Treatment for gastrointestinal borborygmi
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Treatments for Gastrointestinal Borborygmi: Conventional and Complementary Approaches
Probiotics and Colloidal Bismuth Subcitrate for Borborygmi and Bloating
Probiotics have been shown to significantly reduce the frequency and severity of borborygmi and abdominal bloating in patients with functional gastrointestinal disorders. In a clinical trial, patients who took a multi-strain probiotic experienced a greater reduction in borborygmi compared to those who received colloidal bismuth subcitrate or placebo. Both probiotics and bismuth were effective, but probiotics had a more pronounced effect on symptom relief over several weeks .
Traditional Chinese Medicine (TCM) and Herbal Remedies
Several studies highlight the effectiveness of traditional Chinese medicine in managing gastrointestinal borborygmi:
- A specific Chinese materia medica preparation, containing herbs such as pulsatilla root, yam rhizome, and tangerine peel, was developed to treat borborygmus diarrhea and related symptoms. This preparation is designed to calm the liver, regulate Qi, strengthen the spleen, and relieve diarrhea, showing benefits for both acute and chronic gastrointestinal disturbances .
- Application of traditional Chinese medicine at acupoints after abdominal surgery was found to accelerate the recovery of gastrointestinal function, including faster return of borborygmi and earlier defecation, without adverse effects .
- Cassia angustifolia extract, administered as an enema after abdominal surgery, was effective in restoring borborygmi and enhancing bowel movement, both in clinical and animal studies .
Physical and Complementary Therapies
- Dry cupping, when combined with the anti-foaming agent Dimethicone, led to a significant decrease in the frequency of borborygmi and bloating in patients with functional bloating, outperforming Dimethicone alone .
- In horses, bit chewing was found to be a safe and inexpensive method to shorten gastrointestinal transit time, which may help in cases of reduced motility and borborygmi, though more clinical studies are needed .
Pharmacological Interventions and Veterinary Insights
- In equine medicine, the use of vatinoxan (a peripheral alpha-2 adrenoceptor antagonist) in combination with detomidine improved borborygmi scores and increased fecal output, suggesting enhanced gastrointestinal motility .
- Continuous infusion of ketamine in horses delayed gastrointestinal transit time but did not significantly affect borborygmi, indicating that not all sedative or analgesic drugs impact borborygmi directly .
- Glycopyrrolate was found to be superior to atropine in reducing adverse gastrointestinal effects (such as colic and decreased borborygmi) associated with imidocarb treatment in horses, with fewer negative impacts on gut motility .
Dietary Fiber and Gastrointestinal Tolerance
- Increased intake of dietary fibers such as polydextrose and soluble corn fiber can mildly increase borborygmi and flatulence, but also improve laxation and stool output. These fibers are generally well tolerated and may be considered for improving bowel function, though they may temporarily increase borborygmi .
Conclusion
Effective treatments for gastrointestinal borborygmi include probiotics, certain herbal and traditional Chinese medicine preparations, and complementary therapies like dry cupping. In veterinary contexts, specific pharmacological agents and physical interventions can also help manage borborygmi and improve gut motility. Dietary fiber may increase borborygmi in the short term but supports overall bowel health. Treatment should be tailored to the underlying cause and individual patient needs, with both conventional and complementary options offering potential benefits 13456789+1 MORE.
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