Pain in the middle of the chest and stomach indicates subxiphoid pain, which may be gastritis, gastric ulcer, or acute cholecystitis. If it is gastritis, gastric ulcer pain, location in the subxiphoid process, epigastric mainly, the pain is more intense, sometimes accompanied by acid reflux, belching, bloating, burping, nausea and vomiting, etc., you can perform gastroscopy to make clear, generally gastroscopy is more intuitive, can find gastric mucosal lesions, if it is gastritis or gastric ulcers caused by the oral medication for treatment, in the treatment of one month can be done again for review If it is caused by gastritis or gastric ulcer, you can take oral medication to treat it, and after one month of treatment, you can do gastroscopy again for review. If gallbladder stones are accompanied by acute inflammation, epigastric pain can also occur, and the patient will have pressure pain under the rib margin of the right upper abdomen, sometimes accompanied by nausea and vomiting, etc., you can perform ultrasound examination of the liver and gallbladder, usually can find the gallbladder internal stones, gallbladder wall inflammation, diagnosis is clear, it is recommended to perform laparoscopic cholecystectomy.