There is a burning feeling in my stomach

If a person has gastrointestinal diseases such as enteritis, he is very likely to experience a burning sensation in his stomach. This feeling may also occur if he gets angry or too much stomach acid is secreted in the body. Generally speaking, this feeling is not terrible and can be recovered with proper treatment. However, if the burning sensation in your stomach is very strong and lasts for a long time, it is recommended to visit the gastroenterology department to see if you have any disease.

The burning feeling in the stomach may be caused by many reasons, such as excessive gastric acid secretion, inflammation, enteritis, etc.

How to treat enteritis

1. Pathogen treatment

Viral enteritis generally does not require pathogen treatment and can heal on its own. For bacterial enteritis, it is best to select antibiotics based on the results of bacterial drug sensitivity tests. When suffering from bacillary dysentery, because Shigella dysenteriae is widely resistant to commonly used antibiotics, the generally used drugs are co-trimoxazole (cotrimoxazole), pipemidic acid, gentamicin, amikacin, etc. Campylobacter jejuni enteritis can be treated with erythromycin, gentamicin, chloramphenicol, etc. Yersinia enterocolitica enteritis is generally treated with gentamicin, kanamycin, co-sulfamethoxazole, tetracycline, chloramphenicol, etc. Patients with mild Salmonella enteritis may not need antibiotics, while patients with severe cases can use chloramphenicol or trimethoprim-sulfamethoxazole. Invasive Escherichia coli enteritis can be treated with neomycin, colistin and gentamicin with good results. Amebic dysentery, enteritis caused by Giardia lamblia, and Trichomonas can be treated with metronidazole (Flagyl). Schistosomiasis can be treated with praziquantel. Oral nystatin is effective in treating Candida albicans enteritis. Patients with systemic fungal infection need to be treated with amphotericin B.

2. Symptomatic treatment

Replenish fluids and correct electrolyte and acidosis. For those who are mildly dehydrated and do not vomit severely, oral rehydration can be given. The WHO-recommended oral rehydration formula is sodium chloride, sodium bicarbonate, potassium chloride, glucose or sucrose, and water. For patients with severe dehydration or vomiting, normal saline, isotonic sodium bicarbonate and potassium chloride solutions, and glucose can be given intravenously.

Drugs that reduce intestinal motility and secretion. Atropine, belladonna, and propantheline can be used in small amounts to reduce intestinal motility, relieve pain, and stop diarrhea. Chlorpromazine can also be used. It has a sedative effect and can inhibit excessive secretion of intestinal mucosa caused by enterotoxins, thereby reducing the frequency and amount of bowel movements.