Abdominal pain accompanied by back pain is usually considered to be related to diseases such as urinary stones, myocardial ischemia, gastroduodenal ulcer, gallbladder or pancreatic diseases. 1. Urinary stones: urinary stones will appear when the small abdominal pain, and accompanied by back pain, some patients have obvious nausea, vomiting, sweating and other symptoms, after the onset of blood and urine routine, urinary ultrasound and other tests to clarify the diagnosis. 2. Myocardial ischemia: due to coronary artery stenosis or increased myocardial oxygen consumption, resulting in insufficient blood supply to the myocardium, chest pain often occurs during activities, which may involve the underside of the shoulder blades and abdominal pain accompanied by back pain. 3. Gastroduodenal ulcer: Gastroduodenal ulcers occur due to excessive secretion of gastric acid or decrease in the function of mucosal antacid barrier, etc. When the ulcer develops to the deeper part of the body, it will stimulate the local nerves and lead to heartburn, and subxiphoid pain radiating to the back may occur. 4. Gallbladder or pancreatic diseases: biliary colic caused by gallbladder stones can radiate to the back of the right shoulder, acute necrotizing pancreatitis can cause back pain. When abdominal pain accompanied by back pain occurs, it is recommended to go to the hospital in time for examination to clarify the cause of the disease for targeted treatment.