Stomach Twitching: 6 Possible Causes (& What to Do)

Stomach twitching can occur in common situations such as pregnancy, intestinal gas, and menstruation. It may also be associated with more serious conditions, including an aortic aneurysm and irritable bowel syndrome.

Depending on the cause, stomach twitching may occur along with other symptoms, such as cramping, excessive gas, and severe pain in the back, buttocks, groin, or legs. The type and severity of symptoms can vary depending on the underlying condition.

When stomach twitching happens frequently or is accompanied by other symptoms, it is important to see a general practitioner for a complete evaluation. If needed, treatment may include psychotherapy, medication, or surgery.

Why is my stomach twitching?

The main causes of stomach twitching are:

1. Pregnancy

Stomach twitching on the right or left side can be normal during pregnancy and may occur as the uterine muscles relax early in pregnancy to accommodate the growing baby. In addition, the baby's movements inside the uterus can cause twitching in the abdomen, which may begin around the third or fourth month of pregnancy.

What to do: When stomach twitching is not accompanied by other symptoms, resting, gently massaging the abdomen, and practicing relaxation techniques, such as deep breathing, meditation, or gentle yoga, may help.

However, when stomach twitching is accompanied by pain and/or other symptoms, a doctor should be consulted immediately for a complete evaluation and, if necessary, appropriate treatment.

2. Intestinal gas

Intestinal gas can cause spasms in the intestinal muscles as they work to move excess gas through the digestive tract, which may result in stomach twitching. Other symptoms commonly associated with intestinal gas include abdominal pain, bloating, and cramping.

Learn about what can cause excessive gas and how to treat it.

What to do: Traditional natural remedies such as lemon balm, fennel, and chamomile tea are sometimes used to help ease digestive discomfort and gas. These teas are used for traditional wellness purposes and should not be considered a substitute for medical treatment or professional medical advice. Abdominal massage and drinking more water may also help.

3. Menstruation

The natural contractions of the uterus that help expel blood during menstruation can cause symptoms such as cramping and, in some cases, stomach twitching.

What to do: Measures that may help relieve menstrual contractions and cramps include applying a warm compress to the abdomen, gently massaging the abdomen, and using traditional natural remedies such as chamomile, ginger, or lavender tea. These teas are commonly used for traditional wellness purposes and are not intended to replace medical treatment or professional medical advice.

4. Aortic aneurysm

An aortic aneurysm is a dilation of the walls of the aorta, the artery that begins at the heart, passes through the chest, and continues into the abdomen. It generally does not cause symptoms.

However, if an aortic aneurysm ruptures, it can cause severe internal bleeding and symptoms such as stomach twitching or a pulsating sensation in the abdomen, abdominal pain, and severe pain in the back, buttocks, groin, or legs.

What to do: Treatment for an aortic aneurysm depends on whether symptoms are present and may include medical monitoring, antihypertensive medications, or surgery.

5. Irritable bowel syndrome

Stomach twitching is one possible symptom of irritable bowel syndrome because this condition can cause involuntary contractions and relaxation of the intestines. These symptoms may worsen after consuming certain foods and beverages.

Other symptoms associated with irritable bowel syndrome include sharp abdominal pain at least once a week, excessive gas, diarrhea, and constipation.

What to do: Treatment includes dietary changes, such as avoiding stimulating foods and beverages like coffee and spicy foods, as well as foods high in fat and sugar. A doctor may also recommend psychotherapy and medications such as pain relievers, laxatives, and antidepressants.

6. Anxiety

Anxiety stimulates the nervous system and causes large amounts of stimulating hormones, such as adrenaline, to be released into the bloodstream. These hormones can cause muscles to contract and may lead to symptoms such as stomach twitching, pain, generalized trembling, and muscle cramps.

What to do: Breathing exercises and meditation may help manage anxiety. A doctor may also recommend psychotherapy and medications such as antidepressants or anti-anxiety medications to treat this condition.

When to see a doctor

Stomach twitching usually goes away on its own and is not a cause for concern. However, medical attention is recommended when stomach twitching is recurrent or occurs along with other symptoms, such as:

• Fever;

• A pulsating sensation in the abdomen that feels like a heartbeat;

• Blood in the stool;

• Severe abdominal pain;

In addition, pregnant women who experience cramping and/or bleeding should consult a doctor immediately