What are the common indications and contraindications of carminatives?

Carminatives are used in conditions where smooth muscle relaxation and gas relief is indicated, such as:

• Dyspepsia
• Gas, flatulence
• Irritable bowel syndrome
• Infant colic

They reduce the tone of the lower esophageal sphincter, and therefore should be avoided in conditions of excess stomach acid, such as:

• Gastritis, hyperchlorhydria, peptic ulcer disease, GERD

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This post was written by Omar Rifai