Pain like pins and needles in the stomach is considered more likely to be an abdominal infection, especially in some patients who develop intestinal infection secondary to peritonitis. The patient may also have significant fever along with the pain and even nausea and vomiting, and laboratory tests may also indicate an increased blood count. In simple gastroenteritis, the patient can get better with conservative treatment methods. Primary infections of the abdominal organs, such as appendicitis, can present with progressive exacerbations. Patients may also present with chills as well as high fever and should promptly opt for surgical treatment. Some patients are affected by primary peritonitis, commonly pelvic inflammatory disease and pelvic effusion, which occur more frequently in acute patients. If chronic liver disease develops peritoneal effusion is also prone to secondary peritonitis, which can also manifest as abdominal pain with fever and other discomfort, mainly by choosing intravenous anti-infective treatment.