Many causes of epigastric pain, such as gastric ulcer, angina pectoris, cholecystitis or gallbladder stones, acute gastritis and other diseases may cause epigastric pain, should consult a doctor for examination in a timely manner, to clarify the cause of the disease, and then give symptomatic treatment. 1. Gastric ulcer: due to mental stress or irregular diet and other factors, may lead to excessive secretion of gastric acid, the gastric mucosa tissue corrosion and damage, the formation of localized ulcers, often lead to epigastric pain. 2. Angina pectoris: the occurrence of angina pectoris and myocardial ischemia has a great relationship, the patient may appear epigastric pain symptoms. 3. Cholecystitis or gallbladder stones: Acute and chronic cholecystitis is mostly caused by gallbladder stones or inflammation of the gallbladder ducts leading to gallbladder duct obstruction, bile stagnation, stimulation of the gallbladder caused by the inflammatory reaction, can be secondary to bacterial infection, which can cause epigastric or right epigastric pain, and there may be a pain in the right shoulder or back, often accompanied by nausea and vomiting. 4. Acute gastritis: some people after overeating or drinking, there may be acute damage to the gastric mucosa, which will occur acute gastritis, which causes severe pain in the upper abdomen. In daily life, if the symptoms of epigastric pain, you should consult a doctor in time, you can carry out abdominal ultrasound, gastroscopy or electrocardiogram to clarify the cause of the disease in time, so as to carry out targeted treatment, and usually also pay attention to rest to avoid overwork, to prevent the recurrence of epigastric pain.