[24F] With mild, transient abdominal pain and frequent stomach grumbling

Patient Description

A 24-year-old female reports experiencing mild abdominal pain that felt like a cramp, which resolved after a bowel movement. This pain occurred gradually and was noted only on one occasion. Additionally, the patient reports frequent stomach grumbling, particularly when hungry. There are no other associated symptoms such as changes in appetite, nausea, or abnormal bowel movements. The patient's medical history is unremarkable, and she is currently taking melatonin gummies (1 every night) and vitamin gummies (2 as recommended).

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Hunger Pangs: The grumbling and mild cramping you experience when hungry are likely due to hunger pangs. These are normal contractions of the stomach muscles when your stomach is empty.

    • Treatment: Eating small, frequent meals can help prevent hunger pangs. Staying hydrated and including fiber-rich foods in your diet can also help.
  • Gastrointestinal Motility: The grumbling sounds, known as borborygmi, are normal and occur as gas and fluids move through the intestines. This can be more noticeable when your stomach is empty.

    • Treatment: Eating regular meals and avoiding excessive amounts of gas-producing foods (like beans, carbonated drinks, and certain vegetables) can help reduce these sounds.
  • Mild Digestive Upset: The one-time cramping that resolved after a bowel movement could be due to mild digestive upset, possibly from something you ate or a temporary change in your digestive system.

    • Treatment: Maintaining a balanced diet, staying hydrated, and avoiding foods that you know can cause digestive issues can help.

What you can do

While your symptoms do not seem life-threatening, here are some steps you can take to alleviate them:

  1. Eat Regularly: Try to eat small, frequent meals throughout the day to prevent hunger pangs and reduce stomach grumbling.
  2. Stay Hydrated: Drink plenty of water to help your digestive system function smoothly.
  3. Balanced Diet: Include fiber-rich foods like fruits, vegetables, and whole grains in your diet to promote healthy digestion.
  4. Avoid Triggers: If you notice certain foods cause discomfort, try to avoid them.
  5. Symptom Journal: Use MDandMe to journal your symptoms, track your progress, and get insights. This can be helpful information to share with your healthcare provider.

What you should look out for

While your symptoms seem mild, you should seek medical attention if you experience any of the following:

  • Severe or Persistent Pain: If your abdominal pain becomes severe or does not go away, it is important to see a doctor.
  • Changes in Bowel Movements: If you notice any significant changes in your bowel movements, such as blood in your stool, persistent diarrhea, or constipation, consult a healthcare provider.
  • Other Symptoms: If you develop additional symptoms like fever, vomiting, or unexplained weight loss, seek medical advice.

Remember, while I can provide information and suggestions, I am not a doctor. It is always best to consult with a healthcare professional for a formal diagnosis and treatment plan.

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5 mo ago

People Also Ask


What are hunger pangs and why do they cause stomach grumbling?

Hunger pangs are contractions of the stomach muscles that occur when the stomach is empty, often causing grumbling sounds. They are a normal response to hunger and can be alleviated by eating small, frequent meals.


What are borborygmi and are they normal?

Borborygmi are the sounds made by the movement of gas and fluids through the intestines. They are normal and often more noticeable when the stomach is empty. Eating regular meals and avoiding gas-producing foods can help reduce these sounds.


What could cause mild abdominal cramping that resolves after a bowel movement?

Mild abdominal cramping that resolves after a bowel movement could be due to mild digestive upset, possibly from something you ate or a temporary change in your digestive system. Maintaining a balanced diet and staying hydrated can help prevent this.


When should I be concerned about abdominal pain or changes in bowel movements?

You should be concerned if abdominal pain becomes severe or persistent, if there are significant changes in bowel movements (such as blood in the stool, persistent diarrhea, or constipation), or if additional symptoms like fever, vomiting, or unexplained weight loss develop. In such cases, it is important to consult a healthcare provider.


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