What's the reason why my stomach feels so uncomfortable like it's on fire

The discomfort in the stomach like a fire may be caused by factors such as acid reflux, gastritis, gastric ulcers, functional dyspepsia, and improper diet. Gastric acid reflux is usually manifested as a burning sensation behind the sternum, gastritis may be accompanied by upper abdominal pain, gastric ulcers are prone to worsen on an empty stomach, functional dyspepsia is related to gastrointestinal motility abnormalities, and spicy and stimulating foods may also induce similar symptoms.

1. Gastric acid reflux

Gastric acid reflux refers to the reflux of gastric contents into the esophagus, often caused by relaxation of the lower esophageal sphincter. The typical symptom is a burning sensation behind the sternum, which worsens when lying down or bending over. It is recommended to avoid high-fat diets and eating before bedtime. You can follow the doctor's advice to use medications such as magnesium aluminum carbonate chewable tablets and rabeprazole sodium enteric coated tablets to suppress stomach acid. Long term recurrent attacks require vigilance against reflux esophagitis.

II. Gastritis

Gastritis is common in people with helicobacter pylori infection or long-term use of nonsteroidal anti-inflammatory drugs. Gastric mucosal inflammation can cause persistent upper abdominal burning pain. Acute phase may be accompanied by nausea and vomiting, while chronic gastritis is prone to postprandial bloating. Diagnosis should be accompanied by gastroscopy examination, and treatment can include medications such as colloidal bismuth pectin capsules and omeprazole enteric coated capsules, while adjusting dietary habits.

III. Gastric Ulcers

Gastric ulcers often occur in the antrum of the stomach, and the ulcer surface can produce burning pain when stimulated by stomach acid, especially on an empty stomach. The typical manifestation is temporary relief after eating but prone to recurrence. Helicobacter pylori positive patients require quadruple therapy, with commonly used drugs including amoxicillin capsules, clarithromycin tablets, etc. Complications such as bleeding or perforation require timely medical attention.

Fourth, functional dyspepsia

Gastrointestinal motility disorders or visceral hypersensitivity may lead to functional dyspepsia, with symptoms including upper abdominal burning, early satiety, etc. Emotional tension or eating too quickly can exacerbate symptoms. It is recommended to eat small meals and avoid foods that produce gas. If necessary, follow the doctor's advice to use gastrointestinal motility promoting drugs such as domperidone tablets and mosapride citrate tablets.

Fifth, improper diet

Excessive intake of spicy, alcohol, coffee and other stimulating foods can directly damage the gastric mucosa and cause temporary burning sensation. Some people may also experience similar symptoms when they are intolerant to lactose or gluten. The diet diary is helpful to identify the inducement. During the attack period, rice porridge, Mantou isotherm and food should be selected. If necessary, bifidobacteria triple viable capsule should be supplemented to regulate the flora.

It is necessary to maintain regular eating habits in daily life, avoid overeating and excessive hunger. The main cooking method is steaming and boiling, reducing the intake of fried and grilled foods. Moderate walking after meals can help with gastrointestinal motility, but avoid immediately lying flat. If symptoms occur more than twice a week, or are accompanied by warning symptoms such as weight loss and black stool, timely gastroscopy examination should be performed to determine the cause. Pay attention to keeping your abdomen warm in winter, and those who are emotionally tense can try practicing deep breathing to relieve stress.