Managing Digestive Motility Issues: Natural Solutions and Probiotics - Gastroenterology and Hepatology

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Digestive motility issues


My stomach seems to not function daily; it only works when I exercise.
What medications for gastrointestinal motility have fewer side effects? If I don't take medication, I experience indigestion, lack of appetite, bloating, and a bitter taste in my throat.
Can I take motility medications long-term? I've noticed some improvement with certain brands of probiotics.
If I take probiotics three times a day, will my stomach or intestines become dependent on them, requiring more probiotics to function in the future? Probiotics are also not cheap.
Given my current situation, should I rely on medication or probiotics indefinitely? What should I do? After experiencing gastric dysfunction, is there a permanent solution to restore normal function without relying on medications or other methods?

L, 40~49 year old female. Ask Date: 2018/05/09

Dr. Lin Minghui reply Gastroenterology and Hepatology


Hello, in addition to ruling out organic issues for indigestion, it is important to pay attention to dietary habits, such as eating regularly, not eating too quickly, and avoiding greasy, hard-to-digest foods.
If gastrointestinal motility is poor, a physician may prescribe prokinetic agents, which can be helpful.
Some prokinetic agents are dopamine receptor antagonists, so it is important to monitor for potential extrapyramidal symptoms or effects on prolactin levels.
Other prokinetic medications do not contain dopamine receptor antagonists but may have food-drug interactions; patients with heart conditions should be cautious of arrhythmias.
Different types of medications have varying instructions, so it is essential to pay attention to the product information.
Generally, if symptoms improve, the dosage should be reduced or the medication discontinued, as long-term use is not recommended unless necessary.
Additionally, probiotics can be beneficial for certain gastrointestinal disorders.
There are many types of products with different strains of bacteria, so it is important to follow the product instructions regarding dosage, which may range from once to three times a day.
Please refer to the product information.
Wishing you peace and health.
Sincerely, Dr.
Ming-Hui Lin, Attending Physician, Department of Gastroenterology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2018/05/09

More Info


Managing digestive motility issues can be quite challenging, especially when symptoms like bloating, poor appetite, and a bitter taste in the throat persist. It’s important to understand that digestive motility refers to the contractions of the muscles in the gastrointestinal tract that move food through the digestive system. When these contractions are impaired, it can lead to various symptoms, including those you are experiencing.


Understanding Your Symptoms
Your description of only experiencing digestive function during exercise suggests that physical activity may stimulate your gastrointestinal motility. This is not uncommon, as exercise can enhance gut function by increasing blood flow and stimulating the muscles of the digestive tract. However, when you are sedentary, your digestive system may not function optimally, leading to symptoms like bloating and a lack of appetite.


Natural Solutions for Digestive Motility
1. Dietary Adjustments:
- Fiber Intake: Increasing dietary fiber can help improve bowel movements. Soluble fiber (found in oats, fruits, and legumes) can help regulate digestion, while insoluble fiber (found in whole grains and vegetables) adds bulk to stool.

- Hydration: Ensure you are drinking enough water, as hydration is crucial for digestive health.

- Probiotic Foods: Incorporating fermented foods like yogurt, kefir, sauerkraut, and kimchi can help promote a healthy gut microbiome, which may improve digestive motility.

2. Probiotics:
- Probiotics can be beneficial for digestive health, but it’s essential to choose the right strains. Some strains, like *Lactobacillus* and *Bifidobacterium*, have been shown to support gut motility. However, it’s a common concern that long-term use of probiotics may lead to dependency. Generally, probiotics can help restore balance in the gut, but they should not replace a healthy diet and lifestyle. It’s advisable to cycle through different strains and brands to prevent the gut from becoming reliant on a single source.

3. Physical Activity:
- Regular exercise is one of the best natural ways to enhance digestive motility. Aim for at least 30 minutes of moderate exercise most days of the week. Activities like walking, jogging, or yoga can be particularly beneficial.

4. Stress Management:
- Stress can significantly impact gut motility. Techniques such as mindfulness, meditation, and deep-breathing exercises can help reduce stress and improve digestive function.


Medications and Their Use
When it comes to medications for digestive motility, there are several options, including prokinetic agents like metoclopramide and domperidone. However, these medications can have side effects, and long-term use is generally not recommended without medical supervision. It’s crucial to discuss any medication regimen with your healthcare provider to weigh the benefits against potential risks.


Long-Term Solutions
While there may not be a one-size-fits-all permanent solution to digestive motility issues, a combination of lifestyle changes, dietary adjustments, and possibly short-term medication can help manage symptoms effectively. If you find that your symptoms persist despite these interventions, it may be beneficial to consult with a gastroenterologist. They can perform diagnostic tests to rule out underlying conditions such as gastroparesis or other motility disorders.


Conclusion
In summary, managing digestive motility issues often requires a multifaceted approach that includes dietary changes, regular physical activity, stress management, and possibly the use of probiotics or medications. While it’s understandable to seek a long-term solution without reliance on medications, it’s essential to remain proactive about your digestive health. Regular follow-ups with a healthcare provider can help you navigate this journey effectively and ensure that you are on the right track toward improving your digestive function.

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