What should I do when I often have stomach pain, nausea, and heartburn?

Patient's question:

Often experiencing stomach pain with a feeling of hunger, but the pain intensifies even after eating. Sometimes, symptoms like a cold stomach, acid reflux, heartburn, and nausea occur. What can be done for frequent stomach pain, nausea, and heartburn?

Doctor's answer:

Gastric pain cannot be ruled out as being caused by peptic ulcer or gastric ulcer. It is necessary to recommend an endoscopy for a thorough diagnosis. If necessary, check if it is an infection with Helicobacter pylori. The specific symptoms of gastric ulcer include pain in the upper abdomen, located below the xiphoid process (sternum) or around the midline of the upper abdomen, presenting as burning, gnawing, or hunger-like dull pain, distending pain, or hidden pain. The pain can be relieved by defecation, drinking water, or consuming alkaline foods (such as steamed buns). It is necessary to undergo an endoscopy for a thorough diagnosis. For patients with gastric pain, in addition to taking symptomatic medication, dietary therapy can be used as supplementary treatment in daily life. It is essential to avoid excessive hunger or fullness and never overeat or binge drink in daily dietary habits.

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