What Causes Frequent Gurgling Sounds in the Abdomen?

May 08, 2022 Source: Cainiu Health
Dr. Liu Zhengxin
Introduction
The gurgling sound in the intestines is known medically as “borborygmi,” or sometimes described as “gas passing over fluid” in the stomach. It results from the mixture of gas and fluid in the gastrointestinal tract, which produces audible sounds as the tract undergoes peristaltic movement. Typically, borborygmi occurring three to four times per minute are considered normal.

The gurgling sounds originating from the gastrointestinal tract are medically termed “bowel sounds” or “borborygmi”—a phenomenon caused by the movement of gas and fluid through the intestines. These sounds result from the mixing of intestinal gas and fluid, which then produces audible noises as they pass through the gastrointestinal tract propelled by peristalsis. Under normal circumstances, hearing bowel sounds 3–4 times per minute is considered physiologically normal. However, some individuals may experience frequent, loud, and persistent gurgling; this may indicate one of the following conditions.

First, it may reflect a physiological state—for example, when meals are delayed and hunger sets in. It is well known that the intestines produce gurgling sounds when hungry, serving as a natural signal reminding you it’s time to eat. This is entirely normal, and the gurgling typically diminishes or disappears after eating.

Second, it may be associated with functional gastrointestinal disorders—such as dysmotility (e.g., abnormally rapid intestinal motility), which can lead to hyperactive bowel sounds and noticeable gurgling. In such cases, medications that regulate intestinal motility and function may effectively alleviate these symptoms.

Third, it may indicate an underlying organic disease—for instance, inflammation, ulcers, or tumors. These pathological conditions can also cause increased or abnormal gurgling sounds. If this occurs, prompt medical consultation is essential to enable accurate diagnosis and appropriate treatment by a healthcare professional.