Middle and upper abdomen with back pain is mainly considered cholecystitis, pancreatitis, etc. It is usually improved by physical adjustment, drug adjustment and surgical adjustment. 1. Physical adjustment: When the above discomfort is caused by cholecystitis, it is recommended to eat regularly and avoid skipping breakfast in the morning. If the patient is caused by pancreatitis, it is recommended that the patient should not overeat, reduce the consumption of alcohol, reduce the intake of greasy food, and fast during the onset of the disease. 2. Drug regulation: When the patient due to cholecystitis caused by the above discomfort, it is recommended to take appropriate antibiotics such as metronidazole, cefixime and so on for relief. When the above discomfort is caused by pancreatitis, it is recommended to apply acid-suppressing drugs and antibiotics, such as rabeprazole, amoxicillin, etc. for relief. 3. Surgical adjustment: when the patient’s cholecystitis is more severe and the above methods are not effective, surgical removal of the gallbladder is needed for relief. If the above symptoms are not relieved, or accompanied by other symptoms, you should go to the hospital in a timely manner, to identify the cause and give targeted treatment. All of the above medications should be used under the guidance of a doctor, and avoid self-medication.