If you are worried you should go back and see your specialist (or if you don't like them see a new one) or even a good doctor. I too struggle with the pain. I've managed to control my D problem pretty much but I'm in 24 hour a day pain too. Generally the growling is either hunger, food digesting or a good bout of wind. Sometimes I think my tummy just growls because it wants to be heard. I know it's frustrating but hang in there. There are loads more things to try, search around the boards and you'll come up with lot's of idea's. Good luck, I hope you find something soon. Oh just a thought you could also mention antispasmodics to your specialist. They can help with the pain although can tend to cause constipation (always clogged me up too much so weren't much use). There are some you can get over the counter too like Buscopan and Donnatel or you can also try peppermint capsules or tea.