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Bowel sounds are MOST ACTIVE in the Right Lower Quadrant (RLQ) because to the right of the Umbilicus is the Ileocecal Valve and the point at which the Small Intestine connects to the Large Intestine. However, they can be heard in other quadrants too but the Right Lower Quadrant is where bowel sounds are most active.

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12y ago

There are 4 quadrants that get checked for bowel sounds. Right upper, right lower, left upper, and left lower. The abdominal quadrants are from the intercostal angle to the pubic bone. (angle of rib cage to hip/pubic area) First a medical professional will look at your abdomen for symmetry and bulges. Then they will listen on all 4 spots. Sometimes up to 5 minutes on each quadrant if bowels have been hypoactive. Then they will feel the abdomen for muscle rigidity, masses, tenderness, bruising, bladder distention, liver enlargement, etc.

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Q: In which abdominal quadrant are bowel sounds most active and easiest to auscultate?
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