If bismuth subsalicylate is used for its typical purpose - anti-spasmodic for GI upset (also nausea), the originating cause (diarhea) can cause dehydration. Dehydration can cause cramps. I did a search on the active ingredient and cramps and found this website:
Moderate ingestion of bismuth can cause cramps in sensitive persons.
Salicylate can help relieve muscle aches and possibly reduce inflammation; however, I don't see it permanently addressing the cause of muscle spasms - an imbalance between calcium and magnesium concentrations, a result of transmembrane ion channel problems (eg., a membrane charge imbalance in sacroplasmic reticulum in muscle cells). However, Pepto is an antispasmodic, so I guess it might help.
I would recommend use of magnesium citrate for muscle spasms, rather than pepto, which is not meant to be used for that purpose.
I have herd of some guys that play sports keep it around in case of serious cramping, it supposed to release the muscles in a jam...1st time i have herd about it also.
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