Generally speaking, hidden pain next to the right epigastric raphe is considered to be caused by trauma, duodenal inflammation and other digestive diseases, costochondritis and so on. 1. Trauma: the right epigastric raphe is hit by external force, causing soft tissue injury, which can cause pain, subcutaneous bruising and other symptoms. 2. Digestive system diseases: (1) duodenal inflammation and ulcer: due to excessive secretion of gastric juice and (or) weakening of the defense function of the duodenal mucosa, resulting in the duodenal mucosa being digested and corroded by gastric acid in gastric juice, forming local inflammation and inflammatory rupture, and in severe cases, it can damage submucosal blood vessels or penetrate into the muscular layer of the intestinal wall, causing bleeding or perforation. There can be empty abdominal pain, nocturnal pain and other epigastric pain and other symptoms. (2) Cholecystitis: acute and chronic inflammation of gallbladder caused by gallbladder stones and infection. Acute attack may have severe pain in the upper abdomen, accompanied by nausea, vomiting and so on. (3) Hepatitis: it can be manifested as fatigue, nausea, loss of appetite, pressure pain in the liver area, abdominal distension and so on. 3. Costal chondritis: refers to the inflammatory reaction of the cartilage at the junction of sternum and ribs. It manifests as more obvious pain at the front chest wall, often accompanied by swelling. There are many other causes of pain next to the right epigastric raphe, such as intercostal neuritis, etc. It is recommended to consult a doctor in time to clarify the diagnosis and carry out targeted treatment.