Stomach bloating and pain require identification of the specific cause before effective treatment can be administered.
The usual cause of gastric distension and pain is due to chronic gastritis, such as chronic superficial gastritis, chronic atrophic gastritis, erosive gastritis, gastric ulcer, and even tumors of the stomach, such as gastric cancer, which can cause gastric distension and pain.
When this symptom occurs, a breath test is recommended first to clarify the presence of H. pylori infection. If H. pylori infection is present, a 10-14 day quadruple standard therapy is required to eradicate H. pylori and a gastroscopy is performed to clarify the presence of ulcers, erosions, and tumors in the stomach, and different treatment methods are used for different etiologies. Common treatments are: 1) eradication of H. pylori; 2) drugs that inhibit gastric acid secretion, such as omeprazole, pantoprazole, rabeprazole, etc.; 3) drugs that protect the gastric mucosa, such as bismuth potassium citrate, colloidal bismuth, aluminum thioglycollate, gastric doxy, etc.; 4) drugs that promote gastric motility, such as morpholine, mosapride, etc.; 5) if there is a tumor of the stomach, it is necessary to clarify as soon as possible whether it is benign or malignant. The tumors of the stomach need to be clarified as soon as possible as benign and malignant, and different treatment plans should be adopted.