Some people experience abdominal pain that spreads to the back, along with other symptoms. There are many possible reasons why this can happen, since pain can radiate from one organ to other tissues or organs, due to the extensive neural connections our body possesses. Common Causes Some of the common conditions that involve abdominal discomfort or pain that can radiate to the back include: Peptic ulcer. People who feel a stabbing or burning type of pain in the upper abdomen that sometimes radiates to the back may have peptic ulcers. These are sores in the stomach or intestinal lining that can lead to other symptoms such as bloating, nausea, vomiting blood, and passing dark, tarry stools. Gallbladder disease. Gallstones and cholecystitis are common disorders that cause upper abdominal pain that spreads to the back. The pain usually occurs after meals and may be accompanied by swelling, nausea, and fever. The pain can be so bad that it wakes you up at night. Other symptoms that suggest gallbladder disease include yellowing of the skin, dark-colored urine, and pale stools...