The causes of pain in the upper chest include: 1, esophagitis, which is the main cause of pain in the upper chest, along with heartburn, acid reflux, belching and other symptoms, the nature of pain is burning pain, stabbing pain, which will appear or worsen when swallowing food. 2, esophageal cancer, the clinical symptoms of pain are not very different from those caused by esophagitis, but drug treatment does not have significant effect, and the clinical symptoms are progressively aggravated. 3, pneumonia, tuberculosis and other lung infections, when the lung tissue is infected with pathogens causing inflammatory diseases, pain symptoms will appear in the upper chest. The clinical symptoms are progressively aggravated. 3, pneumonia, tuberculosis and other lung infectious diseases, when the lung tissue is infected with pathogens causing inflammatory diseases, there will be symptoms of pain above the chest, especially when coughing, deep breathing, pain symptoms increase. 4, cardiogenic pain, occurring in myocardial ischemic disease may be manifested as angina attack, induced after exertion, emotional excitement.