腹鳴
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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2015/06/15 22:43:22」(JST)
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A doctor's listening to a patient's bowel sounds using a stethoscope
A stomach rumble, also known as a bowel sound or peristaltic sound, is a rumbling, growling or gurgling noise produced by movement of the contents of the gastro-intestinal tract as they are propelled through the small intestine by a series of muscle contractions called peristalsis.[1] A doctor or nurse can listen to these intestinal noises with a stethoscope but they may be loud enough to be heard with bare ears and are known as stomach rumble or borborygmus (pronounced //; plural borborygmi) as the fluid and gas moves forward in the intestines (in the vicinity of but not actually within the stomach). The lack of bowel sounds is indicative of ileus, intestinal obstruction, or some other serious pathology.
Contents
- 1 Etymology
- 2 Other causes
- 3 Diseases and conditions
- 4 Nonmedical usage
- 5 See also
- 6 References
Etymology
The scientific name borborygmus is related to the 16th-century French word borborygme, itself from Latin, ultimately from Ancient Greek βορβορυγμός (borborygmós). The Greeks probably onomatopoetically coined the word.[citation needed]
Other causes
Other causes of stomach rumbles:
- Incomplete digestion of food can lead to excess gas in the intestine. In humans, this can be due to incomplete digestion of carbohydrate-containing foods, including milk and other dairy products (lactose intolerance or the use of α-glucosidase inhibitors by diabetics), gluten (protein in wheat, barley, and rye) (coeliac disease), fruit, vegetables, beans, legumes, and high-fiber whole grains. In rare instances, excessive abdominal noise may be a sign of digestive disease, especially when accompanied by abdominal bloating, abdominal pain, diarrhea or constipation. Some examples of diseases that may be associated with this symptom include carcinoid neoplasm and coeliac sprue.[1]
- Louder rumbles may occur when one is hungry. Around two hours after the stomach has been emptied, it sends signals to the brain, which tells the digestive muscles to restart peristalsis in a wave called the migrating motor complex. Food left behind after the first cycle is swept up, and the vibrations of the empty stomach cause hunger. Appetite plays a big role in this situation. Peristalsis recurs about every hour, and one's appetite may cause 10- to 20-minute food cravings.[citation needed]
- Stomach rumbles can form further along the gastrointestinal system when air is swallowed while talking, eating, and drinking. This phenomenon occurs in most people and is typical.[citation needed]
Diseases and conditions
- Celiac disease is a condition that prevents the small intestine from absorbing parts of food that are needed to stay healthy. Consuming food containing gluten is dangerous for people with this disease: Intestinal villi help to absorb nutrients from food, but when gluten is consumed, the immune system attacks these villi as a result. Symptoms may include abdominal pain, nausea, and bulky or foul smelling stools.[2]
- Colitis is swelling of the large intestine. The many different forms of colitis include cytomegalovirus or Cryptosporidium infection, and necrotizing and pseudomembranous colitis. The usual causes of colitis are infection and lack of blood flow. Symptoms may include bloody stools, chills, dehydration, diarrhea, and fever.[3]
- Diverticulitis is a condition where small bulging sacs, usually found in the large intestine, become inflamed or infected. The most probable cause is a low-fiber diet, possibly a result of eating processed food. Diverticulitis is usually seen in about half the American population over the age of 60. Symptoms may include bloating, fever, and nausea.[4]
- Irritable bowel syndrome, a disorder in the lower intestinal tract, is usually accompanied by other symptoms, such as abdominal pain and diarrhea. It is more common in women and it usually occurs during early adulthood. There are many risk factors such as emotional stress and a low-fiber diet. These can all cause stomach disorders.
| Diseases/conditions |
Possible Prescribed Treatments |
| Celiac disease |
Lifelong gluten-free diet, avoid anything containing wheat, barley, rye, and possibly oats |
| Colitis |
If caused by inflammation, it is treated with medicine. If caused by infection, it is treated with an antiprotozoal agent. If caused by lack of blood flow, it is treated with a liquid diet and antibiotics. |
| Diverticulitis |
If symptoms are minimal, treat by:
- Getting plenty of rest.
- Using a heat pad while sleeping.
- Taking pain medication.
- Drinking only liquids for a few days, then build up slowly with harder liquid, and eventually solid food.
Avoid foods such as beans and peas along with coarse grains and dried fruits. Limiting consumption of coffee, tea, and alcohol is recommended.
|
| Irritable bowel syndrome (IBS) |
Regular exercise and improved sleep habits can help relieve symptoms. Although IBS differs from person to person, dieting helps.
- Avoid foods and drinks that contain caffeine.
- Avoid large meals.
- Increase the consumption of fiber throughout the day (helps constipation, but bloating may be an issue).
|
Nonmedical usage
The word borborygmic has been used in literature to describe noisy plumbing. In Ada, Vladimir Nabokov wrote: "All the toilets and waterpipes in the house had been suddenly seized with borborygmic convulsions". In A Long Way Down (New York: Harper, 1959, p. 54), Elizabeth Fenwick wrote: "The room was very quiet, except for its borborygmic old radiator".[5] Graham Greene's short story "Alas, Poor Maling" tells the tale of a luckless individual whose borborygmus takes the form of irritating noises that he has recently heard.
See also
- Flatulence
- Ileus
- Migrating motor complex
References
|
Look up stomach rumble in Wiktionary, the free dictionary. |
- ^ a b Toothman, Jessika. "Causes of Stomach Growling". HowStuffWorks. Retrieved 7 February 2012.
- ^ "Celiac disease - sprue". A.D.A.M. Medical Encyclopedia. PubMed Health. January 20, 2010. Retrieved 13 February 2012.
- ^ "Colitis". A.D.A.M. Medical Encyclopedia. PubMed Health. October 16, 2011. Retrieved 13 February 2012.
- ^ "Diverticulitis". A.D.A.M. Medical Encyclopedia. PubMed Health. April 16, 2012. Retrieved 13 February 2012.
- ^ "Borborygmus". World Wide Words. 1998-10-12. Retrieved 2013-10-26.
|
Physiology of the gastrointestinal system
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| GI tract |
| Upper |
| Exocrine |
- Chief cells
- Parietal cells
- Gastric acid
- Intrinsic factor
- Foveolar cells
- Goblet cells
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| Processes |
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| Fluids |
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| Lower |
| Enteric nervous system |
- Meissner's plexus
- Auerbach's plexus
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| Endocrine/paracrine |
- G cells
- D cells
- ECL cells
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| enterogastrone: |
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- Enteroendocrine cells
- Enterochromaffin cell
- APUD cell
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| Fluids |
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| Processes |
- Segmentation contractions
- Migrating motor complex
- Borborygmus
- Defecation
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| Either/both |
| Processes |
- Peristalsis (Interstitial cell of Cajal
- Basal electrical rhythm)
- Gastrocolic reflex
- Digestion
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| Accessory |
| Fluids |
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| Processes |
- Enterohepatic circulation
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| Abdominopelvic |
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Index of digestion
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| Description |
- Anatomy
- Physiology
- Development
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| Disease |
- Congenital
- Neoplasms and cancer
- Inflammatory bowel disease
- Gluten sensitivity
- Other
- Symptoms and signs
- Blood tests
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| Treatment |
- Procedures
- Drugs
- anabolic steroids
- antacids
- diarrhoea and infection
- bile and liver
- functional gastrointestinal disorders
- laxatives
- peptic ulcer and reflux
- nausea and vomiting
- other
- Surgery
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English Journal
- Relationship between Inter-digestive Migrating Motor Complex and Quality of Life in Patients after Conventional Distal Gastrectomy for Gastric Cancer.
- Tomita R, Fujisaki S, Shibata M, Sugito K, Ikeda T, Sakurai K, Koshinaga T.AbstractBackground/Aims: To clarify the significance of duodenal interdigestive migrating complex (IMMC) in patients after conventional distal gastrectomy (CDG), we studied the relationships between IMMC and postoperative quality of life (QOL). Methodology: A total of 48 patients (32 males, 16 females; 39 to 68 years, mean, 57.4 years) at two years after CDG for gastric cancer (Billroth I, D2 lymph node dissection, curability A) were divided into two groups (IMMC-positive group; 34 patients, IMMC-negative group; 14 patients) according to the occurrence of IMMC from duodenum and their postoperative QOL was compared. Results: IMMC was only found from the duodenum, and not from the remnant stomach. 1) Patients in the IMMC-positive group had evidently more appetite and ate more food with less decrease in body weight compared with the IMMC-negative group; 2) Patients in the IMMC-positive group had clearly less symptoms such as early dumping symptoms, symptoms of reflux esophagitis, nausea, abdominal pain, diarrhea, abdominal fullness, borborygmus and diarrhea compared with the negative group. Conclusions: The IMMC-positive group showed more satisfactory QOL compared with the negative group.
- Hepato-gastroenterology.Hepatogastroenterology.2012 May 22;59(119). doi: 10.5754/hge12334. [Epub ahead of print]
- Background/Aims: To clarify the significance of duodenal interdigestive migrating complex (IMMC) in patients after conventional distal gastrectomy (CDG), we studied the relationships between IMMC and postoperative quality of life (QOL). Methodology: A total of 48 patients (32 males, 16 females; 39 t
- PMID 22626858
- Newer insights into the drug delivery approaches of α-glucosidase inhibitors.
- Kumar RV, Sinha VR.SourceUniversity Institute of Pharmaceutical Sciences, Panjab University, Chandigarh, 160014, India.
- Expert opinion on drug delivery.Expert Opin Drug Deliv.2012 Apr;9(4):403-16. Epub 2012 Feb 25.
- INTRODUCTION: α-Glucosidase inhibitors (AGIs) are an important category of oral antidiabetic agents being extensively exploited for the effective management of type 2 diabetes and associated disorders. These drugs significantly reduce the postprandial rise in glycemic and plasma insulin levels both
- PMID 22364261
Japanese Journal
- 大腸に発症したII型腸管症関連T細胞リンパ腫の1例
- 田村 次朗,熱海 恵理子,島袋 耕平,金城 徹,武嶋 恵理子,金城 渚,外間 昭,加藤 誠也,大島 孝一,藤田 次郎
- 日本消化器内視鏡学会雑誌 57(6), 1378-1384, 2015
- 症例は66歳男性．平成25年10月に下痢，腹鳴，腹部膨満感の精査目的に当科入院となった．大腸内視鏡検査（colonoscopy以下CS）で肝弯曲部に広範囲にわたる粘膜の浮腫状変化・微細顆粒状変化を認めた．S状結腸に汚い壊死物質の付着した全周性の潰瘍を認めた．また直腸に7mmのIsp型ポリープを認めた．ポリープのEMR検体の病理像から大腸原発腸管症関連T細胞リンパ腫と診断した．当院血液内科にて化学療 …
- NAID 130005085962
- Mental, Physical, Dietary, and Nutritional Effects on Irritable Bowel Syndrome in Young Japanese Women
- Omagari Katsuhisa,Murayama Toshie,Tanaka Yuna,Yoshikawa Chisato,Inoue Shin-ichi,Ichimura Mayuko,Hatanaka Maiko,Saimei Mari,Muto Keiko,Tobina Takuro,Masaki Motofumi,Kato Shigeko
- Internal Medicine 52(12), 1295-1301, 2013
- … The percentage of individuals who reported often rushing to the toilet within the past year and experiencing borborygmus (rumbling stomach) was greater among the IBS participants. …
- NAID 130003365654
- ガラクトオリゴ糖液糖の最大無作用量推定と安全性評価
- 木村 雅行,池田 雅和,柴田 英之 [他],池田 祥子,松本 圭介
- 日本食品化学学会誌 11(2), 67-74, 2004-09-28
- … The other abdominal symptoms reported were borborygmus (88%), flatus (58%), and abdominal distention (46%), all of which were transient, as was diarrhea. …
- NAID 110007367291
Related Links
- Borborygmus definition, a rumbling or gurgling sound caused by the movement of gas in the intestines. See more. Dictionary.com Word of the Day Translate Games Blog Thesaurus.com Apps Favorites Log Out Log In Log Out ...
- :a rumbling sound made by the movement of gas in the intestine ... Seen and Heard What made you want to look up borborygmus? Please tell us where you read or heard it (including the quote, if possible).
★リンクテーブル★
[★]
- 英
- gargling sound, rumbling noise
- ラ
- borborygmus, borborygmi
- 同
- グル音 gurgle