Dietary Management for Peptic Ulcer and GERD

1. Dietary Management
for Peptic Ulcer and
GERD

2. PEPTIC ULCER
 It is an ulceration in the
protective inside layer of the
lower esophagus, stomach, or
duodenum
 Ulcer= open sore
 Peptic= due to acid
BASIC NUTRITION AND DIET THERAPY, 2019
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3. Two most common Types of Peptic Ulcer
⬩ GASTRIC ULCER
 which form in the lining of
the stomach
⬩ DUODENAL ULCER
 which form in the upper
portion of your small
intestine (duodenum)
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4. Causes/Risk Factors
Helicobacter pylori
 bacterium that lives in the
stomach of infected people
⬩ NSAIDs (Non-Steroidal
Anti-Inflammatory Drugs)
 group of medications
typically used to treat pain
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5. SIGNS AND SYMPTOMS
 Gnawing or burning pain in
your middle or upper
stomach between meals or
at night.
 Pain that temporarily
disappears if you eat
something or take an
antacid.
 Bloating.
 Heartburn.
 Nausea or vomiting.
.
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6. SIGNS AND SYMPTOMS
In severe cases, symptoms can
include:
 Dark or black stool (due to
bleeding).
 Vomiting.
 Weight loss.
 Severe pain in your mid- to
upper abdomen
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7. How are ulcers diagnosed?
 Endoscopy
 H. Pylori tests
 Imaging tests
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8. NURSING MANAGEMENT
 Administer prescribed
medications.
 Avoid aspirin, which is an
anticoagulant, and foods
and beverages that contain
acid-enhancing caffeine,
along with decaffeinated
coffee.
 Encourage patient to eat
regularly spaced meals in
a relaxed atmosphere;
obtain regular weights and
encourage dietary
modifications.
 Encourage relaxation
techniques.
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10. NUTRITION THERAPY
for Peptic Ulcer

11. DIET
The dietary treatment for peptic ulcer requires the
preparation of a bland diet. Particular emphasis on:
 Nutritive adequacy
 Ability of the diet to dilute, neutralize, or reduce
the secretion of acid by the stomach, and
 Ability of the diet to avoid mechanical, chemical,
or thermal irritation.
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12. BLAND DIET
 It is a nutritionally adequate diet that includes
food that has bland flavor and soft consistency,
and mechanically and chemically non-stimulating.
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13. DIET
 The most important therapeutic quality of a diet
for peptic ulcer is that it assists in diluting,
neutralizing the stomach acid.
 Fat has some ability to inhibit the secretion of
acid. It also delays the emptying of the stomach
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14. FRUIT
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15. LEAN PROTEINS
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16. FERMENTED DAIRY
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17. GRAINS AND VEGETABLES
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18. AVOID
 Alcohol
 Caffeine
 Milk
 Certain meats
 High-fat foods
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 Spicy foods
 Salty foods
 Chocolate

19. “
GASTROESOPHAGEAL
REFLUX DISEASE (GERD)
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20. “
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21. GERD
 is a digestive disorder that affects the ring of muscle
between your esophagus and your stomach. This
ring is called the lower esophageal sphincter (LES).
If you have it, you may get heartburn or acid
indigestion
WEBMD.COM
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22. SIGNS AND SYMPTOMS
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 Heartburn
 Acid regurgitation
 Pain in the chest
 Hoarseness in the morning or
trouble swallowing
 Dry cough
 Bad breath
 Vomiting

23. NURSING MANAGEMENT
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 Assess patient for dietary history intake, eating patterns, the
importance of eating, and potentials for where dietary exercises can
be limited.
 Encourage small frequent meals of high calories and high protein
foods.
 Instruct to remain in upright position at least 2 hours after meals;
avoiding eating 3 hours before bedtime
 Instruct patient to eat slowly and masticate foods well

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25. DIET THERAPY
1. Avoid foods high in fat
2. Avoid large meals
3. Limit foods that relax the lower esophageal
sphincter
4. Increase the intake of foods that do not affect the
lower esophageal sphincter pressure
5. Maintain the ideal body weight
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26. FOODS THAT RELAX THE L.E.S.
 Alcohol
 Mint
 Chocolates
 High-fat foods
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27. FOODS THAT CAN IRRITATE DAMAGED ESOPHAGEAL MUCOSA
 Soft drinks
 Citrus fruits and juices
 Coffee
 Herbs
 Spices
 Tomato Products
 Very hot/cold foods
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28. FOODS THAT DO NOT AFFECT THE L.E.S.
 Protein foods with low-fat content
 Carbohydrate foods with low-fat content
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29. VEGETABLES
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30. GINGER
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31. OATMEAL
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32. NON-CITRUS FRUITS
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33. LEAN MEAT
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