbation, when the symptoms of the disease are eliminated. Poultry fibers neutralize hydrochloric acid secreted by gastric juice. To prepare chicken soup with rice and vegetables, take:

• water – 500 ml;
• chicken breast – 100 g;
• rice – 2 tbsp. l.;
• carrots, potatoes - 1 pc.

The chicken is boiled in water, then the finished meat is twisted through a meat grinder and returned to the broth. Add grated vegetables and rice and continue cooking for another 25 minutes. If desired, fresh soup can be pureed using a blender.

Comments from nutritionists

Therapeutic diet No. 1, developed back in Soviet times by nutritionist M.I. Pevzner, is still relevant today for patients with duodenal ulcers. It is recommended to follow it for at least six months. During this time, the patient will not only get rid of digestive problems, but also get used to proper nutrition.

The main disadvantage of all diets is their monotony. Lenten dishes may soon become boring, and the patient returns to his usual diet. Nutritionists note that the list of allowed foods for duodenal ulcers is wide enough to prepare a variety of dishes every day. Doctors note:

1. You should not completely limit yourself in salt. The permissible norm is 5-7 g/day. It is important to remember that some vegetables, fruits and meats already contain salt , so the food will not seem overly bland.
2. Drinking regime is the key to the effectiveness of the diet. Tea, decoctions, coffee are drinks. Only drinking water will bring benefits. At the same time, a glass of it 30 minutes before meals is not only acceptable, but also recommended. But after eating you need to abstain for at least an hour.
3. Therapeutic diet No. 1, if strictly followed, will give tangible results within 1-2 weeks. During it, overweight people can lose extra pounds.