Why are they stabbing me in the stomach? 12 possible causes

Stomach pricks are a feeling of pain in the abdominal area often caused by overeating or unhealthy habits, such as not getting enough exercise or having a high intake of fats and carbohydrates.

These types of habits can lead to problems in the digestive tract, leading to constipation and diarrhea, which are closely related to abdominal pain. They can also be due to various serious medical conditions.

Below we will try to answer the question that many people have regarding their digestion: Why are they hitting me in the stomach? Let’s see the possible causes and what it is recommended to do in each case.

    Why are they stabbing me in the stomach? 12 explanations and causes

    It usually happens that we notice stomach upsets us, making us feel like something inside is stinging us. This disorder can vary in severity and is usually related to overeating, especially foods that are high in fat, carbohydrates, lactose, or something that our bodies have trouble digesting.

    In principle, a healthy diet containing a healthy amount of carbohydrates, proteins, fats and vitamins, as is the case in the Mediterranean, should not cause us intestinal problems. However, each person has a different body and sometimes even if healthy food is taken it can feel perforated in the stomach.

    In these cases, it will be necessary going to a doctor, especially a gastroenterologistYou can therefore study whether this is due to organic, digestive, intestinal or inflammatory dysfunctions.

    Below, we will see the main causes of punctures in the abdomen, the types of treatments available for each of them and some recommendations.

    1. Intestinal gas

    Gas is produced in the stomach and intestines, due to the fermentation of foods high in carbohydrates and lactose. Some of the main foods that produce gas are legumes like chickpeas and lentils, vegetables like cabbage and cauliflower and soft drinks.

    In some cases, intestinal gas is associated with health problems such as lactose intolerance, hypochlorhydria, irritable bowel syndrome, and intestinal parasites.

    If excess gas is produced and cannot be released, these can cause symptoms such as tummy tuck, burning in the throat, chest pain, and constant belching. Although they usually do not cause serious damage to health, it is true that abdominal punctures can cause anxiety.

    The treatment of gas generally consists of eating quietly, making sure to chew food well to facilitate the work of the digestive tract, as well as consuming plenty of water.

    2. Constipation

    Constipation occurs when feces pass very rarely or harden, making the ability to defecate very necessary. Stools accumulate with intestinal gas, Causing discomfort in the lower abdomen.

    Some of the factors that cause constipation are not drinking enough water, consuming little fiber, and not getting enough physical activity.

    Treating constipation typically changes eating habits by incorporating more foods high in fiber, such as fruits and vegetables, drinking more fluids, and leading a healthier lifestyle.

    Attempts should be made to maintain the regularity of evacuation schedules, Since clinging to the urge to defecate can worsen the consistency of feces, as well as cause a gradual loss of the evacuation reflex.

    If constipation occurs very frequently and bowel habits are not regular, you should seek professional help to find out what medical condition might be behind it. In treatment, laxative drugs may be indicated which serve to facilitate the expulsion of feces.

      3. Urinary tract infection

      Urinary tract infection occurs when the urinary tract becomes contaminated with pathogens, mainly bacteria such as Escherichia coli and Staphylococcus saprophyticus in addition to fungi of the genus Candida sp.

      Women are more susceptible to this infection because the urethra is shorter, which makes it easier for microorganisms to reach the area and generate the pathology.

      The most common symptoms of a urinary tract infection are perforations in the abdomen, especially during urination, burning, and, if the infection has affected the kidneys, pain in the lower back.

      The diagnosis should be made by a urologist, gynecologist or general physician by studying the patient’s blood and urine. Treatment for this medical condition focuses on relieving pain and removing pathogens from the urinary tract with the help of antibiotics..

      4. Food poisoning

      Food poisoning occurs when food or liquids in poor condition, which contain some type of pathogen, are consumed. This pathogen, which it can be a living thing, such as a bacteria or virus, or a substance, such as a poisonous substance, Directly attacks the body causing damage.

      In general, the most common symptoms of food poisoning, in addition to stings in the abdomen, are nausea, vomiting, diarrhea, body aches, gas, and fever.

      5. Menstrual cramps

      Menstrual cramps are caused by spasms of the uterus during menstruation, causing pain in the abdomen. During ovulation, the eggs are released so that they can be fertilized by the sperm and it is during this process that some perforations can be felt in the lower abdomen.

      If these menstrual cramps last more than 72 hours and are very intense, you should go to the gynecologist so that they can see if it is a serious condition, such as endometriosis.

      6. Ectopic pregnancy

      Ectopic pregnancy is a rare type of pregnancy, which occurs when the fertilized egg is implanted outside the uterus, usually in the fallopian tubes.

      As the pregnancy progresses, various symptoms can occur, in addition to pain in the lower abdomen, such as abnormal vaginal bleeding and mild colic on one side of the pelvis. Pain can come on suddenly, and stings in the abdomen are usually sharp and persistent stings..

      In the event that the area around the pregnancy has a rupture and blood, the symptoms may worsen. That is why it is very important to go to the doctor, because in case it is not treated in time, this pregnancy can seriously damage the health of the woman and even lead to her death.

      7. Irritable bowel syndrome

      Irritable bowel syndrome is a medical condition that affects the large intestine. It is not known exactly what causes this syndrome, although it is linked to the development of intestinal hypersensitivity to the consumption of different foods.

      Among the symptoms that occur in this disease we have abdominal cramps, distension, gas, changes in bowel habits and elimination of intestinal mucus through the rectum. It can also cause constipation and / or diarrhea, with people with both symptoms being interspersed.

      Irritable bowel syndrome it is about changing the diet by introducing a diet well designed by a nutritionist. Additionally, probiotic drugs are prescribed to maintain gut flora, antispasmodics to relieve pain, and drugs such as antiflatulants to reduce swelling and gas.

      In order for the patient to better manage his medical problem, he is advised to undergo psychological therapy, in particular to be aware of the changes that this disease implies in his life.

      8. Appendicitis

      The worm-shaped appendix is ​​a small, supposedly vestigial organ that protrudes from the colon to the lower right side of the abdomen. If inflammation occurs, appendicitis will occur, a condition in which abdominal pain occurs, starting around the spleen and then moving.

      Inflammation occurs due to the obstruction of the appendix with remnants of feces. The pain is usually diffuse at first, but can range from mild to severe, accompanied by an increase in temperature, vomiting, nausea, and bloating.

      Since this is a serious illness, nothing else showing symptoms should be used urgently. hospital. Failure to do so risks breaking the appendix and contaminating the abdominal organs with microorganisms from the infection. If this happened, suppurative appendicitis would occur.

      The actual usefulness of the appendix has been investigated, with studies suggesting that it may have immune function or maintain gut flora. However, the scientific consensus is that it is a residual organ, which is why, in case of appendicitis, the appendix is ​​removed surgically.

      9. Pancreatitis

      The pancreas is a gland located behind the stomach, In the upper abdomen. When this gland becomes inflamed, pancreatitis occurs, which causes a burning sensation and pain in the upper or middle part of the stomach.

      In addition to the oppressive pain, the main symptom is multiple episodes of vomiting. Other symptoms of this disease are pain on contact with the abdomen, pain that gets worse after eating, tachycardia, fever, and abdominal pain that spreads to the back.

      10. Diverticulitis

      Diverticula are small bumps that form on the inner lining of the digestive system and they usually appear more frequently in the lower part of the large intestine, i.e. the colon. They usually don’t cause a problem but can sometimes catch fire or become infected.

      When these bumps become inflamed, we are talking about diverticulitis, which is more likely to occur in people over the age of 50. Symptoms that may appear include severe abdominal pain, fever, nausea, and changes in bowel habits.

      Treatment usually includes rest, dietary changes, and the use of antibiotics. However, in more severe cases, surgery may be necessary.

      11. Endometriosis

      The endometrium is the tissue lining the inside of the uterus. When this tissue grows outside the uterus we are talking about endometriosis which is one of the most common gynecological diseases and among its symptoms we find pelvic pain and in some cases infertility. There is no cure but treatment focused on relieving the pain.

      12. Cholelithiasis

      Cholelithiasis is a medical condition in which stones or gallstones form in the gallbladder.. This organ helps in the digestion of fat, and when obstructed, symptoms like nausea, vomiting, and throbbing pain appear in the abdomen. Gallstones occur when the bile is overloaded with fat from the liver.

      Treatment for gallstones involves surgery to remove them, along with the use of antibiotics to prevent infections from developing and spreading throughout the body.


      If you feel a sting in your stomach, you just need to see a doctor, preferably a gastroenterologist to make sure that the causes of this discomfort are not due to a serious illness, such as appendicitis, pancreatitis. or endometriosis. also, to avoid feeling these discomforts, the following recommendations should be followed.

      • Chew food slowly to aid digestion.
      • Avoid lying down when you have stomach pain. It is better to rest while sitting for a while.
      • Avoid fatty or overly spicy foods.
      • Exercise at least three times a week.
      • Avoid tobacco and alcohol.
      • Eat five meals a day.
      • Take at least two liters of water.

      Bibliographical references:

      • Fishman MB, Aronson MD (2012). Differential diagnosis of abdominal pain in adults. A: UpToDate, Basow DS (Ed), UpToDate, Waltham, MA.
      • Fishman MB, Aronson MD (2012). History and physical examination in adults with abdominal pain. A: UpToDate, Basow DS (Ed), UpToDate, Waltham, MA.
      • Manterola C, Vial M, Moraga J, Astudillo P (2011). Analgesia in patients with acute abdominal pain. Cochrane Database of Systematic Reviews, No. 1. Art. No .: CD005660. DOI: 10.1002 / 14651858.CD005660.pub3

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