Dull pain in the chest indicates vague pain in the subxiphoid process and upper abdomen, which may be due to gallbladder stones combined with chronic cholecystitis or chronic gastritis. Epigastric lesions may be characterized by vague pain, dull pain, distension with nausea, vomiting and acid reflux. Ultrasound examination of the liver and gallbladder is needed to exclude internal lesions of the gallbladder. If stones or inflammation of the gallbladder wall are found, it means that the gallbladder is the cause of the lesions, and laparoscopic cholecystectomy should be considered for frequent occurrence of upper abdominal pain. After the examination found that the gallbladder is normal, you need to do gastroscopy, to further understand the lesions in the stomach, gastroscopy is relatively intuitive, can directly find the lesions of the gastric mucosa, gastroscopy is considered to be caused by chronic gastritis, you need to take oral medication for treatment.