Selina Enteric-Coated Tablets for Gastrointestinal Issues - Gastroenterology and Hepatology

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Selina Enteric-Coated Tablets


Doctor, after receiving my first vaccine dose, I experienced gastrointestinal issues.
I underwent an ultrasound and endoscopy, which only indicated reflux.
Later, I sometimes felt bloating in my upper abdomen and sometimes in my lower abdomen, and occasionally I had discomfort, but it wasn't frequent.
Sometimes I could tolerate it.
However, the doctor prescribed Selina enteric-coated tablets for three months.
I checked the clinical uses and did not find any mention of bloating.
Is it appropriate for the doctor to prescribe this medication? Does this medication also have a function for reducing bloating? Thank you for your response.

Jayen288, 40~49 year old female. Ask Date: 2021/12/01

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: Selina could not find this medication.
Delibs (enteric-coated tablets) should be a medication used to adjust rapid intestinal motility or relieve intestinal spasms.
Some gastrointestinal bloating is caused by excessive motility, and if taking the medication improves the condition, it should be fine.
However, if it leads to increased bloating or constipation, you should discontinue use.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.

Reply Date: 2021/12/01

More Info


Selina Enteric-Coated Tablets, also known as Naposin, are primarily used for their anti-inflammatory properties and are often prescribed for conditions such as irritable bowel syndrome (IBS) and other gastrointestinal disorders. While the specific indication for treating bloating may not be explicitly stated in clinical guidelines, the medication can have beneficial effects on gastrointestinal motility and inflammation, which may indirectly help alleviate symptoms like bloating.

When considering the gastrointestinal issues you've experienced post-vaccination, including bloating and discomfort, it's important to recognize that these symptoms can arise from various factors, including stress, dietary changes, or even the body's response to the vaccine itself. Vaccination can sometimes trigger an immune response that may lead to temporary gastrointestinal disturbances, especially in individuals with pre-existing conditions or sensitivities.

The use of Selina in your case may be aimed at addressing underlying inflammation or motility issues that could be contributing to your bloating. While it may not be a direct treatment for bloating, managing inflammation and improving gut motility can lead to a reduction in symptoms over time. It's also worth noting that enteric-coated formulations are designed to dissolve in the intestines rather than the stomach, which can help minimize gastrointestinal irritation and improve the absorption of the active ingredients.

If you are concerned about the appropriateness of this medication for your specific symptoms, it is crucial to communicate openly with your healthcare provider. They can provide insights into why they chose this particular medication and whether it aligns with your symptoms. Additionally, they may consider other factors such as your medical history, current medications, and overall health status when determining the best treatment plan.

In terms of managing bloating and gastrointestinal discomfort, there are several strategies you can consider alongside your medication:
1. Dietary Adjustments: Keeping a food diary can help identify any potential food intolerances or triggers. Common culprits for bloating include dairy products, high-fiber foods, and certain carbohydrates that are poorly absorbed.

2. Hydration: Ensuring adequate fluid intake can help with digestion and reduce bloating. However, be mindful of carbonated beverages, which can contribute to gas.

3. Probiotics: These can help restore the natural balance of gut bacteria and may alleviate bloating and discomfort.

4. Stress Management: Stress can significantly impact gastrointestinal health. Techniques such as mindfulness, yoga, or deep-breathing exercises may help reduce stress-related symptoms.

5. Regular Exercise: Physical activity can promote healthy digestion and reduce bloating.

6. Follow-Up: If your symptoms persist or worsen, it is essential to follow up with your healthcare provider for further evaluation and potential adjustments to your treatment plan.

In conclusion, while Selina Enteric-Coated Tablets may not be specifically indicated for bloating, they can play a role in managing underlying gastrointestinal issues that contribute to your symptoms. Always consult with your healthcare provider for personalized advice and treatment options tailored to your specific situation.

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