The burning sensation in the stomach when drinking hot water may be caused by chronic gastritis, gastric ulcer, esophagitis, etc. It is necessary to determine the cause according to the specific performance and personal situation, and if necessary, seek medical examination to clarify the cause and take the appropriate treatment. Common causes and treatments 1, chronic gastritis: due to unclean diet, cold, alcohol, drugs, emotions and other triggers lead to damage to the gastric mucosa, and then drink hot water with a burning sensation in the stomach. You can follow the doctor’s instructions to apply the inhibition of gastric acid secretion, protection of gastric mucosa, and promote gastric power drugs, such as omeprazole, aluminum thioglycollate, domperidone, etc. If there is H. pylori infection, it can be treated with H. pylori quadruple therapy, including proton pump inhibitors, two antibacterial drugs and bismuth; 2, gastric ulcer: stimulate the ulcer surface in the stomach when drinking hot water, which in turn leads to a burning sensation in the stomach. Treatment should pay attention to more rest, avoid spicy and irritating food, and avoid drinking coffee and strong tea. Avoid taking non-steroidal anti-inflammatory drugs such as ibuprofen and aspirin. Drugs to reduce the concentration of gastric acid, eradicate H. pylori and protect the gastric mucosa, such as cimetidine, H. pylori quadruple therapy, bismuth, etc., can be used as prescribed by the doctor. If the gastric ulcer is treated with drugs, the ulcer is not healed, the efficacy is not satisfactory, or the gastric ulcer causes serious complications, such as bleeding gastric ulcer, gastric perforation, pyloric obstruction, cancer, etc., surgery is required; 3. Esophagitis: the esophageal mucosa is stimulated by inflammation, which can be manifested as a burning sensation in the stomach when drinking hot water. Can follow medical advice to apply antacids, acid suppressants, gastric mucosal protective agents, antibacterial drugs, antiviral drugs, such as calcium carbonate, H2 receptor antagonists, proton pump inhibitors, colloidal bismuth agents, fluconazole, acyclovir and other symptomatic treatment. Surgical treatment such as endoscopy, anti-reflux surgery, and gastroscopic esophageal dilatation should be performed if necessary. Precautions Patients should pay attention to avoid eating foods that damage the gastric mucosa, such as cold, overheated, spicy and stimulating foods, avoid drinking strong tea and coffee, and eat less high-salt and pickled foods. Attention should be paid to keep a happy mood, pay attention to rest and avoid straining.