The pain in the middle of both chests when pressed upwards may be related to trauma, costochondritis, reflux esophagitis and other reasons. 1. Trauma: impact, extrusion, etc. can cause local tissue swelling, congestion, or rib fracture, manifested as chest pain, chest tightness, etc., the local skin lesions or bruises can be seen, and there is pain when pressed. 2. Costochondritis: Inflammatory reaction of cartilage at the junction of ribs and sternum, localized swelling, pressure pain and other symptoms. 3. Reflux esophagitis: due to the reflux of gastric contents and damage to the esophageal mucosa, acid reflux and heartburn may occur, accompanied by chest pain, epigastric pain and other symptoms. The pain in the middle of the two chests when pressed upwards can also be seen in other diseases, it is recommended that the patient go to the hospital in time to clarify the cause of the disease, and standardized treatment under the guidance of the doctor.