Abnormal Bowel Sounds and Motility: Causes and Solutions

Prolonged gastrointestinal motility abnormalities and bowel sounds?

Hello doctor, my condition has been ongoing for about two months.
Whenever I lie down at night, my stomach makes continuous noises, but this does not happen during the day.
Sometimes I feel a tightening sensation or strong peristalsis, but there is no pain.
My bowel movements are usually normal, with occasional soft stools.
I have tried eating dinner early and late, but the symptoms persist.
On a few occasions, the peristalsis was more pronounced, leading to slight acid reflux.
Initially, during the first week, I couldn't tolerate the discomfort from the peristalsis, so I visited a clinic and took medication.
However, I had been on antibiotics for nearly two months (for acne treatment from a dermatologist), so the doctor advised me to stop taking them.
I did stop for a few days and took the medication prescribed by him, and after some improvement, I did not return for a follow-up.
During that time, the peristalsis continued but was usually bearable and short-lived.
However, now it has become severe again with the exact same symptoms.
I am very worried about what might be wrong.
I saw a doctor again, and the clinic physician told me that if there is no improvement, I would need to undergo an endoscopy.
I am really concerned; I fear there might be an issue with my gastrointestinal tract.
Could the acne medication have harmed my stomach? Is there something wrong inside? Please, doctor, give me some professional advice and analysis.
😭 (Two years ago, I experienced stomach pain due to academic stress, but it completely resolved afterward.)

Tan Ya, 10~19 year old female. Ask Date: 2018/04/09

Dr. Chen Qifeng reply Gastroenterology and Hepatology

It is recommended to consult a gastroenterologist for tests such as stool analysis and gastrointestinal imaging.

Reply Date: 2018/04/09

More Info

Understanding abnormal bowel sounds and motility can be a complex issue, especially when symptoms persist for an extended period. Based on your description, it seems that you are experiencing increased bowel sounds and sensations of strong peristalsis, particularly at night when lying down. While these symptoms can be concerning, it’s essential to consider various potential causes and solutions.

Possible Causes
1. Dietary Factors: Certain foods can lead to increased gas production and bowel sounds. Foods high in fiber, such as beans, lentils, and certain vegetables, can cause more pronounced bowel activity. Additionally, carbonated beverages can introduce gas into the digestive system, leading to increased sounds.

2. Gastrointestinal Motility Disorders: Conditions such as irritable bowel syndrome (IBS) can lead to abnormal bowel sounds and sensations of increased motility. IBS is often triggered by stress, dietary changes, or hormonal fluctuations.

3. Medication Effects: You mentioned taking antibiotics for acne. Antibiotics can disrupt the normal gut flora, potentially leading to gastrointestinal symptoms, including increased bowel sounds and changes in bowel habits. It’s crucial to consider how your medication history may have impacted your digestive health.

4. Gastroesophageal Reflux Disease (GERD): The sensation of strong peristalsis and occasional acid reflux could indicate GERD, especially if you experience heartburn or regurgitation. This condition can be exacerbated by lying down after eating.

5. Anxiety and Stress: Psychological factors can significantly impact gastrointestinal function. Stress and anxiety can lead to increased gut motility, resulting in more pronounced bowel sounds and discomfort.

Recommended Solutions
1. Dietary Modifications: Keeping a food diary can help identify any dietary triggers. Consider reducing intake of gas-producing foods and carbonated drinks. Eating smaller, more frequent meals may also help manage symptoms.

2. Hydration and Fiber: Ensure you are adequately hydrated and consuming a balanced diet with appropriate fiber levels. This can help maintain regular bowel function and reduce discomfort.

3. Probiotics: If antibiotics have disrupted your gut flora, consider incorporating probiotics into your diet. Probiotics can help restore the balance of beneficial bacteria in your gut, potentially alleviating some of your symptoms.

4. Stress Management: Since you have a history of stress-related gastrointestinal issues, incorporating stress management techniques such as mindfulness, yoga, or meditation may help reduce symptoms.

5. Medical Evaluation: Given the persistence of your symptoms, it is advisable to follow up with your healthcare provider. If your doctor recommends an endoscopy or further imaging, it is essential to address your concerns. These tests can help rule out any underlying conditions such as gastritis, ulcers, or other gastrointestinal disorders.

6. Monitor Symptoms: Keep track of your symptoms, including when they occur, their severity, and any associated factors (like food intake or stress levels). This information can be valuable for your healthcare provider in diagnosing and managing your condition.

Conclusion
While your symptoms may be concerning, many factors can contribute to abnormal bowel sounds and motility. By considering dietary changes, managing stress, and following up with your healthcare provider, you can work towards understanding and alleviating your symptoms. It’s essential to communicate openly with your doctor about your concerns and any changes in your condition. Remember, early intervention can often lead to better outcomes, so don’t hesitate to seek further medical advice if needed.

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