Epigastric flatulence may be caused by functional dyspepsia, pyloric obstruction, etc. Symptoms can be relieved by general treatment and medication. 1. Functional dyspepsia (1) General treatment: You can massage the upper abdomen counterclockwise with your hands to help digestion. Diet should be light, avoid eating spicy and stimulating food. (2) drug treatment: at this time you can take gastrointestinal power drugs such as domperidone tablets, moxaliprole and so on to promote gastrointestinal peristalsis. Take intestinal flora regulators such as bifidobacteria, lactobacilli and other drugs to regulate the microenvironment of the digestive tract. Digestive enzymes such as compound digestive enzyme preparation. 2. Pyloric obstruction (1) General treatment: first of all, gastrointestinal decompression should be carried out, and a gastric tube should be left in place to relieve the feeling of suffocation. Secondly, diet should be prohibited, and enteral nutrients should be given for nutritional support. (2) Pharmacological treatment: If the obstruction is caused by pyloric edema, you can use some acid-suppressing drugs such as omeprazole, and at the same time, you should give warm saline gastric lavage to promote the absorption of edema. If the obstruction is caused by fibrous scarring, surgery is needed. Epigastric flatulence may also be caused by Helicobacter pylori infection, intestinal obstruction and other factors, the patient should go to the hospital as soon as possible to improve the relevant examinations, such as barium imaging, gastroscopy, etc., to clarify the cause of the disease. The above mentioned drugs should be taken under the guidance of a professional doctor.