Epigastric pain and back pain may be caused by trauma, reflux esophagitis, gallbladder and pancreatic diseases, digestive tract perforation, urinary stones and so on. 1. Trauma: patients usually have a history of trauma, may be soft tissue injury, abdominal closed injury caused by, can check the chest X-ray and so on to confirm the diagnosis. 2. Reflux esophagitis: acid reflux, abdominal pain, heartburn and other symptoms may occur, may be accompanied by retrosternal pain, accompanied by back pain and other discomforts. 3. Gallbladder-pancreas diseases: such as cholecystitis, gallbladder stones, pancreatitis, pancreatic tumors, etc., which may present with pain in the right upper abdomen, accompanied by nausea, vomiting and other symptoms, and may cause back pain. 4. Gastrointestinal perforation: Perforation of the gastrointestinal tract can cause epigastric pain, which is usually more severe and can be accompanied by back discomfort. 5. urinary stones: there can be back pain, abdominal pain, nausea, vomiting and other symptoms, can be accompanied by hematuria and other symptoms, the pain can radiate to the back and thighs. Appear epigastric pain pain back pain, need to go to the hospital, find out the cause, timely treatment, so as not to delay the condition.