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What causes the feeling of turmoil in the stomach?

Jul 31, 2023 Source: Cainiu Health
Dr. Zhou Chao
Introduction
In general, a persistent feeling of heartburn in the stomach may be caused by improper diet, gastroesophageal reflux, chronic gastritis, gastric ulcer, or duodenal ulcer. Gastroesophageal reflux refers to the backward flow of stomach acid and stomach contents into the esophagus. Patients should maintain a healthy weight and avoid obesity, which can exacerbate gastroesophageal reflux. If heartburn persists or worsens, prompt medical attention is recommended.

Under normal circumstances, a persistent feeling of heartburn in the stomach may be caused by improper diet, gastroesophageal reflux, chronic gastritis, gastric ulcer, or duodenal ulcer. The specific details are as follows:

1. Improper Diet

Consumption of overly spicy, greasy, or irritating foods—such as chili peppers, coffee, and alcohol—can irritate the gastric mucosa and increase gastric acid secretion, leading to a sensation of heartburn. Patients should adjust their diet and develop healthy eating habits. It is important to avoid irritants such as alcohol, caffeine, and tobacco.

2. Gastroesophageal Reflux

Gastroesophageal reflux refers to the backward flow of gastric acid and stomach contents into the esophagus. This condition may result from factors such as relaxation of the lower esophageal sphincter, delayed gastric emptying, or diaphragmatic dysfunction. When gastric acid flows back into the esophagus, it irritates the esophageal mucosa and causes a burning sensation. Patients can take medications such as cisapride tablets or rabeprazole sodium enteric-coated tablets under medical guidance. Maintaining a healthy body weight and avoiding obesity, which can exacerbate reflux, is also recommended.

3. Chronic Gastritis

Chronic gastritis refers to long-term inflammation of the gastric mucosa. It may be caused by Helicobacter pylori infection, prolonged use of nonsteroidal anti-inflammatory drugs (NSAIDs), excessive alcohol consumption, and other factors. Gastritis leads to damage and inflammatory responses in the gastric mucosa, increases gastric acid secretion, and results in a burning sensation. Patients can be treated with medications such as compound rennet enzyme capsules, bismuth potassium citrate tablets, or colloidal bismuth pectin capsules under a doctor's supervision.

4. Gastric Ulcer

Gastric ulcers are typically caused by excessive activity of gastric acid and pepsin, which may break down the protective lining of the stomach, leading to ulcer formation. Gastric ulcers often cause pain and discomfort, such as persistent heartburn. Patients can take medications such as esomeprazole magnesium enteric-coated tablets or lansoprazole tablets under medical guidance.

5. Duodenal Ulcer

Both gastric and duodenal ulcers can lead to excessive gastric acid secretion and damage to the protective mucosal layer, increasing irritation of the stomach lining by gastric acid and causing a burning sensation. Patients may follow medical advice to use medications such as omeprazole sodium for injection, cimetidine injection, or belladonna tablets.

If heartburn persists or worsens, prompt medical consultation is recommended for professional diagnosis and treatment.


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