There are many reasons why coughing above the navel hurts, which may be related to abdominal muscle pulling pain, gastrointestinal dysfunction, gastric disease and other factors. 1. abdominal muscle pulling pain: generally speaking, when the patient has a lower respiratory tract infection caused by coughing symptoms, may be due to violent coughing, and then cause the increase in negative pressure, at the same time, in the cough will also pull the abdominal muscles, resulting in passive abdominal muscle contraction many times, which will form the abdominal muscle pulling pain symptoms. 2. Gastrointestinal dysfunction: If the patient has coughing pain above the navel, it may be due to functional dyspepsia, irritable bowel syndrome and other factors, induced by coughing pain above the navel phenomenon. 3. gastric disease: if the patient has gastritis or gastric ulcer and other related diseases, there will also be pain and bloating in the upper middle abdomen, may be induced by coughing, overeating, nervousness, stimulating diet and so on. Coughing above the navel pain does not rule out other causes, it is recommended that patients go to the hospital in time, clear specific causes, under the guidance of the doctor for the appropriate treatment and therapy.