Persistent Abdominal Noises: Causes and Solutions - Gastroenterology and Hepatology

Q: Persistent Abdominal Noises: Causes and Solutions

Hello： As long as diarrhea and abdominal pain are alleviated, there is no need to worry too much. <br>It is recommended to maintain a light diet and ensure balanced nutrition. <br>Once the gastrointestinal tract repairs itself, normal function will be restored. <br>Changhua Hospi

The stomach keeps growling?

A few days before the Lunar New Year, I went to the hospital due to a high fever.
The doctor diagnosed me with a urinary tract infection and a common cold, and suggested hospitalization, but I chose not to stay and went home after receiving medication, which included an antibiotic.
After three days, the high fever persisted, so I decided to visit a clinic.
The doctor there said it was likely just a common cold and prescribed antibiotics and antipyretics.
The next day, the fever subsided, but I started experiencing severe abdominal pain, my intestines were making noises, and I had frequent diarrhea.
Later, I went to another hospital for a consultation, where the doctor diagnosed me with gastroenteritis and prescribed medication for three days.
After finishing the medication, the abdominal pain has not been continuous, but my intestines still make noises, and I often feel the urge to use the restroom, producing only small amounts of soft stools and gas.
Dr.
Tsai, how can my symptoms improve?

Niming, 10~19 year old female. Ask Date: 2016/02/22

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: As long as diarrhea and abdominal pain are alleviated, there is no need to worry too much.
It is recommended to maintain a light diet and ensure balanced nutrition.
Once the gastrointestinal tract repairs itself, normal function will be restored.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.

Reply Date: 2016/02/22

More Info

Persistent abdominal noises, often referred to as "borborygmi," can be a common and sometimes concerning symptom. The sounds you hear are typically caused by the movement of gas and fluids in the intestines, which can be influenced by various factors, including diet, gastrointestinal health, and even stress levels. Given your recent medical history, including a urinary tract infection, a general cold, and a diagnosis of gastroenteritis, it’s important to consider how these conditions may have contributed to your current symptoms.

Causes of Persistent Abdominal Noises
1. Gastrointestinal Motility: After an episode of gastroenteritis, your intestines may still be recovering. The inflammation and irritation can lead to increased motility, causing the intestines to contract more vigorously, which can produce more noise.
2. Dietary Factors: Certain foods can contribute to gas production and intestinal noise. Foods high in fiber, such as beans, lentils, and certain vegetables, can lead to increased gas. Additionally, dairy products can cause issues for those who are lactose intolerant, leading to bloating and noise.

3. Hydration and Electrolyte Balance: After experiencing diarrhea, it’s crucial to stay hydrated and replenish electrolytes. Dehydration can lead to changes in bowel function and may contribute to ongoing gastrointestinal symptoms.

4. Stress and Anxiety: Stress can significantly impact gastrointestinal function. It can lead to increased gut motility and sensitivity, which may manifest as increased noise and discomfort.

5. Infection and Inflammation: If there is lingering inflammation in your gastrointestinal tract from the previous infection, it can lead to ongoing symptoms, including noise and altered bowel habits.

Solutions and Recommendations
1. Dietary Adjustments: Consider keeping a food diary to identify any foods that may exacerbate your symptoms. Gradually reintroducing foods after a period of bland eating can help you pinpoint triggers. Focus on a balanced diet rich in soluble fiber (like oats and bananas) while avoiding excessive amounts of insoluble fiber (like whole grains and raw vegetables) until your symptoms improve.

2. Hydration: Ensure you are drinking plenty of fluids, especially water and electrolyte solutions, to help restore balance after diarrhea. Avoid caffeinated and sugary drinks, which can irritate the gut.

3. Probiotics: Incorporating probiotics into your diet can help restore the natural balance of gut bacteria, which may have been disrupted by the infection and antibiotics. Foods like yogurt, kefir, and fermented vegetables are good sources.

4. Stress Management: Engage in stress-reducing activities such as yoga, meditation, or deep-breathing exercises. These can help alleviate some of the gastrointestinal symptoms that may be exacerbated by stress.

5. Follow-Up with Healthcare Provider: Since your symptoms have persisted, it’s advisable to follow up with your healthcare provider. They may recommend further evaluation, such as stool tests to check for infections or other gastrointestinal disorders. If symptoms continue, they might suggest imaging studies or referrals to a gastroenterologist for more specialized care.

6. Monitor Symptoms: Keep track of your symptoms, including the frequency and nature of your bowel movements, any associated pain, and dietary intake. This information can be valuable for your healthcare provider in determining the next steps.

In conclusion, while persistent abdominal noises can be bothersome, they often resolve with time and appropriate management. By addressing dietary factors, ensuring proper hydration, managing stress, and following up with your healthcare provider, you can work towards alleviating your symptoms and restoring your gastrointestinal health.

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