A gurgling stomach is known as hyperactive bowel sounds. Causes of hyperactive bowel sounds for more than a year include starvation, gastroenteritis, and mechanical intestinal obstruction, which can be treated with medication and surgery. When the intestines peristalsis the internal gas and liquid also move with it, producing a gurgling sound or gas-over-water sound called bowel sounds. A gurgling stomach is a sign of hyperactive bowel sounds, which is a sign of increased intestinal peristalsis. 1. Hunger: the phenomenon of stomach grumbling can occur, when the intestinal peristalsis is accelerated by hunger, the liquid and gas in the intestinal tube can produce gas over water sound. However, this situation caused by hunger is physiological, does not require special treatment, just need to regular normal diet. 2. Acute gastroenteritis: gastrointestinal inflammation, intestinal peristalsis can also be accelerated, the emergence of stomach grumbling, the need for anti-infective treatment, common drugs include aminoglycosides such as akamikacin, quinolones such as levofloxacin. 3. Mechanical intestinal obstruction: the patient’s intestinal lumen is enlarged, gas accumulation is increased, the intestinal wall is distended and thinned, and a high-pitched metallic tone can be heard in the abdomen. Surgical treatment can be considered, such as performing a caesarean section. There are other reasons that can also lead to stomach grumbling for more than a year, it is recommended to go to the regular hospital in time, after clarifying the cause of the disease, under the guidance of the doctor for targeted treatment.