Cold and hot stomach may be caused by physiological factors such as diet, or pathologic factors such as gastroenteritis, dyspepsia and peptic ulcer. 1. Physiological factors: certain bad dietary habits, such as eating food too hot, too cold, too spicy, etc., will produce stimulation of the gastric mucosa, causing the symptoms of cold and hot abdomen. When in mental tension, anxiety and other adverse emotional state, can cause gastrointestinal sympathetic nerve excitation, causing gastrointestinal dysfunction, may also appear in the abdomen cold and hot performance. 2. Pathological factors: gastrointestinal diseases such as gastroenteritis, dyspepsia, peptic ulcer, etc., will lead to gastrointestinal dysfunction, so that the patient appears to have symptoms of cold and hot abdomen. Patients suffering from colds, schizophrenia, dysthymia and other diseases may also feel their stomach cold and hot. In addition, women during menstruation or menopause may also experience hot and cold stomach due to changes in hormone levels in the body. If the patient has long-term or recurrent symptoms of hot and cold stomach, it is recommended to consult a doctor in a timely manner to identify the cause of the disease under the guidance of a professional physician and carry out targeted treatment to avoid delaying the condition.