The pain inside the lower ribs of the heart may be a physiological phenomenon, or it may be a symptom of certain diseases, such as coronary heart disease, hypertrophic cardiomyopathy, gastrointestinal diseases, etc., and you should consult a doctor in time to find out the cause of the disease. 1. Physiological factors: if the patient tends to stay up late, anxiety, tension, stress, lack of sleep and other bad habits, may lead to pain inside the lower ribs of the heart. Patients need to change their lifestyle habits, exercise regularly and divert their attention to help improve their symptoms. 2. Pathologic factors: (1) coronary heart disease: if coronary heart disease patients have insufficient blood supply to the myocardium will trigger angina attacks, there will be pain in the lower ribs of the heart. (2) hypertrophic cardiomyopathy: this disease can also be manifested as pain in the ribs below the heart, mainly due to the narrowing of the left ventricular outflow tract. (3) digestive diseases: common diseases for reflux esophagitis, gastric ulcer, chronic gastritis, etc., can also cause pain inside the ribs below the heart. In addition to these factors, we can’t rule out other causes, and we suggest that patients should consult a doctor in time to clarify the cause of the disease and follow the doctor’s instructions for standardized treatment.