I am 45, male. Why do I get a burning sensation after meals?

Question

Hello doctor,

I am 45, male, experiencing burning just below the chest after eating. It has happened on and off for two years, but now it happens more frequently. Is there any remedy? My grandfather had a stomach ulcer, and I fear I may get one too. Is there any remedy?

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

Regarding your symptoms, I strongly believe you have developed a chronic, poorly treated stomach ulcer disease, possibly inherited from the family, which in this case is your father. The stomach ulcer is triggered after a recent meal and is worse when you eat spicy or peppered food. Have you been on any medication since it started?

Please do a urea breath test to check if a bacterium called Helicobacter pylori (H. pylori) is present, as this may be linked to no curative episode for the past two years since onset. Please take the following first-line pharmacological therapy and let me see if there will be an optimal improvement:

Ranitidine 300 milligrams per oral (po) two tablets, daily for two weeks.
Omeprazole 40 milligrams per oral (po), two capsules, twice daily (bid) for two weeks.
Clarithromycin 500 milligrams per oral (po), one tablet twice daily (bid) for two weeks.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.