What are causes of sever heart burn radiated to shoulder associated with abdominal pain in patient on peritoneal dialysis(turbed fluid) in ihdpatient?

Infection?: Abdominal pain, turbid fluid, fevers during peritoneal dialysis can be due to peritoneal infection due to catheter contamination. See your doctor asap.

Position: If you have no signs of infection or bleeding, then it may just be tube position. It may be irritating some structure, or it may be compressing something. Talk to your nephrologist and be sure to tell them what changes the pain (position, breathing, etc) and what it is like (starts at the beginning of pd, end, goes away with a full belly, etc).

Pain on PD: One relatively common cause of this discomfort is air infusion or bubble infusion thru the PD catheter into the abdomen. The air settles under the diaphragm and causes the pain syndrome you describe. Another is acid reflux into the esophagus. A third is infection in the PD fluid. A fourth is a diaphragm leak of fluid into the right chest cavity.