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Is There a Role for Bismuth in Diarrhea Management?
Diarrhea, an illness of both the developed and developing world, involves the burdensome characteristics of frequent bowel movements, loose stools, and abdominal discomfort. Diarrhea is a long-standing challenge in palliative care and can have a myriad of causes, making symptomatic treatment pertine...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Rambam Health Care Campus
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7835118/ https://www.ncbi.nlm.nih.gov/pubmed/33064636 http://dx.doi.org/10.5041/RMMJ.10422 |
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author | Senderovich, Helen Vierhout, Megan |
author_facet | Senderovich, Helen Vierhout, Megan |
author_sort | Senderovich, Helen |
collection | PubMed |
description | Diarrhea, an illness of both the developed and developing world, involves the burdensome characteristics of frequent bowel movements, loose stools, and abdominal discomfort. Diarrhea is a long-standing challenge in palliative care and can have a myriad of causes, making symptomatic treatment pertinent when illness evaluation is ongoing, when there is no definitive treatment approach, or when effective treatment cannot be attained. Symptomatic therapy is a common approach in palliative care settings. Bismuth is a suitable agent for symptomatic therapy and can be effectively employed for management of chronic diarrhea. The objective of this narrative review is to examine the role of bismuth in management of diarrheal symptoms. To explore this, PubMed (including Medline) and Embase were used to search the existing literature on bismuth and diarrhea published from 1980 to 2019. It was found that bismuth has potential utility for diarrheal relief in multiple settings, including microscopic colitis, traveler’s diarrhea, gastrointestinal infection, cancer, and chemotherapy. It also has great potential for use in palliative care patients, due to its minimal side effects. Overall, the antisecretory, anti-inflammatory, and antibacterial properties of bismuth make it a suitable therapy for symptomatic treatment of diarrhea. The limited range of adverse side effects makes it an appealing option for patients with numerous comorbidities. Healthcare providers can explore bismuth as an adjunct therapy for diarrhea management in an array of conditions, especially in the palliative care setting. |
format | Online Article Text |
id | pubmed-7835118 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Rambam Health Care Campus |
record_format | MEDLINE/PubMed |
spelling | pubmed-78351182021-01-30 Is There a Role for Bismuth in Diarrhea Management? Senderovich, Helen Vierhout, Megan Rambam Maimonides Med J Review Article Diarrhea, an illness of both the developed and developing world, involves the burdensome characteristics of frequent bowel movements, loose stools, and abdominal discomfort. Diarrhea is a long-standing challenge in palliative care and can have a myriad of causes, making symptomatic treatment pertinent when illness evaluation is ongoing, when there is no definitive treatment approach, or when effective treatment cannot be attained. Symptomatic therapy is a common approach in palliative care settings. Bismuth is a suitable agent for symptomatic therapy and can be effectively employed for management of chronic diarrhea. The objective of this narrative review is to examine the role of bismuth in management of diarrheal symptoms. To explore this, PubMed (including Medline) and Embase were used to search the existing literature on bismuth and diarrhea published from 1980 to 2019. It was found that bismuth has potential utility for diarrheal relief in multiple settings, including microscopic colitis, traveler’s diarrhea, gastrointestinal infection, cancer, and chemotherapy. It also has great potential for use in palliative care patients, due to its minimal side effects. Overall, the antisecretory, anti-inflammatory, and antibacterial properties of bismuth make it a suitable therapy for symptomatic treatment of diarrhea. The limited range of adverse side effects makes it an appealing option for patients with numerous comorbidities. Healthcare providers can explore bismuth as an adjunct therapy for diarrhea management in an array of conditions, especially in the palliative care setting. Rambam Health Care Campus 2021-01-19 /pmc/articles/PMC7835118/ /pubmed/33064636 http://dx.doi.org/10.5041/RMMJ.10422 Text en Copyright: © 2020 Senderovich and Vierhout. This is an open-access article. All its content, except where otherwise noted, is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Article Senderovich, Helen Vierhout, Megan Is There a Role for Bismuth in Diarrhea Management? |
title | Is There a Role for Bismuth in Diarrhea Management? |
title_full | Is There a Role for Bismuth in Diarrhea Management? |
title_fullStr | Is There a Role for Bismuth in Diarrhea Management? |
title_full_unstemmed | Is There a Role for Bismuth in Diarrhea Management? |
title_short | Is There a Role for Bismuth in Diarrhea Management? |
title_sort | is there a role for bismuth in diarrhea management? |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7835118/ https://www.ncbi.nlm.nih.gov/pubmed/33064636 http://dx.doi.org/10.5041/RMMJ.10422 |
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