Bowel Noises: Are They Linked to Anxiety? - Psychiatry

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Borborygmi


Hello, doctor.
Recently, I have been preparing for the national exam and I go to a tutoring center almost every day.
The classes are conducted with each student using their own computer to watch recorded lectures, and the environment is very closed and quiet.
Initially, everything was fine, but I’m not sure if it’s due to stress, my stomach has started making noises for no reason.
It makes sounds whether I’m full or not, and it feels like my gastrointestinal motility is abnormal, but there are no other symptoms.
I have also been to the hospital for gastrointestinal examinations, and everything is normal.
This phenomenon has been ongoing for 2 to 3 months.
Now, whenever I am in quiet places, I feel very anxious, and going to the tutoring center has also started to make me anxious, as I am afraid my stomach will make noise.
I would like to ask the doctor, could this issue be caused by psychological factors? Are there any medications that can alleviate the symptoms? I am really feeling overwhelmed.

Ting, 20~29 year old female. Ask Date: 2024/01/19

Dr. Lin Mianzhang reply Psychiatry


Hello Ting,
If you have undergone a gastrointestinal examination and everything is normal, there should be no major concerns.
The intestines are constantly in motion, but most people do not pay attention to the sounds of intestinal peristalsis.
Unless you experience symptoms such as vomiting, diarrhea, abdominal pain, or constipation, there is no need for medication.
You may be particularly aware of the sounds of your intestines due to the psychological pressure and anxiety from preparing for the national exam.
If you continue to feel anxious about this situation, you can consult a psychiatrist for an evaluation.
If it is just anxiety, it can be improved through relaxation training, psychological counseling, or medication assistance.
Wishing you success in your exam!

Reply Date: 2024/01/19

More Info


It sounds like you're experiencing a challenging situation with your bowel noises, especially in the context of preparing for your national exam. The phenomenon you're describing, where your stomach makes noises (often referred to as borborygmi), can indeed be linked to anxiety, particularly in high-stress environments like a study hall or exam preparation setting.

Firstly, it's important to understand that bowel sounds are a normal part of digestion. They occur as food, liquid, and gas move through the intestines. However, when you're under stress or anxiety, your body can react in various ways, including changes in gut motility. Stress can lead to increased gut activity, which may cause your intestines to produce more noise than usual. This is often exacerbated in quiet environments where such sounds become more noticeable, leading to a cycle of anxiety about the sounds themselves.

In your case, it seems that the anxiety surrounding your studies and the fear of your stomach making noises in a quiet setting is creating a feedback loop. The more you worry about the sounds, the more anxious you become, which can further increase the likelihood of your stomach making noise. This is a common experience for many individuals who face performance anxiety or stress in academic settings.

Since you've already consulted with a healthcare provider and received a clean bill of health regarding your gastrointestinal system, it may be beneficial to explore strategies to manage your anxiety. Here are some approaches that might help:
1. Mindfulness and Relaxation Techniques: Practicing mindfulness, meditation, or deep-breathing exercises can help reduce anxiety levels. These techniques can help you focus on the present moment rather than worrying about potential sounds your stomach might make.

2. Cognitive Behavioral Therapy (CBT): This form of therapy can be effective in addressing anxiety. It helps you identify and challenge negative thought patterns and develop coping strategies. A therapist can work with you to address your fears about bowel noises and help you manage your anxiety in quiet settings.

3. Dietary Considerations: While your gastrointestinal check-up was normal, consider keeping a food diary to see if certain foods exacerbate the noises. Foods that are high in fiber, carbonated drinks, or even dairy can sometimes lead to increased gas and noise.

4. Medication: If your anxiety is significantly impacting your daily life, discussing medication options with a healthcare provider may be appropriate. There are various medications available that can help manage anxiety symptoms, and a doctor can help determine what might be suitable for you.

5. Gradual Exposure: Gradually exposing yourself to quiet environments can help desensitize you to the anxiety associated with your bowel noises. Start with short periods in a quiet space and gradually increase the duration as you become more comfortable.

6. Support Groups: Sometimes, talking to others who experience similar issues can provide comfort and strategies for coping. Consider looking for support groups, either in-person or online.

In conclusion, while bowel noises can be a normal physiological response, your experience of anxiety in quiet settings is valid and can be addressed through various strategies. It's essential to take care of your mental health, especially during stressful times like exam preparation. If your symptoms persist or worsen, don't hesitate to reach out to a mental health professional for further support. Remember, you're not alone in this, and there are effective ways to manage both your anxiety and the associated symptoms.

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