What are the medicines for treating digestive disorders

There is no uniform specific medicine for digestive disorders. Most commonly used clinical drugs are pinaverium bromide, compound digestive enzymes, various probiotic preparations, and Chinese patent medicines used for syndrome differentiation. The core principle is to respond to symptoms and use them as needed. There is no need to take them for a long time.

Last week I treated a 26-year-old girl who works as an e-commerce operator. She stayed up for almost a month during the big promotion period. First she suffered from constipation for four or five days, and then she had diarrhea for two days. After that, she kept having repeated episodes of bloating, rubbing her belly after eating, or having to go to the toilet in advance when going out. After a gastrointestinal endoscopy, there were no organic problems. It was a typical digestive disorder. She had been taking omeprazole at home for almost a week, but it was of no use. Later, she was prescribed pinaverium bromide to relieve intestinal spasm, along with Bifidobacterium triple live bacteria to regulate the bacteria. After a week of taking it, she almost no longer had colic and frequent trips to the toilet. Based on her usual cold and thick tongue coating, Shenling Baizhu Powder was added for another two weeks, and now she is basically back to normal.

Many people ask if there is any medicine that can cure it. In fact, this disease is originally a functional problem. Medication is more about helping you get back the rhythm you have lost. Just like if your alarm clock is running faster, just turn it back to the normal scale. There is no need to wind it up all the time. There is now a lot of controversy over the use of these drugs in the industry, such as whether to use acid-suppressing drugs routinely. Some doctors believe that as long as there are no clear symptoms of excessive gastric acid such as acid reflux and heartburn, PPI acid-suppressing drugs such as omeprazole and rabeprazole should not be used, otherwise they will inhibit Normal gastric acid secretion slows down digestion and aggravates abdominal distension. Some studies have shown that some patients with functional disorders have hidden gastric acid hyperresponsiveness. Short-term use of small doses can quickly relieve discomfort. The specific choice depends on individual symptoms and cannot be generalized.

Many people buy expensive imported probiotics as soon as they hear about regulating digestion. A while ago, I met a patient who bought a box of more than 300 imported probiotics. After taking it for half a month, it was of no use. He switched to more than 20 pieces of Saccharomyces boulardii and improved after three days of taking it. The adaptability of different strains is far different. For example, Saccharomyces boulardii is more suitable for the functional disorders left after taking antibiotics or acute gastroenteritis infection. Bifidobacteria are more obvious for improving abdominal distension and defecation disorders. Lactobacillus is better for constipation-type disorders. Don’t blindly follow the trend and buy expensive ones.

Speaking of which, the use of Chinese patent medicines pays more attention to symptomatic treatment. Not everyone is suitable for taking Shenling Baizhu Powder. For example, if it is a disorder caused by overeating, taking Baohe Pills is more symptomatic. If you are usually angry and suffers from stomachache and abdominal distension when angry, taking Bupleurum Shugan Powder is more suitable. Don't blindly buy medicine according to the symptoms. It is best to see a doctor first. And after all, medicines are three-part poison, and regulating digestive disorders does not rely solely on medicines. The e-commerce girl just now changed her habit of staying up late after the big sale. She would not lie down immediately after standing for 10 minutes after eating every day. Now she has stopped taking medicines for almost two months without any recurrence. If she only relies on taking medicines without adjusting her living habits, even if she suppresses it temporarily, she will do it again in the future.