Bowel Sounds and Bloating: Insights on IBS Symptoms

Borborygmi and bloating?

A year ago, I experienced constipation due to high stress, with occasional abdominal sounds at midnight, occurring infrequently about once or twice a month.
After undergoing surgery for a lipoma and taking amoxicillin for a month, my symptoms worsened.
This summer, the symptoms disappeared for a while, but last month they returned, and I even started experiencing bloating.
The symptoms, as before, begin around midnight, with my stomach making gurgling noises.
Yesterday, I confirmed that the sound was coming from my lower abdomen, and I felt a lot of gas.
Over the past few days, I've even felt my intestines churning while sleeping, and I wake up feeling the same way, which has resulted in poor sleep.
During the day, I occasionally hear abdominal sounds, but all external symptoms have disappeared.
Could this be irritable bowel syndrome? I was diagnosed with it in middle school, and aside from the abdominal sounds, the symptoms feel the same.
The difference now is that I don't experience pain from bloating, but I do hear sounds and feel gas movement.

Niming, 30~39 year old female. Ask Date: 2020/11/17

Dr. Hong Yuanbin reply Internal Medicine

Hello, based on your description, it is indeed possible that you have Irritable Bowel Syndrome (IBS) or that you may be experiencing issues related to fecal impaction.
I recommend starting with a regular routine, increasing your intake of vegetables, and exercising more, as these changes should help improve your condition.
If symptoms persist, you might consider using some probiotics.
If the situation continues to be very bothersome, it may be necessary to consult a gastroenterologist.
Thank you for your inquiry.

Reply Date: 2020/11/17

More Info

Based on the symptoms you've described, it seems you may be experiencing signs consistent with Irritable Bowel Syndrome (IBS), particularly given your history of stress-related bowel issues and the recent exacerbation of symptoms. IBS is a common gastrointestinal disorder characterized by a combination of abdominal pain, bloating, and altered bowel habits, including diarrhea and constipation.
Your experience of abdominal bloating, frequent bowel sounds (borborygmi), and the sensation of gas moving through your intestines aligns with typical IBS symptoms. The fact that these symptoms tend to occur at night and improve during the day is also a common pattern seen in IBS patients. Stress is a well-known trigger for IBS, and it appears that your previous high-stress situation may have contributed to the onset of your symptoms.
The use of antibiotics, such as amoxicillin, can disrupt the normal gut flora, which may lead to gastrointestinal disturbances, including increased gas production and changes in bowel habits. This disruption can sometimes trigger or worsen IBS symptoms, as the balance of beneficial bacteria in the gut is crucial for maintaining digestive health.

In terms of management, dietary modifications can play a significant role in alleviating IBS symptoms. A diet low in fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (commonly referred to as the FODMAP diet) may help reduce bloating and gas. Additionally, incorporating more fiber into your diet can help regulate bowel movements, but it's important to do so gradually to avoid exacerbating bloating.

Regular physical activity and stress management techniques, such as mindfulness, yoga, or cognitive behavioral therapy, can also be beneficial in managing IBS symptoms. These approaches can help reduce stress, which is a known trigger for IBS flare-ups.

If your symptoms persist or worsen, it may be advisable to consult with a gastroenterologist. They may recommend further evaluation, including tests to rule out other gastrointestinal conditions, such as inflammatory bowel disease or celiac disease. A thorough assessment can help ensure that you receive an accurate diagnosis and appropriate treatment plan tailored to your specific needs.

In summary, while your symptoms are suggestive of IBS, particularly given your history and the nature of your current symptoms, it is essential to consider a comprehensive approach that includes dietary changes, stress management, and possibly further medical evaluation if necessary. By addressing these factors, you can work towards improving your digestive health and overall well-being.

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