Reflux esophagitis may cause back pain. Back pain is an atypical symptom of GERD. It is caused by reflux irritation of the esophagus causing chest pain, which in severe cases can radiate to the back, shoulders and neck, behind the ears and precordial area, behaving like angina, and may be accompanied by reflux or heartburn. The most typical symptoms of GERD are reflux and heartburn. Reflux refers to the contents of the stomach and duodenum into the pharynx or oral cavity, containing acidic flavor is called acid reflux; heartburn refers to the back of the sternum or the burning sensation under the xiphoid process, which occurs one hour after meals, and is aggravated by increased intra-abdominal pressure in the prone position or bending over, and occurs at night in some patients. In addition, it can also cause extraesophageal symptoms, such as pharyngitis, cough, hysteria, asthma and dental erosion. If you have back pain, you should go to the hospital in time, to clarify the cause of back pain, under the guidance of specialists and timely diagnosis and treatment.