Abdominal Motility: When to Seek Medical Advice - Gastroenterology and Hepatology

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The gastrointestinal tract is often in peristalsis?


Hello, doctor.
I apologize for bothering you, but I would like to ask about something.
Recently, over the past week or two, I've been experiencing frequent abdominal movements and sounds, especially in the lower left and lower right areas, with the lower right being more active.
My bowel movements are still relatively normal, occurring at least once every two days.
In September, I was under a lot of stress and my sleep was not very good, and it has gotten worse since October, although it has improved a bit recently.
I had an upper endoscopy earlier this year, and I am somewhat afraid of having a colonoscopy.
I am wondering if my anxiety is affecting my gastrointestinal system or if there might be another issue.
Should I see a doctor about this? Thank you for your help, doctor.

Niming, 40~49 year old female. Ask Date: 2017/11/23

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: Borborygmi may be caused by rapid peristalsis and the presence of intestinal gas.
It is advisable to observe if there have been any recent instances of dietary irritation or irregular bowel movements.
If there is no improvement, you may consider consulting a gastroenterologist.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2017/11/23

More Info


When it comes to understanding abdominal motility and when to seek medical advice, it is essential to consider various factors that could contribute to the symptoms you are experiencing. Abdominal motility refers to the contractions of the muscles in the gastrointestinal (GI) tract, which help move food and waste through the digestive system. The sounds you hear, often referred to as "borborygmi," are typically normal and can be influenced by several factors, including diet, stress, and overall digestive health.

Given your description of increased abdominal movement and sounds, particularly in the lower left and right quadrants, it is important to evaluate the context of these symptoms. The fact that you have experienced increased stress and poor sleep quality may indeed have an impact on your gastrointestinal function. Stress can lead to heightened sensitivity in the gut, resulting in increased motility and sounds. This phenomenon is often referred to as "gut-brain interaction," where emotional and psychological factors can influence digestive processes.

Additionally, you mentioned that your bowel movements are still relatively normal, occurring at least every two days. This is a positive sign, as it indicates that your bowel function is not severely compromised. However, if you notice any changes in your bowel habits, such as diarrhea, constipation, or blood in your stool, it would be prudent to seek medical attention.

Since you have undergone a gastroscopy (stomach scope) recently, it is understandable to feel apprehensive about a potential colonoscopy (large intestine scope). However, if your symptoms persist or worsen, it may be necessary to discuss the possibility of further investigations with your healthcare provider. A colonoscopy can help rule out any underlying conditions such as inflammatory bowel disease, polyps, or other abnormalities in the colon.

In terms of when to seek medical advice, consider the following guidelines:
1. Persistent Symptoms: If the abdominal motility and sounds continue for more than a few weeks without improvement, it would be wise to consult a physician. They can perform a thorough evaluation, including a physical examination and possibly additional tests.

2. Accompanying Symptoms: If you experience any additional symptoms such as severe abdominal pain, significant changes in bowel habits, unexplained weight loss, or signs of gastrointestinal bleeding (e.g., black or bloody stools), seek medical attention promptly.

3. Impact on Daily Life: If the symptoms are affecting your quality of life, causing anxiety, or interfering with your daily activities, it is essential to discuss these concerns with a healthcare professional.

4. Mental Health Considerations: Given your mention of stress and sleep issues, it may also be beneficial to address these factors with a mental health professional. Stress management techniques, such as mindfulness, relaxation exercises, or cognitive behavioral therapy, can significantly improve both your mental well-being and gastrointestinal symptoms.

In summary, while occasional abdominal sounds and motility can be normal, persistent or concerning symptoms warrant a discussion with your healthcare provider. They can help determine if further evaluation is necessary and provide guidance on managing stress and improving sleep, which may, in turn, alleviate some of your gastrointestinal symptoms. Remember, your health is a priority, and seeking help when needed is always a wise decision.

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