The invention provides a real-time monitoring system and method for borborygmus and abdominal pressure. The system comprises a first acquiring module, a second acquiring module and a processing calculating module, wherein the processing calculating module is in signal connection with the first acquiring module and the second acquiring module; the first acquiring module is used for acquiring the borborygmus of a patient, and converting the borborygmus into a first electric signal; the second acquiring module is used for acquiring the bladder pressure of the patient, and converting the bladder pressure into a second electric signal; the processing calculating module can obtain the borborygmus signal and an abdominal pressure signal according to the first electric signal and the second electric signal in a real-time manner, and perform data processing on the borborygmus signal and the abdominal pressure signal to form the related wave shapes of the borborygmus signal and the abdominal pressure signal based on time fragments, and then according to the related wave shapes, the pathological characteristics of the borborygmus and the abdominal pressure are obtained to judge the diagnosisresult of the patient. Through the adoption of the system disclosed by the invention, effective objective indicators for early-stage AGI diagnosis can be provided.