General measures
- Nicotine restriction (refraining from tobacco use).
- Alcohol restriction (abstaining from alcohol) – wine and beer (non-distilled alcoholic beverages) increase acidity (acidity) of gastric juice. *
- Abstention from caffeine consumption – In the majority of patients, the intake of caffeinated beverages leads to an increase in symptoms.
- Review of permanent medication due topossible effect on the existing disease.
- Avoidance of psychosocial stress:
- Stress
* A major risk factor for acute or chronic gastritis is increased gastric acid production.
Regular checkups
- Regular medical checkups
Nutritional medicine
- Nutritional counseling based on nutritional analysis
- Observance of the following specific nutritional recommendations:
- Full, balanced diet with regular meal intake – avoiding foods and beverages that trigger or exacerbate discomfort.
- A light full diet is required when the very changing symptoms of the gastric mucosa depends on food intake or the consumption of certain foods:
- Voluminous and fatty meals
- Legumes and vegetables such as white cabbage, kale, peppers, sauerkraut, leeks, onions, savoy cabbage, mushrooms.
- Raw stone and pome fruit
- Fresh bread, wholemeal bread
- Hard boiled eggs
- Carbonated drinks
- Fried, breaded, smoked, very spicy or very sweet foods.
- Too cold or too hot food
- Acute gastritis can cause a deficiency of the so-called intrinsic factor (IF), which can result in decreased vitamin B12 absorption in the intestine and eventually vitamin B12 deficiency. Foods rich in vitamin B12 are:
- In the context of therapy of chronic gastritis with Helicobacter pylori infection (chronic gastritis type B), other following measures are relevant:
- Watch for contamination in food and drinking water, strictly avoid contaminated food and contaminated drinking water.
- Supportive of antibiotic therapy, probiotic foods (supplements with probiotic cultures, if necessary) should be consumed. Foods to be preferred are lactic acid fermented sauerkraut, beet, pickled cucumbers, string beans, probiotic dairy products, etc..
- Gastritis caused by medications (chronic gastritis type C) is mainly caused by chronic use of acetylsalicylic acid (ASA). ASA is a derivative of salicylic acid, which occurs naturally in plant foods, especially soft fruits and spices. For therapy, intake of salicylic acid-containing foods should be restricted depending on individual symptoms and tolerance:
- Fruits such as raisins, raisins, raspberries, red and black currants, dried dates, blueberries, apricots, oranges, pineapples, blackberries, strawberries, nuts.
- Vegetables (significantly lower content than in soft fruits) such as endive, olives, mushrooms, radishes, radishes, peppers, chicory, zucchini, cress, leeks.
- Spices such as curry (mixture), paprika / hot, oregano, basil, cumin (Cuminum cyminum; also cumin or cumin), mustard, anise seed, pepper, cinnamon, cardamom, thyme, dill, nutmeg, rosemary.
- Other such as tomato paste, Worcestersauce (English seasoning sauce, which contains many different spices such as mustard, pepper, chili, among others).
- Drinks such as port wine, rum, black tea.
Also, increased intake of benzoic acid (preservative) can further irritate the stomach lining. The following foods contain benzoic acid:
- Bread, cakes, pastries
- Potato products
- Sausage products
- Delicatessen salads
- Ready-made products, confectionery, fast food and other industrially processed products.
- Food with compound ingredients (chicken with spicy-fruity curry masala sauce).
- Alcoholic beverages such as port and rum
- Selection of appropriate food based on the nutritional analysis
- See also under “Therapy with micronutrients (vital substances)” – if necessary, taking a suitable dietary supplement.
- Detailed information on nutritional medicine you will receive from us.
Psychotherapy
- Stress management, if necessary
- Detailed information on psychosomatics (including stress management) can be obtained from us.
