Tummy grumbling is the performance of intestinal sounds, is the intestinal peristalsis process of gas and liquid flow sound, most of them are physiological changes, intestinal sound hyperactivity, common disease factors include gastrointestinal inflammatory diseases, gastrointestinal bleeding, mechanical intestinal obstruction and metabolic diseases. 1. Physiological factors: 4~5 bowel sounds per minute in normal people is a normal phenomenon and does not require too much intervention. 2. Inflammatory lesions of the gastrointestinal tract: mainly acute gastroenteritis, because of the inflammatory stimulus leads to active intestinal peristalsis, causing an increase in intestinal sounds, other inflammatory lesions of the digestive system can also cause similar changes. 3. Mechanical intestinal obstruction: abnormal flow of intestinal contents can lead to hyperactive bowel sounds, accompanied by the cessation of bowel movement and defecation. 4. Metabolic diseases: Commonly, hyperthyroidism can cause peristalsis in the digestive system, resulting in increased bowel sounds. The presence of bowel sounds accompanied by obvious abdominal pain or bleeding symptoms, we should seek medical attention in a timely manner.