Persistent Bowel Noises After Flu: Causes and Solutions

Borborygmi

Hello, doctor.
I previously had a severe cough for two to three weeks due to the flu, and I have now recovered.
However, my stomach has been making gurgling noises continuously, regardless of whether I am hungry or full, and sometimes it's loud enough for people nearby to hear.
This phenomenon has persisted for over three weeks since my cold.
My bowel movements are often soft, sometimes harder, and occasionally somewhere in between, but it doesn't quite resemble diarrhea, although I do have it once or twice during these three weeks.
My gastrointestinal health has generally been good, with only a long-standing issue of needing to use the restroom when exposed to temperature changes (like air conditioning), but I feel fine afterward.
I do not experience any pain in my abdomen, and aside from the borborygmi, there are no other abnormalities.
However, because this has lasted a bit too long, I am hesitant to eat certain foods, worrying about the impact on nutrient absorption.
I have seen a family medicine doctor and taken medication, but the gurgling noises have not subsided.
I am unsure what to do next.
I would appreciate your response.
Thank you.

Ong Picton, 60~69 year old female. Ask Date: 2019/12/27

Dr. Lin Minghui reply Gastroenterology and Hepatology

Hello, I have experienced abdominal rumbling accompanied by a cold for three weeks, with no other symptoms.
Although abdominal rumbling can be embarrassing at times, it indicates intestinal peristalsis.
During intestinal infections or in individuals with sensitive constitutions, such as irritable bowel syndrome, intestinal motility can be accelerated, leading to more frequent rumbling.
When there is excess gas in the intestines, the sounds can be louder.
It is advisable to pay attention to your diet and reduce the intake of gas-producing foods (such as legumes, dairy, and cabbage), which may help improve the situation.
If symptoms persist, or if there is weight loss, abdominal pain, vomiting, or signs of intestinal obstruction, it is recommended to seek medical attention.
Wishing you peace and health! Sincerely, Dr.
Ming-Hui Lin, Attending Physician, Gastroenterology Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2019/12/27

More Info

Persistent bowel noises, often referred to as borborygmi, can be quite concerning, especially when they continue for an extended period after an illness like the flu. In your case, it seems that the noises have persisted for over three weeks, which is longer than what is typically expected after a viral infection. Let's explore some potential causes and solutions for your situation.

Causes of Persistent Bowel Noises
1. Post-Viral Gastrointestinal Dysfunction: After a viral infection such as the flu, it is not uncommon for the gastrointestinal (GI) tract to take some time to return to normal function. The flu can disrupt the normal motility of the intestines, leading to increased bowel sounds. This can be due to lingering inflammation or changes in gut flora.

2. Dietary Changes: If your eating habits have changed during your illness—perhaps you've been eating less or consuming different types of foods—this can also affect bowel sounds. Foods that are high in fiber or certain carbohydrates can lead to increased gas production and, consequently, more audible bowel sounds.

3. Irritable Bowel Syndrome (IBS): Sometimes, post-infectious IBS can develop after a viral illness. Symptoms can include increased bowel sounds, changes in stool consistency (from soft to hard), and altered bowel habits. Stress and anxiety can also exacerbate these symptoms.

4. Intestinal Gas: Increased gas production can lead to more pronounced bowel sounds. This can be caused by swallowing air, consuming carbonated beverages, or eating gas-producing foods (like beans, lentils, and cruciferous vegetables).

5. Malabsorption Issues: If your body is having trouble absorbing nutrients due to changes in the gut lining after the flu, this could lead to changes in stool consistency and increased bowel sounds.

Solutions and Recommendations
1. Dietary Adjustments: Pay attention to your diet. Keeping a food diary can help identify any foods that may be contributing to increased gas or bowel sounds. Consider a low-FODMAP diet temporarily, which can help reduce gas production and bloating.

2. Hydration: Ensure you are drinking enough fluids, especially if you are experiencing soft stools. Proper hydration can help normalize bowel movements.

3. Probiotics: Consider incorporating probiotics into your diet. Probiotics can help restore the natural balance of gut bacteria, which may have been disrupted during your illness. Yogurt, kefir, and probiotic supplements can be beneficial.

4. Gradual Return to Normal Diet: If you have been cautious about what you eat, gradually reintroducing a variety of foods can help your digestive system adjust. Start with bland foods and slowly add in more complex items.

5. Stress Management: Since you mentioned a history of anxiety, practicing stress management techniques such as mindfulness, yoga, or deep breathing exercises can help alleviate some gastrointestinal symptoms.

6. Follow-Up with Healthcare Provider: Since you have already consulted with a family physician and received medication, it may be worthwhile to follow up if symptoms persist. A gastroenterologist can provide further evaluation, including tests for malabsorption or other gastrointestinal disorders.

7. Monitor Symptoms: Keep track of any changes in your symptoms, including the frequency and consistency of your bowel movements, and any associated symptoms like bloating or discomfort. This information can be helpful for your healthcare provider.

Conclusion
While persistent bowel noises can be bothersome, they are often benign and can be managed with dietary and lifestyle modifications. However, given that your symptoms have lasted for several weeks, it is important to continue monitoring your condition and maintain open communication with your healthcare provider. If symptoms worsen or new symptoms arise, seeking further evaluation is advisable to rule out any underlying issues.

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