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Friday 19 January 2018

GASTRITIS

GASTRITIS
Gastritis is an inflammation, irritation, or erosion of the lining of the stomach. It can occur suddenly (acute) or gradually (chronic).

AETIOLOGY:
Caused by irritation, due to excessive alcohol use, chronic vomiting, stress, or the use of certain medications, such as aspirin or other anti-inflammatory drugs. It may also be caused by the following:

1. Helicobacter pylori: A bacteria that lives in the mucous lining of the stomach; without treatment, the infection can lead to ulcers, and in some people, stomach cancer.
2. Bile reflux: A backflow of bile into the stomach from the bile tract (that connects to the liver and gall bladder).
3. Infections: Caused by bacteria and viruses.

If gastritis is left untreated, it can lead to a severe loss of blood and may increase the risk of developing stomach cancer.

SYMPTOMS OF GASTRITIS
This varies among individuals and in many people, there are no symptoms. However, the most common symptoms (if any) include:
Nausea or recurrent stomach upset
Abdominal bloating
Abdominal pain
Vomiting
Indigestion
Burning or gnawing feeling in the stomach between meals or at night
Hiccups
Loss of appetite
Vomiting blood or coffee ground─like material
Black, tarry stool.

DIET INDICATION
RATIONALE:
Diet is modified in gastritis, so as to incorporate foods that does not cause irritation to the stomach, or that do not increase stomach acids, or that cause symptoms such as stomach pain, heart burn, or indigestion.
Small and frequent feeding is also important. The patient is advised not to eat right before bedtime.

FOODS TO BE AVOIDED
BEVERAGES: 
1. Hot cocoa and  carbonated drinks
2. Whole milk and chocolate milk
3. Orange, grape fruit juices, alcohols.
SPICES AND SEASONINGS:
1. Black and red pepper, chilis
2. Garlic powder, chili powder.
OTHER FOODS:
1. Highly seasoned, high fat meat, eg: sausages
2. Onions and garlic
3. Tomato products.

FOODS TO BE INCLUDED
1. Fruits
2. Vegetables
3. Whole grains and fat free dairy foods
4. Healthy fats (olive oil and canola oil)
5. Lean meats (poultry, fish, beans, eggs and nut)
6. Whole grains include cereals.

DIET PLAN
Not all foods affect everyone the same way. It is important therefore, to learn which foods cause the symptoms. Below is a sample menu:
Breakfast: 1 cup skimmed milk + boiled egg
Mid─morning snack: 100 ─ 150g garden egg + boiled egg
Lunch: 250g cooked brown rice + fish (unspiced)
Snack: Any fruits (except citrus)
Dinner: Wheat + Soup & Soft vegetables.

NOTE: A healthy meal plan is low in unhealthy fats, salt and added sugar.

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