Laxatives are a type of medicine that can treat constipation. They work by softening hard stools or stimulating the bowels to get moving so you can poop. There are many different types of laxatives, including bulk-forming laxatives, osmotics, stool softeners, lubricants, and stimulants. Some laxatives work on your stool, some work on your intestine, and others work on both.
Stool softeners are a type of laxative called an emollient laxative. They increase the water and fat that your poop absorbs, softening it and making it easier to pass. They are typically recommended for people with temporary, mild, or chronic constipation.
Bulk-forming laxatives are another common type of laxative. They add soluble fiber to your stool, drawing water from your body into your stool to make it bigger and softer. This stimulates your colon to contract and push the stool out. Bulk-forming laxatives are generally considered the gentlest type of laxative and are often recommended as the first option to try.
Characteristics | Values |
---|---|
Definition | Substances that help people empty their bowels |
Types | Bulk-forming, osmotic, stool softeners, lubricants, stimulants |
Use | Treat constipation by softening hard stools or stimulating bowels |
Availability | Over-the-counter, prescription |
Forms | Pills, powders, liquids, syrups, suppositories, enemas |
Active Ingredients | Docusate sodium, docusate calcium, psyllium, methylcellulose, calcium polycarbophil, polyethylene glycol, glycerin, magnesium citrate, magnesium hydroxide, bisacodyl, senna |
Effectiveness | Varying effectiveness depending on type and individual |
Side Effects | Bloating, gas, stomach cramps, dehydration, diarrhoea, intestinal blockage, electrolyte imbalance |
Precautions | Avoid overuse, read instructions, consult a healthcare professional |
What You'll Learn
Bulk-forming laxatives make stools bigger and softer
Laxatives are a type of medicine used to treat constipation. They work by softening stools or stimulating the bowels to get moving so you can pass them. Bulk-forming laxatives are one of the four main types of laxatives, and they are often recommended as the first line of treatment for constipation. They work by increasing the "bulk" or weight of the stool, making it bigger and softer.
Bulk-forming laxatives contain soluble fibre, which draws water from the body into the stool. This makes the stool softer and easier to pass. They are considered the gentlest type of laxative and are the least likely to cause side effects. Common bulk-forming laxatives include psyllium (Metamucil), polycarbophil (FiberCon), and methylcellulose (Citrucel).
These laxatives typically take 12 hours to three days to provide relief, so they are not a quick fix for constipation. They are generally safe to use daily, but it's important to follow the dosage instructions on the label and take them with at least 8 ounces of water or fruit juice to prevent bowel obstruction. Staying well-hydrated throughout the day is also important when taking bulk-forming laxatives.
While bulk-forming laxatives are a good option for most people, they may not be suitable for everyone. People with kidney disease or diabetes, for example, are at risk of electrolyte imbalances when taking laxatives, so it's important to consult a doctor before using them if you have either of these conditions. Additionally, laxatives should not be taken within two hours of taking any medication, as they can interfere with how the body absorbs medicines.
In summary, bulk-forming laxatives are an effective and gentle way to treat constipation by increasing the size and softness of stools. They are generally safe and well-tolerated but should be used according to instructions and under the guidance of a healthcare provider if you have any underlying health conditions.
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Osmotic laxatives draw water from the body into the bowel
Osmotic laxatives are a type of medication used to treat or prevent constipation. They work by drawing water from the body into the colon, softening the stool, and making it easier to pass. This process typically takes 2 to 3 days.
The term "osmotic" refers to the movement of fluid through a membrane so that the concentration is equal on both sides. In the context of osmotic laxatives, this means that water is drawn from the wall of the colon to the inside (the lumen), increasing the amount of fluid in the intestines and softening the stool. This is particularly helpful for people who don't consume enough water and those with hard, dry stools characteristic of constipation.
Osmotic laxatives use substances such as salts, sugars, and other organic compounds to encourage the movement of water into the lumen. They are distinct from emollient, lubricant, and stimulant laxatives, which work by drawing water and fat into stools, lubricating stools, and speeding up intestinal contractions, respectively.
Common osmotic laxatives include:
- Polyethylene glycol (PEG)
- Lactulose
- Sorbitol
- Magnesium citrate
- Magnesium hydroxide (Milk of Magnesia)
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Stool softeners add moisture to stools
Stool softeners are a type of laxative called emollient laxatives. They work by adding moisture to stools, making them softer and easier to pass. They are available in capsule, tablet, liquid, and syrup form and are usually taken at bedtime.
Stool softeners are often the first method used to prevent and treat occasional constipation. They are also used when straining to have a bowel movement should be avoided, such as after surgery or a heart attack. The active ingredients in stool softeners are docusate sodium and docusate calcium.
Stool softeners are gentle enough to be used regularly to prevent constipation. However, they are the least effective option for treating constipation. They are best for people with temporary constipation or mild, chronic constipation.
It is important to take stool softeners exactly as directed by your doctor or the product package. They should only be used when needed and for no more than one week unless directed by a doctor.
If stool softeners do not provide enough relief, other laxative options are available, such as bulk-forming laxatives, osmotic laxatives, and stimulant laxatives.
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Lubricant laxatives coat the colon
Lubricant laxatives, such as mineral oil, work by coating the colon with a layer of lipids, creating a slippery surface. This action prevents the colon from absorbing water from the stool, so it stays soft and is easier to pass. Lubricant laxatives are particularly useful for those with internal tears or fissures, as well as for those with haemorrhoids, as the lubricant helps the stool to pass more easily and reduces pain.
Lubricant laxatives are generally recommended for short-term use only, as they can interfere with the absorption of vitamins and, if inhaled, can cause pneumonia. They should be taken at breakfast or lunch, with a maximum recommended dosage period of a few days. It is also advised to wear a protective pad to absorb any potential leakage.
Lubricant laxatives are one of several types of laxatives, including bulk-forming, osmotic, stool softeners, and stimulants. Laxatives are used to treat constipation by softening stools or stimulating the bowels. They are available over the counter or by prescription and should be taken as directed to prevent side effects such as bloating, gas, and stomach cramps.
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Stimulant laxatives activate nerves controlling muscles in the colon
Laxatives are a type of medicine used to treat constipation. They work by softening stools or stimulating the bowels to get moving so you can pass them. There are several types of laxatives, including bulk-forming laxatives, osmotics, stool softeners, lubricants, and stimulants.
Stimulant laxatives are a type of laxative that activates nerves controlling muscles in the colon. They force the colon into motion, stimulating intestinal muscles to contract and push out stool. The active ingredients in stimulant laxatives are typically senna (also known as sennosides) or bisacodyl. These ingredients can be found in over-the-counter laxatives such as Senexon, Fletcher's Castoria, Senokot, Black Draught, Feen-A-Mint, Correctol, Dulcolax, and Carter's Little Pills.
Stimulant laxatives are one of the faster-acting types of laxatives and can be effective in treating constipation. They work by altering intestinal mucosal permeability and stimulating intestinal water and electrolyte secretion in the bowel. This results in rhythmic intestinal contractions that help push out a bowel movement.
However, it is important to note that stimulant laxatives should not be used for more than a week unless specifically advised by a doctor. They can be habit-forming, and prolonged use can lead to laxative dependence and harm the bowels. Additionally, stimulant laxatives should not be given to children under six without a pediatrician's instruction.
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Frequently asked questions
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 work in different ways, depending on the type. Some common types include bulk-forming laxatives, which increase the weight of the stool and stimulate the bowel. Osmotic laxatives draw water into the intestines to soften the stool. Stool softeners, a type of laxative, add a compound to the stool that absorbs water, making it softer and easier to pass.
Stool softeners are a type of laxative called emollient laxatives. This means all stool softeners are laxatives, but not all laxatives are stool softeners.
Common side effects of taking laxatives include bloating, gas, and stomach cramps. It is important to follow the instructions on the medication to prevent these side effects. Taking laxatives for too long can lead to dehydration, electrolyte imbalance, chronic constipation, and intestinal blockage.