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Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy01:26

Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy

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This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
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Drugs for Treatment of Constipation-Predominant IBS01:21

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Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
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Irritable Bowel Syndrome I: Introduction01:17

Irritable Bowel Syndrome I: Introduction

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Irritable Bowel Syndrome (IBS) is characterized by functional disturbances in the gastrointestinal system, presenting a cluster of symptoms without evident structural or biochemical abnormalities. It primarily affects the large intestine and may cause abdominal pain, bloating, excessive gas, diarrhea, constipation, or both.
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
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What is Monogastric Digestion?01:50

What is Monogastric Digestion?

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The human body contains a monogastric digestive system. In a monogastric digestive system, the stomach only contains one chamber in which it digests food. Several other animal species also have monogastric digestive systems, including pigs, horses, dogs, and birds. This chapter, however, focuses on the human digestive system.
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Drugs Affecting GI Tract Motility: Other Laxatives01:20

Drugs Affecting GI Tract Motility: Other Laxatives

126
Laxatives are primarily used to alleviate constipation, a common gastrointestinal disorder characterized by infrequent bowel movements and difficulty passing stools. They work by various mechanisms to increase the volume or frequency of bowel movements. The primary modes of action of laxatives include increasing stool bulk, softening the stool, stimulating intestinal motility, and osmotically drawing water into the intestines.
Osmotic or saline laxatives, like magnesium hydroxide or milk of...
126
Drugs Affecting GI Tract Motility: Bulk-Forming and Stimulant Laxatives01:22

Drugs Affecting GI Tract Motility: Bulk-Forming and Stimulant Laxatives

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Laxatives enhance bowel movements and alleviate constipation. They augment the stool's bulk, stimulate intestinal muscle contractions, draw water into the intestines, or soften the stool. There are five key types of laxatives: bulk laxatives, stimulant laxatives, osmotic laxatives, stool softeners, and lubricant laxatives.
Bulk-forming laxatives, such as psyllium, methylcellulose, and polycarbophil, absorb water in the intestine, increasing stool bulk and promoting bowel movement. This...
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Related Experiment Video

Updated: May 10, 2025

Electroacupuncture Combined with Chinese Medicine Ironing Therapy for Functional Constipation
04:04

Electroacupuncture Combined with Chinese Medicine Ironing Therapy for Functional Constipation

Published on: July 5, 2024

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Metabolomics Insights into Gut Microbiota and Functional Constipation.

Fan Zheng1,2, Yong Yang1, Guanting Lu1

  • 1Deyang People's Hospital of Chengdu University of Traditional Chinese Medicine, Deyang 617000, China.

Metabolites
|April 25, 2025
PubMed
Summary

Gut microbiota metabolites significantly impact chronic constipation. Lower levels of short-chain fatty acids (SCFAs) and altered bile acid metabolism impair gut motility and contribute to constipation, suggesting new therapeutic targets.

Keywords:
functional constipationgut microbiotametabolomicspersonalizationshort-chain fatty acids

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Area of Science:

  • Gastroenterology and Microbial Metabolomics
  • Integrative analysis of gut microbiota and host physiology

Background:

  • Gut microbiota composition and metabolic activity are integral to chronic constipation.
  • Microbial metabolites, including SCFAs, bile acids, and neurotransmitters, critically regulate intestinal function.

Purpose of the Study:

  • To systematically review and consolidate current literature on microbial metabolomics in chronic constipation.
  • To examine how metabolomic insights can improve diagnostics and guide personalized treatments for constipation.

Main Methods:

  • Systematic literature analysis of microbial metabolomics in chronic constipation.
  • Consolidation of findings from high-throughput metabolomic techniques (GC-MS, LC-MS, NMR).
  • Comparative analysis of metabolic profiles between constipated patients and healthy individuals.

Main Results:

  • Reduced levels of short-chain fatty acids (SCFAs) are linked to impaired intestinal motility and inflammation.
  • Altered bile acid metabolism, specifically decreased secondary bile acids, disrupts signaling pathways affecting motility.
  • Imbalances in amino acid metabolism, neurotransmitter production, and microbial gas variations contribute to gut dysfunction.

Conclusions:

  • Integrating metabolomics with gut microbiota research elucidates the role of microbial metabolites in gut function regulation.
  • Metabolomic insights provide a foundation for developing precision diagnostics and targeted therapies for chronic constipation.
  • Restoring microbial balance through metabolomic understanding offers promising avenues for improving intestinal motility.