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Gastroenterology  (Expert Forum)
 | 
rumbling?
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.

rumbling?

by odc, Feb 08, 2006 12:00AM
I am a 38 y.o. white female, nonsmoker,nondrinker, thin build. Hx of mild IBS.

For the past month, I've had abdominal symptoms that began abruptly after 2 days of excessive overindulgence on sweets and candy (vacation). This was followed by 2 days of pain, bloating, and gas, and my digestive system has not seemed to return to normal.

Current symptoms: some cramping, occasional excess gas, some nausea and appetite loss. Bowel movements and stool are basically normal. I have had one episode of noticing a small spot of bright red blood on the stool surface, after experiencing some cramping. This occurred last August, and have not seen any other since.

The symptom that perplexes me is increased lower abdominal rumbling (small intestine?) and noise. I can hear the gurgling, and feel rumbling when I put my hand on my abdomen. This occurs mainly when lying in bed, at night and in the a.m.

Recent tests:
  Stool culture: negative for parasites, etc
Abdominal and pelvic CT scan: normal
Fecal occult: in process
Blood Work:
    WBC count normal (5.6)
    RBC normal
  Manual differential, some out of range
Lymphcytes: 18%



by Kevin Pho, MD, Feb 08, 2006 12:00AM
Difficult to say without examination.  You can consider further testing of the upper GI tract, including an upper endoscopy and/or an upper GI series.  This can look for some common casues of your symptoms - including GERD, an ulcer, or inflammation of the upper digestive tract.

I would also consider blood tests looking for the bacteria H Pylori.

A more specialized test would include a gastric emptying scan which can look for gastroparesis.  

These options can be discussed with your personal physician, or in conjunction with a gastroenterologist.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
kevinmd_b
Member Comments

by Robbyne, Feb 13, 2006 12:00AM
I have the same rumbling! I was just diagnosed with Crohn's Disease in October but I have noticed the extreme rumbling in the past month.  It is so loud and uncomfortable.  I hope you do not have Crohn's too!

by kiwesh, Mar 10, 2006 12:00AM
I HAVE CHECKED THE AILMENTS AND GOT PERHAPS I MAY BE ASSISTED
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