Consider physiologic and pathologic causes for stomach grumbling and cold extremities. Physiological causes include cold, female menstruation, etc. Pathological causes include food poisoning, gastrointestinal colds, acute gastroenteritis, etc. 1. Physiological causes: cold can lead to increased gastrointestinal peristalsis and intestinal tinnitus; it can also lead to poor blood circulation and cold extremities; hormonal changes during menstruation can also lead to abdominal distension, intestinal tinnitus and cold extremities. 2. Pathological causes: food poisoning can be accompanied by nausea, vomiting, diarrhea and other symptoms; such as gastrointestinal flu can be accompanied by dizziness, fatigue, abdominal distension and other symptoms; such as acute gastroenteritis can be accompanied by diarrhea, abdominal pain, mucus stool and other symptoms. In the above cases, it is recommended to consult a doctor in a timely manner to determine the cause of the disease in conjunction with blood and fecal tests.