The stomach is always grumbling generally refers to active bowel sounds, which may be related to hunger, acute enteritis, irritable bowel syndrome and so on. 1. Hunger: under normal circumstances, the intestinal sound is 4~5 times per minute. When people are hungry, you can hear the obvious bowel sounds, that is, gurgling. This is a normal physiological state, do not worry too much. 2. Acute enteritis: If there is a recent unclean diet, it may cause intestinal infection. This leads to inflammation of the intestinal tract, causing intestinal peristalsis to accelerate, and also active bowel sounds, which may be accompanied by diarrhea and other symptoms. 3. Irritable Bowel Syndrome (IBS): It is related to food factors, psychological factors, intestinal infections, etc., causing abnormal gastrointestinal dynamics and active bowel sounds. Active bowel sounds can also be seen in other causes, it is recommended to consult a doctor in a timely manner, follow the doctor’s instructions for relevant examinations, with the help of the doctor to clarify the cause, and targeted treatment or therapy.