Stomach Gurgling: Causes, Concerns, and Remedies - Gastroenterology and Hepatology

Q: Stomach Gurgling: Causes, Concerns, and Remedies

Hello： (1) As your physician has informed you, the sounds you are hearing are due to intestinal peristalsis. <br>If there are no discomfort symptoms, there is no need for medication. <br>The elements that contribute to borborygmi include intestinal gas, moisture, and rapid perist

Borborygmi in the stomach?

Hello Dr.
Tsai, in the past half month, I have noticed that when I lie flat in bed, my stomach makes gurgling sounds.
I visited a gastroenterologist, who asked me some questions and then explained that these sounds are due to gastrointestinal motility.
He mentioned that if I don't feel any discomfort, there is no need for medication.
I have a history of gastroesophageal reflux disease (GERD), and my usual symptom is burping.
When I notice the symptoms flaring up, I take medications like Acetaminophen and Duolac, and I stop once I feel better.

I asked the doctor if the gurgling sounds could be caused by the loosening of the lower esophageal sphincter when lying down, allowing food to flow back, but he disagreed.
He said that the stomach is constantly in motion and that these sounds can be heard in a quiet state.
I still feel uneasy, and the doctor mentioned that even with endoscopy and colonoscopy, nothing would show up.
I am worried, but I have consulted two doctors; one said it is related to my GERD, while the other said it is normal intestinal sounds.
I would like to ask Dr.
Tsai if these gurgling sounds could lead to any bodily changes or harm over time.
Additionally, my doctor initially prescribed Pantoprazole for my GERD but later switched me to Acetaminophen and Duolac.
Was this change due to health insurance reasons? I noticed that Pantoprazole worked faster for me.
Can these two medications be taken interchangeably?
I would appreciate it if you could explain this further, as I am quite concerned about the gurgling sounds that resemble water, originating from above and to the left of my navel.
Would taking probiotics help improve this? Thank you, I appreciate your help.

Kai Ma, 50~59 year old female. Ask Date: 2013/02/21

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: (1) As your physician has informed you, the sounds you are hearing are due to intestinal peristalsis.
If there are no discomfort symptoms, there is no need for medication.
The elements that contribute to borborygmi include intestinal gas, moisture, and rapid peristalsis.
If you frequently hear these sounds while lying flat, it is recommended to avoid eating 2-3 hours before bedtime, and the meal prior to sleep (for example, dinner) should focus on solid foods with reduced fluid intake.
(2) Compared to [Bai Yi Kui], [Acetaminophen] and [Duo Bao Wei Kang] are weaker antacids.
After undergoing an endoscopy, if the indication for using [Bai Yi Kui] is identified, the National Health Insurance covers it for 4 months.
Long-term use is not necessary; if symptoms recur after discontinuation, a reevaluation should be considered.
Medication should be prescribed based on symptoms by a physician, and there is no need for concurrent use.
(3) Probiotics may be considered to alter the gut microbiota, which could potentially reduce the presence of gas-producing bacteria and improve excessive gas symptoms.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.

Reply Date: 2013/02/21

More Info

Understanding stomach gurgling, also known as borborygmi, is essential for addressing your concerns about gastrointestinal health. The sounds you hear, particularly when lying down, are typically a result of normal intestinal activity. The gastrointestinal tract is constantly in motion, and these sounds are a natural byproduct of peristalsis—the wave-like muscle contractions that move food through the digestive system.
In your case, since you have a history of gastroesophageal reflux disease (GERD), it is understandable that you might be more attuned to changes in your body, such as these gurgling sounds. Your doctor’s reassurance that these sounds are normal and not indicative of a serious problem is important. However, it is also crucial to monitor any accompanying symptoms. If you experience discomfort, pain, or changes in bowel habits, it would be wise to follow up with your healthcare provider.

Regarding your concern about the gurgling sounds being related to the loosening of the gastroesophageal junction (the area where the esophagus meets the stomach), your doctor has indicated that this is unlikely. The sounds you hear are more likely due to the normal movement of gas and fluid in your intestines, especially when you are in a quiet position, which allows these sounds to be more pronounced.

As for the medications you mentioned—"百抑潰" (likely a proton pump inhibitor) and "息痛佳音" (possibly an antacid or similar medication)—it is common for doctors to adjust medications based on patient response and insurance coverage. Proton pump inhibitors are effective for reducing stomach acid and treating GERD, while antacids can provide quick relief for heartburn and indigestion. If you find that "百抑潰" works better for you, it is reasonable to discuss this with your doctor, as they may be able to prescribe it again if it is more effective for your symptoms.

In terms of taking multiple medications, it is generally safe to alternate between different types of medications for GERD and digestive issues, but it is essential to follow your doctor's guidance on this. Combining medications can sometimes lead to interactions, so always consult your healthcare provider before making changes to your medication regimen.

You also mentioned the use of probiotics. Probiotics can be beneficial for gut health and may help improve digestion and reduce symptoms of bloating or discomfort. However, the effectiveness of probiotics can vary from person to person. If you are considering adding probiotics to your routine, it would be best to discuss this with your healthcare provider to ensure it aligns with your overall treatment plan.

In summary, the gurgling sounds you are experiencing are likely normal and not a cause for concern unless accompanied by other symptoms. It is essential to maintain open communication with your healthcare provider regarding your medications and any changes in your symptoms. If you continue to have concerns about your digestive health, consider scheduling a follow-up appointment for further evaluation and reassurance.

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