Pain above the sternum with gas and hiccups are mostly considered to be digestive diseases, such as chronic gastritis, reflux esophagitis, peptic ulcer, etc., which can be relieved by improving lifestyle and dietary habits, taking medications, surgery, and other methods. 1. Chronic gastritis: patients are usually accompanied by increased gastric acid secretion, and can take acid-suppressing drugs such as omeprazole and gastric mucosa-protecting drugs such as bismuth potassium citrate to reduce the damage of gastric mucosa. Patients with Helicobacter pylori infection should also take amoxicillin, clarithromycin and other antibiotics for eradication treatment. 2. Reflux esophagitis: patients can take acid-suppressing drugs such as omeprazole to reduce the secretion of gastric acid, and domperidone and other pro-dynamic drugs to promote the emptying of gastric acid, in order to reduce the symptoms of reflux. Attention should also be paid to avoid lying down immediately after meals and avoid overeating before bedtime to avoid stimulating gastric acid secretion. Surgery can also be considered if necessary. 3. Peptic ulcer: patients are mainly accompanied by gastric mucous membrane damage, increased gastric acid secretion, can take omeprazole and other acid inhibitors, bismuth potassium citrate and other gastric mucous membrane protection drugs. In addition, patients should pay attention to diet, avoid eating cold and spicy stimulating food, greasy and other indigestible food and beans and other easy to produce gas food, drink less strong tea, strong coffee, quit smoking and alcohol. At the same time, we should avoid staying up late at night, overworking, etc., exercise appropriately, and maintain emotional stability. If the patient has long-term or recurrent pain above the sternum with gas hiccups, it is recommended to consult a doctor in time to identify the cause and carry out targeted treatment. Drugs must be strictly in accordance with the doctor’s instructions to take medication, not self-medication, so as not to delay or even aggravate the condition.