Hello,
Very loud stomach noises for weeks after multiple antibiotic courses are most commonly due to gut flora imbalance (antibiotic-associated dysbiosis), often worsened by acid reflux / gastritis, which you already have a history of.
Why this is likely happening: Multiple antibiotics → kill good gut bacteria This causes excess gas, increased gut movement, and loud sounds (borborygmi) Acid reflux can also cause globus sensation and persistent throat redness
Start a probiotic (multi-strain with Lactobacillus + Bifidobacterium) daily for 4–8 weeks
Continue Peptazol (pantoprazole) once daily before breakfast (not multiple acid meds together)
Avoid combining PPI + Tums + Gaviscon excessively (can worsen bloating)
Eat small, frequent meals
Avoid trigger foods: spicy, fried, coffee, carbonated drinks
Add fiber slowly (oats, banana, curd/yogurt)
For throat symptoms: Avoid lying down within 3 hours after meals Elevate head while sleeping Warm salt-water gargles Voice rest; redness can persist weeks after infection + reflux
Given your past polyp and piles, this does not sound alarming, but your gut likely needs time and bacterial recovery.
I trust its clear and helpful Thank you
Hello Maryam Thank you for sharing your detailed history. Given your background of gastric issues, the recent bacterial pharyngotonsillitis, and the ongoing symptoms, it’s understandable to feel concerned.
Here’s a breakdown of your situation:
1. Loud Stomach Noises:
- This can be due to various reasons, including increased gas production, changes in gut motility, or irritation from antibiotics. It might also be related to your previous gastric issues.
2. Goblet Sensation:
- This feeling can be associated with acid reflux or irritation in the throat, especially after an infection. The redness in your throat could indicate lingering inflammation.
3. Antibiotic Use:
- Multiple courses of antibiotics can disrupt gut flora, leading to digestive issues. Probiotics may help restore balance, but consult a doctor before starting them.
4. Current Medications:
- Peptazol, Tums, and Gaviscon can help with acid reflux, but if symptoms persist, it’s important to follow up with a healthcare provider.
Recommendations: - Consult a Doctor: Given your history of a polyp and ongoing symptoms, it’s crucial to see a gastroenterologist. They may recommend further evaluation, such as an endoscopy, to assess your stomach and esophagus. - Monitor Symptoms: Keep track of any changes in your symptoms, especially if you notice blood in your stool again, increased pain, or significant changes in appetite. - Dietary Adjustments: Consider avoiding spicy, fatty, or acidic foods that may exacerbate your symptoms. Eating smaller, more frequent meals can also help.
Thank you and get well soon
Your symptoms are most likely due to a combination of long-standing gastritis/acid reflux and recent disruption of gut flora caused by multiple antibiotic courses.
The loud stomach noises (borborygmi) are commonly seen after heavy antibiotic use because antibiotics disturb normal intestinal bacteria, leading to gas, altered digestion, and increased gut movement. This can persist for weeks to months after treatment.
The persistent left-sided throat redness and globus sensation (feeling of a lump in the throat), especially without pain while swallowing, strongly suggest laryngopharyngeal reflux (silent acid reflux) rather than an ongoing infection. Acid reflux can irritate the throat even when heartburn is minimal or absent, and short-term use of antacids alone may not be enough to heal the irritation.
Given your history of chronic gastric issues, prior benign colon polyp, and recent extensive antibiotic exposure, this situation does not currently suggest anything dangerous, but it does require proper digestive and reflux management, not just symptom relief.
In summary, your condition is most consistent with:
Post-antibiotic gut imbalance
Chronic gastritis with acid reflux/LPR
Residual throat inflammation from reflux, not infection
With appropriate dietary changes, adequate duration of acid suppression, gut flora restoration, and follow-up with a gastroenterologist (and ENT if needed), these symptoms are usually reversible and manageable.
Your loud stomach noises after multiple antibiotic courses are most likely due to gut bacterial imbalance (post-antibiotic dysbiosis), while the persistent throat redness and globus sensation are commonly caused by silent acid reflux (laryngopharyngeal reflux) rather than ongoing infection. Acid-suppressing medicines may take 2–4 weeks to improve throat symptoms and will not immediately correct antibiotic-related gut disturbance, which can last several weeks. You should consult a gastroenterologist for persistent gastric symptoms and an ENT specialist if throat redness or globus sensation continues beyond a few more weeks, especially to rule out reflux-related irritation.
It’s quite possible that the recent antibiotics might have disrupted your gut flora, leading to the loud stomach noises you’re experiencing. Antibiotics, while essential in managing infections, can sometimes disturb the balance of beneficial bacteria in the gut, which may cause symptoms like increased gas production, bloating, or rumbling noises. Since you’ve also mentioned a history of gastric issues, this might be exacerbating the problem. It’s great that you’ve started taking peptazol, Tums, and Gaviscon for acid reflux, but if the noises continue, these might not address the underlying issue. Consider incorporating a probiotic into your daily routine. Probiotics can help restore the natural balance of bacteria in your gut. Make sure to choose a high-quality product and follow the dosage instructions. In terms of your throat, the ongoing redness might be attributed to lingering inflammation, which can be common after repeated bouts of pharyngitis or tonsilitis. A gargle with saline solution or a throat lozenge might be soothing; if redness persists, a follow-up with your doctor could be beneficial to rule out lingering infection or reflux-related irritation. For the globus sensation, keeping hydrated and avoiding irritants like caffeine and spices might help manage it. Remember, if any new symptoms arise like blood in your stool again, weight loss, or severe abdominal pain, you should see your doctor promptly. If this plan doesn’t bring relief in a few weeks, a gastroenterologist can offer more specialized insights and potentially review the need for further tests or adjustments to your treatment.
Hello Maryam, Thank you for explaining your history. Based on what you’ve described, the loud stomach noises (borborygmi) starting after multiple antibiotic courses are most likely due to disturbance of gut flora (antibiotic-associated gut imbalance). About the throat symptoms- Persistent redness on one side + globus sensation is very commonly due to: Laryngopharyngeal reflux (silent reflux). Throat irritation after infection. It can persist for weeks after antibiotics, even when infection has cleared. Here is my advise-
1. Restore gut health- Start a good probiotic- Tata 1mg Probiotics 30 Billion CFUs+ OR Gut Balance by the Good Bug once daily × 1 month. Include curd/yogurt, fermented foods if tolerated. Avoid excessive sugar, carbonated drinks, and very spicy food temporarily.
2. Diet measures-Eat small, regular meals. Avoid skipping meals (empty gut makes noises louder). Reduce gas-forming foods initially (beans, cabbage, onions).
3. For reflux/throat- Continue PPI (Peptazol) once daily before breakfast for 2–4 weeks. Avoid lying down within 2–3 hours after meals. Elevate head end of bed. Avoid very hot, very cold, and acidic foods.
Seek further evaluation if you develop: Persistent abdominal pain, Weight loss,Blood in stools again, Chronic diarrhea, Difficulty swallowing food (not just globus sensation).
This pattern is very common after repeated antibiotics and usually improves gradually over a few weeks once gut bacteria recover.
Review after 1 month.
Regards, Dr. Nirav Jain MBBS, D.Fam.Medicine
