Intestinal or stomach noise can be a normal part of digestion. Your brain sends a signal to your intestines that triggers the release of digestive fluids as a series of muscle contractions called peristalsis begins. This growling or rumbling lets you know it is time to eat. When stomach noise is accompanied by pain, bloating, or diarrhea discuss your symptoms with your doctor. It may indicate the presence of an underlying gastrointestinal disorder.
If you are experiencing serious medical symptoms, seek emergency treatment immediately.
Many conditions can cause mild to moderate intestinal rumblings and pain. Stomach flu is a viral inflammation of the stomach and intestines that can lead to abdominal pain, diarrhea, nausea and vomiting. Your symptoms may last two days or longer. Dietary requirements include fluids to prevent dehydration.
Consuming a nutritional, low-fat diet and lifestyle changes may relieve many of your symptoms.
Constipation, which is difficulty with bowel movements or exceptionally hard stool, may cause symptoms of abdominal pain and vomiting. Inadequate water and fiber intake, stress, immobility and inadequate exercise contribute to constipation. A high-fiber diet containing plenty of liquids is essential for helping to prevent constipation.
- Many conditions can cause mild to moderate intestinal rumblings and pain.
- Constipation, which is difficulty with bowel movements or exceptionally hard stool, may cause symptoms of abdominal pain and vomiting.
Causes of Intermittent Diarrhea & Gas
When symptoms such as stomach rumblings and pain persist, or if the pain intensifies, you need to seek medical care. These symptoms may indicate the presence of a condition that requires more intervention than a change in diet. An intestinal obstruction, for example, usually requires hospitalization for stabilization and determination if the obstruction is an actual blockage or a paralytic ileus, which is the inability of your intestinal muscles to move the content. Intravenous fluids are given for hydration and a nasogastric tube is placed through your nose to the stomach to remove air and fluid, which relieves abdominal pain while treatment is ongoing.
- When symptoms such as stomach rumblings and pain persist, or if the pain intensifies, you need to seek medical care.
- An intestinal obstruction, for example, usually requires hospitalization for stabilization and determination if the obstruction is an actual blockage or a paralytic ileus, which is the inability of your intestinal muscles to move the content.
Lactose intolerance, with symptoms such as:
- abdominal pain
- is caused by a lack of the enzyme lactase
- which is necessary to digest lactose
Ethnic and racial populations more at risk for developing lactose intolerance include American Indians, African Americans, Asian Americans and Hispanic Americans, according to the National Digestive Diseases Information Clearinghouse. Lactose intolerance is managed through dietary changes, which include lactose-free dairy products and lactase enzyme supplements.
How to Cope With Abdominal Colic in Adults
Symptoms of stomach rumbling with pain may be an indication of conditions requiring medical intervention and dietary changes. Gallstones may cause intermittent pain known as biliary colic, which may be present for many years without causing distress. Inflammation of your gallbladder, known as acute cholecystitis, occurs in 1 to 3 percent of people with the presence of gallstones, according to the University of Maryland Medical Center 1. If a stone lodges in your bile duct, or in the case of a severe acute attack, emergency surgery may be required to remove the stone.
- Symptoms of stomach rumbling with pain may be an indication of conditions requiring medical intervention and dietary changes.
- Gallstones may cause intermittent pain known as biliary colic, which may be present for many years without causing distress.
Causes of Intermittent Diarrhea & Gas
How to Cope With Abdominal Colic in Adults
Colon Pain After Eating
What Causes My Stomach to Bloat After Eating?
What Are the Causes of Abdominal Muscle Pain?
What Causes Stomach Pain and Bowel Urge After Eating and Drinking?
What Is Duodenum Erosion?
Retaining Water After Eating Gluten
Why Does My Food Go Through My Large Intestine Too Fast?
Can Wheat Cause Severe Gas & Stomach Pain?
- University of Maryland Medical Center: Gallstones and Gallbladder Disease Symptoms
- Mayer EA, Tillisch K. The brain-gut axis in abdominal pain syndromes. Annu Rev Med. 2011;62:381-96. doi:10.1146/annurev-med-012309-103958
- Fashner J, Gitu AC. Diagnosis and treatment of peptic ulcer disease and H. pylori infection. Am Fam Physician. 2015;91(4):236-42.
- InformedHealth.org [Internet]. Cologne, Germany: Institute for Quality and Efficiency in Health Care (IQWiG); 2006-. Gastritis: Overview. Updated June 28, 2018.
- Stein B, Everhart KK, Lacy BE. Gastroparesis: A review of current diagnosis and treatment options. J Clin Gastroenterol. 2015;49(7):550-8. doi:10.1097/MCG.0000000000000320
- Antunes C, Sharma A. Esophagitis. [Updated 2020 Jan 29]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020.
- National Institute of Diabetes and Digestive and Kidney Diseases. Acid Reflux (GER & GERD) in Adults. Updated November 2014.
- Feagan BG, Kahrilas PJ, Jalan R, McDonald JWD. Evidence‐Based Gastroenterology and Hepatology. 4th ed. Hoboken, NJ: John Wiley & Sons; 2019. doi:10.1002/9781119211419
- Leonard MM, Sapone A, Catassi C, Fasano A. Celiac disease and nonceliac gluten sensitivity: A review. JAMA. 2017;318(7):647-656. doi:10.1001/jama.2017.9730
- Deng Y, Misselwitz B, Dai N, Fox M. Lactose intolerance in adults: Biological mechanism and dietary management. Nutrients. 2015;7(9):8020-35. doi:10.3390/nu7095380
- Feuerstein JD, Falchuk KR. Diverticulosis and diverticulitis. Mayo Clin Proc. 2016;91(8):1094-104. doi:10.1016/j.mayocp.2016.03.012
- Bhangu A, Søreide K, Di Saverio S, Assarsson JH, Drake FT. Acute appendicitis: modern understanding of pathogenesis, diagnosis, and management. Lancet. 2015:386(10000);1278-1287. doi:10.1016/S0140-6736(15)00275-5
- Fujii T, Watanabe M. Definition and epidemiology of inflammatory bowel disease. Nippon Rinsho. 2017;75(3):357-363.
- Cleveland Clinic. Hernia. September 2018.
- Cervellin G, Mora R, Ticinesi A, et al. Epidemiology and outcomes of acute abdominal pain in a large urban emergency department: Retrospective analysis of 5,340 cases. Ann Transl Med. 2016;4(19):362. doi:10.21037/atm.2016.09.10
- Gans SL, Pols MA, Stoker J, Boermeester MA. Guideline for the diagnostic pathway in patients with acute abdominal pain. Dig Surg. 2015;32(1):23-31. doi:10.1159/000371583
- Levine MS, Rubesin SE. History and evolution of the barium swallow for evaluation of the pharynx and esophagus. Dysphagia. 2017;32(1):55-72. doi:10.1007/s00455-016-9774-y
- Muthusamy VR, Lightdale JR, Acosta RD, et al. The role of endoscopy in the management of GERD. Gastrointest Endosc. 2015;81(6):1305-10. doi:10.1016/j.gie.2015.02.021
- Gionchetti P, Rizzello F, Annese V, et al. Use of corticosteroids and immunosuppressive drugs in inflammatory bowel disease: Clinical practice guidelines of the Italian Group for the Study of Inflammatory Bowel Disease. Dig Liver Dis. 2017;49(6):604-617. doi:10.1016/j.dld.2017.01.161
- Oor JE, Roks DJ, Broeders JA, Hazebroek EJ, Gooszen HG. Seventeen-year outcome of a randomized clinical trial comparing laparoscopic and conventional Nissen fundoplication. Ann Surg. 2017;266(1):23-28. doi:10.1097/SLA.0000000000002106
- Macaluso CR, McNamara RM. Evaluation and Management of Acute Abdominal Pain in the Emergency Department. Int J Gen Med. 2012;5:789-97. doi:10.2147/IJGM.S25936.
- Penner RM, Fishman MB. (2017). Evaluation of the adult with abdominal pain. Auerbach AD, Aronson MD, eds. UpToDate. Waltham, MA: UpToDate Inc.
Norene Anderson has been a writer since 2003. She is also a registered nurse with expertise in a wide range of medical conditions and treatments. Anderson received her associate degree in nursing from Lincoln University in Jefferson City, Mo.