Four fingers above the navel is where the stomach is, and if there is pain in the epigastrium, it usually suggests inflammation of the stomach or inflammation of the appendix. When the stomach inflammation, will be accompanied by obvious gastrointestinal symptoms, such as nausea, vomiting, acid reflux, bloating, burping, etc., common in gastritis or gastric ulcer, if the gastric mucous membrane bleeding may also be accompanied by black stools, need to carry out a gastroscopy to clarify the diagnosis, diagnosis is clear need for oral medication symptomatic treatment, such as ometholone, clarithromycin and so on. Early appendicitis can also be manifested in the epigastric or navel around the pain, 6-8 hours later the pain will be transferred to the right lower abdomen, and fixed right lower abdominal pain, you can perform routine blood tests and appendix ultrasound examination to clarify, after clarification is recommended to perform appendectomy.