Treatments for abdominal distension: Classifications and additional insights
In the quest to alleviate bloating, natural home remedies and alternative treatments can offer effective solutions beyond over-the-counter (OTC) and prescription medications. This article explores various dietary, lifestyle, and physical interventions that focus on improving digestion, reducing gas buildup, and promoting gut motility.
Dietary Approaches
A range of herbal teas and specific foods can provide relief from bloating. Peppermint, ginger, fennel seed, and chamomile teas have been found to relax intestinal muscles, reduce gas, and soothe stomach discomfort [1][5]. Bananas, rich in potassium to reduce water retention, and cucumbers, hydrating and anti-inflammatory, can help regulate digestion and reduce bloating [1]. Homemade spice infusions, such as teas made from cumin, coriander, and fennel seeds, or Ayurvedic formulations like trifla (amla, bibaki, haritaki), can soothe digestion and gas [3].
Lifestyle and Physical Interventions
Yoga poses and low-intensity exercise like walking promote the release of trapped gas and improve digestion [2]. A gentle stomach massage can help move gas and alleviate cramping [2]. Slowing down while eating and chewing thoroughly helps reduce swallowed air that causes bloating [2]. Hydration, through drinking water or warm herbal teas, supports digestive processes and relieves bloating [2].
Keeping a food diary, getting regular exercise, chewing food slowly, reducing sodium, and avoiding certain foods may help prevent bloating. These lifestyle changes, combined with natural home remedies, can offer a holistic approach to managing bloating.
However, it's crucial to consult a doctor if bloating is accompanied by symptoms such as blood in the stool, fever, severe pain, vomiting, severe or rapid abdominal swelling, kidney or liver failure.
Prescription Medications
Prokinetics are prescription medications that aim to improve gastric emptying and relieve symptoms of gastroparesis. Examples include cisapride (Propulsid) and metoclopramide (Reglan). However, these medications may have side effects, including drowsiness, headaches, weakness, nausea and vomiting, frequent urination, breast enlargement or discharge, missed menstruation, diarrhea, dizziness, fever, stiff muscles, confusion, depression, suicidal thoughts, chest pain, sweating, slow, fast, or irregular heartbeat, agitation or nervousness, difficulty falling asleep, uncontrollable shaking, speech issues, and vision changes [4].
Metoclopramide has a black box warning of using for no longer than 12 weeks, while cisapride has a specific black box warning, which may cause serious irregular heartbeats [4]. Antispasmodic prescription drugs, such as dicyclomine (Bentyl) and hyoscine (Buscopan), stop painful muscle contractions in the gut that may cause bloating and pain, particularly in those with IBS [6]. Buscopan may cause side effects in some people, including dry mouth, constipation, blurred vision, and fast heart rate [6].
It's important to note that the best medications for bloating will vary depending on the cause for this symptom. If a person is unsure what is causing the bloating, a doctor can provide insight and prescribe a medication to relieve the discomfort.
[1] https://www.healthline.com/nutrition/bloating-home-remedies [2] https://www.medicalnewstoday.com/articles/324730 [3] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4173316/ [4] https://www.drugs.com/prokinetic-drugs.html [5] https://www.mayoclinic.org/diseases-conditions/ibs/in-depth/bloating/art-20051026 [6] https://www.drugs.com/hyoscine.html
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