When you hear abnormal noises in the abdomen Understanding bowel sounds can give you major clues about what’s going on inside. From total silence to a full-on rave in the abdomen, here’s what different sounds might mean: 🔇Hypoactive – Think peritonitis, opioids, spinal injuries. 🔊Hyperactive – Often gastroenteritis or early obstruction. 🚧 Obstruction – Listen for high-pitched ‘tinkling’, distension, and no gas below. Comment “trauma” for 30 days of free trauma education a free trauma ebook 📚