Epigastric pain with bowel sounds may be caused by indigestion, gastrointestinal dysfunction, acute gastroenteritis, chronic gastritis, gastric ulcer, etc. It can be treated by non-pharmacological and pharmacological means. 1. Indigestion: Eating too much hard-to-digest food and overeating often lead to indigestion and epigastric pain and intestinal ringing, etc. Diet structure can be adjusted by eating light and easy-to-digest food and avoiding food that causes gastrointestinal discomfort to improve the symptoms. You can also take domperidone and digestive enzyme tablets to promote gastric power and help digestion. 2. Acute gastroenteritis: inflammation of the gastrointestinal tract, stimulation of the gastrointestinal mucosa, resulting in symptoms of intestinal tinnitus, epigastric pain, anti-infective treatment, such as amoxicillin, ceftazidime, etc., the acute phase should pay attention to fluid replacement, drug therapy, such as montelukast, loperamide, etc.. 3. Chronic gastritis: patients with gastric mucosal lesions, abdominal pain, intestinal chirping and other symptoms, can be treated with medication, such as omeprazole to inhibit gastric acid secretion. 4. Gastric ulcer: patients with gastric ulcer may have epigastric pain, bowel sounds and other manifestations, can be given omeprazole to inhibit acid, magnesium aluminum carbonate to protect the gastric mucosa. If Helicobacter pylori is infected, it can be treated by combined program, such as lansoprazole, bismuth potassium citrate, metronidazole, amoxicillin to remove Helicobacter pylori. All of the above medications need to be used under a doctor’s supervision. There are other causes of epigastric vague pain with bowel sounds, such as hepatitis, cholecystitis, pancreatitis and other diseases, and it is recommended that patients with epigastric vague pain with bowel sounds go to the hospital in time for treatment.