Pulling in the stomach


Pulling in the stomach can be quite different reasons to have. There are many different organs and organs in the abdomen Musclesthat can trigger a drag. Pulling can of that Digestive tract go out, but also from the urinary tract or the genital organs. There does not have to be a health cause for the pulling in the stomach in every case. However, the uncomfortable feeling can also be an early warning sign of disease-related processes in the abdomen.


The primary symptom of pulling pain or a pulling in the abdomen can be alone or in Accompaniment of other symptoms occur, which can vary organ-specifically. The pain intensity, location and radiation can also provide further information about the cause of the pulling.

Drawing in the stomach on the left

Many organs are found on the left side of the abdomen. The stomach and spleen are located in the left upper abdomen, as is large portions of the large intestine that continues into the left lower abdomen. Furthermore, parts of the small intestine and the pancreas are on the left side of the abdomen. At this point it should also be pointed out that the genital organs are located in the abdomen.

The location of the pulling in the left abdomen alone does not allow any further conclusions to be drawn about the cause. It needs to be more precisely defined where the pulling spreads. If the pulling occurs in the upper abdomen, the stomach is one of the issues. In this case, dragging occurs mostly in connection with food intake. The most common cause is stomach problems, such as inflammation of the lining of the stomach (gastritis). This can express itself acutely, as a result of a stressful or unhealthy lifestyle and then impresses with pain, which becomes stronger while eating and is accompanied by nausea and belching. Chronic gastric mucosal inflammation also leads to a bloated stomach, flatulence or diarrhea.

When the pulling in the stomach is only after eating occurs and in connection with certain Food should be brought to the possibility of one Food intolerance be thought. These intolerance reactions can be caused by Lactose, Fructose or gluten occur and express themselves in a variety of ways. In addition to the pain, a possible pulling in the abdomen, nausea, Vomit, Gas, or diarrhea Constipation come, but other symptoms that are not caused by the digestive organs are also possible.

Which was also located in the left upper abdomen spleen is Rare responsible for pulling in the stomach. The pains associated with diseases of the spleen only become Rare as pulling rather than piercing or piercing described. Nevertheless, if you have long-standing complaints, you should also enlarged spleen be excluded. The surrounding organs in the left upper abdomen (heart, lung) can about Charisma also cause pain in the left half of the abdomen.

Pain can also be from the pancreas but are then often assumed by Concomitant symptoms how nausea and Vomit accompanied.

Pull in left lower abdomen can through Digestive problemshow gas or constipation is caused and remedied with simple laxatives. However, if the pain persists for a long time, differential diagnosis should be carried out to determine whether the pulling is not caused by a Diverticulitis is caused.

Drawing in the abdomen on the right

On the right side are the liver and gallbladder, small intestine and large intestine. On the right side, too, it is possible that the pain radiates into adjacent organs of the chest, i.e. the lungs, into the right upper abdomen.

In the right upper abdomen, the gallbladder can also be responsible for pulling pain. Inflammatory processes or gallstones can trigger this pain.

Tension in the abdomen can come from right side bowel activity, such as constipation or gas.The appendix, part of the large intestine, can become inflamed and, in the case of appendicitis, cause pulling or even more pain. Other inflammatory processes in the bowel can also cause pulling or pain.

Read more on this topic at: Abdominal pain right.

Central drawing in the abdomen

Pulling pain in the middle of the abdomen can have several causes. Problems in the pancreas can be responsible. For example, acute or chronic inflammation. Inflammation in the bowel area can also cause a tearing sensation in the middle of the abdomen. These include, for example, inflammatory bowel diseases such as ulcerative colitis and Crohn's disease. They are often also accompanied by frequent diarrhea. Also one Appendicitis, So appendicitis can cause pulling abdominal pain in the middle. It is often accompanied by fatigue and fever, and the pain can wander. Other causes of pulling located in the middle of the abdomen can be ulcers in the stomach or duodenum. Gallbladder disease can also cause central stomach pulling. For example biliary colic in the presence of gallstones. The symptoms then appear in waves. A harmless cause of central stomach pulling can be sore muscles.

Tension in the abdomen and back

Pulling pains in the abdomen that radiate into the back can be present, for example, with a disease of the pancreas. In acute inflammation (acute pancreatitis) it is not uncommon for belt-shaped upper abdominal pain that radiates to the back. Other signs of pancreatitis can include loss of appetite and fatigue. In the chronic form of pancreatitis, pulling pains in the abdomen and back can also occur, but they are usually less severe and acute than in acute inflammation. Back pain caused by problems in the spinal column or muscular tension can also cause pulling pain in the back and stomach at the same time. Another cause of pulling in the abdomen and back can be kidney stones that have already migrated into the ureters. The pain can be localized in the area of ​​the flanks, the lower abdomen (groin area) and the genitals. Even simple sore muscles, for example after unusual sporting activity, can cause pulling pain in the back and stomach.

You might also be interested in this article: If abdominal and back pain occur together, what can it be?

Pulling on the navel

The causes of pulling pain in the area of ​​the belly button are similar to those of pulling in the middle of the abdomen. Inflammation in the bowel area, which is often accompanied by diarrhea, inflammation of the appendix, inflammation in the pancreas, diseases of the gallbladder and ulcers of the stomach or duodenum play a role here.

More information can be found here: Pulling in the navel

Drawing in the abdomen

Many organs are also found in the abdomen. In addition to urological or gynecological causes, an inguinal hernia can also trigger pulling pain. In the case of an inguinal hernia, the peritoneum turns inside out through a weak point in the inguinal canal and the abdominal viscera can slide into the peritoneum. This bulge can also be felt through the skin. Such an inguinal hernia must be surgically treated promptly, but is not an acute life-threatening emergency.

In the abdomen, at least in women, the sexual organs are located in the abdomen: uterus, fallopian tubes and ovaries. These organs can also be responsible for pulling in the abdomen. The uterus lies in the middle of the abdomen and from it the fallopian tubes go in pairs to the ovaries, which come to lie one on the right and one on the left. When pulling in the abdomen, especially when it occurs in the lower abdomen (pulling in the lower abdomen), regardless of which side, the female reproductive organs should be considered.

Read more on the topic: Drawing in the abdomen

Tummy tug is common in many women before or during menstruation on. The uterus, which is a very muscular organ, contracts around the menstrual cycle Mucous membrane to drive out. If the bleeding is profuse, these contractions may be perceived as more or less painful pulling in the abdomen. Help a lot of women Warmth or anticonvulsant medication, how Buscopanto ease the discomfort. Severe pain should be discussed with the gynecologist in order to rule out that no other diseases of the genital organs or urinary tract are the cause of the pain.

Possible are Inflammation of the uterus or the adnexa, but also Cysts on the ovaries. These cysts grow over time until, at some point, when they have reached a certain size, they become painful. These cysts should be observed by a doctor to prevent rupture or twisting of the stems of the fallopian tubes or ovaries, because in the event of a rupture the abdominal cavity can be infected or the ovary can be permanently damaged and cause severe acute pain.

Also can Polyps of the uterus, so-called Fibroids, also provoke a pulling in the stomach. They often appear together with bleeding disorders.

In addition, the clinical picture of the Endometriosis be responsible for a tug in the stomach. In endometriosis, uterine tissue grows in places for which no such tissue is intended. The women affected suffer from severe pain during your period and often complain about Intermenstrual bleeding.

Unfortunately, too Tumor diseases of the genital organs trigger pulling in the abdomen, but often occur with other accompanying symptoms.

In summary, there may be a pulling in the lower abdomen different causes have and should from one Specialist (General practitioner, gynecologist, urologist) should be clarified if it occurs over a long period of time or if it occurs repeatedly or if it is particularly severe.

Pulling in the stomach in the man

Abdominal pain not only affects women, men can also experience pain in the lower abdomen. The prostate is located in the man's lower abdomen. Inflammation of the prostate, in acute (due to ascending infections) or chronic (with enlarged prostate or cancer), can cause the abdomen to pull. With this clinical picture, too, in addition to pulling and pain, there are problems urinating.

Testicular torsion is associated with significantly more pain: the testicle rotates around itself and thereby presses off the blood vessels that supply it. The severe pain that sets in immediately is accompanied by nausea and vomiting. Testicular torsion is a urological emergency and must be treated immediately in the hospital.

Please also read our page about abdominal pain in men.

Dragging while urinating

Pulling pains when urinating occurs when the urinary tract is inflamed. Most often these symptoms are caused by a cystitis (Cystitis) caused. The trigger for this is that bacteria enter the bladder through the urethra. This is easier in women because the urethra is significantly shorter than that of men. But men can also develop bladder infections at an advanced age.

The bacteria are often carried from the anus to the urethra through improper hygiene or certain sexual practices. Sexually transmitted diseases such as chlamydial infections can also play a role.

A bladder infection manifests itself as a frequent urge to urinate with voiding disorders. The urine only comes in droplets, urinating is painful or burning, and after using the toilet, the bladder does not feel completely empty. Timely therapy is important for cystitis. It is advisable to drink a lot (water, cranberry juice, special bladder tea) to flush out the pathogens. If in this case there is no improvement within 1-2 days, a doctor should prescribe therapy with antibiotics. Otherwise, the inflammation will rise from the bladder via the ureters to the kidneys and cause a very painful kidney inflammation. With this the feeling of illness is even stronger and it comes to fever and chills.


If a woman does not have a menstrual period and then develops spotting and abdominal pain, the gynecologist should check for a Ectopic pregnancy present. This represents one emergency in gynecology because there is a risk that the Ruptured fallopian tubes. Must have an ectopic pregnancy surgically are supplied.

But also with normal ones Pregnancies it can lead to pulling in the stomach. Especially in the first trimester abdominal pain is more common as the embryo in the womb nests and the body prepares itself for the progressive pregnancy by stretching the various muscles and ligaments of the uterus. But it comes at the same time as the pain Bleeding should be checked whether the Pregnancy still intact is or whether possibly a Miscarriage has taken place.

During pregnancy grows the embryo and thus also the uterus. It takes up more space in the abdomen and displaces other organs. This process can also cause pulling or spasmodic pain.

Pulling in the stomach can also go through childlike movements or kicks be evoked. At this stage, the pulling in the abdomen must be viewed differently, because one has to distinguish between child movements, Exercise contractions and premature labor distinguish. In contrast to labor induction Labor pains do they occur less often and last shorter. An exact differentiation of the different contractions is by means of a CTGs possible, which is made by the gynecologist or in the hospital.

Of course, other organs or internal diseases can also cause the stomach to pull during pregnancy. This distinction can be made by the gynecologist when examining the woman and the unborn child.

Pulling in the abdomen during ovulation

A pull in the stomach can also give expression to the ovulation taking place in women. Ovulation is the most fertile phase of the woman's cycle. Ovulation is not noticeable in all, but some perceive ovulation as what is known as "middle pain". Many women also have back pain or tender breasts.

Ovulation pain is perceived differently. The duration, intensity and quality of the pain (stabbing, pulling) are assessed differently on an individual basis. The pain can be triggered by various causes. On the one hand, ovulation triggers light bleeding, which can irritate the peritoneum. This irritation of the peritoneum can trigger the pain because the peritoneum is very densely innervated. On the other hand, the size of the jumping follicle itself can trigger the pain.

Learn more about: Middle pain


The slight tugging that occurs occasionally should not be a cause for concern. Temporary indigestion or brief agitation in the abdomen can cause pulling.

Long-term symptoms or very painful complaints should be clarified by a doctor. First of all, a medical consultation comes first, through which the doctor can establish an initial diagnosis. If this needs to be further clarified, the doctor can use laboratory procedures (blood, urine, stool samples) or imaging procedures (ultrasound, X-ray, CT, gastroscopy or colonoscopy).


Since a large number of diseases can cause pulling in the stomach, the therapy is not universally applicable. In most cases, the pulling in the abdomen can be treated with relaxation measures. warmth (Hot water bottle, hot bath) or soothing tea can help with that Abdominal muscles and relax the organs and relieve the pulling. The best way to do this is to use teas such as fennel, chamomile, Lemon balm, peppermint or sage back. Light sportLike yoga or swimming, it can also relax the muscles.

If you feel that the pulling is related to the Ingestion the diet should be adjusted and based on light, low-fat products be changed. In addition, should be on luxury foods, such as No coffee, alcohol and cigarettes become.

If the pulling is a symptom of a serious illness and cannot be brought under control on its own, a doctor should be consulted who will optimize the drug therapy for the illness and check the course.


The pulling in the stomach can numerous causes to have. In order to determine a more precise cause, it is important to find the more precise one localization to know the pulling and to consider the side effects.

On both sides Pulling can occur when the intestines, kidneys and lower urinary tract or the female reproductive organs are the cause of the pain.

Left-sided Pulling suggests the stomach, spleen, or diverticulitis.

Right-sided Appendicitis should always be considered in the differential diagnosis.

in the Lower abdomen in the middle lies the bladder, the prostate in men and in women the uterus, which can be inflammatory or trigger pulling in the course of physiological processes.

Not every pull in the stomach is due to illness. Digestion or physiological processes are often responsible for a slight pull in the stomach. Then pulling can be treated well with simple home remedies. In the event of severe pain, recurring problems or persistent pulling, a doctor should examine the abdomen and find out the cause of the pulling in order to treat possible diseases in good time.