Chest pain after a full meal is a major manifestation of spontaneous esophageal rupture. Spontaneous esophageal rupture refers to a sudden increase in pressure in the lumen of the esophagus due to various causes, resulting in a full longitudinal tear of the left wall of the esophagus adjacent to the diaphragm. It is also known as Boerhaave’s syndrome, spontaneous esophageal tear syndrome, pressure rupture of the esophagus, peptic perforation of the esophagus, and non-traumatic esophageal perforation. Most of them occur after drinking alcohol and vomiting. So, how to check chest pain after satiety? The following are the examination methods for chest pain after satiety: 1. Initial symptoms: vomiting, nausea, epigastric pain, chest pain. 1/3 to 1/2 patients have vomiting blood. Patients who vomit can often have a history of alcohol consumption or over-eating. The location of the pain is mostly in the upper abdomen, but can also be behind the sternum, in the two quarter ribs, in the lower chest, and sometimes radiates to the back of the shoulder. When the symptoms are severe, there may be shortness of breath, dyspnea, cyanosis, shock, etc. 2.Physical examination: it mostly shows acute abdomen, and there can be corresponding signs of liquid pneumothorax, epigastric pressure pain, muscle tension, and even platysma. Esophageal and gastric contents into the thoracic and peritoneal cavity can cause chemical pleurisy and peritonitis, and there can be acute septic mediastinitis and manifestations of pleurisy and peritonitis. 3, age: 50 to 60 years old middle-aged mostly, infants and young people are less common, men are significantly more than women, about 1:5. 4, medical history: detailed medical history is very important. Barrett’s triad: shortness of breath, abdominal pressure, and subcutaneous emphysema of the neck, are of great value for diagnosis. 5.X-ray examination: It is the most important examination means, not only to determine the presence of perforation, but also to localize the perforation.