How to pronounce borborygmi

Bowel murmur

1 definition

Bowel noises During the auscultation of the abdomen (abdominal auscultation) are detectable noise phenomena that may indicate pathological events.

2 Examination Technique

Bowel noises can best be heard with the funnel side of the stethoscope. Light pressure can be applied to the abdomen to provoke bowel movements.

3 normal findings

The physiological movements of the intestine (peristalsis) produce noises when the intestinal contents move. Typically, you hear noises every 10 seconds or so, best described as a chuckle or a creak.

4 Pathological Findings

If loud noises are constantly audible, the technical terminology is called Borborygmi. They are an expression of increased peristalsis ("hyperperistalsis") and occur, for example, in gastroenteritis or malabsorption. Borborygmi can also be an indication of simple hunger ("the stomach growls").

Metallic noises of high frequency occur, for example, in a mechanical ileus, when the intestinal sections in front of the stenosis are inflated by gas formation and contract against resistance. When the intestinal contents pass through narrowed but not yet relocated sections, a hissing / splashing noise can also be heard.

The absence of any intestinal noises ("grave silence") over a period of several minutes may indicate a paralytic ileus in which the intestinal peristalsis has disappeared.