Stomach pain radiating to the back should be alert to acute myocardial infarction, acute cholecystitis, acute pancreatitis and so on. Medical symptoms without stomach pain usually called epigastric pain, epigastric pain has many causes, including acute gastritis, gastric ulcer, gastric perforation, cholecystitis, pancreatitis and so on. Acute myocardial infarction manifested as pain in the precordial region, and the epigastric region is closer, atypical symptoms can be manifested as epigastric pain, radiating to the back of the shoulder pain, which can be accompanied by nausea, vomiting, etc. is easily regarded as stomach pain. Acute cholecystitis epigastric pain can radiate to the right shoulder and back, acute pancreatitis epigastric pain can also radiate to the shoulder and back. The pain in the upper abdomen is not necessarily a stomach ache, the persistent pain in the upper abdomen and radiating pain should be immediately go to the hospital, a clear diagnosis and timely treatment.