How to restore and improve gastric motility, drugs to improve motility

How to restore and improve gastric motility, drugs to improve motility.

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Peristalsis of the stomach is an important function in the digestive system of the body, which processes and evacuates the food lump from the organ into the small and large intestines.

Its muscle fibers, having a circular and longitudinal structure, contracting in a certain mode, create a wave that moves the food lump.

These movements occur reflexively, therefore, a person cannot influence consciousness on this process, since the autonomic nervous system “controls” the motor function of the digestive organ. Depending on the state of the stomach, when there is food in it or not, the rate of contraction of muscle fibers will be different.

Gastric motility

As soon as a food lump enters the junction of the esophagus with the stomach, muscle contraction of the organ begins. Three types of motility are distinguished:

_ rhythmic contraction of muscle fibers – begins gradually in the upper part of the organ, with an increase in the lower part;
_ systolic muscle movements – at the same time there is an increase in muscle contractions in the upper stomach;
_ general movements – the reduction of all the muscle layers of the stomach leads to a decrease in the food lump by grinding it using gastric secretion. Depending on the type of food, part of it after processing in the stomach is evacuated to the duodenum 12, and part of the food lump remains in the stomach for further grinding and digestion by gastric enzymes.
Depending on how the motility of the stomach works, the health of the entire digestive system of the body depends.

Pathological changes in gastric motility

A disorder of the contracting ability of the stomach can be primary, that is, congenital or acquired, and secondary, which occurs as a result of other diseases of the body. Violation of the motility of the stomach leads to the following pathological conditions in the digestive organ:

_ violation of muscle tone of the stomach – the contractility of the muscle frame of the organ may be increased, decreased or completely absent, that is, be in hypertonicity, hypotension, or atony. This pathology affects the function of digestion of the food lump. The muscles of the stomach cannot fully cover a portion of food for digestion, followed by its evacuation to the duodenum;
_ weakening of the sphincter – a condition develops when a food lump, not treated with gastric secretion, falls into the intestines. With increased muscle tone, stagnation of the gastric contents occurs, as a result of which pathological processes in the stomach begin to develop;
_ slowing down or accelerating peristalsis of the digestive organ – this pathology provokes an imbalance in the intestines, which leads to uneven absorption of food in the intestines. The liquid of the constituent gastric contents can be evacuated into the intestine much earlier, and the solid elements remaining in the stomach will be much more difficult to digest;
_ Disorder of the evacuation of gastric contents – violation of the tone and muscle contractions of the digestive organ, leads to an accelerated or delayed process of evacuation of food from the gastric organ to the intestine.

Motor impairment is the result of various diseases of the stomach and intestines, such as gastritis, peptic ulcer, erosion, benign and malignant tumors, which affect the quantitative production of enzymes or hydrochloric acid in the gastric juice. Peristaltic disorders can also occur with surgery on the organ or with blunt trauma to the abdomen.

Deterioration of the motor function of the gastric organ is possible as a complication of diseases of other body systems, such as the endocrine system, when diabetes mellitus indirectly affects gastric motility.

With hypoglycemia, the amount of glucose in the blood decreases, which begins to affect the enzymatic composition of the gastric juice, as a result of which the function of muscle contraction of the digestive organ suffers.

Symptoms of motor impairment

Pathological changes in gastric motility in the form of delayed evacuation of the food lump provoke the appearance of symptoms such as:

_ syndrome of fast food saturation – with a low tone of the gastric organ, due to the slow evacuation of the contents of the stomach, the use of a small portion of food causes heaviness, a feeling of fullness of the stomach;
_ heartburn and pain in the epigastric region – the gastric contents are thrown into the esophagus due to the weakness of the sphincter of the cardial section of the gastric organ;
_ nausea, vomiting;
_ belching sour air;
_ drowsiness after eating;
_ weight loss;
_ Bad breath due to atony of the stomach.

Signs of accelerated evacuation of the food lump from the organ are characterized by the following symptoms:

_ pain in the epigastric region;
_ nausea;
_ abdominal pains that are cramping;
_ periodic stool disorders in the form of diarrhea.

The presence of such pathological manifestations from the digestive system requires examination for a disease of the digestive system, which caused a violation of the motility of the digestive organ.

Diagnostics

Diagnosis is carried out on the basis of a study of objective patient data, laboratory tests, instrumental examination methods:

_ X-ray of the stomach with barium – a method that allows you to track the motor and evacuation functions of the body;
_ Ultrasound – violations in the muscle layer of the stomach are tracked;
_ electrogastrography – examines the motility of the gastric organ;
_ endoscopy – the threshold of sensitivity of the wall of the stomach is determined.

After examining and clarifying the cause of the failure in the motor function of the digestive system of the body, treatment is prescribed.

Treatment of peristalsis disorders
Treatment of gastric motility must necessarily be comprehensive, which, in addition to medications that improve peristalsis, is carried out with the obligatory diet in the diet.

Diet

For successful treatment, a prerequisite is compliance with the daily regimen:

_ eating 5-6 times a day with short intervals between them;
_ small portions, one-time use of food products in a volume of not more than 200 grams;
_ three hours before bedtime, meals are stopped;
_ steaming or stewing food;
_ meals in the diet are presented in the form of soups of mashed potatoes, mucous membranes, chopped diet meat of chicken, turkey, rabbit;
_ to exclude the use of certain foods, such as peas, beans, lentils, cabbage, grapes, raisins, contributing to increased gas formation in the stomach;
_ daily use of dairy products;
_ water consumption ration of about 1.5-2 liters of liquid.

After clarifying the diagnosis and establishing the cause of disorders of the motor function of the stomach, medications are prescribed to improve the motility of the digestive organ.

Drug treatment

How to improve peristalsis, and what drugs are required for this? Depending on the clinical manifestations, first of all, treatment of the underlying disease is prescribed, as a result of which increased or sluggish peristalsis appeared.

Comprehensive treatment includes the use of such drugs that have the following properties:

_ a stimulating effect, contributing to an increase in the contractile function of the muscular skeleton of the gastric organ;
_ antiemetic effect;
_ general strengthening properties;
_ preparations containing potassium and calcium, which are involved in the transmission of nerve impulses.

Drugs that contribute to the normalization of the stomach and to improve peristalsis:

_ Tsizaprid – enhances the motility of the stomach and increases the evacuation ability of the organ. It has a positive effect on the small and large intestine, also potentiating their contractile function, which contributes to a faster bowel movement;
_ antispasmodic drugs – No-Shpa, Papaverin, Halidor, both in tablets and in injections;
_ Domperidone – to improve motility and tone the lower esophageal sphincter;
_ Passasix – helps to relieve nausea, vomiting, and also has the ability to enhance the motility of the stomach and 12 duodenal ulcer;
_ Trimedat – stimulates the motility of the digestive system;
fortifying drugs, vitamin therapy;

Treatment for pathological changes in gastric motility is prescribed strictly by a gastroenterologist, followed by dynamic observation and repeated instrumental examination.

In addition to medications prescribed by a doctor, traditional medicine can be used to improve the digestive and motor functions of the gastric organ. Decoctions, infusions based on various medicinal herbs are an addition to the main treatment prescribed by a gastroenterologist:

_ Ginseng tincture – has a stimulating effect, taken according to the instructions;
_ herbal teas that improve gastric motility — buckthorn bark, anise and mustard seeds — two parts each, yarrow — one part and licorice root — three parts. A mixture of all the ingredients is prepared, and 10 grams of the dry harvest is brewed with boiling water, followed by boiling for a quarter hour. Reception in half a glass before breakfast and dinner;
_ a three-leaf watch leaf and juniper fruit – one part each, centaury – three parts, everything is mixed, and 30 grams of the collection is brewed with two glasses of boiling water, followed by infusion for two hours. Half a glass is taken before breakfast and dinner.

If you follow all the doctor’s recommendations for the treatment of disorders of peristalsis of the digestive system, in compliance with the diet and the additional use of traditional medicine recipes, the prognosis will be positive.

Peristalsis of the stomach: symptoms of the disorder, treatment methods Link to main publication.

How to normalize bowel function, ways to restore and improve intestinal motility
The intestine is an organ of the human digestive and immune system. Food digestion, hormone synthesis takes place in it, vitamins are produced by microflora, endo- and exotoxins are excreted along with fecal matter.

The movement of the chyme in the intestine occurs due to wave-like contractions of the walls of the organ (peristalsis). Overcooked food should not only move along the digestive tube towards the anus, but also mix, therefore, in addition to peristalsis in the small intestine, pendulum contractions and rhythmic segmentation occur.

Intestinal motility is the result of its stimulation by food, that is, as soon as the chyme penetrates the digestive tube, a peristaltic wave arises reflexively.

Thus, two factors are necessary for normal intestinal motility: a sufficient amount of chyme and normal innervation.

Restore bowel function with the help of drug therapy, diet, exercise.

When need help
In case of impaired intestinal motility, trace elements are absorbed worse, rotting and fermentation processes occur, microflora changes, defecation is disturbed. With intestinal atony, undigested food, feces and toxins remain in the body, slowly poisoning it. With an accelerated passage of feces, trace elements and vitamins are not absorbed, the body loses fluid, weight decreases.

The following symptoms indicate a deterioration in bowel function:

Pain in the lower abdomen. By nature, they can be aching or cramping. As a rule, they pass after defecation and gas discharge;
Flatulence. Undigested proteins begin to rot, and undigested carbohydrates roam, as a result of these processes, gases are released that stretch the intestinal walls, which causes unpleasant sensations, a feeling of fullness;
Defecation disorder. Stool retardation occurs more often, as feces do not move through the intestines. However, patients may be disturbed by constipation, alternating with diarrhea;
Intoxication. If it is impossible to remove toxins, they are reabsorbed into the bloodstream, symptoms such as irritability, weakness, fatigue, decreased performance, and insomnia occur. Local immunity is also impaired, which causes acne on the skin, its condition worsens, allergic reactions can develop.

Disruption of the intestine can be caused by endogenous and exogenous factors, for example:

_ the use of high-calorie foods;
_ lack of dietary fiber;
_ chronic or acute intestinal diseases (colitis, enteritis, rotavirus infection);
_ narrowing of the intestinal lumen (tumor, foreign body, fecal stone, strictures, adhesions);
_ sedentary lifestyle;
_ age-related changes;
_ taking medication;
_ postoperative complications;
_ neurological disorders;
_ genetic predisposition.

Bowel motility can be slow, and in this case, constipation develops, or increased, then diarrhea appears

Slowing the passage of intestinal contents can occur according to the spastic or atonic principle.

With spastic coprostasis, the contraction is unnatural (the wave goes in the opposite direction), and the diameter of the intestine is narrowed.

Due to the strong muscle tone, intestinal obstruction can form, the symptoms of which are severe, increasing cramping pains, nausea and fecal vomiting, asymmetry of the abdomen.

Atonic constipation, when motility is greatly reduced or absent, develops much less frequently and mainly pathology is diagnosed in older patients.

Constipation can provoke not only diseases of the intestine, stomach or liver, but also a lack of dietary fiber, lack of fluid, lack of exercise, restraining the urge to defecate, starvation, stress, pregnancy or a change of scenery.

Often, functional constipation occurs in children and the elderly.

The cause of increased intestinal motility can be prolonged stress, a neurogenic factor, hormonal imbalance, overwork, pregnancy, chronic diseases (stomach, gall bladder, pancreas), infectious diseases, intestinal infections, poisoning. Enhances the motility of the body prolonged use of certain medications.

To normalize the work of the intestine, it is necessary to eliminate the etiological factor. In most cases, the cause of the dysfunction is physiological disorders that are not associated with organic pathology and can be eliminated with the help of diet therapy, physical exercise and the development of a conditioned reflex for defecation.

If there are organic disorders (neoplasms, ulcers, diverticulums, strictures, fecal stones), then surgical intervention may be required.

To find out the true cause of intestinal dysfunction is possible only with the help of hardware research (ultrasound, X-ray with contrast, colonoscopy), therefore, if a child has difficulty emptying, you need to consult a gastroenterologist.

Most digestive problems come from poor nutrition.

What to do if intestinal motility is slowed down
With a decrease in intestinal motility, it is necessary to follow a therapeutic diet. This is a physiologically complete diet, in which dietary fiber predominates (vegetables, fruits, cereals, dried fruits) and excludes foods that cause fermentation and rot in the intestines. Food chopping is not required. Fresh vegetables are recommended.

How to restore the intestines after taking antibiotics?

You can restore the intestines by drinking 1.5–2 liters of fluid per day so that there is enough water in the intestines and the feces do not harden. Mineral water, carrot, beetroot and cabbage freshly squeezed juice are especially useful.

With intestinal atony, a laxative diet is indicated, which is designed to enhance peristalsis. It is recommended to eat foods rich in sugars (jam, honey, sweet foods), as they absorb liquid in the intestines and make the stool softer.

For the same reason, foods containing salt are allowed. In order to have more fluid in the intestines, fiber and seaweed can be added to the diet, because these products swell and significantly increase in size, and in the intestines they stimulate motility and adsorb toxins.

Food rich in organic acids is able to make the intestines work, therefore it is advised to add sour-milk drinks, fruit drinks, sour fruits and juices, fermented and pickled vegetables to the diet.

Cold foods stimulate motility (below 15 degrees), it is recommended to drink cold juice, water or kefir on an empty stomach, and use cold soups, such as okroshka, beetroot, as the first dish.

Also seasonings and spicy dishes will increase peristalsis.

It is also necessary to significantly increase the amount of dietary fiber consumed. Every day you need to eat bran, raw vegetables and fruits, dried fruits, cereals, wholemeal bread. The daily fiber requirement is 25-30 grams, and one apple contains only 3 grams, so doctors recommend adding fiber to the diet (2-3 tablespoons per day).

Any vegetable oil (linseed, olive, corn, sunflower) is useful for constipation. It stimulates the motor activity of the intestine and facilitates the promotion of feces. Oil can be drunk on a teaspoon on an empty stomach, as well as added to vegetable salads, but it can not be subjected to heat treatment.

At the same time, it is necessary to remove foods that are secured from the diet. This is black coffee, chocolate, strong tea, cocoa, pears, blueberries, lingonberries, pomegranates, mucous soups, jelly, pasta, hot dishes. If constipation has arisen against the background of an exacerbation of a chronic disease of the intestine or stomach, it is necessary to adhere to a more gentle diet.

Of the cereals, buckwheat, pearl barley, and oat are most useful.

You can’t eat coarse fiber, and you need to stimulate motility in milder ways (drink cold sweet drinks before the first meal, add vegetable purees from beets, carrots or cauliflower, eat baked apples, mashed prunes, sour-milk products). If coprostasis has arisen due to an exacerbation of liver diseases, then it is allowed to use coarse fiber, you also need to add magnesium-rich foods to the menu.

Preparations
In case of violation of the gastrointestinal tract, medications are prescribed. Laxatives do not affect the main cause of the pathology, but give a quick result.

Antispasmodics relieve spasm of smooth muscles, as a result of which the lumen expands and feces become possible. For the treatment of dyskinesia, tranquilizers, antipsychotics, antidepressants can be used.

From dysbiosis, probiotics or prebiotics are prescribed.

Of laxatives, it is necessary to give preference to harmless drugs that increase the mass of intestinal contents and do not have an irritating effect on the walls of the organ.

Such drugs include mucous substances consisting of fiber and polysaccharides. In water, they swell and form a mucous mass, which prevents the feces from hardening.

These drugs include seaweed or flaxseed based products.

Castor or petrolatum oil, which lubricates the intestinal wall and facilitate the passage of feces, can also help restore motor skills. Saline laxatives, for example, magnesium sulfate, are also quite effective. They change the osmotic pressure and accumulate water, due to which the amount of intestinal contents increases and it liquefies.

Folk remedies
Together with diet therapy, folk remedies can also be used. To enhance peristalsis, it is recommended:

_ take a tablespoon of sprouted wheat grains, 2 tablespoons of oatmeal, 2 apples, lemon and a spoon of honey. Grate the apples, mix with the rest of the ingredients and add water. Apply the drug for a week;
_ prepare a mixture of 500 grams of prunes and the same amount of dried apricots, add 50 grams of propolis, 200 grams of honey and 200 grams of senna. There is a mixture of 2 teaspoons before bedtime, washed down with a glass of cold water;
_ pour a spoonful of buckthorn 500 ml of boiling water and leave to infuse for 3 hours. Drink broth instead of tea;
_ before a meal, eat a teaspoon of crushed plantain seeds. They swell in the intestine, which contributes to the rapid excretion of feces;
_ drink more fruit and vegetable juices, cabbage pickle, compote from cherries and apples.

Exercise will help to improve bowel function. With an increase in intra-abdominal pressure, blood circulation in the intestine improves, motility normalizes. Any exercises in which the abdominal muscles work (tilting, “bicycle”, “kitty”, lifting legs from a prone position), walking, cycling, swimming are useful.

Abdominal massage will help improve intestinal motility.

Recovery is only possible if you do not restrain the urge to defecate, as the feces are dehydrated, harden and slowly move through the intestines. Fecal stones can form, which block the lumen and injure the mucous organ.

What to do if motor skills are increased
If intestinal motility is increased, it is necessary to remove foods containing fiber from the diet, only a small amount of vegetables is allowed, and they should be boiled and mashed. Food should be consumed in small portions, but often, overeating should not be allowed.

From the diet, it is required to exclude products that activate motility and gas formation. The menu should consist of dishes that weaken peristalsis, which have fastening properties. This is rice porridge, jelly, strong tea, coffee, mucous soups. Alcoholic and carbonated drinks are contraindicated.

Often the cause of chronic diarrhea is irritable bowel syndrome, in which case antidepressants, antibiotics, serotonin receptor or guanylate cyclase antagonists, probiotics can be prescribed. After diarrhea, it may be necessary to take drugs that improve electrolyte balance.

In most cases, the reason for impaired motility is alimentary, that is, associated with improper nutrition, non-compliance with the water regime, and in order to normalize motility it is enough to follow a diet, refuse harmful foods and monitor the compatibility of products. If delayed with treatment, this can lead to the development of more serious disorders (inflammation of the mucosa, the formation of fecal stones, lack of vitamins and minerals).

How to improve intestinal motility: drugs, exercises
Intestinal motility is one of the main physiological elements in the process of digesting food. Under the influence of internal and mainly external factors, peristalsis can slow down, and in the forces of any person to independently restore it.

What are the main causes of motor impairment, how to improve intestinal motility with the help of dietary adjustment, exercise, folk recipes and modern pharmaceuticals.

What is peristalsis
Peristalsis or motility of the intestine is a wave-like contraction of its walls, which are activated due to smooth muscle fibers located perpendicular to each other. The goal of peristalsis is to move the food lump from the upper intestine to the anus, so contractions occur immediately after the food enters the stomach.

Throughout the entire intestine, the speed of contractions can be different. Distinguish abbreviations:

_ very slow
_ slow
_ fast
_ swift.

Moreover, the higher the intestinal section is located, the more active its peristalsis. Therefore, in the colon, contractions occur most slowly, and only several times a day they increase when a person feels a strong urge to defecate.

The maximum rate of contraction of smooth muscle of the intestine is 12 times per minute (in the duodenum), the minimum is 3 contractions per minute (in the large intestine).
In the event that intestinal motility slows down under the influence of various external and internal factors, the digestion process slows down. This is fraught with:
_ diarrhea;
_ constipation
_ various inflammatory processes;
_ and even reproduction of parasites.
In addition, the absorption process of nutrients obtained from food is disrupted, that is, the human body begins to suffer from a lack of vitamins, minerals, nutrients.

Reasons for the weakening of peristalsis
Before discussing in detail the question of how to enhance motility, it is necessary to find out the main reasons for the weakening of intestinal motility.

Two reasons that come to light most often:

_ malnutrition;
_ sedentary lifestyle.
An unhealthy diet means an unbalanced diet, the predominance of fried, salted, smoked food, fast food and carbonated drinks.

But even if a person does not consume harmful foods, his nutrition may be wrong if the balance of proteins, fats and carbohydrates is not observed, the menu does not have fiber, fresh vegetables and fruits.

Also, the cause of delayed peristalsis is an incorrect diet, for example, when a person is starving for most of the day, and in the evening absorbs a large portion of food.

Less commonly, intestinal motility suffers due to various internal factors, that is, diseases. It is noteworthy that the list of causes includes not only somatic diseases and the consequences of surgical operations, but also psychogenic disorders.

For example, chronic stress or depression can negatively affect the digestion process.

This is because, during excitement and anxiety, the autonomic nervous system that controls the functioning of the organs activates its sympathetic division, while the parasympathetic division, during which the process of digesting food, is inactivated.

Sometimes a violation of the digestive tract can be temporary, for example, if the drugs taken have this side effect on the body. In this case, it is necessary, in consultation with the doctor, to either replace the medicine with a safer analogue, or use the tips described below.

How to improve intestinal motility
Improving peristalsis is a whole range of different measures aimed at:

_ developing the right menu;
_ treatment of chronic diseases;
_ stress avoidance;
_ performing a set of exercises.

Proper nutrition

Given the fact that malnutrition is the main cause of intestinal motility disorders, it is best to consider how to improve intestinal motility by developing the right menu.

First of all, it is important to learn to eat fractionally, that is, in small portions every 3-4 hours. At the same time, eating foods should also be correct, for example, it is better to eat meat with fresh vegetables in order to improve the digestion process.
Secondly, it is important to remember the balance of nutrients. Carbohydrates should be at least half of the daily diet, while it is better to opt for cereals from cereals, and not in favor of muffin. Proteins should occupy about 30% of the diet and come from lean meats and dairy products. Fats are allocated 20% of the total number of nutrients, and it is better to give preference to fats of vegetable rather than animal origin.
In addition, the menu every day should include fresh vegetables and fruits, fiber, as well as a sufficient amount of liquid – from one and a half to 2 liters.
Such rules are universal, but each person should receive personal recommendations from the attending physician, taking into account their age, state of health, level of physical activity.

Drugs to stimulate peristalsis
Any drugs that regulate the digestive tract should be prescribed exclusively by your doctor.

To restore intestinal motility, laxatives are good. The motility of all sections of the intestine is positively affected by 2 drugs:

_ magnesia (Epsom salt);
_ sodium sulfate (Glauber’s salt).
Salts have a stimulating effect on peristalsis as follows: they provoke an increase in osmotic pressure, as a result of which fluid from the intestine begins to be absorbed into the blood more slowly. The abundance of fluid in the intestines causes increased motility, and a person feels the urge to defecate within 1-2 hours after taking these drugs.

There are also drugs that act selectively on the intestines: only on its thin or, conversely, thick section.

Medications that affect the small intestine
The most famous and effective tool for stimulating intestinal motility is castor oil. After entering the body, it is converted to ricinoleic acid, which has an irritating effect on the small intestine, causing its walls to contract faster.

The cost of castor oil is from 40 to 120 rubles per bottle of 30 ml.

Gymnastics to improve peristalsis
Exercises to improve intestinal motility can be chosen for yourself, taking into account the level of your physical fitness, age, and contraindications. Even regular exercise or walking at a fast pace already has a positive effect on the digestive system.

But the most powerful effect on peristalsis is performed by exercises for developing abdominal muscles. These include:

_ twisting the torso in a prone position;
_ swinging legs while lying down or “bicycle”;
_ abduction of a leg bent at the knee, back, from a standing position on all fours.
Exercises should be performed in a comfortable mode for well-being, choosing the right number of approaches and repetitions for yourself. Finishing the gym is best done with squats.