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How Can I Prevent Burning Sensation In The Stomach Upon Waking Up?

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Posted on Wed, 14 Jun 2023
Question: Hi,

Every morning when I wake up, I get my stomach burning, that goes off after I drink water. This is not heartburn or chestburn. The burning sensation comes directly from the stomach. Can you please advise what can I do to prevent this? Thanks.
doctor
Answered by Dr. Ramesh Kumar (27 minutes later)
Brief Answer:
Can be an ulcer.

Detailed Answer:

Hello,

Empty stomach burning sensation is highly characterstic of duodenal ulcer.

Patients with an ulcer in their duodenum have a particular complaint of pain in the stomach empty stomach which respond to food or liquid.

Rx
Take a Capsule of Omeprazole.
Whenever you wake up at night take something, don't remain empty stomach for more than 4 hours.

Test suggested-
Endoscopy of the gut to rule out the location of ulcers.

Heartburn is a symptom and is. not always there in every patient.
Follow up with reports.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ramesh Kumar, Gastroenterologist

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Ramesh Kumar (7 minutes later)
Hi,

I drink peppermint in the morning and chamomile at night. Do you think this can help instead of omeprazole? Thanks a lot doctor.

The burning sensation only appears in the morning after waking up. It doesn't feel any other time of the day, even with empty stomach. Thanks.
doctor
Answered by Dr. Ramesh Kumar (6 minutes later)
Brief Answer:
Follow up.

Detailed Answer:

Hello,

Every patient has different sets of symptoms and usually classical symptoms are there only in a handful of patients.

So as per the description is given by you, I feel you should go for an endoscopy.

Yes, if those drinks are not acidic in nature then you can take them.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ramesh Kumar, Gastroenterologist
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Ramesh Kumar (17 hours later)
Hi,

I have attached the position of the pain I feel at night if I press my abdomen by hand. Drinking milk on empty stomach also cause the pain on the same position. Although, the pain is only observable if I press. I also fart after pressing the position couple of times. Does the duodenal ulcer suggestion still sustains or does it look like something else?

Thank you doctor.
doctor
Answered by Dr. Ramesh Kumar (2 hours later)
Brief Answer:
Something else.

Detailed Answer:

Hi,

I've seen the attached picture.

See, if the pain is related to pressing of the abdomen it can't be due to ulcers rather it sounds more like a sort of muscular spasm or spasms in any of the ligament of the gut area.

Just take an anti-inflammatory like Diclofenac and let me know how you feel.

Instead of Omeprazole, take Nexium (Esomeprazole) 40 mg once daily also...

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ramesh Kumar, Gastroenterologist
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Ramesh Kumar (4 hours later)
Could this be IBS? The pain reduce with bloating and bowel movement.
doctor
Answered by Dr. Ramesh Kumar (6 hours later)
Brief Answer:
Follow up.

Detailed Answer:

Hello,

IBS is a diagnosis of exclusion which means that even when all tests are normal and symptoms are there its IBS.

Go for:
Endoscopy
Colonoscopy
Stool test
Blood test
USG abdomen

If all the above tests are normal its IBS.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ramesh Kumar, Gastroenterologist
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Ramesh Kumar (26 hours later)
Hi, As you suggested earlier to take diclofenac for spasm, would diclofenac fix the issue of the spasm or is it for temporary pain relief? Thanks.
doctor
Answered by Dr. Ramesh Kumar (1 hour later)
Brief Answer:
Follow up.

Detailed Answer:

Hello,

Diclofenac is an anti-inflammatory and not an antispasmodic so if you feel that pain is due to spasm then take Dicyclomine, otherwise for the pain, you can take diclofenac.

Hope I have answered your query.

Regards,
Dr. Ramesh Kumar, Gastroenterologist
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2906 Questions

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How Can I Prevent Burning Sensation In The Stomach Upon Waking Up?

Brief Answer: Can be an ulcer. Detailed Answer: Hello, Empty stomach burning sensation is highly characterstic of duodenal ulcer. Patients with an ulcer in their duodenum have a particular complaint of pain in the stomach empty stomach which respond to food or liquid. Rx Take a Capsule of Omeprazole. Whenever you wake up at night take something, don't remain empty stomach for more than 4 hours. Test suggested- Endoscopy of the gut to rule out the location of ulcers. Heartburn is a symptom and is. not always there in every patient. Follow up with reports. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ramesh Kumar, Gastroenterologist