Gastrointestinal dysfunction is a common and frequent disease, and about 1/3 of the general population has experienced it. Since there are many factors affecting the onset of the disease, the treatment effect is unsatisfactory, prone to recurrent attacks, and has a large impact on the quality of life. The current treatment is based on prevention of attacks, supplemented by medication, regulation of psychological state, improvement of lifestyle and correction of triggering factors. Some users asked in the comment section: What is the best medicine for gastrointestinal disorders? How to choose drugs when the disease recurs? The following is an introduction to the issue of medication for gastrointestinal disorders.
What kinds of drugs are used to treat gastrointestinal disorders?
1.Drugs to regulate gastrointestinal power
Promote the gastrointestinal power of drugs: can promote the smooth muscle peristalsis of the gastrointestinal tract, strengthen the gastrointestinal emptying, relieve the symptoms caused by the lack of gastrointestinal power of patients. Commonly used drugs are: metoclopramide, domperidone, mosapride, etopride, tegaserod, erythromycin, etc.
Drugs that inhibit gastrointestinal motility: This class of drugs, also known as visceral sensory modulators, can increase the sensory threshold of the gastrointestinal tract, inhibit the sensitivity of the gastrointestinal tract, reduce visceral pain, and inhibit gastrointestinal motility. Commonly used drugs include: ondansetron, granisetron, fidotoxin, acemadoline, loperamide, tretinoin, and otibuterol, etc.
The drugs that regulate gastrointestinal motility in both directions mainly include trimethoprim and so on.
2.Drugs to regulate gastric acid
Stomach acid neutralizing drugs: also known as antacids or antacids, is a class of weak alkaline drugs, commonly used: aluminum hydroxide gel, compound aluminum hydroxide tablets, aluminum magnesium carbonate chewable tablets.
Inhibit the stomach acid drugs: is able to inhibit the secretion of stomach acid drugs commonly used are H2 receptor blockers such as cimetidine, ranitidine, famotidine, proton pump inhibitors such as omeprazole, lansoprazole, pantoprazole, rabeprazole, esomeprazole and so on.
3.Drugs to help digestion
Mainly the normal components within the digestive juices, such as hydrochloric acid and various digestive enzymes, play a supplementary, alternative therapeutic role when the digestive function is not secreted enough. Commonly used drugs include: lactobacillin tablets, lactase tablets, dry yeast tablets, pepsin tablets, pepsin granules, compound pepsin dispersion, Mitragyna pancreatic enzyme tablets, compound digestive enzyme capsules, compound pancreatic enzyme dispersion, multi-enzyme tablets, pancreatic enzyme enteric capsules, compound azinimide tablets, etc.
4.Drugs for regulating abnormal stools
Antidiarrheal drugs: It is the drug to control diarrhea, which can achieve antidiarrheal effect by reducing intestinal peristalsis or protecting intestine from stimulation, commonly used are: compound diphenoxylate tablets, medicinal carbon tablets, montelukast, compound loperamide.
Laxative drugs: they are agents that can promote the excretion of excrement in the body, mainly acting on the intestinal tract, stimulating the intestinal tract and promoting the excretion of feces, commonly used are: phenolphthalein tablets, lactulose, polyethylene glycol granules, Kaiser, linaclotide capsules.
5.Drugs to regulate intestinal flora
Intestinal flora dysbiosis is closely related to the occurrence of gastrointestinal disorders, so it can be treated by adjusting the intestinal flora, commonly used probiotics are: Bacillus licheniformis capsule, Clostridium typhimurium live capsule, Bacillus cereus live capsule, Bacillus bitter/enterococci duplex live capsule, Bifidobacterium phagocytophilum enterococci triplex live tablet, Bifidobacterium bifidum live preparation capsule and so on.
How to choose medication according to symptoms
Gastrointestinal disorder medication is mainly symptomatic treatment, that is to say, use whatever medication for whatever symptoms you have.
If acid reflux and heartburn are the main symptoms, accompanied by pain behind the sternum, foreign body sensation in the esophagus or pharynx, difficulty in swallowing, belching and burping, it may be gastroesophageal reflux or functional heartburn, so some drugs can be used to neutralize stomach acid or inhibit the secretion of stomach acid, and the symptoms can be significantly improved after the stomach acid is controlled. Symptoms.
If the symptoms are mainly indigestion, such as postprandial fullness, early satiety, epigastric pain, burning sensation in the epigastrium, etc., it may be functional indigestion, and some drugs to help digestion and promote gastrointestinal dynamics can be used to control the symptoms.
If the abdominal pain is mainly abdominal pain can be relieved after defecation or exhaustion, accompanied by stomach grumbling and unformed stools, it may be irritable bowel syndrome, which can be treated with drugs that inhibit gastrointestinal motility or visceral sensory modifiers, and also with drugs that regulate intestinal flora.
If diarrhea is the main cause, loose or watery stools without abdominal pain may be functional diarrhea, which can be treated with antidiarrheal drugs and drugs to regulate intestinal flora.
If constipation is the main cause, without abdominal pain, straining to defecate, feeling of inability to defecate, or feeling of obstruction, it may be functional constipation, which can be treated mainly with drugs to induce laxation and drugs to promote gastrointestinal motility.
What are the Chinese medicines for gastrointestinal dysfunction?
Chinese herbal medicine has its unique effect on regulating gastrointestinal function, which can regulate the body’s internal environment and make the related symptoms significantly better without damaging the body’s positive energy.
If gastroesophageal reflux is considered, try: Zuo Jin Wan, Jia Wei Yi Yao Wan, Gastric Su Granules, Xiang Sha Liu Jun Zi Wan, Mu Xiang Shun Qi Wan, and Nourishing Stomach Granules.
If functional dyspepsia is considered, you can try: Si Mo Tang Oral Liquid, Bao He Pill, Tonic Zhong Yi Qi Pill, Xiang Sha Liu Jun Zi Pill, Gastric Stagnation and Gastroparesis Pellets, Gastric Soda Pellets, Jian Gastric Dissipation Tablets, Pei Zi Rizhong Pill, Gastrointestinal An Pill, Huo Xiang Zheng Qi Water, Ginseng Bai Zhu San, etc.
If irritable bowel syndrome is considered, you can try: Chai Hu Daxing Liver San, Prolotherapy San, Ginseng and Atractylodes San, Tonic Zhong Yi Qi Pill, Gastrointestinal Security Pill, Ma Ren Lun Yin Pill, etc.
For patients with stubborn constipation, you can try: Compound Aloe Vera Capsule, Ma Ren Run Intestinal Pill, Mu Xiang Betel Nut Pill, Hovenia Conduit Pill, Laxative Spirit Capsule, etc.
Why gastrointestinal dysfunction should be regulated by psycho-psychological drugs
Psychological factors are important triggering factors for the development of gastrointestinal disorders, directly affecting the medical behavior, quality of life and drug efficacy of patients, who often fall into the negative emotions of rumination, anxiety and tension due to the fear of the disease, and this negative psychological state will in turn aggravate the disease, thus forming a vicious circle. Therefore, for patients with obvious psychological disorders, they can be treated with psychotropic drugs, such as doxepin, amitriptyline, paroxetine, sertraline, venlafaxine, haloperidol, melitrexin and mirtazapine. However, these drugs need to be used under the guidance of a doctor.