Acid reflux in the stomach at night, how to treat

Acid reflux in the stomach at night may be caused by physiological factors such as improper diet before going to bed, or it may be caused by pathologic reasons such as gastritis and peptic ulcer. It can be alleviated and treated by dietary adjustments such as eating a light diet and taking medications such as esomeprazole.
1. Physiological reasons: overeating before going to bed and consuming too much cold, oily, spicy and irritating food such as spicy hot pot, fried chicken, mutton, alcohol, ice cream, chocolate, etc., can lead to increased gastric burden, stomach bloating, nausea, acid reflux, vomiting and other symptoms. You can adjust your dietary habits and reduce or stop eating before going to bed to improve symptoms such as acid reflux at night.
2. Pathologic causes:
(1) Gastritis: Smoking, alcoholism, aspirin and other drugs, bacterial infections and other factors can lead to inflammatory reaction of the gastric mucosa and symptoms such as acid reflux, nausea and stomach pain at night. It can be relieved and treated by gastric stimulants such as domperidone, proton pump inhibitors such as esomeprazole, and gastric mucosal protectors such as bismuth pectin.
(2) Gastric ulcer: Factors such as Helicobacter pylori infection and excessive mental stress can lead to the occurrence of gastric ulcer with symptoms such as acid reflux, heartburn, nausea and vomiting. Usually 1 kind of bismuth + 1 kind of proton pump inhibitor + 2 kinds of antibiotics are used for the eradication of H. pylori. Bismuth can be chosen as bismuth potassium citrate, proton pump inhibitor is commonly used as omeprazole, and antibiotics can be used as clarithromycin and amoxicillin.
Acid reflux water in the stomach at night, it is recommended to consult a doctor in order to clarify the diagnosis, targeted treatment. In addition, all of the above drugs should be taken under the guidance of a doctor and should not be used without authorization.