Can patients with gastric ulcers drink plain milk?

Among many beverages, plain milk is the most nutritious and is often referred to as “white blood.” As its name suggests, milk is obtained by milking dairy cows. Rich in minerals, milk offers significant nutritional benefits for both the elderly and children. So, can individuals with gastric ulcers drink plain milk?

Can individuals with gastric ulcers drink plain milk?
Patients with gastric ulcers may consume milk—but not on an empty stomach. Milk can neutralize gastric acid; thus, many people assume that drinking more milk benefits those with gastric ulcers. However, calcium absorption from milk stimulates gastric acid secretion. Consequently, although milk temporarily neutralizes gastric acid, it subsequently triggers increased acid production, potentially causing gastric pain. Therefore, patients with gastric ulcers should avoid drinking milk on an empty stomach. When consuming milk, it is advisable to accompany it with biscuits, bread, or similar foods to prevent gastric discomfort. While eating, chew food thoroughly and swallow slowly. Do not spit out saliva indiscriminately, as it contains numerous components that aid digestion and possess antibacterial properties. Foods such as radishes, peanuts, and sesame paste are also beneficial.

Gastric ulcers commonly arise from gastric mucosal congestion and edema, leading to mucosal erosion and a whitish coating on the mucosa, ultimately resulting in mucosal hyperemia and collapse. Patients with gastric ulcers require appropriate symptomatic drug therapy alongside strict dietary management. Clinically used medications include acid-suppressing agents (e.g., omeprazole), prokinetic agents to improve gastrointestinal motility, and agents regulating gastrointestinal function—such as bifidobacteria, Kangfuxin liquid, and magnesium aluminum silicate tablets. For recurrent gastric ulcers, enhanced monitoring for *Helicobacter pylori* infection—and subsequent anti-*H. pylori* treatment—is essential. Thus, managing gastric ulcers is a continuous and complex process requiring close integration of pharmacotherapy and dietary adjustments. In cases of recurrent gastric ulcers, gastroscopy follow-up and histopathological examination are recommended for accurate diagnosis.

It is recommended to maintain regular mealtimes, consume ample vegetables, and limit meat intake. Avoid overeating or binge eating; strictly abstain from smoking and alcohol consumption; and minimize intake of fried and spicy foods.