Paroxysmal gastric cramps with watery stools may be caused by food poisoning and acute gastroenteritis. 1. Food poisoning: Eating toxic food or food contaminated by bacteria, bacterial metabolites or other toxins can lead to food poisoning, which manifests itself as paroxysmal gastric cramps, accompanied by dilute watery stools, and is also accompanied by nausea, vomiting and other symptoms. 2. Acute gastroenteritis: acute infectious gastroenteritis caused by viral or bacterial infections, as well as acute non-infectious gastroenteritis caused by exposure to cold and eating cold food can lead to abdominal pain and diarrhea, manifested as paroxysmal gastric cramps with watery stools. Gastric paroxysmal cramps with watery stools may also be related to other causes, it is recommended that patients go to the hospital in a timely manner, under the guidance of the doctor, to complete the relevant tests to determine the cause of the disease.