Heartburn in the stomach is mainly caused by gastroesophageal reflux, peptic ulcers, tumors and other diseases, and needs to be treated symptomatically through general treatment, medication, endoscopic treatment and surgery.
1. General treatment: Reduce the intake of high-fat, spicy and greasy food, as well as coffee, strong tea and chocolate. When sleeping, you should pay attention to the pillow or elevate the upper body to reduce the symptoms of reflux.
2. Drug treatment:
(1) Acid-suppressing drugs: play a role in inhibiting gastric acid, such as proton pump inhibitors as the first choice of drugs, for severe esophagitis combined with esophageal hiatal hernia, the dose can be increased appropriately; can also be used for the treatment of peptic ulcer.
(2) Gastrointestinal stimulants: they are suitable for patients with mild gastroesophageal reflux, such as domperidone and mosapride, which can improve esophageal peristalsis and reduce reflux.
(3) Antacids: help relieve symptoms in heartburn sufferers, generally suitable for patients with mild symptoms and intermittent episodes.
(3) Endoscopic treatment: When peptic ulcer is combined with pyloric deformation or stenosis, endoscopic treatment can be chosen, such as performing endoscopic variable balloon dilatation.
4. Surgical treatment: such as anti-reflux surgery and laparoscopic fundoplication, which can stop the flow of gastroduodenal contents into the esophagus, can be considered for patients with gastroesophageal reflux who have persistent heartburn and consequent chronic cough, pharyngitis, and limited drug therapy.
Patients with heartburn in the stomach need to be treated systematically under medical supervision.