Prokinetic Herbs: Herbal Medicine for Gut Motility

prokinetic herbs herbal medicine as prokinetics herbs for gut motility natural SIBO solutions small intestinal bacterial overgrowth

There are many herbs that act to improve motility in the digestive tract. In this article we will explore the top prokinetic herbal medicines that assist digestion by keeping things moving through the gut. 

In my clinical practice I use herbal prokinetics every day. Many of my patients are struggling with poor gut motility and slow gut transit time. What is interesting is that most of these patients have a bowel movement everyday and are shocked when we test their gut transit time and find that it is delayed by 4, 5 even 6 days!

Motility in the Gut

For most of the digestive tract, good forward movement is crucial for health and balance. In a healthy gut it isn’t until the remnants of what we consumed – now called chyme – reaches the large bowel that things start to slow down. There are many factors at work to keep things moving forward including peristalsis in the fed state and the migrating motor complex in the fasted state. 

As a quick overview (1)

  1. Peristalsis – This action moves everything that you have consumed forward, or rather down the gastrointestinal tract. Smooth muscle, controlled by specialised cells called interstitial cells of cajal (ICC for short) act almost like a heartbeat and facilitate the contraction above and the relaxation below the food bolus, propelling it down the digestive tract. 
  2. Segmentation – This smooth muscle action mixes the contents of the gut to facilitate breakdown and digestion but doesn’t contribute to forward movement.
  3. The migrating motor complex (MMC) – In the fasted state the MMC is kicked into action by a polypeptide called motilin manufactured by endocrine cells in the small intestine. Starting in the stomach the migrating motor complex sweeps through the small intestine clearing excess bacteria and remnant chyme.   

We won’t spend too much time diving into the physiology of the gut but it is important to understand that these processes are crucial for good gut health. Insults to the gut that impair gut motility can set the stage for gut imbalances such as small intestinal bacterial overgrowth, gastroparesis or oesophageal spasms.

Symptoms of slow gut motility

The first symptom of slow gut motility is constipation. That’s pretty straight forward. 

What isn’t so clear to most people is the fact that you can have slow gut motility even when you have a quality bowel movement every day.

Some symptoms I frequently see in the clinic in patients with slow gut motility are

  • Bloating 
  • Burping 
  • Reflux 
  • Nausea  
  • Abdominal pain 

I prefer to test rather than guess and ask every single one of my patients to track their gut transit time as we work together.

Herbal Medicine For Gut Motility

Prokinetic agents are things that enhance gastrointestinal motility. As a herbalist I rely on plants to help get things moving in the gut.

Lets cover the different herbal prokinetics. 

Affiliate Links Ahead

Hey there! So, before we dive into the fun and informative content, I want to let you know that this post contains affiliate links. That means if you decide to make a purchase through one of these links, I may earn a small commission at no extra cost to you. This small income goes to support my work and this free resource. Now, let’s get to the good stuff!

Herbs for Gut Motility #1: Ginger 

ginger as a herbal gut motility agent prokinetic SIBO treatments herbal medicine for gastroparesis natural motility

Herbal prokinetic numero uno is ginger. 

Ginger is one of the top 10 herbs that I use everyday in my clinical practice.

It is inflammation modulating, anti-viral, helps to stimulate circulation and, possibly my top use, helps to stimulate motility in the digestive tract. 

Ginger, Zingiber officinale, has been used to treat digestion for some time. As with many herbal medicines we are still trying to figure out how they do what they do. The mysteries of nature.

This spicy rhizome – a fancy word for root – contains a range of phytochemicals including terpenes and phenols. The volatile oils are responsible for the flavour of ginger and include gingerols and shogaols. 

With ginger we have good data showing that it can help to increase or accelerate gastric emptying (2, 3) – perfect for patients suffering from gastroparesis. 

Summary – Ginger appears to have the most impact on the stomach and can help to speed up gastric emptying. 

Favourite products for motility with ginger

Herbs for Gut Motility #2: Globe Artichoke

globe artichoke as a herbal gut motility agent prokinetic SIBO treatments herbal medicine for gastroparesis natural motility

Herbal prokinetic number two would be globe artichoke.

Globe artichoke, Cynara scolymus, is another prokinetic herb that helps to increase digestive tract motility. It is frequently formulated with ginger. This herbal medicine couplet has been well studied. 

Globe artichoke is used to increase bile flow, is hepatoprotective, can reduce serum cholesterol and has antispasmodic effects. 

Where ginger acts on the stomach, globe artichoke appears to work on the small bowel motility. The thinking here is that the increase in bile acids helps to increase gut motility in the small intestine (4).

Favourite products for motility with globe artichoke

Herbs for Gut Motility #3: Iberogast 

Iberogast is a mix of 9 different herbal medicines that work synergistically to improve a range of underlying dysfunctions common in many digestive health imbalances. It is another top herbal prokinetic in my clinical practice. Some patients notice big differences using iberogast whereas others feel it may help but isn’t powerful enough. 

Image taken from: Evaluating the Multitarget Effects of Combinations through Multistep Clustering of Pharmacological Data: the Example of the Commercial Preparation Iberogast

In the image below (5) we can see the effects of iberogast on the digestive tract including

  • Anti-inflammatory and mucosal protection on the oesophagus 
  • Increased lower oesophageal sphincter pressure
  • Improved stomach motility 
  • Normalises hyperacidity in the stomach
  • Enhanced mucosal production  
  • Lowering gastrointestinal inflammation 
  • Decreases visceral hypersensitivity 
  • Intestinal motility normaliser
Image taken from: Evaluating the Multitarget Effects of Combinations through Multistep Clustering of Pharmacological Data: the Example of the Commercial Preparation Iberogast

Focusing on the motility enhancing properties of iberogast we can see in in-vitro studies showing that iberogast is amphoteric meaning that it acts to normalise rather than exacerbate. This appears to be the magic of combining multiple herbs into one formula.

Iberogast can increase basal contractile tone in a gut that is hypomobile. On contracted muscles it acts as a spasmolytic and helps to relax. 

“STW 5 (iberogast) contracts atonic muscles but relaxes precontracted ones”

Bitter candytuft and caraway appear to be the herbal medicines that increase intestinal smooth muscle tone whereas peppermint, angelica and licorice act more as spasmolytics, relaxing over toned intestinal smooth muscle (5).

As much of the above data comes from pre-clinical studies (in-vitro or animal studies) the real question is, how effective is iberogast at increasing gut motility in people? 

One randomised clinical trial assessed iberogast against a prokinetic drug. The study found that iberogast and the prokinetic had similar efficacy and both improved patients 80% above baseline on average (6).

At least 2 other clinical trials comparing iberogast and pharmaceutical prokinetics showed similar promising results (7).

Image taken from: A randomised clinical trial comparing the efficacy of a herbal preparation STW 5 with the prokinetic drug cisapride in patients with dysmotility type of functional dyspepsia

Herbs for Gut Motility #4: Chinese Herbal Formulas 

Chinese herbal medicine has some powerhouse formulas that have been proven for centuries, time and time again, in the clinical setting. There is also a plethora of research on Chinese Medicine’s herbal formulas and its effects. 

One important note here is that each of these formulas have indications and contraindications, something that we have to take into account when thinking about applying these herbs in clinical practice. 

One herbal formula da cheng qi tang keeps coming up time and time again when reviewing the literature for gut motility or herbal prokinetic herbs.

This herbal formula comprises a mix of the following.

  1. Turkey rhubarb root
  2. Immature bitter orange peel
  3. Magnolia bark 
  4. Sodium sulphate 

One study found that da cheng qi tang could ‘increase plasma motilin, enhance gastrointestinal motility, improve gastric dysrhythmia, and reduce gastroparesis after abdominal surgery.’ (8).

Another study found that da cheng qi tang could ‘significantly improve the post operational EGG disorder, elevate the amplitude and time of migrating motor complex (MMC) phase III, prevent gastrointestinal reversed peristalsis, increase the blood level of motilin, decrease the orocecal transit time, and promote the recovery of gastrointestinal motility.’ (9).

Digging into the science we can see that emodin, an isolated compound from turkey rhubarb, can increase small intestinal peristalsis in-vivo by increasing motilin and decreasing somatostatin (10).

Magnolia bark, containing two active constituents magnolol and honokiol, has been shown in animal studies to speed up intestinal transit, increase circular muscle contraction, and ameliorate the morphology changes of interstitial cells of Cajal (ICC) in animals stimulated by LPS, a potent bacterial endotoxin (11).

Magnolol and honokiol, two active constituents of magnolia bark. Image taken from: Insights on the Multifunctional Activities of Magnolol

Magnolia bark was shown in rats to improve gastrointestinal motility by increasing the concentration of

  • L-glutamate
  • L-tryptophan
  • serotonin 

It also was shown to protect the gastrointestinal barrier (12).

Finally Immature bitter orange peel was shown in-vitro to speed up intestinal peristalsis. The research concluded that the flavonoids found in the orange peel were the real movers and shakers when it came to speeding things up in the gut (13).

Herbal Prokinetics In Clinical Practice

We have covered a number of possibilities to choose from when considering herbal medicines to speed up your digestive tract. Whether you are suffering from gastroparesis, small intestinal bacterial overgrowth or post-surgery dysmotility you must be wondering which ones to start with. 

It is a hard question to answer and many times I choose different prokinetics depending on the patient, their history and their presenting symptoms. Sometimes I combine more than one to get things moving smoothly. 

My number one recommendation would be to find the root cause of your stuck bowels and work on treating that at the same time. The end goal is intestinal motility without herbal medicines to keep things moving down and out and without treating the root cause this will be difficult. 

Don’t forget to leave a comment below. If you are looking for digestive support please head over to the bookings page.

References and Resources

  1. Gut Movements: A Review of the Physiology of Gastrointestinal Transit
  2. Effect of ginger on gastric motility and symptoms of functional dyspepsia 
  3. Ginger in gastrointestinal disorders: A systematic review of clinical trials
  4. The effect of ginger (Zingiber officinalis) and artichoke (Cynara cardunculus) extract supplementation on functional dyspepsia: A randomised, double-blind, and placebo-controlled clinical trial
  5. Evaluating the Multitarget Effects of Combinations through Multistep Clustering of Pharmacological Data: the Example of the Commercial Preparation Iberogast
  6. A randomised clinical trial comparing the efficacy of a herbal preparation STW 5 with the prokinetic drug cisapride in patients with dysmotility type of functional dyspepsia
  7. Modulation of gastrointestinal motility beyond metoclopramide and domperidone
  8. Da-Cheng-Qi-Tang promotes the recovery of gastrointestinal motility after abdominal surgery in humans
  9. Effect of dachengqi granule on human gastrointestinal motility
  10. Effect of emodin on small intestinal peristalsis of mice and relevant mechanism
  11. Insights on the Multifunctional Activities of Magnolol
  12. Insights on the Multifunctional Activities of Magnolol
  13. Anti-coagulative and gastrointestinal motility regulative activities of Fructus Aurantii Immaturus and its effective fractions
Legal and Affiliate Disclosures: This post may contain affiliate links. That means if you decide to make a purchase through one of these links, I may earn a small commission at no extra cost to you. Learn more here

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  1. Hi Mr. Mansfield..
    Thank you for all the wonderful information!
    I am living in USA and have Esophageal Motility Issues..
    Do you have any suggestions for that as far as herbs?

    Thank you

    1. Hi
      I am a patient that suffered from slow transition motility disorder with gastroparisis .
      I take LBS11 by nature sunshine along with livton by standard process and multi enzymes by standard process. However, I had surgery and I cannot get my bowels to kick back in. Any suggestions
      Well, these two products worked well Sundays I have slower days than others when my bowels move.
      I was reading your article, and I found a lot of very interesting facts however, I’m not sure what else to add. I am taking turkey rhubarb root.

    2. Hello

      I have an interesting question. Have you ever seen during sibo treatment that bloating gets worse. I just realised this is not necessarly an indicator of more bacterias but of histamine reaction to herbs. Curious what you think:).

  2. Interesting. Have you had success treating LPR? I have reflux that manifests primarily as the need to clear my throat, although I also at times feel like something is stuck in the lower part of my esophagus-behind my sternum.

  3. Good article. Will this also work for those shivering gastroparesis due to Ehlers-Danlos Syndrome? Thank you!

    1. Yes, or at least it works for me. Mint and ginger especially have been live savers for me. Reglan, the drug prescribed for this issue cannot be taken long term and I got a lot of bad side effects from it. I have it as an emergency option but the herbal medicine is the first thing I go to because the risks are minimal and so far it has benefited me a lot.

  4. Hi Doctor,

    At what time of day should one take herbal prokinetics? Also, should it be taken with or without meals?

    1. I recommend upon rising and before bed for most prokinetics but getting them in is better than timing it perfectly. Another big piece is to practice meal spacing and avoid snacking.

      1. Hello Tod! I fast every day between dinner and breakfast for the health of MMC. Will taking Iberogast before bed break my fast and ruin my efforts?

  5. As always, a detailed, evidence-based overview of pro kinetic options. Your excellent, thorough work really stands out in a field awash with digestive ‘experts’. It’s very much appreciated.

  6. Where can a herbal supplement with all your suggested ingredients be found or bought? My son is dealing with all these symptoms. He has been through testing and no abnormal internal found.

  7. My wife has 3 surgeries and her gallbladder and half her pancreas cut out. She has bloating, gas and upset stomach most of the time. Dr gave her Domperidone for motility that’s caused panic attacks and stopped its use 7 years ago and struggling sincethen. She has rheumatoid arthritis also but it is under control with Homeopathic medicine. Need help for bloating ang stomach upsets.

    1. I would look into pancreatic insufficiency with her history of pancreatic surgery. A great, cheap test is called elastase-1, highly indicated here. Pancreatic enzyme supplementation may be recommended based on these results.
      Hope that helps!

  8. How do I get in touch with you? I have Pseudo Obstruction and gastropresis. I am TPN dependent. I haven’t eat food in 6 years. I have a central line. They can’t do anymore. I don’t have a large intestine due to rare genetic disease. I am desperate to heal my gut. I am determine to heal my gut with herbs. I just need some help. Everything I just read is me. Please can you help me. I am in the US. I have been to best doctors and hospital they can’t fix my gut. There is nothing any one can do. I’ve even been to Indian medicine.

    1. Watch Dr. Robert Morse on Youtube. Get in contact for a consultation with him. He is the one who can do something for you. See for yourself. He is teaching everything in his YT videos!

  9. I have gerd which is an advance stage of acid reflux.. I agree with the fact that eating with space between and avoid snacking until your next meal. But they say when you have bad gerd you have to eat often which I don’t like. Also because of this gerd my bowel movement was affected. (I do have a history of constipation but it had improved until acid reflux) I’m hopeful and believe in God’s natural remedies and by His grace it will definitely get better. Any herbal recommendations.

    1. Dosing would depend on the individuals needs and clinical assessment as well. Sometimes a little goes a long way and sometimes we really need to go high dose to get things moving again.,

  10. Very nice article! I have mixed SIBO . In Belgium doctors are not familiar with it. So i am obliged to find out everything by myself. Do you treat in such a case first methan and next hydrogen or both at the sametime? I tried ADP together with iberogast but no change. Can radiation after cancer be a trigger for motilityproblems? Can dysbioses be a trigger for SIBO?
    Thank you for the interesting work!

  11. Hi Todd, I was reading your article carefully, it was a surprise for me your high level of knowledge in gastrointestinal physiology. I am an internal medicine from Monterrey, Mexico and even here we do not have the tools for a proper evaluation of SIBO patients. My city is a metropolitan city in North México with 5 million hab, and no hospital have the LHBT, not to mentioned any genomic stool study. So we are just with our clinical evaluation with the medical history and physical examination. I know most of these patients have biofilms and Th2 dominance. Recently Bayer introduce in Mexico Iberogast and I have tried the product with a couple of patients with good results. Do you know if this herbal product can disrupt the biofilms or do you suggest any other like lemongrass or coconout oil? Can you do a remote consultation to Mexico?

  12. Thank you for the information. I have mixed SIBO which developed after my recovery from Covid. (Thrice vaccinated, but got it anyway.) I have slow motility, which is why my doc thinks I got SIBO. Would you suggest Iberogast to increase motility or something else? Thanks!

    1. Heya Massy,
      Hard to give specific health answers here but iberogast works well for some of my patients. Kicking your gut motility into gear would be one of the highest priorities!

  13. I experienced an allergic response to globe artichoke tincture, later discovering that it is in the botanical family asteraceae, which includes ragweed, a significant seasonal allergy trigger for me. Having researched the components of iberogast it appears that a few of them are also asteraceae. Are there specific non-asteraceae herbal prokonetics that you could recommend for use in combination with ginger? It seems foolhardy to just blindly hunt and peck from the iberogast components. I’d be grateful for your insight.

    1. Ginger can be great on its own. Other pro kinetics include herbs like immature bitter orange, magnolia bark, turkey rhubarb. Best to work with a well trained herbalist here though, some of these herbs are quite strong!

  14. Hey Todd, does the ginger need to be standardised? Is there a particular compound inside ginger that does all the work? Or will any ginger supplement work?
    Kind regards, Alex.

  15. Hi, Todd!
    I was wondering if you have a recommendation as to which herbal prokinetics would be safe to take while breastfeeding?

  16. I’m looking for a prokinetic that doesn’t contain ginger or 5HTP as Im on an anti depressant Mirtazapine 15mg for sleep. 5HTP can be dangerous with SSRIs. Also I’m having surgery and I’ve heard ginger stops clotting causing bleeding.

  17. Hi…I read your articles on Gut Motility, since I am suffering with chronic constipation after taken eHarmony medication for Hepatitis C It did cure my hepatitis, but left me with chronic constipation. I think my Colon or the digestive system nerves were damage…Now I am looking for Herbs, which will improve my digestive motility
    You mention Ginger…will Ginger tea work, or I have to prepare the ginger in different form\
    Thank you for your professionalism Bill West

  18. Hi Todd! Your bookings link doesn’t work. I was prescribed Emgality for Migraines. It stays in your system for 2 months. It slows down bowel motility. It is terrible! I’m so constipated!! I cannot take anything that stimulates the adrenals. The Iberogast has licorice root, so I don’t think I can take it. What do you think I could take to help me through these next couple of months?

  19. Thank you so much for your wonderful information. I have a metal rod at the L-4 to the S-1 about 10-11 years ago due to a broken pars bone in my back. Prior to surgery I fell which altered my bowel movements from twice a day to sometimes missing a day. In the last six months, my bowels have become blocked on maybe 10 occasions. There are extreme feelings of urgency but no evacuation until after all sorts of aids, including drinking aloe vera, grated ginger in honey, turkey rhubarb, McCormicks Chili spice (very mild), 18,000 mgs. of Pureway vitamin C (bound with lipids), gycerin suppositories. The last episode took 22 hours to resolve.

    The blockage condition also tends to block urination despite urges to pee. Once the first part of the movement does pass which is quite difficult, then two or three bowel movement will pass quite easily and rapidly – all at the same time. My impression is that the anal area is hardened and sticky because the toilet typically won’t flush due to the hardness of the poop located in the rectal area.

    I’m unable to do enemas due to being unable to get up off the floor while retaining the liquid. It just dawned on me – maybe a baby syringe with the right herbal solution could be a quick fix? I could crouch over the toilet to minimize any mess. This might cut the long blockage time periods tremendously. Which herbs, oils would you use if you were in my situation?

    1. Kelley, I sure hope you’ll see this comment. You most certainly can do an enema while lying on a bed or couch or whatever is comfortable for you. Just place thick towels over the area of your abdomen/rectum/thighs and lie down on your right side (preferred) to help the liquid travel more easily to the top of your colon. If you are concerned for serious leakage, then place a heavy plastic trash bag under the towels. I’ve never had to lie on the floor to do an enema and have never had a problem. Another suggestion is to leave the enema cannula in place in the rectum until you get to the toilet, then remove it quickly and sit down. Be sure to move the clamp on the tube to a spot close to the end of the cannula tip where you can easily reach it and clamp it tight shut when the water is all used and before you try to get to the toilet. It will keep you from leaking while you are walking. Of you are sharing a space with others you may have to work around this but perhaps you can use a lawn lounge chair laid flat near the bathroom or even in the bathroom to elevate you off the floor. Wishing you success in coming up with an alternative solution.

  20. Hi Todd

    I’m a 40 year old male average weight & I was recently diagnosed with gastroparesis. My only symptoms are delayed gastric emptying, lots of burping/belching & acid reflux. I don’t suffer with any pain or nausea or anything like that.

    I live in Switzerland so I can’t book a consultation with you. Hoping you will answer my question here though. I have been researching on the internet the past few days & learned that Ginger, Iberogast & Swedish bitters are really beneficial for gastroparesis. Do you think it’s safe for me to take Ginger & Iberogast at the same time & do you find that iberogast causes liver problems in a lot of people? I read some reports online of people complaining about getting liiver issues after taking iberogast?

  21. What concentration of ginger should we start out with to increase motility of the gut after being diagnosed with SBIO?

    1. If I am using ginger in a tablet which is rare I use between 500-1000mg before bed to improve motility. This isn’t always tolerated due to the ‘ginger burn’ from ginger powder. Ginger as a tincture (liquid extract) is my approach for the majority of my patients.

  22. This was an excellent gathering of information and with an approach I’ve not found before.
    I’ve struggled with digestive issues my whole life and the theme seems to be slow motility.
    I have developed what I’ve been told is granuloma annulaire that I’ve had since I was 17 and is most known to dissipate over the course of time but is still with me at 47.
    I’ve studied as a holistic practitioner in many modalities and most all practitioners I’ve seen have also said bowel of which I agree. I’ve had success in halting the rash with the use of a cleanse I do each spring/summer of which one of the formulas contains Chinese rhubarb that I know is indicated with this condition. My skin will stay clear until winter sets in, my diet changes and I am eating less raw food and then each late spring I do the cleanse again and halt it until the following late fall when it starts to show up again. I find it a challenge to keep my bowels moving when the damp cold weather comes. With being thin I have to eat a fair amount of cooked food which isn’t my body’s best fuel but the colder weather isn’t the time to be eating a lot of raw with my body’s constitution. I have yet to find the balance I need and the rash is my meter of that.
    I’m hopeful to try some of these formulas and thank you for your focus and want to share this information.

    1. Hi Jikl. I was reading your comment and interested in your rash comments because I too have it and have been trying everything to get rid of it. I’d even be happy if it was only for the summer! I’ll leave my email hoping you’ll reach out to me to discuss more. God willing.
      Thank you in advance from California!

  23. Great information!

    For people who are intolerant to oxalates, does Turkey Rhubarb extract pose a problem? Culinary rhubarb is very high in oxalates, but I could not find any info on this specific to turkey rhubarb extract.

  24. My husband had undergone stomach surgery for cancer in his stomach. After surgery his stomach only operated at 11%, his belly is getting larger do to food not passing through. It seems his doctors are at a stand still on treatment to get it going . I am worried something bad is brewing. He has brewery’s belches, or they just smell like rotting food. They take ct scans and confirm food setting in his stomach. What is best for him to kick start his stomach again, oh, he is a diabetic.

  25. Hey Todd. Can you point to research that shows that Cynara Scolymus L (Globe Artichoke) has the beneficial effects on motility/ MMC that you suggested in your article?

    I can find a few studies, including the one provided in your references showing that Cynara cardunculus L. (Artichoke Thistle) has these effects. This is an entirely different species of the plant though.

    The two leading motility supplements, Motility Pro and Motility Activator use the latter, not the former. I hope you can point to this research as Cynara cardunculus L. appears to be impossible to source in Australia.

  26. I have a particularly challenging gut motility issue. When there is a slowdown I get tachycardia. I used to have candida but due to diet changes I don’t have any visible signs of it, but I suspect the small intestine is still healing. Anyways, my question is about castor oil to increase motility as well as herbs. I was thinking about taking it once every 3 days to prevent tachycardia. I seem to get tachy every 10 days or so and it’s DEFINITELY linked to upper abdomen gas and bloating. I have been using coffee enemas daily for quite a while now and would like to stop soon.

  27. The main goals of herbal remedies for constipation are frequently to improve digestion, encourage regular bowel movements, and ease discomfort. While herbal therapies can be helpful, it’s important to remember that each person may respond differently, and severe or persistent constipation should be treated under a doctor’s supervision. Soluble fiber can be obtained naturally from psyllium husk. Add it to food or combine it with water. Psyllium helps control bowel motions by giving the feces more mass, which facilitates passage. Natural laxative qualities are found in aloe vera latex, which is made from the inner leaf skin. For advice on the right dosage, use caution and speak with a medical expert.
    herbal medication for constipation

  28. Hi Todd, I have been having gastroparesis and early satiety for some time. It was all caused by snacking too much and never being hungry! This is now managed by 4 hour fasting and allowing MMC to occur. I was wondering if should take ginger capsules to promote the MMC. When I tried taking it, there was a burning sensation in my stomach, hence asking. How should I take ginger to avoid the burning please? Thanks in advance! Sumant

    1. Hey there, I’ll use whatever is available to the patient which is generally the home test for whole gut transit 24-48 hours is the sweet spot. If you have one done by a gastroenterologist that can help too but is less easy to access/run for most. Gastric emptying studies help for the right patient as well through a gastro too.

  29. Thanks Todd, my gastroenterologist thinks slow stool transit time is causing my constantly recurring intestinal methane overgrowth, as I am a type 1 diebetic for 30 years, I did the home test with sesame seeds ,which took 55 hours, I’ll try the ginger and artichoke, and retest,

  30. I would appreciate suggestions for a redudndant/ tortuous colon. The last 2 colonoscopies have revealed this ( colonoscopies were clear otherwise). It is believed that I was born with my colon in this situation. I’ve had ultrasounds for other reasons and the tech would say you are constipated yet I didn’t “feel” that way. Which herbs do you suggest for an otherwise healthy 60 year old. (yes, I eat my veg and fruits and exercise).

  31. I appreciate the insights shared in this article, particularly the emphasis on seeking professional advice for mardana kamzori ka nusksha. It’s reassuring to know that there are various treatment options available and that it’s not something anyone has to face alone.

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