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Gastroenterology

Digestive Motility

Conditions like slow transit constipation and gastroparesis often fly under the radar because they don’t show up on routine tests like imaging or endoscopy. Yet these motility disorders can be just as disruptive to your quality of life as structural diseases – and just as deserving of treatment and support. If this sounds familiar and you’re feeling left without answers, we’re here to help.

We provide expert diagnosis and treatment for disorders affecting digestion and motility, like POTS and Ehler-Danlos Syndrome.

What Are Digestive Motility Disorders?

Get expert care for POTS (Postural Orthostatic Tachycardia Syndrome), EDS (Ehlers-Danlos Syndrome), and Small Fiber Neuropathy (SFN).Digestive motility disorders occur on their own or in connection with underlying multi-systemic conditions or a condition like small fiber neuropathy. These disorders occur when the nerves and muscles of the intestinal tract no longer function in harmony. Uncoordinated movement of the bowels leads to slowed, irregular, or impaired movement of food and waste. Symptoms depend on which part(s) of the intestines are involved. 

Common symptoms of motility disorders include:

  • Bloating and excessive gas
  • Abdominal pain or cramping
  • Diarrhea, constipation, or alternating both
  • Reflux and difficulty swallowing
  • Feeling full quickly after eating
  • Nausea and vomiting

At EverBetter Medicine, we take a comprehensive approach to diagnosing and treating motility disorders. Our goal is not just to manage symptoms, but to uncover the root causes and help restore balance to your digestive system.

Get expert care for POTS (Postural Orthostatic Tachycardia Syndrome), EDS (Ehlers-Danlos Syndrome), and Small Fiber Neuropathy (SFN).

Digestive motility disorders occur on their own or in connection with underlying multi-systemic conditions or a condition like small fiber neuropathy. These disorders occur when the nerves and muscles of the intestinal tract no longer function in harmony. Uncoordinated movement of the bowels leads to slowed, irregular, or impaired movement of food and waste.

Symptoms depend on which part(s) of the intestines are involved. Common symptoms of motility disorders include:

  • Bloating and excessive gas
  • Abdominal pain or cramping
  • Diarrhea, constipation, or alternating both
  • Reflux and difficulty swallowing
  • Feeling full quickly after eating
  • Nausea and vomiting

At EverBetter Medicine, we take a comprehensive approach to diagnosing and treating motility disorders. Our goal is not just to manage symptoms, but to uncover the root causes and help restore balance to your digestive system.

Motility Disorders We Treat

Some of the motility disorders we treat include:

  • Achalasia: A condition where the esophageal body is uncoordinated, and the lower esophageal sphincter does not open to allow food to leave the esophagus.
  • Gastroparesis: A condition whereby the stomach empties too slowly, which can cause symptoms of nausea and early satiety (becoming full too early).
  • Rapid Gastric Emptying (Dumping Syndrome): This condition affects patients with dysmotility or those who have had prior abdominal surgeries. It occurs when the stomach empties contents too rapidly (or “dumps”) into the small intestines.
  • Small Bowel Dysmotility: This disorder occurs when the patient’s small intestine (the 15 – 20 feet of bowel between the stomach and colon) either moves too slowly or too quickly. Patients can experience bloating, early satiety, abdominal discomfort, diarrhea, or constipation.
  • Slow Transit Constipation: Characterized by a colon that moves too slowly or irregularly. Patients often experience challenges treating constipation that may be unresponsive to over-the-counter laxatives.
  • Pelvic Floor Dysfunction: A term that describes disorders of the muscles that control bowel movements, resulting in either constipation or incomplete evacuation.
  • Chronic Intestinal Pseudo-obstruction: A rare condition where all signs point to blocked intestines, but no mechanical obstruction is present.
  • Esophageal Motility Disorders: These include distal esophageal spasm and ineffective esophageal motility, which may cause difficulty swallowing, chest pain, or regurgitation.

A Personalized Approach

Because motility disorders vary widely from person to person based on which part of the digestive tract is affected, we believe treatment must be individualized. Our approach includes the following:

  • Medication tailored to your specific physiology while limiting side effects
  • Dietary guidance to optimize your digestive health
  • Addressing stress, anxiety, and mental health to align the brain-gut connection

With the right strategy for you, we can help you take control of your digestive health.

FAQ: Digestive Motility

Medications work by stimulating nerve or muscle tissues to either enhance or slow movement of food and waste through the digestive tract. Their effectiveness depends on your symptoms; motility agents can sometimes cause side effects. Once we know what kind of motility disorder you have, we’ll then work out the best and safest treatments for you. This could include dietary changes to aid digestion and transit time and use of non-motility medications like neuromodulators to regulate brain-gut communication. We may also recommend working with a pelvic floor physical therapist to improve coordination of pelvic floor muscles for proper bowel function.
The right dietary approach depends on which part of the digestive system is affected. Some people find relief by changing how frequently they eat or adjusting portion size, while others benefit from changing the composition of the diet. We will tailor a balanced nutrition plan just for you and your symptoms that fits your lifestyle and digestive needs.
More often than not, motility disorders are chronic conditions that do not have a ‘cure.’ However, that does not mean you are powerless. Motility disorders impact how food moves through the digestive tract. Since nerves, muscles, and hormones control these processes – unique to you – treatment should not be a quick fix and should be specific to you. Our plan will help reduce discomfort using medications to improve gut coordination, diets that ease digestion without being overrestrictive, and therapies that address the gut-brain axis to help you feel better in the long run.

Gastroenterology

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POTS, EDS, & MCAS

We work to address the root cause of GERD rather than just masking symptoms.

Reflux (GERD)

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IBS & SIBO

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Constipation & Diarrhea

We provide expert diagnosis and treatment for disorders affecting digestion and motility, like POTS and Ehler-Danlos Syndrome.

Digestive Motility

If you feel your digestive system is irregular but standard tests indicate all is normal, we’re here to help provide answers and expert GI care.

Unexplained GI Symptoms

Our weight and digestive health physicians have been practicing for over a decade, with 20 years of combined expertise.

20+ Years Combined Expertise

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