Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.
1
Is any of this happening now?
Call 911
Call emergency services or go to an emergency department for sudden or severe abdominal pain, fainting, confusion, a hard or very tender abdomen, vomiting blood, or black or bloody stools.
Other emergency signs, for anyone
Someone who is struggling to breathe, gasping, choking, or cannot get words out
Someone who has chest pain, tightness or pressure lasting more than a few minutes
Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
Someone who is unconscious, or cannot be woken
Someone who is bleeding heavily and it will not stop with firm pressure
Someone who has had a seizure that will not stop, or does not wake up afterwards
Someone who has lips or skin that look pale, blue, grey or blotchy
Someone who you believe has taken an overdose or swallowed something poisonous
2
Is any of this happening?
Be seen today
Seek urgent, same-day medical advice if the sounds occur with:
Repeated vomiting
Increasing abdominal swelling
Significant or worsening abdominal pain
Inability to pass stool or gas
Signs of dehydration, such as very little urine or marked dizziness
These symptoms can occur when intestinal contents are not moving through normally.
And for anyone, someone who:
has abdominal pain that is severe, constant, or getting worse
3
Does any of this apply?
Book an appointment
Arrange a routine appointment if persistent changes occur with recurring pain, ongoing diarrhea or constipation, unexplained weight loss, reduced appetite, or symptoms that regularly disturb sleep.
Also seek advice if symptoms began after starting a medicine.
Do not stop prescribed medicine without consulting a healthcare professional.
The article also says
Abdominal sounds without pain or other symptoms usually do not require medical care.
Every sign above is quoted from the sofidex article on Abdominal sounds. If you are not sure, err upward — it is always reasonable to be checked.