Acid reflux when hungry may be caused by chronic gastritis, reflux gastritis and destruction of gastric mucosa, which can be solved by improving lifestyle habits and taking medicines to inhibit gastric acid or protect gastric mucosa, such as omeprazole and thioglycollate. 1. Chronic gastritis with acid reflux can be resolved by improving lifestyle habits, such as eating less stimulating food, drinking less alcohol, coffee, etc. to eliminate the symptoms. 2. Reflux gastritis causes acid reflux because of excessive secretion of gastric acid, you can take medicines to inhibit gastric acid, such as omeprazole, rabeprazole, ranitidine, cimetidine, etc., to inhibit the secretion of gastric acid and improve the symptoms of acid reflux. 3. Destruction of gastric mucosa will lead to a decrease in its resistance to gastric acid and symptoms of acid reflux. By taking gastric mucous membrane protection agents, such as aluminum sulfate, colloidal bismuth pectin, etc. can play a role in protecting the gastric mucous membrane. In addition, if there is Helicobacter pylori infection, anti-Helicobacter pylori treatment is needed. If the symptoms of acid reflux occur when the stomach is hungry, it is recommended to go to the hospital in time, and under the guidance of the doctor to carry out regular treatment.