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Burning sensation
I have upper middle part of stomach pain and burning sensation what is the issue I have done the sonography in April and this was finding i was good but again prob started and what is that pylorus thickening
Answers (19)
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Your signs are suggesting gastritis ,which are more due to eating habits and life style .
You should consult a physician and with that shift your eating habits to less oily and less spicy food
If not doing any physical activity then start some walking and exercises
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Hi. Your symptoms are suggestive of gastritis or acid peptic disease. The ultrasound mentions mild pyloric thickening (8–9 mm), but this finding alone does not confirm pyloric stenosis in adults and should be correlated with your symptoms. An upper GI endoscopy and, if indicated, H. pylori testing may be required for proper diagnosis. Meanwhile, avoid spicy/oily foods, tea, coffee, alcohol, smoking, and NSAID painkillers. Please consult a gastroenterologist for examination and appropriate treatment (such as a PPI if indicated). Seek urgent medical care if you develop persistent vomiting, vomiting blood, black stools, severe abdominal pain, or significant weight loss.
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Treating a burning sensation in the stomach alongside a thickened pylorus focuses on managing excess stomach acid and alleviating blockages (pyloric stenosis or hypertrophy) that prevent food from leaving the stomach easily. Treatment ranges from dietary changes and medication to surgical intervention.
1. Medications
Acid Reducers: Doctors typically prescribe Proton Pump Inhibitors (PPIs) (e.g., omeprazole, pantoprazole) or H2 blockers to neutralize and reduce the production of stomach acid.
Mucosal Protectants: Medications like sucralfate can be used to coat and soothe the stomach lining, offering relief from burning.
Antibiotics: If tests detect an H. pylori bacterial infection—a common cause of both gastritis and stomach burning—a 14-day course of antibiotics and PPIs will be necessary.
2. Dietary Modifications
To prevent food from sitting and fermenting in the stomach, which worsens burning and nausea, diet adjustments are crucial:
Frequent, Small Meals: Eat 5–6 small meals throughout the day rather than large ones to reduce pressure on the stomach and allow easier digestion.
Easy-to-Digest Foods: Favor soft-textured, low-fiber, and low-fat foods like mashed potatoes, well-cooked vegetables, rice, bananas, and lean proteins.
Avoid Irritants: Strictly limit spicy foods, caffeine, alcohol, and carbonated beverages, as these aggravate stomach burning and weaken the valve between the esophagus and stomach.
3. Lifestyle Adjustments
Stay Upright After Eating: Do not lie down for at least 2–3 hours after a meal to help gravity move contents out of your stomach and prevent acid reflux.
Chew Thoroughly: Break down solid food completely into a liquid or mashed-potato consistency before swallowing to ease the stomach's workload.
Hydrate Strategically: Sip plenty of fluids, but balance them out rather than drinking large volumes all at once with solid food.
4. Surgical Intervention
If the thickened pylorus creates a significant gastric outlet obstruction or severe gastroparesis (slowing stomach emptying), surgery may be the required definitive treatment: [1, 2, 3]
Pyloromyotomy: This surgical procedure widens the tight, blocked pyloric muscle. It is often done via minimally invasive laparoscopy, enabling food and liquid to pass easily from the stomach to the small intestine.
Next Steps
Do an endoscopy.
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This is basically due to acid reflux
U have to drink more water and walk 10 mins after every meal
Avoid spicy foods
Next Steps
If it persist then contact me for further consultation
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Stomach outlet is pylorus and that is thickened. Because of this thickening gastric contents are not being emptied at a rate where it should be emptied. As gastric contents ( acid, enzymes , food etc) residency within stomach, you are facing pain and burning sensation.
Next Steps
seek help from gastroenterologist. you may need to undergo endoscopy if needed. if pyloric stenosis is severe then surgical procedure is required ( laser therapy while endoscopy or pylorectomy). otherwise oral medicine is enough.
Health Tips
feel free to consult me on practo for further queries
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Looking like gastritis
Kindly consult me for further management
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Diagnosis given gastritis
CHANGE LIFE STYLE N DIET PLAN DRASTICALLY FIRST.
MUCAIN GEL 10ML WITHOUT WATER NOTHING BY MOUTH TILL 30MIN CAN BE TAKEN 3TO4 TIMES.
NEXPRO RD40 ONE IN EMPTY STOMACH FOR TEN DAYS.
YET U CAN CONSULT SUPERSPECIALIST LIKE GASTROENTEROLOGIST
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Do consult
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Your USG report gives a clear explanation for your symptoms. Two findings: (1) Grade I fatty liver â the liver shows increased echotexture, meaning early fat deposition, which is manageable with diet and lifestyle changes. (2) Pyloric thickening of 8â9 mm (normal is
Next Steps
If symptoms persist after 4â6 weeks of PPI, get an upper GI endoscopy done to check for H. pylori and peptic ulcer disease. Also get liver function tests. Please consult me directly on Practo for a detailed evaluation.
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Proper evaluation and personalised advice are needed for your concern. A detailed consultation would be best to provide accurate guidance.
Feel free to consult me for further assistance.
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Pylorus is part of stomach which usually thickens due to acid secretion.
Tab PANTOP 40MG EMPTY STOMACH
TAKE SMALL FREQUENCT MEALS
AVOID OILY AND SPICY FOOD
Consult a gastroenterologist
Next Steps
upper gi endoscopy
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Take proton pump inhibitors for some time .
Take a light balanced normal diet for sometime ..
Consult porperly
Next Steps
if problem persist upper gi endoscopy should be done
Health Tips
avoid spicy
junk food ..meat etc
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Get a consultation from myself, I will first take all history and then provide medications
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Its a part of stomach and its thickened due to more acid production in a protective way from acid.treatment is mostly surgical in your case.
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Wall thickening
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.