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Bethanechol chloride mimics the action of acetylcholine, which is a chemical found naturally in the body. Acetylcholine stimulates receptors, called muscarinic receptors, which leads to a range of different effects. Muscarinic receptors are found all over the body, including the muscle which surrounds the bladder and the muscles of the gastro-intestinal tract. Stimulation of the bladder muscle receptors enables the bladder to empty while stimulation of the oesophageal (gullet) muscles prevents the reflux of stomach contents. Bethanechol is commonly used after an operation when urine flow is obstructed.