Distension and pain in the middle of the chest may not be caused by esophageal lesions. Reflux esophagitis, or ulcers in the esophagus, may also cause a burning sensation behind the sternum, which may be aggravated by eating, and there may be significant acid reflux in the mouth, especially when lying down. In addition, esophageal hiatal hernia is also very common, and it also occurs very often in elderly patients. Patients may also have significant abdominal distension and even recurrent intrapulmonary infections and aspiration pneumonia, and then gastroscopy, CT and other related examinations can clarify the diagnosis. If necessary, further surgical treatment is required, and the patient should pay attention to diet, eat less and more, not overeating, after eating can be appropriate activities, but also to promote the downward evacuation of food.