Tips for Marginal Ulcer Treatment
Taking the medication consistently and correctly timed is important.
Your PPI or proton pump inhibitor: omeprazole, Protonix, Prilosec, etc. Please make sure you are taking this every day before breakfast and before dinner. If possible obtain get your PPI as a capsule that can be opened. You can open the capsule and mix it with a small amount of water or food with the consistency of apple sauce or yogurt to improve effectiveness.
When you take the Carafate, you should be taking it every 6 hours! Make sure after taking the Carafate; You do not drink or eat anything for 30 min. The point of the Carafate is to coat the stomach and allow for healing, it will not be able to do so if you drink or eat anything after taking it because you will wash off the protective coating. You can crush and mix with a small amount of water to make a slurry that can be more effective. Pharmacy can make a liquid form, but often insurance won’t cover it or make out-of-pocket expenses very high. Discuss with your pharmacy
Make sure you are limiting dietary items that would increase acid. Below are some tips: Some food that can help ease symptoms include:
- Vegetables: Vegetables are naturally low in fat and sugar, and they help reduce stomach acid. Good options include green beans, broccoli, asparagus, cauliflower, leafy greens, potatoes, and cucumbers.
- Ginger: Ginger has natural anti-inflammatory properties, and it’s a natural treatment for heartburn and other gastrointestinal problems. You can add grated or sliced ginger root to recipes or smoothies or drink ginger tea to ease symptoms.
- Oatmeal: Oatmeal is a breakfast favorite, a whole grain, and an excellent source of fiber. Oatmeal can absorb acid in the stomach and reduce symptoms of reflux. Other fiber options include whole-grain bread and whole-grain rice.
- Non-citrus fruits: Non-citrus fruits, including melons, bananas, apples, and pears, are less likely to trigger reflux symptoms than acidic fruits.
- Lean meats: Lean meats, such as chicken, turkey, fish, and seafood, are low-fat and reduce symptoms of acid reflux. Try them grilled, broiled, baked, or poached.
- Egg whites: Egg whites are a good option. Stay away from egg yolks, though, which are high in fat and may trigger reflux symptoms.
- Healthy fats: Sources of healthy fats include avocados, walnuts, flaxseed, olive oil, sesame oil, and sunflower oil. Reduce your intake of saturated fats and trans fats and replace them with these healthier unsaturated fats Avoid common trigger foods for people with reflux:
- High-fat foods
- Tomatoes and citrus fruit
- Chocolate
- Garlic, onions, and spicy foods
- Caffeine
- Mint
Lifestyle changes:
- Avoid alcohol
- Don’t overeat
- Eat slowly
- Drink plenty of water
- Remain upright for at least two hours after eating
- Don’t eat for 3 to 4 hours before going to bed
- Raise the head of your bed 4-6 inches to reduce reflux symptoms while sleeping
- If you chew gum, avoid peppermint or spearmint flavor