Using 'Mi' instead of 'El'
Mistake: “Me duele mi estómago”
Correction: Me duele el estómago
meh DWEH-leh el ehs-TOH-mah-go
The most standard, widely understood way to say your stomach hurts. It literally translates to 'The stomach hurts me.'

Body language for 'me duele el estómago' is universal—holding the belly is the clear sign.
I have a stomach ache — in Spanish
TEHN-go doh-LOR deh ehs-TOH-mah-go
Literally 'I have stomach pain.' It is slightly more descriptive and often used when describing symptoms to a doctor or pharmacist.
meh DWEH-leh lah PAHN-sah
'Panza' is a very common colloquial word for belly or tummy in Latin America. It sounds less clinical than 'estómago.'
meh DWEH-leh lah bah-RREE-gah
Similar to 'panza,' but 'barriga' is the preferred word for tummy/belly in Spain and the Caribbean.
ehs-TOY mahl del ehs-TOH-mah-go
Translates to 'I am sick to my stomach.' This implies general illness, nausea, or digestion issues rather than just sharp pain.
meh kah-YOH mahl lah koh-MEE-dah
Literally 'The food fell badly on me.' This is the go-to phrase for 'The food didn't agree with me.'
TEHN-go reh-tor-tee-HOH-nehs
Refers specifically to stomach cramps or that twisting feeling in your gut.
meh DWEH-leh lah GWAH-tah
'Guata' is a regional slang term for belly/stomach, derived from the Mapudungun language.
Here is how to choose between the three most common ways to express stomach pain.
| Phrase | Formality | Best For | Avoid When |
|---|---|---|---|
| Me duele el estómago | Neutral | Any situation; the safest standard option. | N/A (Works everywhere) |
| Me duele la panza | Informal | Friends/Family in Mexico & Latin America. | Formal business meetings or medical reports. |
| Me duele la barriga | Informal | Friends/Family in Spain & Caribbean. | Formal business meetings or medical reports. |
| Tengo dolor de estómago | Neutral/Clinical | Describing symptoms at a pharmacy or hospital. | Chatting casually with close friends (can sound stiff). |
Fairly easy, just remember the stress on the 'O' in 'es-TÓ-ma-go'.
The 'Me duele' structure (reverse construction) is often tricky for English speakers who want to say 'I hurt'.
Just be aware of the regional words for belly (panza/barriga) to sound more natural.
No puedo ir a trabajar hoy porque me duele mucho el estómago.
I can't go to work today because I have a bad stomach ache.
Creo que no voy a cenar, me duele la panza.
I don't think I'm going to eat dinner, my tummy hurts.
Doctor, tengo dolor de estómago y náuseas desde esta mañana.
Doctor, I've had stomach pain and nausea since this morning.
Uf, esa salsa me cayó mal. Estoy mal del estómago.
Oof, that salsa didn't agree with me. I'm sick to my stomach.
In English, we say 'I have a stomach ache' (possession). In Spanish, the logic is 'The stomach hurts me' (Me duele el estómago). The body part is the subject causing the pain, and you are the recipient of that pain. This is why you don't conjugate 'doler' for 'yo' (I), but for 'it' (duele).
If you tell a Hispanic friend you have a stomach ache, expect them to immediately offer you a home remedy. The most famous is 'té de manzanilla' (chamomile tea), which is considered the cure-all for tummy troubles across the Spanish-speaking world. In Mexico, you might also be offered Coca-Cola with lemon!
Food culture is huge in Spanish-speaking countries, and refusing food can sometimes be seen as rude. Saying 'Me duele el estómago' is one of the few universally accepted excuses to turn down a meal or a second serving without offending the host.
Mistake: “Me duele mi estómago”
Correction: Me duele el estómago
Mistake: “Tengo un estómago dolor”
Correction: Tengo dolor de estómago
Mistake: “Soy dolor de estómago”
Correction: Tengo dolor de estómago
'Estómago' technically refers to the organ, but people use it for the whole abdomen. If your pain is lower (intestines), you can still say 'Me duele el estómago' but gesture to your lower belly so the doctor or pharmacist knows where the problem actually is.
To say it hurts A LOT, add 'mucho' after the verb: 'Me duele mucho el estómago.' Don't use 'muy' (very); use 'mucho' (a lot).
'Panza' is extremely common here. While it technically means 'paunch' or 'belly,' it is the standard informal word for stomach. Using 'estómago' is fine but sounds a bit more formal.
Spaniards use 'barriga' for the general abdominal area. 'Panza' in Spain often sounds like you are specifically talking about a beer belly or being overweight, so stick to 'barriga' or 'estómago.'
In Chile, 'guata' is the universal word for stomach/belly in informal speech. It comes from the indigenous Mapuche language. If you say this in Chile, you will sound like a local!
¿Qué comiste?
What did you eat?
Algo que me cayó mal.
Something that disagreed with me.
¿Quieres un té de manzanilla?
Do you want some chamomile tea?
Sí, por favor. Me ayudaría mucho.
Yes, please. That would help a lot.
¿Tienes náuseas también?
Do you have nausea too?
No, solo dolor.
No, just pain.
The biggest shift is mental: English speakers 'possess' their pain (I have a headache), while Spanish speakers experience pain as something happening to them (The head hurts me). This reflects a broader linguistic tendency in Spanish to distance the person from the involuntary condition.
Why it''s different: Directly translating 'My' to 'Mi' (Mi estómago me duele) is grammatically possible but sounds unnatural and emphatic.
Use instead: Me duele EL estómago (The stomach hurts me).
Uses the exact same grammar structure (Me duele la cabeza).
Crucial follow-up phrase if the pain is severe.
Expand your vocabulary so you can say exactly what hurts.
Question 1 of 3
You are talking to a doctor in a formal setting. Which phrase is best?
Knowing a phrase is one thing — using it at the right moment is another. Read 200+ illustrated and narrated Spanish stories to see phrases in the contexts where they actually belong.
You will be understood, but it sounds like 'gringo' Spanish. Native speakers almost always use 'el' (the) instead of 'mi' (my) with body parts because the 'me' (to me) already shows whose stomach it is.
They both mean belly/tummy, but it depends on the region. 'Panza' is used mostly in Mexico and South America, while 'barriga' is used in Spain and the Caribbean. Both are informal.
You can say 'Tengo náuseas' (I have nausea) or 'Tengo ganas de vomitar' (I feel like vomiting). These are more specific than just saying your stomach hurts.
It is neutral and universal. You can use it with your boss, your doctor, your child, or your best friend, and it will always be correct.
Strengthen the grammar behind this phrase:
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