Why does my stomach contract after walking

Pulling in the stomach - causes, diagnosis and therapy

  • Inflammation of the spleen (Splenitis),
  • Rupture of the spleen (Ruptured spleen),
  • Spleen tumor (Spleen cancer),
  • Enlargement of the spleen (Splenomegaly)
  • or destruction of the spleen tissue due to circulatory disorders (Splenic infarction).
  • Reproductive system diseases

    The sex organs also occupy part of the abdomen, depending on the sex. The largest proportion is certainly in the female body, as both the ovaries are located (Ovaries) as well as the adjoining uterus (Uterus) relatively central in the lower abdomen. In the case of the ovaries, however, pulling can be pronounced either on the left or on the right, depending on which ovary is affected.

    They speak out with a pull, not only in the case of the already mentioned harmless cycle events. Pulling in this area can also indicate a disease such as fallopian tube inflammation (Adnexitis) or pregnancy complications such as ectopic pregnancy(Tubal pregnancy) indicate. The latter can be life-threatening for the woman concerned and, in the worst case, a fallopian tube rupture (Fallopian tube rupture) to lead. It must therefore be treated as early as possible.

    In the area of ​​the uterus, many women experience routine pulling cycle pain in the course of endometriosis. This is a pathological new formation of the uterine lining outside the uterine cavity. These new mucous membrane formations can spread critically and even affect the pelvic cavity or intestine. In rare cases, advanced endometriosis has even been diagnosed in the lungs or even the brain. The pulling pain associated with this disease can, depending on the rate of spread, be very diffuse and occur throughout the abdomen. In addition, endometriosis also increases the risk of infertility, because the additional mass of mucous membranes can lead to adhesions and inhibit the menstrual cycle.

    Far from these female causes of the disease, pulling in the area of ​​the genital organs near the abdomen can also occur in men. The pulling pain caused by a lesion of the testicles is of course notorious (Testicle) arises. In addition to kicks or unfavorable bruises, testicular torsion should also be mentioned here. It describes the twisting of the testicles at the level of the vas deferens. This can lead to extreme pulling pain that can radiate down the groin and into the abdomen. In addition, testicular torsion causes a threatening circulatory disorder due to pinched vessels, which in the long term means the death of the testicles. Some other diseases of the male genitals can cause pulling pain in the abdominal region, such as inflammatory processes or tumor diseases in the prostate area.

    Also is the hernia (Inguinal hernia) should not be underestimated as a possible cause of pulling stomach pains. The same applies to the so-called testicular hernia, a special hernia in the lower area of ​​the abdominal wall, in which the intestines can shift into the testicles.

    Special case: peritoneum

    Because the organs located in the abdomen are largely covered by a connective tissue network, the peritoneum (Peritoneum), it is also possible that irritation of this connective tissue layer is responsible for the pulling. Corresponding irritation can occur, on the one hand, when unnatural masses such as pregnancy or disease-related organ enlargements take place in the abdomen. On the other hand, there is also peritonitis (Peritonitis) for the complaints into consideration. The causes of said inflammation are varied and range from infections and inflammations in adjacent organs to peritoneal injuries and necrosis in the abdominal tissue, for example through the use of force. Where exactly the pulling occurs is of course decided by the respective complaint.

    Musculoskeletal disorders

    Musculoskeletal disorders can also cause the abdomen to pull. This process is related to the fact that nerves arise from the spinal cord of the spine and supply several organs and muscle groups at the same time. Using the example of the diaphragmatic nerve (Phrenic nerve) this effect can be explained well. It originates in the area of ​​the cervical spine and then runs headward and chestward through the entire chest. In its course, numerous nerve branches branch out, which supply the diaphragm as well as, among other things, the peritoneum and pleura. Accordingly, it can lead to the phenomenon that blockages and narrowing of the cervical spine, for example as a result of a herniated disc, lead to breathing problems or abdominal pain.

    Stress as a cause of pulling in the stomach

    Sometimes it happens that those affected are regularly plagued by a pulling in the stomach, often combined with irregular stool (preferably diarrhea) and general malaise, without an organically justified explanation can be found. In these cases it is very likely that the symptoms are triggered by long-lasting or recurring periods of stress.

    One example of this is the irritable bowel syndrome mentioned earlier. In this case, the symptoms that occur have at least a name, but this fact does not necessarily make therapy or cure easier. Because there is no uniform treatment regime for irritable bowel syndrome. In therapy, a lot of things happen according to the pattern of trial and effect and those affected have to test and observe. The uncertainty about the trigger for the syndrome causes anxiety in many patients, which in turn often leads to an exacerbation of the symptoms.

    Anxiety patients and children also very often complain of pulling abdominal pain of all kinds when they are plagued by fears or worries. In this case one speaks of psychosomatic pain, which means that the physical effects are triggered by emotional or psychological stress. In addition, there is an abundance of other psychologically or emotionally motivated irritation states that can be expressed by pulling in the abdomen. Which includes:

    • Fears and phobias,
    • lack of stress management strategies,
    • Pressure to perform,
    • depressions
    • or emotional instability.

    Danger: Psychosomatic pain should by no means be classified as harmless, because it also has serious causes. In addition, if left untreated, they can set off a real cascade of reactions and also promote very dangerous physical diseases such as stomach ulcers.

    Concomitant symptoms

    The accompanying complaints associated with pulling in the stomach depend on the underlying cause. Previous infections are usually noticeable here, in addition to pain, through symptoms of fever or a general feeling of illness. In particular, infectious and inflammatory diseases in the gastrointestinal tract also usually mean digestive problems. Basically, if the cause of the illness is caused by pulling, the following accompanying symptoms must be expected:

    • General feeling of illness,
    • Loss of appetite,
    • Fever and fatigue,
    • Cardiovascular disease,
    • Nausea and vomiting,
    • Metabolic disorders,
    • Changes in stool frequency (Diarrhea or constipation),
    • Changes in stool composition (for example pus or blood),
    • Changes in the color of the stool
    • or menstrual cycle disorders (for diseases of the female genital organs).


    Diagnosis is often a tedious affair when it comes to pulling in the stomach. Even the anamnesis must be very extensive here in order not to neglect any possible clues. It is therefore asked for very different points of criticism such as:

    • Location and duration of the pull,
    • situational accumulations of pulling,
    • existing underlying diseases and allergies,
    • existing accompanying symptoms,
    • family medical history
    • as well as diet and bowel habits.

    A palpation of the abdomen during the subsequent physical examination can reveal, for example, enlarged organs, a bloated stomach or sensitive pressure points in the abdomen. If pressure pain also occurs during palpation, this also makes it easier to localize the source of the symptoms.

    Laboratory tests are also necessary for a targeted differential diagnosis. Stool and urine samples can provide important clues for diseases of the digestive organs. Blood, liver and inflammation values ​​can also be measured using blood tests or biopsies. In order to optically assess the condition of the intestines, imaging methods such as X-rays, ultrasound, computed tomography or magnetic resonance tomography can also be used. Endoscopic examinations, for example in the form of a colonoscopy, are also possible.


    The therapeutic measures to remedy the pulling require treatment of the underlying disease. Accordingly, there are many options here to deal with the symptom.


    Bacterial infections as the cause of pulling can usually be treated effectively with antibiotics such as amoxicilin, cefuroxime or ciprofloxacin. In addition, anti-inflammatory and analgesic agents such as ibuprofen, ASA or bromelain can be considered.

    For specific diseases such as kidney failure or liver cirrhosis, individual medications may have to be used. Medicines are also conceivable that combat unpleasant accompanying symptoms such as diarrhea, constipation or fever.

    Medicinal herbs

    When it comes to stomach pulling in the context of pure digestive complaints, medicinal herbal remedies can sometimes put an end to the problem. Taking it as a tea is of course made here, as this is the quickest way for the herbal ingredients to reach their place of use in the digestive tract. The classic digestive herbs include:

    • Anise,
    • Artichoke,
    • Fennel,
    • Caraway seed,
    • Marjoram,
    • Olive herb,
    • Peppermint,
    • Rosemary,
    • Sage,
    • Thyme,
    • Tulsi herb
    • and yarrow.

    Herbal teas are also a great way to relieve pain and speed recovery if you have inflammation in the urinary tract. In addition, the tea flushes the urinary tract properly and thus ensures a faster elimination of any pathogens. And even against some liver, gallbladder and spleen ailments, one or the other herb has grown. Some gynecological herbs, which specifically counteract menstrual symptoms, also play a special role in the treatment of tummy tucks. Here is a brief overview of the most important herbs from the areas mentioned:

    • Urinary tract problems: aronia, bearberry, birch, nettle, cranberry, restoration, hops, chamomile, dandelion, lingonberry.
    • Gall, liver and spleen complaints: pennyroyal, celandine, water deast.
    • Menstrual cycle complaints: Field mint, alant, horehound, angelica, mugwort, lady's mantle, St. John's wort, monk's pepper, Swedish herbs, meadow button, yam.

    Danger: Herbs for menstrual cycle regulation should not be used if you want to have children or during pregnancy! Because what harmonizes the menstrual cycle during the menstrual cycle are often coordinated contraction impulses, which, however, can also make it more difficult for a fertilized egg cell to implant in the uterine lining.

    Home remedies

    Drinking warm tea is generally considered an ancient home remedy for relieving cramps and pain. And other heat treatments, such as a warm broth, putting on a hot water bottle or a warm therapeutic bath, are highly recommended for pulling pains in order to calm the nerves.

    Speaking of nerves, if the symptoms are due to persistent stress, relaxation measures such as yoga, Qi Gong, massages, sound therapies or relaxing walks are also a good choice. When it comes to sports, it is better to focus on light sports such as swimming or hiking. Everything else usually leads to unnecessary vibrations in the abdomen, which could worsen the problem.


    A gentle diet is not only recommended for existing digestive problems. For example, fatty foods (such as fatty sausages or cheeses) also put a strain on the liver and gall bladder, which is why low-fat alternatives such as lean turkey breast, low-fat yogurt, low-fat quark or cottage cheese should be used if you have health problems in this area. Also to be avoided are constipating foods such as white bread, ready-made products or pastries. And, of course, alcohol should also be avoided as much as possible, because the breakdown of alcohol also means a considerable additional burden on the digestive tract and liver.

    Overall, a diet rich in fruit and vegetables is recommended when treating the causes of pulling in the abdomen, although some varieties should also be avoided here. Flatulent vegetables such as beans, peas or cabbage, for example, are just as unfavorable for relieving symptoms as highly acidic fruits, such as citrus fruits or kiwis. Easily digestible fruits and vegetables such as bananas, apples, carrots or potatoes are better.


    Surgical measures are necessary with regard to stomach pulling, for example, if endometriosis, gallstones or kidney stones are behind the symptoms. The excess mucous membrane tissue or the stones that cause pain are then surgically removed, with laser surgery being used more and more often. But traditional types of surgery such as endoscopy are also possible.

    Other methods of surgical elimination of the causes of pulling pain in the abdominal cavity can be organ transplants or partial resections of organs. They are necessary, for example, if there are diseases such as kidney failure, liver cirrhosis or severe cancer. Whether such an intervention is necessary is then decided by the treating physician on a case-by-case basis.

    Diseases that cause pulling in the abdomen

    Peritonitis, cystitis, appendicitis, colitis, ulcerative colitis, colon cancer, diverticulitis, fallopian tube inflammation, fallopian tube rupture, fallopian tube pregnancy, endometriosis, gallbladder inflammation, gallbladder cancer, gallstones, gastritis, urinary tract infections, gastrointestinal hepatitis, liver disease, hepatic inflammation, inflammation of the liver - Influenza, stomach ulcer, stomach cancer, splenic infarction, rupture of the spleen, enlarged spleen, Crohn's disease, pelvic inflammation, kidney stones, lowered kidney, portal vein thrombosis, irritable stomach, irritable bowel, acid reflux, splenitis, diaphragmitis, duodenitis, duodenitis, duodenum.

    Author and source information

    This text complies with the requirements of specialist medical literature, medical guidelines and current studies and has been checked by medical professionals.