Late meal and an empty stomach is a big taboo for ulcer sufferers. But in the month of Ramadan, Muslims are required to not eat for 14 hours. And what about the people with ulcers? Can fasting?
"(People with ulcers) should (fast), even better," said Dr. Dr. Ari Fahrial, SpPD-KGEH, MMB, consultant gastrointestinal tract of the Faculty of Medicine, University of Indonesia, when talking with detikHealth, written on Wednesday (07/10/2013 ).
But not all patients with ulcer is allowed to fast. Dr. Ari explains heartburn sufferers be fasting, except that experienced dyspepsia (heartburn) organic untreated especially if there is an alarm signal.
Heartburn (dyspepsia) itself is divided into two categories, namely organic dyspepsia and functional heartburn. Functional heartburn occurs when sufferers eat irregularly, eat fatty foods, soft drinks, coffee, stress and smoking, without any significant damage in the stomach.
While organic ulcers occur because of something that is not normal in the stomach, such as stomach ulcers, duodenal ulcers, GERD (Gastroesophageal reflux disease), polyps or cancer in the esophagus, stomach and duodenum.
"Functional heartburn will improve if fasting. Usually when afternoon snack of chocolate, drinking coffee in the morning when the house had 2 cups coffee, afternoon snacking again, spicy chocolate or crisps. Kan exactly it is that makes an ulcer. Nah, fasting eat so regularly , eating less fatty snacks, reducing cigarette, drink less coffee and soft drinks and restraint, such as a lot of dhikr. was going to make it so the ulcer healed. Whereas in organic ulcer, fasting is necessary to consult with your doctor, "said Dr. Ari.
But if organic heartburn patients who are experiencing symptoms of bleeding stomach with vomiting blood or black bowel movements, repeated vomiting and vomiting every meal is not allowed to fast. Bahka they have to be hospitalized to overcome the pain disorder maagnya. Patients with gastrointestinal cancer is also not recommended to fast.
To avoid excessive discomfort, ulcer patients are advised to consume gastric acid-suppressing drugs such as H2 receptor antagonist drugs (ranitidine, famotidine, simetidine, nizatidine) or proton pump inhibitors (omeprazole, lansoprazole, rabeprazole, esomeprazole, pantoprazole).
Moderate drugs such as antacids are now widely promoted both through print and electronic media is not a drug that prevented them from being exposed to stomach ulcers. Antacid medication only to relieve symptoms only and it works only 6-8 hours, so the actual usage is not public, just to relieve the symptoms of gastric disorders that arise.
How to keep ulcer patients stay healthy and fit finish fasting Ramadan?
1. Remained fasting and iftar
2. Still taking medication for a chronic disease
3. Keep doing praying tarawih
4. Eat lots of vegetables and fruits
5. Drink plenty of water when open till dawn
6. Sufficient amount of sleep, not excessive.
Food and drinks that need attention:
1. Avoid foods that contain lots of gas, such as fatty foods, vegetables, mustard greens and cabbage, jackfruit and bananas, food berserang (kedondong), dried fruit, and drinks that contain soda.
2. Avoid foods that stimulate gastric acid expenses, such as coffee, alcohol, white wine, citrus juice, and full cream milk.
3. Avoid foods that are difficult to digest, which can slow gastric emptying, such as tarts and cheese.
4. Avoid foods that directly damage the gastric wall, as it contains vinegar, spicy, pepper and herbs that stimulate.
5. Avoid foods that weaken the lower esophageal valve include alcohol, chocolate, high-fat and fried foods.
6. Some sources of carbohydrates should be avoided sticky rice, noodles, rice noodles, corn, cassava tubers, tales, lunkhead.
