Laxatives: Safe Self-Care Or Health Risk?

Over-the-counter laxatives are available to buy from pharmacies and supermarkets and can be used to treat constipation. However, laxatives are not suitable for everyone and should be used with caution. While they can be effective in providing short-term relief, long-term use can lead to serious health issues such as dehydration, kidney injury, and electrolyte imbalances. It is recommended to first try lifestyle changes, such as increasing fibre intake, drinking more fluids, and exercising, before resorting to laxatives. If constipation persists, it is important to consult a doctor as it may be a sign of a more serious underlying condition.

Laxatives should be used sparingly and only when other methods have failed

Laxatives are a type of medicine used to treat constipation. They are available over the counter, but this doesn't mean they should be used regularly or as a first port of call. Constipation can usually be treated without laxatives, and it's important to understand how and when to use them safely.

If these measures don't work, it's advisable to consult a doctor before taking laxatives, especially if you plan to take them for more than a couple of days. Constipation may be a symptom of a more serious underlying condition, such as colon cancer, diabetes, or hypothyroidism. A doctor can evaluate your situation and advise you on the best course of treatment.

It's important to follow the directions on the drug label when taking over-the-counter laxatives and to be aware of potential side effects. Most laxatives are safe when used correctly and for a short duration. However, long-term use or overuse of laxatives can lead to health problems, including dehydration, diarrhoea, intestinal obstruction, and electrolyte imbalances. Laxatives can also interfere with the absorption of certain medications and nutrients, so it's crucial to leave a gap between taking other medicines and laxatives.

In conclusion, laxatives should be used sparingly and only when other methods of relieving constipation have been unsuccessful. They are not a substitute for a healthy diet, adequate fluid intake, and regular exercise, which are the best ways to prevent constipation. If constipation persists or is accompanied by other symptoms, it's important to seek medical advice to rule out any underlying health issues.

Laxatives are available over the counter and on prescription

Laxatives are a type of medicine that can treat constipation. They are often used if lifestyle changes, such as increasing fibre intake, drinking more fluids, and exercising, have not helped. Laxatives are available over the counter in pharmacies and supermarkets, as well as online. They may be labelled as laxatives, stool softeners, or fibre supplements.

There are four main types of laxatives: bulk-forming, osmotic, stool softeners, and stimulants. Bulk-forming laxatives are generally considered the safest and gentlest type, as they are the least likely to cause side effects. They work by increasing the bulk or weight of the stool, which stimulates the bowel. Osmotic laxatives draw water from the body into the bowel to soften the stool and make it easier to pass. Stool softeners, also called emollient laxatives, increase the water and fat absorbed by the stool, softening it. Lubricant laxatives coat the colon, making it slippery and preventing the absorption of water from the stool. Stimulant laxatives are the harshest type, forcing the colon into motion by activating the nerves that control the muscles.

If over-the-counter laxatives are not effective or if you have a chronic condition causing constipation, you may need a prescription laxative. It is important to consult a doctor or pharmacist if you are unsure about which laxative to use, as they are not suitable for everyone.

Bulk-forming laxatives are the safest type

Laxatives are a type of medicine used to treat constipation. They are available over the counter from pharmacies and supermarkets, as well as on prescription from a doctor. While laxatives can be effective, they are not suitable for everyone and should be used with caution.

There are several different kinds of laxatives, each working in a different way. Bulk-forming laxatives are considered the safest type of laxative. They work by adding soluble fibre to the stool, which increases the "bulk" or weight of the stool, stimulating the bowel. This causes the stool to absorb more water, creating larger, softer stools that are easier to pass. Examples of bulk-forming laxatives include psyllium (Metamucil), polycarbophil (FiberCon), and methylcellulose (Citrucel).

Bulk-forming laxatives are generally safe to use daily and are recommended as the first choice for treating constipation. They are also well-tolerated, with mild side effects such as flatulence and bloating. However, it is important to drink plenty of fluids when taking bulk-forming laxatives to avoid dehydration.

When using laxatives, it is crucial to follow the directions on the label and not exceed the recommended dosage. Most laxatives are meant for short-term use and should not be used for more than a week unless advised by a doctor. Overuse of laxatives can lead to health problems and hide symptoms that may require medical attention.

If you are experiencing constipation, it is recommended to make lifestyle changes such as increasing fibre intake, drinking enough fluids, and exercising regularly before resorting to laxatives. If constipation persists or is chronic, consult a doctor for advice and to discuss other treatment options.

Laxatives can cause side effects like dehydration, nausea and diarrhoea

Over-the-counter laxatives are a common treatment for constipation, but they can cause side effects such as dehydration, nausea and diarrhoea. These side effects can be unpleasant and may require medical attention.

Dehydration is a common side effect of laxatives, particularly bulk-forming and osmotic laxatives, which work by drawing water into the colon. This can lead to lightheadedness, headaches, and darker urine. To minimise the risk of dehydration, it is important to drink plenty of fluids while taking laxatives, especially water. The recommended daily water intake is 2 litres.

Nausea is another potential side effect of laxatives. This can be caused by electrolyte imbalances in the body. Electrolytes are essential for the proper functioning of nerves and muscles, and laxatives can disrupt the balance of these vital substances. Those at risk of electrolyte imbalances include children and people with diabetes or kidney disease. Therefore, it is important to speak to a doctor before giving a laxative to a child or someone with a chronic condition.

Diarrhoea is a possible side effect of laxative overuse. Prolonged use of laxatives can also lead to intestinal obstruction, where stools become large and dry, blocking the bowels. To avoid this, laxatives should only be taken occasionally and for short periods, usually no more than one week. If constipation persists after a week of taking laxatives, it is recommended to speak to a doctor.

In addition to these side effects, laxatives may also cause abdominal cramps, bloating, and gas. These side effects usually disappear once the medication is stopped and can often be avoided by starting with a low dose and gradually increasing it. However, if symptoms worsen or persist, it is important to seek medical advice.

Long-term use of laxatives can cause serious health issues

Over-the-counter laxatives are easily accessible at pharmacies and supermarkets and can be used to treat constipation. However, long-term use of laxatives can lead to serious health issues.

Firstly, overuse of laxatives can cause the intestines to lose muscle tone and nerve response, leading to a dependency on laxatives for bowel movements. This can result in a cycle of increased usage and dependency. Additionally, if constipation is caused by another condition, such as diverticulosis, frequent or long-term laxative use can worsen the condition by impairing the colon's ability to contract.

Secondly, laxatives can cause dehydration, which can lead to tremors, weakness, blurry vision, fainting, and kidney damage. Dehydration is a serious condition that may require hospitalization and can even lead to death in severe cases.

Thirdly, laxatives can be tough on bodily organs, especially when abused or used excessively. The Addiction Center notes that vital organs may become impaired and unable to function properly, resulting in irreversible damage.

Furthermore, long-term laxative abuse can lead to an overstretched or lazy colon, increasing the risk of colon cancer, Irritable Bowel Syndrome, and, in extreme cases, colon cancer. It can also cause a disturbance in the body's mineral balance, affecting muscle function and leading to electrolyte imbalances, especially in children and individuals with diabetes or kidney disease.

Lastly, laxatives can interact with other medications, including heart medications, antibiotics, and bone medications. This interaction can delay the discovery and treatment of other health issues.

In conclusion, while over-the-counter laxatives can provide temporary relief from constipation, long-term use can lead to severe health issues. It is important to use laxatives cautiously and only as directed, and to prioritize dietary and lifestyle changes to prevent and treat constipation.

Frequently asked questions