Why Fasting Can Make Gastritis Worse
Fasting during a gastritis flare-up is generally not advised because an empty stomach continues to produce acid, which can further irritate the inflamed gastric lining. This irritation can lead to increased pain and a slower recovery. Instead, consuming small, frequent meals helps buffer stomach acid and prevents the stomach from becoming too full, both of which can alleviate symptoms.
Foods to Eat During a Gastritis Flare-up
During a gastritis flare-up, focus on easily digestible, low-acid, and low-fat foods. These options provide necessary nutrients without irritating the stomach lining. Consider incorporating the following types of foods into your diet:
Lean Proteins
Lean protein sources like baked or grilled skinless poultry, lean fish such as cod or salmon, boiled or scrambled eggs (without butter), and plant-based options like tofu and some beans are good choices.
Gentle Carbohydrates and Grains
Bland carbohydrates and grains that are easy on the stomach include plain rice, unsweetened oatmeal known for its soothing properties, whole-grain bread and pasta for fiber, and mashed or boiled potatoes.
Low-Acid Fruits and Vegetables
Opt for low-acid fruits and cooked vegetables that are gentle on the digestive system. Examples include bananas and melons, which are soothing and hydrating, applesauce, and steamed or boiled vegetables like carrots, spinach, green beans, and squash.
Soothing Beverages
Staying hydrated is important. Choose water and herbal teas like ginger, chamomile, and turmeric, which are known for their anti-inflammatory effects. Low-fat or non-dairy milk options might also be suitable.
Foods to Avoid During a Gastritis Flare-up
Certain foods are known triggers that can worsen gastritis symptoms. It's essential to avoid these during a flare-up:
Avoid spicy and acidic foods like hot peppers, citrus fruits, and tomatoes. Fatty and fried foods can slow digestion and increase irritation. Alcohol, caffeine in coffee, black tea, and colas can severely irritate the stomach. Processed and sugary foods, including packaged snacks and processed meats, can also cause inflammation.
Comparison Table: Gastritis Diet Choices
| Food Category | Eat | Avoid | 
|---|---|---|
| Protein | Baked chicken, steamed fish, eggs, tofu | Fried meats, fatty cuts, processed meats like sausage and bacon | 
| Grains | Plain oatmeal, plain rice, whole-grain bread | Refined carbohydrates like white bread, pastries, sugary cereals | 
| Fruits & Veggies | Bananas, melons, applesauce, steamed carrots | Citrus fruits, tomatoes, raw vegetables like salads (initially) | 
| Dairy | Low-fat plain yogurt, low-fat milk | High-fat dairy, spicy cheeses, cream-based soups | 
| Fats | Olive oil (in moderation), avocado (in moderation) | Butter, cooking oil for frying, greasy foods | 
| Beverages | Water, ginger tea, chamomile tea | Alcohol, coffee, soda, citrus juice, acidic teas | 
Managing Your Meal Timing and Portions
Effective symptom management involves more than just food choices; when and how you eat also play a role:
Eating smaller meals more frequently throughout the day, rather than three large ones, can prevent the stomach from getting too full and producing excess acid. Maintaining regular meal times helps regulate stomach acid. Chewing food thoroughly aids digestion and minimizes swallowed air, reducing bloating. Finish eating 2-3 hours before bedtime to prevent acid reflux.
The Role of Probiotics
Probiotics can be helpful for managing gastritis, particularly if it's caused by the H. pylori bacteria. They introduce beneficial bacteria that can help balance the gut and combat harmful bacteria. Sources include plain yogurt and kefir with live cultures. Some research indicates probiotic supplements can support H. pylori treatment.
Conclusion
A gastritis flare-up can be effectively managed with the right dietary approach. Focus on small, frequent meals of bland, low-fat, non-acidic foods, while strictly avoiding triggers like spicy, fried, and highly acidic items. Paying attention to meal timing and chewing food well can also aid in symptom relief and promote healing. Consulting a healthcare professional for personalized advice is always recommended. For additional information on digestive health, the Canadian Digestive Health Foundation is a reliable resource.