The clinical significance of visible peristaltic waves mostly suggests the possibility of an obstruction in the bowel. Normally, peristaltic waveforms are not seen in the normal abdomen, but may be seen in the elderly with thin or loose abdominal walls, in parturients, or in those who are extremely thin. Clinically, peristaltic waves may be seen in intestinal obstruction. Peristaltic wave caused by small bowel obstruction, mostly in the umbilicus, if the obstruction is severe, you can see the distended bowel collaterals in the form of tubular bulge, and more transverse arrangement in the middle of the abdomen, peristaltic wave more running in the direction of inconsistency. In distal intestinal obstruction, the wide bowel pattern is mostly in the periphery of the abdomen, and the cecum can be distended into a spherical shape, and it is aggravated with each peristaltic wave bulge. If intestinal paralysis has occurred, the peristaltic wave disappears. If peristaltic waves are visible, the patient should be seen immediately at the local hospital for definitive diagnosis and treatment.