Causes of pain above the chest include:1. Esophagitis, which is the main cause of pain above the chest, with symptoms such as heartburn, acid reflux, belching, etc. The nature of the pain is burning and stinging, and it will appear or aggravate when swallowing food.2. Esophageal cancer, the difference between the clinical symptoms of the pain and the pain caused by esophagitis is not very big, but the medication treatment does not have a significant effect, and the clinical symptoms show a Pneumonia, tuberculosis and other lung infectious diseases, when the lung tissue is infected with pathogens that cause inflammatory diseases, there will be symptoms of pain above the chest, especially when coughing, deep breathing, the pain symptoms intensify. 4, cardiogenic pain, which occurs in myocardial ischemic disease may be manifested as angina attack, triggered by fatigue, emotional excitement.