Does a gurgling around a hernia always indicate that there is intestinal involvement? Lately I’ve notices that I’ll sometimes feel such a sensation, as though there’s an air bubble right behind where the bulge (which is fat) is. Sometimes it’ll cause it to protrude more (like a balloon behind it), but if I press on it, that goes away instantly. This sensation doesn’t feel like it’s occurring within the bulge, though, and that’s stayed roughly the same size for a few years (though has gotten a bit lower).