We investigate the complexity consequences of adding pointer arithmetic to separation logic. Specifically, we study extensions of the points-to fragment of symbolic-heap separation logic with various forms of Presburger arithmetic constraints. Most significantly, we find that, even in the minimal case when we allow only conjunctions of simple difference constraints (xleq x+k) where k is an integer, polynomial-time decidability is already impossible: satisfiability becomes NP-complete, while quantifier-free entailment becomes coNP-complete and quantified entailment becomes P2-complete (P2 is the second class in the polynomial-time hierarchy) In fact we prove that the upper bound is the same, P2, even for the full pointer arithmetic but with a fixed pointer offset, where we allow any Boolean combinations of the elementary formulas (x=x+k0), (xleq x+k0), and (x<x+k0), and, in addition to the points-to formulas, we allow spatial formulas of the arrays the length of which is bounded by k0 and lists which length is bounded by k0, etc, where k0 is a fixed integer. However, if we allow a significantly more expressive form of pointer arithmetic - namely arbitrary Boolean combinations of elementary formulas over arbitrary pointer sums - then the complexity increase is relatively modest for satisfiability and quantifier-free entailment: they are still NP-complete and coNP-complete respectively, and the complexity appears to increase drastically for quantified entailments.