Is it normal for individuals with a slim body mass index (BMI) to feel their pulse in their abdomen?

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Last updated: May 18, 2025View editorial policy

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From the Guidelines

Feeling your pulse in your stomach area is normal for slim people, as the abdominal aorta's pulsations can be more easily felt through the abdominal wall due to less abdominal fat. This sensation occurs because the abdominal aorta, a major blood vessel, runs through your abdomen, and its normal pulsations can sometimes be noticeable when lying down or relaxing, especially after eating or during quiet moments. The aorta carries blood from your heart to the rest of your body, and in people with less abdominal fat, the pulsations can be more easily felt through the abdominal wall 1.

However, if you notice a sudden change in the intensity of pulsations, experience pain along with the pulsations, or feel an abnormal throbbing sensation, you should consult a healthcare provider, as these could potentially indicate an abdominal aortic aneurysm or other cardiovascular issues that require medical attention 1. Regular check-ups are important for monitoring cardiovascular health, especially if you have risk factors like high blood pressure, smoking history, or family history of vascular disease. It's essential to be aware of the symptoms and risk factors associated with abdominal aortic aneurysms, as they can be life-threatening if left untreated 1.

Some key points to consider include:

  • The abdominal aorta's normal diameter is up to 2 cm in the anteroposterior (AP) diameter, and it's considered aneurysmal if it's ≥3 cm in diameter 1.
  • Imaging studies, such as ultrasound or CT scans, are crucial in diagnosing and monitoring abdominal aortic aneurysms 1.
  • Regular surveillance is recommended for smaller aneurysms, with intervals based on their maximum size 1.
  • Elective repair is considered for aneurysms ≥5.5 cm in diameter 1.

Overall, while feeling your pulse in your stomach area can be a normal sensation for slim people, it's crucial to be aware of the potential risks and symptoms associated with abdominal aortic aneurysms and to consult a healthcare provider if you have any concerns 1.

From the Research

Feeling Pulse in Stomach

  • The provided studies do not directly address the question of whether feeling a pulse in the stomach is normal for slim people 2, 3, 4, 5, 6.
  • However, the studies discuss abdominal aortic aneurysms (AAAs) and the use of ultrasound imaging for detection and evaluation 2, 3, 4, 5, 6.
  • AAAs can cause a pulsatile abdominal mass, which may be felt as a pulse in the stomach, but this is not a normal finding and can be a sign of a serious medical condition 2, 4.
  • The studies emphasize the importance of screening for AAAs, particularly in high-risk populations such as older adults and smokers 2, 4, 5.
  • Ultrasound imaging is considered the screening modality of choice for detecting AAAs due to its high sensitivity and specificity, as well as its safety and relatively lower cost 2, 3, 5, 6.

Abdominal Aortic Aneurysms

  • AAAs are defined as a focal dilation of the abdominal aorta with respect to the original artery 2, 4.
  • Risk factors for the development of AAAs include age, tobacco use, male gender, Caucasian race, and family history of AAA 2, 4.
  • The majority of AAAs are asymptomatic and detected incidentally on imaging studies, but symptoms can include abdominal or back pain, thromboembolization, and aortic rupture 2, 4.

Ultrasound Imaging

  • Ultrasound imaging is a useful tool for detecting and evaluating AAAs, as well as other abdominal disorders 3, 5, 6.
  • The technique allows for assessment of the anatomy and structure of the abdominal aorta, as well as evaluation of blood flow and detection of abnormalities such as aneurysms and atherosclerotic plaque 3, 5, 6.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Abdominal aortic aneurysm: A comprehensive review.

Experimental and clinical cardiology, 2011

Research

Ultrasound Imaging of the Abdominal Aorta: A Comprehensive Review.

Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography, 2021

Research

Ultrasound screening for abdominal aortic aneurysm in primary care.

Clinica e investigacion en arteriosclerosis : publicacion oficial de la Sociedad Espanola de Arteriosclerosis, 2024

Research

Abdominal ultrasound angiography.

Acta chirurgica Scandinavica. Supplementum, 1980

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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