When providing discharge instructions for a client with a peptic ulcer, what dietary modification should be included?

The recommendation to avoid drinking liquids with meals is grounded in the understanding of how certain dietary habits can impact individuals with peptic ulcers. When liquids are consumed during meals, they can potentially dilute gastric juices, which are essential for digestion. This dilution may prolong the time it takes to break down food and can lead to increased gastric pressure, possibly exacerbating symptoms.

Additionally, drinking liquids with meals may lead to a feeling of fullness, which could take away from the overall caloric intake and nutrition that a person needs to maintain during recovery from a peptic ulcer. Moreover, it's often advised to stay hydrated between meals rather than with meals to avoid any potential irritation to the gastric mucosa.

The other dietary modifications may not offer the same protective or positive effects. Drinking coffee can stimulate gastric acid secretion, which may irritate ulcers. High-fat snacks can lead to delayed gastric emptying and more irritation of the ulcer, and while eating smaller, more frequent meals can be beneficial, the recommendation to avoid liquids during meals specifically addresses the factors that can aggravate peptic ulcers.