Stomach burning hot considerations may be dietary aspects, gastroesophageal reflux, peptic ulcer, gastric perforation and other factors lead to. 1. Diet: If you eat too much spicy and stimulating food, or drink too much alcohol, these exogenous spicy food will directly stimulate the gastrointestinal mucosa, which will produce a burning sensation in the stomach, and you will feel the stomach hot and spicy heat. 2. Gastroesophageal reflux: most of the gastroesophageal reflux disease will be manifested as esophagus, stomach burning pain, that is, the stomach hot and spicy feeling. 3. Peptic ulcers: including gastric ulcers and duodenal ulcers, when gastric acid is secreted and acts on the ulcerated area, there will be a hot and burning sensation in the stomach. 4. Gastric perforation: In mild gastric perforation, the secretion of gastric acid stimulates the damaged gastrointestinal mucosa, which may be accompanied by abdominal pain, fever, abdominal muscle tension and other symptoms. If the burning heat in the stomach persists and cannot be relieved, it is recommended to go to the hospital as soon as possible for treatment under the guidance of a doctor.