Pain in the middle of the abdomen, generally common causes and treatment methods are as follows: 1. Severe pain caused by common bile duct stones and acute cholangitis. The common bile duct is located in the abdomen just below the mid-sword process. If it is accompanied by stone impaction and acute infection, it will cause nausea, vomiting, abdominal pain, high fever, chills and other symptoms in patients, and in severe cases, the manifestation of infectious shock will appear. At this time, it is necessary to perform biliary exploration and stone extraction as soon as possible to relieve the pressure in the bile duct, which can effectively reduce the abdominal pain symptoms of patients. 2. small intestine spasmodic pain. Mostly seen in patients who ate too much cold or irritating food at one time, and caused continuous spasm of the small intestine around the umbilicus. At this time, it is recommended that patients take scopolamine 10mg orally and apply a hot water bag around the umbilicus. This can gradually relieve the spasm of the intestinal canal and reduce the pain symptoms.