The following are the main causes of diarrhea and intestinal gurgling to consider: first, acute gastroenteritis. Patients often have a history of eating unclean food, accompanied by abdominal pain, diarrhea and other changes. Second, functional dyspepsia. Patients have long-term symptoms of dyspepsia, such as loose stools, epigastric discomfort, bloating, acid reflux, and belching. Third, irritable bowel syndrome. The patient’s condition is recurrent, also manifested as diarrhea, intestinal gurgling, self-conscious intestinal peristalsis significantly increased, the course of the disease is prolonged, but the color of the stool is yellow, and there is no significant change in body weight. Diagnosis of these diseases requires colonoscopy to exclude organic lesions, and stool routines should be tested to clarify the presence of bacterial infection and occult blood.