What is Peptic Ulcer:

A peptic ulcer is erosion in the lining of the stomach or the first part of the small intestine

(duodenum) due to gastric acid.

Symptoms of Peptic Ulcer:

*occurs 1-3 hours after meal ( in Duodenal Ulcer) or immediately after taking meal

( in Gastric Ulcer)

*sometimes extends to the back

*usually goes away after taking an antacid or acid reducer.

Eat or drink nothing for at least 2 hours before going to bed.
Do not smoke or chew tobacco or consume alcohol for prevention of peptic ulcer.
Avoid alcohol intake.
Try to avoid stress.
Avoid over-the-counter pain relievers like aspirin and NSAIDs ( such as Diclofenac sodium, Ibuprofen, Ketorolac, Etoricoxib etc) and take another medicine to protect your stomach according to your doctor’s prescription.

Avoid those foods that cause or increase heartburn or peptic ulcer pain.
Eat smaller & frequent meals (6 small meals instead of 3 big meals).
Don’t take excessive spices, concentrated meat broths and extractives.
Eat slowly and masticate properly.
Use moderate amounts of easily digestible fats like fat of whole milk, egg yolk, cream and butter.
Avoid caffeine beverages such as tea, coffee and cola.
Avoid fibrous nature of cereals, vegetables and fruits.
Take protein rich bland diets.
Avoid those foods which are mechanically, thermally and chemically irritating to mucosa of stomach and intestine.

Stage I Diet is advised during the active phase of ulcers (Having severe pain).
Stage II Diet is advised when the patient is relieved from symptoms and on bed rest, but the ulcers are not completely healed yet.
Stage III Diet is advised to follow throughout the patient’s life as a prophylactic measure.

Stage I (Diet I)
Milk ,whole -2 liters Milk powder ,whole – 200 g ;Dextrose – 200 g; (Total volume 2 liters , Total protein 120 g) The milk powder is reconstituted with milk & dextrose added to the mixture.
Stage II (Diet II )
Vegetarian	Non – Vegetarian
Milk- 2 liters Milk powder- 200 g Cheese – 100 g Bread – 200 g Custard powder – 50 g Sugar -100 g Glucose -100 g	Milk- 1.5 liters Milk powder- 100 g Meat – 200 g Bread – 200 g Custard powder- 50 g Sugar -100 g Glucose -100 g
Stage III (Diet III )
Vegetarian	Non – Vegetarian
Rice – 100 g Bread – 200 g Biscuits -100 g Milk- 1.5 liters Cheese – 100 g Dal -60 g Fruits -200 g Sugar -100 g Glucose -100 g Butter -50 g	Rice- 100 g Bread- 200 g Biscuits -100 g Milk- 1 liter Meat – 150 g Dal -30 g Fruits -200 g Sugar -100 g Glucose -100 g Butter -150

(For an adult non-vegetarian person having normal body weight)

(Prepared by Mrs. Sharmin Sultana , M.S. in Food & Nutrition )

Meal	Menu	Amount
Early Morning	Milk with sugar	1 cup
Breakfast	Bread	2 slices
	Egg	One
	Milk	1 cup
	Papaya	50 gms
Mid Morning	Blenderized Rice Pudding (Phirni)	1 bowl
Lunch	Khichri with washed pulses	Good helping
	Chicken	1 / 2 piece(s)
Mid Afternoon	Fruit cream	1 bowl
Evening Tea	Bread	1 slice
	Milk	1 cup
Dinner	Khichri with washed pulses	2 slices
	Spinach, tender peas, carrots, beans	1½ cup
Before bed time	Caramel custard	1 bowl