Possible causes of epigastric and lumbar pain include muscle pain, discomfort in internal organs, bone pain and other aspects. 1. Muscle pain: localized muscle strains caused during exercise, such as excessive sit-ups and other inappropriate exercise methods, may lead to local muscle strains, which is generally based on rest, but if it can not be improved for a long period of time, it is necessary to consult the hospital. 2. Internal organs discomfort: such as acute cholecystitis, gastric ulcer, gastritis, acute pancreatitis, urinary stones, etc. may also cause abdominal or lumbar discomfort, this is the need to consult the hospital as soon as possible, if necessary, surgical treatment. 3. Skeletal diseases: for example, lumbar disc herniation can also lead to lumbar pain, which should pay attention to rest, avoid lifting heavy objects. 4. Other: trauma can also lead to epigastric lumbar discomfort. Pain and discomfort must first go to the hospital in a timely manner, improve the examination, after a clear diagnosis to be treated accordingly.