Flatulence with shoulder pain may be caused by indigestion, stomach cramps, sinusitis, gallbladder problems, etc. It can be treated by general treatment, medication (domperidone tablets, atropine, cimetidine tablets, etc.) under doctor’s guidance. 1. Dyspepsia: If the diet is not proper, it will cause gastrointestinal dyskinesia, and the patient will have symptoms such as abdominal distension and burning sensation in the abdomen, accompanied by esophageal reflux, which will cause burning sensation and pain in the chest, involving the shoulders, which can be treated by promoting gastrointestinal dynamics under the guidance of the doctor such as Domperidone tablets and Mosapride citrate tablets. 2. Gastroparesis: due to cold or unclean diet caused by insufficient blood supply to the stomach and intestines, easy to appear fullness and bloating after meals, abdominal pain is intense, and when the pain is severe, it will be radiated to the shoulders, which will result in bloating with shoulder pain, you can keep the abdomen warm, such as hot compresses, drink warm water, etc., and can also be treated with medication, such as atropine, belladonna, resorcinol and other drugs to treat it. 3. Gastric sinusitis: If the patient’s work pressure, irregular diet, etc., it will lead to inflammation of the mucous membrane of the stomach, and the retention of food in the stomach will cause epigastric fullness, pain, food reflux, etc. Excessive food reflux may cause muscle pain in the back and shoulders, and bloating and shoulder pain, and you can take drugs such as cimetidine tablets, ranitidine, etc. to alleviate the symptoms. 4. Gallbladder problems: Problems with the gallbladder, such as cholecystitis and gallbladder stones, are mainly characterized by pain in the upper abdomen, which may be accompanied by flatulence. The pain may radiate to the right shoulder, shoulder blade and back. Treatment needs to be chosen according to the specific cause. It is recommended that patients go to the hospital in time, under the diagnosis of the doctor, according to the specific condition of the patient, to take targeted treatment. Drugs should be taken as prescribed by the doctor.