Understanding Laxatives

A Patient's Guide to Types, Uses, and Safety Considerations

Gastroenterology

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Last updated: Mar 24, 2025

What Are Laxatives?

Laxatives are medications that help relieve constipation by either softening stool or stimulating bowel movements.

Types of Laxatives

1. Bulk-Forming Laxatives

  • Examples: Psyllium (Metamucil), methylcellulose
  • How they work: Absorb water to form soft, bulky stool
  • Best for: Mild constipation, long-term use

2. Osmotic Laxatives

  • Examples: Polyethylene glycol, magnesium citrate
  • How they work: Draw water into the bowel
  • Best for: Occasional constipation

3. Stimulant Laxatives

  • Examples: Bisacodyl, senna
  • How they work: Trigger intestinal contractions
  • Best for: Short-term use only

4. Stool Softeners

  • Examples: Docusate sodium
  • How they work: Add moisture to stool
  • Best for: Prevention of straining

Safety Considerations

When to Use Laxatives

  • Occasional constipation
  • Following physician advice
  • After lifestyle changes haven't helped

When to Avoid Laxatives

  • Unexplained abdominal pain
  • Suspected bowel obstruction
  • Inflammatory bowel conditions

Side Effects

  • Bloating
  • Cramping
  • Gas
  • Diarrhea if overused

Warning Signs

Seek medical attention if experiencing:

  • Severe abdominal pain
  • Blood in stool
  • Persistent constipation

Lifestyle Recommendations

  1. Increase fiber intake
  2. Stay hydrated
  3. Exercise regularly
  4. Maintain regular bathroom habits

When to Contact Your Healthcare Provider

  • Constipation lasting >1 week
  • Severe symptoms
  • Before starting regular laxative use

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