A painful stomach bump may be caused by soft tissue contusion of the abdominal wall, or it may be caused by rupture of internal organs, such as liver, spleen, pancreas rupture, etc., or it may be caused by rib fracture, which needs to be examined and treated in time in the hospital, so as to avoid life-threatening injuries. 1. Abdominal wall soft tissue contusion: stomach hit very painful may be due to abdominal wall soft tissue contusion caused by this situation can be cold compresses to reduce local bruising, pain, and then after a day to improve local blood circulation through hot compresses and other ways to reduce swelling. If necessary, you can take ibuprofen, diclofenac sodium and other painkillers. 2. Rupture of internal organs: the stomach hit may also lead to liver, spleen, pancreas and other substantial organs rupture, these cases will also appear in the performance of the stomach pain, the patient may also appear hemorrhagic shock performance. This can be life-threatening and requires immediate hospitalization to stop bleeding. Anti shock treatment at the same time surgical treatment. 3. Rib fracture: stomach pain can also be caused by rib fracture, treatment can use ibuprofen and other drugs for analgesia, but also through surgery to fix the fractured ribs, or the use of rib fixation tape to fix the ribs. If the symptoms of the stomach hit a lot of pain, it is recommended to timely consult the doctor, improve the examination, clear diagnosis and follow the doctor’s instructions, so as not to delay the condition.