A duodenal ulcer (ulcus duodeni) is characterized by a loss of substance in the mucous membrane of the duodenum (duodenum).

An ulcer (ulcer, multiple ulcer) does not arise

without stomach acid (contains hydrochloric acid).

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Ulcus Pepticum = "the ulcer caused by digestion" develops there,

where proteolytic gastric juice acts.

Ulcus pepticum = gastric & duodenal ulcer (duodenum = the 12 finger intestine

(first section of the intestine after the stomach)

The stomach is a stretchable muscle tube with a

average capacity of approx. 2.5 liters for adults.

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Causes:

• Mismatch between

• aggressive (acid) & protective (gastric mucus) factors

• decreased resistance to self-digestion

• genetic predisposition

Why is nutritional therapy important?

Soothe and heal the ulcer, promote regeneration with faster healing.

Appropriate food selection, easily digestible food, individually selected according to your needs.

Your symptoms improve - gas, bloating, diarrhea or constipation, pain related to eating or after meals. Weight reduction is recommended if you are overweight.

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Nutritional therapy supports you in reducing your symptoms overall and thereby positively influencing your health. An energy-adjusted wholesome diet under the supervision of a certified nutritionist can lead to your long-term success. The diet is adapted to your current weight and a jointly defined goal for weight gain / or loss.

The aim is to supply all of the fatty acids, micronutrients (vitamins and minerals) that are important to you, energy and protein in the measure that your body is optimally supplied with. For this purpose, foods that promote inflammation are specifically avoided and plenty of anti-inflammatory foods are consumed.

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You will learn how you can actively counteract inflammation through foods that naturally have antifungal (against fungi), antibacterial (against bacteria), antiviral (against viruses) and antioxidant as well as immune-boosting properties - that is, natural antibiotics.

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Goals:

1. Constant increase in diet after the operation up to full-fledged permanent nutrition

2. Improvement of your nutritional status: albumin level, immune status, (your albumin level should not be below 3 in your blood count)

3. fewer complaints & complications

4. Food selection for lactose intolerance

5. Cooking and kitchen information

6. Aids and food selection for diarrhea, dumping syndrome

7. Counteract malnutrition

8. Pancreatic enzymes and MCT fat can help with symptoms such as diarrhea, unwanted weight loss, fat in the stool (= steatorrhea). Please only use this after receiving qualified advice, as there are important things to consider and both products do not have to be used in parallel at the beginning.

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Noxae that promote ulcer formation:

(Noxe = substance or circumstance that has a damaging effect on the organism):

• Pharmaceuticals (antibiotics, pain relievers, cortisone & others

• Helicobacter pylori

• Nicotine abuse

• Stress ulcer (accident, bleeding, shock, severe burns & others

• Overactive parathyroid gland (rare)

• Zollinger-Ellison syndrome (gastrin-producing tumor of the stomach)

• Mental and psychological stress

• Bile reflux

• Stasis in the stomach (decreased gastric motility, long dwell time of the food)

• Alcohol abuse (alcohol abuse)

• extremely low-fiber diet

• extremely spicy dishes

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Symptoms:

• Pain in the middle upper abdomen occurs depending on the time of food intake, fatigue, exhaustion

• Ulcus ventriculi (gastric ulcer): after-pain (after eating)

• Duodenal ulcer: fasting pain (pain outside of meals)

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Diagnosis:

Gastroscopy (gastroscopy), take cell samples

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Conservative therapy:

• Antacids (neutralize the excess acid in the stomach (magaldrate)

• Proton pump inhibitor (PPI) (stomach protection e.g. Pantoprazol®)

• surgical treatments for insatiable gastric bleeding, perforation, penetration, stenosis, recurrent ulcers

• Diet therapy

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Complications that can arise with an ulcer:

1. Ulcer bleeding, frequency: 15-30%, symptoms: hematemesis (vomiting of blood), tarry stool (blood turns black from NaCl, bleeding in the stomach) circulatory collapse

2. Perforation - stomach contents enter the free abdominal cavity: Symptoms: sudden massive pain, board-like, tense, touch-sensitive abdominal wall, risk of peritonitis

3. Penetration - ingrowth into adjacent tissue, breakthrough of an ulcer in adjacent organs (pancreas, liver, spleen, colon)

4. Recurrent ulcers (always recurring ulcers) Scarred changes, passage disorders

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Classification of your weight - definition and classification of weight in relation to height.

Special percentile curves apply to children and adolescents; the BMI cannot simply be used here.

BMI and interpretation: BMI: body mass index

Formula: Body weight in kg : (body height in m) 2

Underweight: <18.5

Normal weight: 18.5 - 24.9

Overweight = pre-obesity: 25-29.9

Obesity grade I: 30 - 34.9

Obesity grade II: 35-39.9

Obesity grade III:> 40 = per magna

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Blood count:

It is advisable to have your Omega 3 index checked regularly.

This provides information about the supply of valuable omega 3 fatty acids (alpha-linolenic acid, eicosapentaenoic acid and docosahexaenoic acid), which can significantly counteract inflammatory processes in the body.

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Nutritional therapy

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• Reduction of your individual complaints through a diet that is appropriate to the diet

• Measures to regulate stool, diet adapted to dietary fiber, adapted amount of liquid to drink

• Getting rid of too much air from your abdomen

• possibly reduce acid production of the stomach, with natural foods

• possibly avoid reflux

• Clarification of causes: have all illnesses / intolerances / food intolerances that might exist already been clarified? Have all tests been carried out that could rule out other diseases that show similar symptoms?

• Holistic therapy - do you have any comorbidities that need to be taken into account during the consultation?

• anti-inflammatory diets for disease prevention

• Energy-appropriate full nutrition, calculate the need for normal weight

• Body weight: If you are overweight, weight reduction is recommended depending on the severity.

• an energy-enriched / or protein-enriched diet may be useful for you.

• Avoid micronutrient deficiencies and mineral deficiencies & possibly counteract them with nutrient preparations

• Prevent protein deficiency

• Strengthen the stomach and intestines with natural foods

• Which nutrients do I need in which ratio?

• get enough fiber (> 30 g / day)

• Fiber therapy: depending on the symptoms, a therapy with 50 - 60 g fiber per day can alleviate your symptoms.

• Sufficient fluid: total fluid per day: 30 - 35 ml per kg body weight and day. Attention, this is not just a drinking liquid. The liquid from food (approx. 500 - 800 ml) must still be subtracted from this, so that an amount of approx. 1.3 - 2 l of drinking liquid is created. In the case of fiber therapy, at least 2 liters of drinking liquid

• add valuable anti-carcinogenic (anti-cancer) secondary plant substances

• A selection of foods tailored to your needs with cooking and technical information (for breakfast, snacks, lunch, dinner)

• Do you like to eat your warm meal in the evening? I am happy to cater to your individual situation and we will create a plan on how you can implement your wholesome diet into your everyday life.

• which oils are good for me? What should I watch out for in relation to the anti-inflammatory diet?

• How much fat spread (butter / margarine / vegetable fat) can I use and which products are recommended?

• How can I boost and support my metabolism with natural foods?

• Get enough Omgea-3 fatty acids and essential fatty acids

• Coordinate sensible meal frequency for your individual case - meal allocation

• Define the desired weight stabilization / normalization & the estimated period for this

• what should be considered with beverages and alcoholic beverages?

• How does exercise affect your body and thus also your diet?

• Avoid blood sugar fluctuations

• Sweetening foods - sweeteners, glucose, fructose, sugar and sugar substitutes, what can I use and in what quantities? How high is the respective sweetness of the different products?

• what should be considered when baking and cooking?

• what are cheap snacks / main meals

• Eating out - what should you watch out for?

• Vacation, boat trip or hospital stay, what should be considered?

• Complications / side effects such as nausea, gas, bloating, diarrhea, constipation, vomiting, heartburn, loss of appetite, pain related to eating, what can I do about it?

• Daily plans as an example for practical implementation in everyday life

• Enjoyment training

• Optimizing your eating situation

• long-term maintenance of a jointly defined weight

• Additional therapy options

• Food supplements - under certain circumstances, a supplement can be useful

• Dietetic products in support of nutritional therapy

• and other topics

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Any questions? I look forward to your call or email. To contact form

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Assistance:

• KISS self-help groups

• Self-help network

• Gastro league

• German irritable bowel self-help e. V.

• German Society for Digestive and Metabolic Diseases e. V.

• German Society for Neurogastroenterology and Motility V.

• German Society for Pediatric Gastroenterology and Nutrition