Getting up in the morning with a bitter mouth and a gurgling stomach may be caused by gastrointestinal disorders, bile reflux gastritis, chronic gastritis and other conditions. 1. Gastrointestinal dysfunction: can be accompanied by abnormal gastrointestinal motility, gastrointestinal motility can be bitter symptoms, and get up in the morning is generally in the fasting state, hungry stomach can also be accompanied by the symptoms of the stomach gurgling. 2. bile reflux gastritis: bile, pancreatic fluid and other duodenal contents reflux into the stomach caused by the further reflux into the mouth can cause bitter mouth symptoms, may also be accompanied by gastric and duodenal motility disorders, resulting in stomach gurgling. 3. Chronic gastritis: Chronic gastritis refers to chronic inflammation of the gastric mucosa caused by different etiologic factors, and its main clinical manifestations are loss of appetite, epigastric discomfort and vague pain, belching, acidity, nausea, vomiting and so on. There may be acid reflux, when the acid reflux to the mouth can appear bitter mouth, due to the abnormal function of the stomach may also appear stomach gurgling symptoms. It is recommended to go to the hospital when you have a bitter mouth and gurgling stomach in the morning and follow the doctor’s instructions for standardized treatment after clarifying the cause of the disease.