Frequent Stomach Noises: Causes and Concerns - Gastroenterology and Hepatology

Q: Frequent Stomach Noises: Causes and Concerns

Hello： It is not possible to determine whether it is colorectal cancer based solely on some nonspecific symptoms. <br>Weight loss should be considered significant if there is a rapid loss of 10% of the original body weight within 6 months. <br>If symptoms persist, it is advisable

The stomach often makes noises?

Hello doctor, I have been experiencing frequent stomach noises since the beginning of this year (the exact start time is unclear, but it may have begun in the second half of last year).
Over the past few days, I noticed that these sounds usually occur close to mealtime.
In the mornings, when I lie flat, the sounds can occur as often as twice a minute.
Recently, I have had mild gastroenteritis, so I have been paying special attention to my bowel movements, which appear normal in shape and color (the toilet paper shows a yellow-brown color).
I often have no urge to defecate, but I find that drinking milk or soy milk, or approaching my menstrual period, makes it easier to have a bowel movement.
I have also experienced bowel movements in the morning without having eaten.
Currently, I am trying to improve my situation by exercising more (cycling), increasing my fiber intake, and drinking plenty of water.
I have had gastrointestinal issues since childhood, and in the past couple of years, I have often eaten out and consumed microwaveable foods, resulting in insufficient fruit and vegetable intake (I have been trying to change this since the beginning of the year).
The day before yesterday, I unexpectedly discovered that I had lost two kilograms, but since I hadn't weighed myself in a long time, I didn't pay much attention to it.
In high school, I lost two kilograms in a month, so I thought it wasn't a big deal.
However, I have often lacked appetite in recent years, and since the beginning of the year, I have been forcing myself to eat until I am about 70% full, even when I don't feel hungry.
Could this be a sign of colorectal cancer, or is it more likely related to bloating? After some events at the beginning of the year, I have been particularly attentive to any bodily abnormalities, fearing that excessive worry might lead to autonomic nervous system dysregulation.

Ai Luo, 20~29 year old female. Ask Date: 2017/04/04

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: It is not possible to determine whether it is colorectal cancer based solely on some nonspecific symptoms.
Weight loss should be considered significant if there is a rapid loss of 10% of the original body weight within 6 months.
If symptoms persist, it is advisable to consult a gastroenterologist for a thorough examination.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2017/04/04

More Info

Frequent stomach noises, also known as borborygmi, can be a common occurrence and are often related to the normal functioning of the gastrointestinal (GI) tract. However, when these noises become persistent or are accompanied by other symptoms, they can lead to concerns about underlying health issues. Based on your description, it seems you have been experiencing these noises for several months, particularly around meal times, and have also noted some changes in your bowel habits and weight.

Understanding the Causes of Stomach Noises
1. Normal GI Function: The intestines are constantly moving and processing food, which can create sounds. These noises can be more pronounced when the stomach is empty or when food is being digested. It’s not uncommon for people to notice these sounds more when they are anxious or focused on them, which can create a cycle of worry.

2. Dietary Factors: Your mention of a diet high in processed foods and low in fruits and vegetables can contribute to digestive issues. A lack of fiber can lead to constipation, which may cause increased gas and noises as the intestines work harder to move stool along. Conversely, sudden changes in diet, such as increased fiber intake, can also lead to temporary bloating and increased gas production.

3. Gastrointestinal Disorders: Conditions such as irritable bowel syndrome (IBS) can cause increased bowel sounds, along with symptoms like abdominal pain, bloating, and changes in bowel habits. Given your history of gastrointestinal issues, this could be a possibility.

4. Anxiety and Stress: Psychological factors can significantly impact gastrointestinal function. Stress and anxiety can lead to increased awareness of bodily sensations, including stomach noises, and can also affect digestion, leading to symptoms like diarrhea or constipation.

Concerns About Serious Conditions
While it’s understandable to worry about serious conditions like colorectal cancer, especially with your history of gastrointestinal issues, the likelihood of such a diagnosis is generally low if you have had recent screenings (like colonoscopies) that were normal. Symptoms of colorectal cancer often include significant changes in bowel habits, blood in the stool, unexplained weight loss, and persistent abdominal discomfort. Since you mentioned that your bowel movements are normal in shape and color, and you have not experienced other alarming symptoms, it is less likely that you are facing a serious condition.

Recommendations
1. Dietary Adjustments: Continue to focus on a balanced diet rich in fiber from fruits, vegetables, and whole grains. This can help regulate bowel movements and reduce gas. Avoiding excessive intake of dairy products, especially if you suspect lactose intolerance, may also be beneficial.

2. Hydration and Exercise: Staying well-hydrated and maintaining regular physical activity can support digestive health. Cycling is a great way to stay active.

3. Stress Management: Since anxiety can exacerbate gastrointestinal symptoms, consider incorporating stress-reducing techniques such as mindfulness, yoga, or deep-breathing exercises into your routine.

4. Monitoring Symptoms: Keep a diary of your symptoms, including when the noises occur, your diet, and any associated symptoms. This can help you and your healthcare provider identify patterns and potential triggers.

5. Consulting a Healthcare Provider: If your symptoms persist or worsen, or if you experience new symptoms such as significant weight loss, blood in your stool, or severe abdominal pain, it is important to consult a healthcare provider for further evaluation. They may recommend additional tests or referrals to specialists if necessary.

In conclusion, while frequent stomach noises can be concerning, they are often benign and related to dietary habits or stress. By making lifestyle adjustments and monitoring your symptoms, you can better manage your gastrointestinal health. If you have ongoing concerns, don’t hesitate to seek medical advice for peace of mind.

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