What should I do if my stomach doesn’t hurt when I’m sitting or standing?

Stomach pain while sitting may be caused by gastric ulcer, gastric ptosis, gastric cancer, etc., which can be treated by lifestyle modification, medication and surgery.
1. Gastric ulcer: Helicobacter pylori infection, improper diet, medication and other reasons may lead to gastric mucous membrane damage, thus inducing gastric ulcer, and the symptoms of stomach pain while standing with no pain in sitting stomach can be inhibited by taking omeprazole and other drugs to inhibit the secretion of gastric acid; it can also be combined with the treatment of bismuth potassium citrate and other drugs.
If it is caused by Helicobacter pylori, you can use a proton pump inhibitor + a bismuth + two antibiotics quadruple therapy to eradicate Helicobacter pylori. Commonly used proton pump inhibitors are omeprazole, pantoprazole, etc. Commonly used bismuth agents are bismuth pectin, bismuth potassium citrate, etc. Commonly used antibiotics are amoxicillin, metronidazole, clarithromycin and so on.
2. Gastric ptosis: The decrease of the diaphragm position, stomach diseases and other reasons may lead to gastric ptosis, which may cause the symptom of stomach sitting without pain and standing with pain. There is no specific treatment drug for gastric ptosis, but you can take omeprazole and other drugs to relieve the symptoms, and if necessary, you can undergo major gastrectomy.
3. Gastric cancer: chronic gastritis, heredity and other reasons may induce gastric cancer, and when the lesion increases and involves the nerves, the symptom of gastric sitting without pain and standing with pain may appear. Early stage patients need to undergo gastric resection or total gastrectomy for a limited period of time, and at the same time assist chemotherapy, targeted therapy and other modes of treatment.
Sitting stomach pain standing pain may be caused by other reasons, it is recommended to go to the hospital to check the abdominal ultrasound, gastroscopy, Helicobacter pylori breath test under the guidance of the doctor for treatment.