Research shows that most ulcers of the stomach and the duodenum develop because of infection with Helicobacter pylori. Bacteria weakens the protective mucous layer of the stomach. This allows acid to seep in and injure the underlying stomach cells.

Historically, the bland diet has been used in peptic ulcer disease (PUD). With the introduction of H2 inhibitors for the treatment of PUD, the use of diet has been questioned. In addition, there is growing evidence that most ulcers are associated with the microorganism called Helicobacter pylori, which is usually treated with bismuth-subsalicylate, tetracycline or ampicillin and metronidaxole.

Gastric irritants include: caffeine, alcohol, aspirin, non-steroid anti-inflammatory drugs, smoking.

GERD is Gastroesophageal Reflux Disease – It occurs when gastric contents reflux into the esophagus (swallowing tube to the stomach.) The most common symptoms are heartburn, regurgitation, dysphagia (difficulty swallowing or the feeling that food is “sticking” in your throat or chest) and chest pain. GERD is a chronic disorder whose management requires lifestyle and dietary changes often combined with drug therapy.

Modifications include: Weight loss if overweight, avoid tight clothing in the abdominal area, meal consistency, maintain upright posture while eating, stop smoking if applicable. Avoid fatty foods, chocolate, alcohol, tomato products, citrus juices, coffee*, spearmint and peppermint.

Elevate the head of the bed 6 inches and avoid eating at least three (3) hours before reclining or going to bed.

Alcohol, citrus fruits, tomato products and mint irritate the already sensitive esophageal mucosa. High fat foods decrease the lower esophageal sphincter (LES) pressure and delay gastric (stomach) emptying. Both are ideal situations for reflux of gastric contents. Chocolate also relaxes the LES and delays gastric emptying.

*Controversy exists over the effect of coffee on reflux since caffeine itself has no effect on LES pressure. Some studies have shown that coffee after a meal affects LES pressure. GERD is most likely a result of the meal and not the presence of coffee.

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Fast Food

Fast food may not offer the healthiest options. The good news is that many restaurants are now adding healthier options to their menu. We have collected some of the most popular fast food restaurants’ menu and nutrition information for your reference. We hope this information will help you make healthy food choices while eating out.

Click on the logo to visit the company’s website and see what you’re eating:

 

 

 

 

Reading labels

Understanding nutrition labels is an essential part of a balanced diet.

Sample Menus

These menus can be printed and used as a tool to help you eat a balanced, nutritious diet while achieving a healthy weight.

• 1200 Calories
• 1400 Calories
• 1600 Calories
• 1800 Calories
• 2000 Calories

They include the types and amounts of food you need every day.

Restricted Eating

If your family doctor has recommended that you follow a restricted eating plan, here are a few we have collected:

• Low calorie snacks
• GERD
• High blood pressure
• Low cholesterol
• Low fat
• Reduced sodium
• Vitamin K restricted

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