What Causes Persistent Growling, Rumbling Movement And Noises In The Stomach?
Please give details and post actual reports.
Detailed Answer:
Hi.
Thanks for your query and an elucidate history.
To recapitulate: Male/18 - lot of stomach growling, rumbling, movements, noises, go on throughout the day - 5 years - means when you were 13 - started eating irregularly as explained - large foods - milk - to gain extra weight - vibrations all throughout body when stomach is not active - trying to eat normally now - cutting certain foods - several antacids - just do not work - problems are still persistent - visited multiple Doctors - told about stress dominance - tried Citalopram, rabeprazole, buscopan, lactose intolerant pills, probaclac, various antacids - Tests include: Endoscopy, ultrasound, colonoscopy, blood tests.
Please give few additional information so that we can discuss further:
- Nausea?
- Vomiting?
Bloating?
- Stool: loose/hard, smell, gases, frequency?
- Pain?
- Noticed any certain foods instigating or enhancing the problems?
- Is there any period, say of few days that you feel alright?
- Appetite?
- Sleep?
- Results of the tests you have mentioned?
- Any stool tests?
- Any treatment for worms?
- Does the problem increase with any stress and/or anxiety that you have noticed- say like examinations, decision making situations, sudden sad/bad news and so on?
- Any other history that you would like to share?
Please answer all these questions as it is so that I can assist you better.
Awaiting
Few more tests if not done yet
Detailed Answer:
Thank for your partial feedback.
Please answer these questions one by one:
- Nausea?
- Vomiting?
- Bloating?
- Stool: loose/hard, smell, gases, frequency?
- Pain?
- Noticed any certain foods instigating or enhancing the problems?
- Is there any period, say of few days that you feel alright?
- Appetite?
I would advise you the following:
- Make a list of the foods and beverages that increase your problems
like you have mentioned about pasta and fried chicken.
Stop eating or drinking these strictly for the time being. This will be a test as well as part of the treatment.
- Make another list of the foods and beverages that suit your stomach perfectly and consume only these things- again for the time being.
Buscopan is effective only if you have pain- if no pain you may please stop it as it is not effective as you have mentioned.
Take multivitamins available in the Pharmacy nearby and ask for another probiotic which may be OTC. Change over from Prebaclac for the time being.
Get the stool tests for 3 consecutive days. This is the most important test as you are suffering from intestinal problems.
Also ask for thyroid function and liver function tests.
These are the standard tests to be done in a person having similar symptoms.
Please get these done and give me the reports so that we can discuss further.
IBS if all the tests are negative.
Detailed Answer:
Sincere thanks for your detailed feedback.
To recapitulate most salient features:
- stomach/intestine noises regardless you eat breakfast or not, along with gas.
- sometimes feel serious cramps towards my anus area when you have to pass gas and this happens often the earlier you wake up.
- Nowadays, you would eat a meal, large or small, and you'd have this feeling in my stomach where you would get "hungry" again after 2 hours or so.
- remains same irrespective stopping some foods as mentioned by you.
- but no bloating or vomiting
- booking for tests of gluten and lactose intolerance and thyroid.
- not comfortable about stool tests : this is most important one.
- Also discuss about CT scan of the abdomen with Enterography.
Rumbling is indicative of some irritation to the intestines or sub-acute intestinal obstruction. CT with enterography or enteroclysis can help to get you the diagnosis.
Gases can be due to:
- Bacterial imbalance allowing the gas producing bacteria to be dominant.
- Aerophagia is inadvertent swallowing of air, usually due to some stress and/or anxiety.
Please remember, if all the relevant investigations are normal then your problem may be taken as due to IBS, that is irritable bowel syndrome and treated accordingly can help you the most.
CT and stool test a must ...
Detailed Answer:
The reasons and reports of all the tests are different as not a single test can tell us everything.
Since you have already undergone the tests they show the following:
Endoscopy for esophagus, stomach and duodenum- normal
Colonoscopy shows the large intestine
Ultrasonography shows some organs like liver, gall bladder, pancreas, genitourinary system and any pathology like enlarged lymph nodes.
The most important part of the abdomen between duodenum and colon is small intestines of about 20 feet long. This is the usual cause of rumbling, gases and all. This is best studies by Contrast enhanced CT scan of the abdomen. Hence the need.
If this too along with stool, urine and blood tests are normal, the cause of your symptoms can be taken as IBS, to be treated and to get cure. This is possible as you are suffering for the last 5 years, a long time to suffer from.