What Causes Frequent Gurgling Sounds in the Abdomen?

Jun 02, 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 it moves through peristaltic contractions. Typically, borborygmi occurring three to four times per minute are considered normal.

The gurgling sounds emanating from the gastrointestinal tract—commonly referred to as “bowel sounds” or “borborygmi”—occur when gas and fluid mix within the gastrointestinal (GI) tract and are propelled by peristaltic movements, producing audible noises. Under normal circumstances, hearing bowel sounds 3–4 times per minute is considered physiological and entirely benign. However, some individuals experience frequent, loud, and persistent gurgling sounds, which may indicate underlying conditions.

First, this phenomenon may occur under physiological conditions—for example, when meals are delayed and hunger sets in. The familiar “stomach growling” serves as a natural signal reminding you it’s time to eat; this is entirely normal. Once food is consumed, the gurgling typically diminishes or resolves completely.

Second, functional GI disorders—such as dysmotility or abnormally accelerated intestinal motility—can lead to hyperactive bowel sounds and increased gurgling. In such cases, medications that regulate intestinal motility and function may effectively alleviate the symptoms. Third, organic diseases—including inflammation, ulcers, or tumors—may also cause pronounced gurgling. If such symptoms persist or worsen, prompt medical evaluation is essential to enable accurate diagnosis and appropriate treatment.