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Suggest Treatment For Burning Sensation In My Stomach After A Meal
Posted on
Mon, 2 Jul 2018
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Mon, 2 Jul 2018
Answered on
Wed, 2 Feb 2022
Last reviewed on
Question : I have a burning sensation in my stomach, especially when I drink or eat something. I am unable to eat a lot of foods as a result of the recent burning sensation. My experience began after consuming Alkaline water 4 cups and 1 bowl of spinach. Immediately afterwards I was feeling that burning sensation all through my abdominal area. I have had this feeling since June 26th.
The burning subsides and then comes back so its off and on, and worse I find at night. I am currently taking PPI Pantoprazole 40mg as prescribed to me in the Emergency Department. I had an ultra sound completed on my Abdomen Gallstones and Gallbladder, pancreas, kidneys etc. The only thing the ultrasound showed was 2 small kidney stones. I'm not sure if I really need the PPI as I don't even know if this is H Pylori or its something of an Ulcer. It burns when I eat or drink and then subsides.
The burning subsides and then comes back so its off and on, and worse I find at night. I am currently taking PPI Pantoprazole 40mg as prescribed to me in the Emergency Department. I had an ultra sound completed on my Abdomen Gallstones and Gallbladder, pancreas, kidneys etc. The only thing the ultrasound showed was 2 small kidney stones. I'm not sure if I really need the PPI as I don't even know if this is H Pylori or its something of an Ulcer. It burns when I eat or drink and then subsides.
Brief Answer:
Can switch over to H2 blockers.
Detailed Answer:
Hello,
The esophagus is a muscular tube that is located in the chest and serves to transfer food from the mouth to the stomach. The lower esophageal sphincter (LES) is a valve that is located at the junction of the stomach with the esophagus. Its function is to prevent acid and other contents of the stomach from coming back into the esophagus. GERD is a condition in which excessive acid-containing fluid refluxes (flows) back into the esophagus, in part because the lower esophageal sphincter is weak. Symptoms are pain burning etc.
If the problem is caused by previous irritation from acid reflux, I recommend the following:
1. Zantac (ranitidine) 150 mg twice a day. Zantac is an acid reducer that decreases acid production by 70%, allowing the tissues to heal. You may need to take this for a month or longer. I prefer Zantac to the proton pump inhibitors (Nexium, Prilosec, etc.) because it is safer and does not have the risk of discontinuation rebound hyperacidity when it is stopped.
2. Do not lie down for 2-3 hours after eating.
3. Avoid acidic foods - citrus, tomatoes, juices
4. Decrease caffeine (colas, coffee) and sodas in general.
5. Decrease alcohol or completely stop it.
6. If you smoke cigarettes, now is the time to stop. They increase acid production and delay healing.
7. If you are overweight through the middle, that increases the risk of reflux. Try to decrease your weight (if overweight) slowly over time.
8. Eat smaller amounts at a time so there is less pressure in the stomach which can reflux acid into the stomach.
9. Avoid eating/drinking mint (it relaxes the lower esophageal sphincter which can allow more acid up).
If these changes don't help enough, it is time to see your doctor. Your dr. may want you to have an endoscopy (visualizes the esophagus, stomach, with a fiberoptic tube), or manometry (pressure testing of the esophagus).
Thanks.
Can switch over to H2 blockers.
Detailed Answer:
Hello,
The esophagus is a muscular tube that is located in the chest and serves to transfer food from the mouth to the stomach. The lower esophageal sphincter (LES) is a valve that is located at the junction of the stomach with the esophagus. Its function is to prevent acid and other contents of the stomach from coming back into the esophagus. GERD is a condition in which excessive acid-containing fluid refluxes (flows) back into the esophagus, in part because the lower esophageal sphincter is weak. Symptoms are pain burning etc.
If the problem is caused by previous irritation from acid reflux, I recommend the following:
1. Zantac (ranitidine) 150 mg twice a day. Zantac is an acid reducer that decreases acid production by 70%, allowing the tissues to heal. You may need to take this for a month or longer. I prefer Zantac to the proton pump inhibitors (Nexium, Prilosec, etc.) because it is safer and does not have the risk of discontinuation rebound hyperacidity when it is stopped.
2. Do not lie down for 2-3 hours after eating.
3. Avoid acidic foods - citrus, tomatoes, juices
4. Decrease caffeine (colas, coffee) and sodas in general.
5. Decrease alcohol or completely stop it.
6. If you smoke cigarettes, now is the time to stop. They increase acid production and delay healing.
7. If you are overweight through the middle, that increases the risk of reflux. Try to decrease your weight (if overweight) slowly over time.
8. Eat smaller amounts at a time so there is less pressure in the stomach which can reflux acid into the stomach.
9. Avoid eating/drinking mint (it relaxes the lower esophageal sphincter which can allow more acid up).
If these changes don't help enough, it is time to see your doctor. Your dr. may want you to have an endoscopy (visualizes the esophagus, stomach, with a fiberoptic tube), or manometry (pressure testing of the esophagus).
Thanks.
Above answer was peer-reviewed by :
Dr. Prasad
Hi there thank you for your answers. I have only taken the PPI for 2 days so I am going to stop now. I did not like the way I felt from it anyhow, I also wanted to note that I am about 135 LBS in weight, I do not smoke at all, and I am not a drinker. I also wanted to address the fact that I am Constipated. I have not been able to have normal bowel movements for about 3 days. What Can I do, is this part of the symptom.... Do I have H polri... How common is that, or is this a Viral thing... I am planning on seeing my DR as soon as I am able to get into his office
Brief Answer:
follow up.
Detailed Answer:
Hi
1)Only endoscopy or breath test can tell whether you have H.pylori or not.
2)For constipation take over the counter laxative like lactulose sos for few days(10-30 ml).
3)Virus has nothing to do with GERD.Its very common these days especially in those who like fast food or spicy and processed food.
4)Constipation and GERD both are related to your food habits.Eat home cooked light vegetarian food for few days with medications i suggested and you would be fine.
Regards!
follow up.
Detailed Answer:
Hi
1)Only endoscopy or breath test can tell whether you have H.pylori or not.
2)For constipation take over the counter laxative like lactulose sos for few days(10-30 ml).
3)Virus has nothing to do with GERD.Its very common these days especially in those who like fast food or spicy and processed food.
4)Constipation and GERD both are related to your food habits.Eat home cooked light vegetarian food for few days with medications i suggested and you would be fine.
Regards!
Above answer was peer-reviewed by :
Dr. Prasad
okay thank you, I will now go and get the Zantac 150 and try that. I will discontinue the use of the PPIs. Thank you very much for the great Advice. I wonder why the previous doctor would give me PPIs instead of suggesting Zantac. perhaps its personal opinion.
Thank you,
Warm Regards
Thank you,
Warm Regards
Brief Answer:
Follow up.
Detailed Answer:
Hi,
Thanks a lot.
Get well soon,
Warm regards!
Follow up.
Detailed Answer:
Hi,
Thanks a lot.
Get well soon,
Warm regards!
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
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