The stomach pain and gurgling at night may be related to cold abdomen, acute gastroenteritis, gastrointestinal dysfunction and so on. 1. Abdominal cold: when the abdomen is cold at night, cold air stimulation of the intestinal tract can cause intestinal spasms, which can cause abdominal distension and gurgling. 2. Acute gastroenteritis: acute gastroenteritis is due to improper diet, overeating and other causes of acute inflammation of the gastrointestinal mucosa, the clinical manifestations are mainly nausea, vomiting, abdominal pain, diarrhea, fever and so on. The stimulation of inflammation can cause intestinal spasm, which can be accompanied by stomach pain and increased bowel sounds. 3. Gastrointestinal dysfunction: It is mainly manifested in the dysfunction of gastrointestinal movement and secretion, which may also cause stomach pain with gurgling. It is recommended to go to a regular hospital at night to get a clear diagnosis of the cause of the stomach pain and gurgling, and carry out standardized treatment under the guidance of the doctor, so as not to delay the condition and bring adverse effects to the body.