Stopping Laxative-Induced Diarrhea: Strategies For Relief

Diarrhea is an unpleasant but common condition, often caused by disruptions in the gastrointestinal system. It can be caused by bacterial or parasitic infections, food poisoning, or even recent antibiotic use. While it usually goes away on its own within a few days, it can be dangerous if left untreated, especially in young children and older adults, as it can lead to dehydration. To stop diarrhea from laxatives, it is important to first identify the cause and then take appropriate measures to treat it. This may include rehydration solutions, over-the-counter medications, or dietary changes.

Drink oral rehydration solutions like Pedialyte or make your own with salt, sugar and water

Diarrhea can be extremely uncomfortable and embarrassing, and it can also be dangerous. Diarrhea caused by laxatives can lead to dehydration, which can be fatal in young children and older adults. Therefore, it is important to drink plenty of fluids to stay hydrated.

One way to ensure you are staying hydrated is to drink oral rehydration solutions like Pedialyte. These solutions are available over the counter and can help prevent dehydration due to diarrhea. They are made up of glucose and several electrolytes, including sodium and potassium, which are lost through frequent bowel movements.

If you would prefer to avoid commercial oral rehydration solutions, you can make your own at home using salt, sugar, and water. Simply mix water and juice, or add a small amount of salt and sugar to water. You can also add rice to the water and boil it to make rice water, which has been shown to reduce the frequency of loose stools better than electrolyte solutions. Consume one cup of rice water two to three times a day.

Take over-the-counter anti-diarrheal medications like loperamide (Imodium) or bismuth subsalicylate (Pepto-Bismol)

Over-the-counter anti-diarrheal medications such as loperamide (Imodium) and bismuth subsalicylate (Pepto-Bismol) can be used to treat diarrhea. Both medications are available without a prescription and are safe and effective for most people. However, it is important to note that they should not be used for more than two days, and if symptoms persist or worsen, it is recommended to contact a healthcare provider.

Imodium A-D (loperamide) is an over-the-counter medication used to treat diarrhea in people ages 6 and older, including travellers' diarrhea. It is available as an oral tablet or capsule, with each tablet or capsule containing 2 mg of loperamide. The recommended dosage for adults is to take 2 pills (4 mg) after the first loose stool, and then another pill (2 mg) after each subsequent loose stool, up to a maximum of 4 pills (8 mg) in 24 hours. Imodium A-D works by slowing down the movement of fluids through the intestines, allowing the body to absorb water and electrolytes more efficiently, and also helps to slow down bowel movements. It is important to note that Imodium A-D should not be used for more than two days, and if symptoms persist or worsen, a healthcare provider should be consulted.

Pepto-Bismol (bismuth subsalicylate) is another over-the-counter option for treating diarrhea in people ages 12 and older. It is available as a regular or chewable oral tablet or a liquid. The recommended dosage for adults is to take 2 pills every 30 minutes as needed for diarrhea, up to a maximum of 16 pills within 24 hours. Pepto-Bismol works by reducing inflammation in the intestines and killing the bacteria that cause diarrhea. Additionally, it helps the body absorb more water from the gut, resulting in less frequent and less watery stools. Like Imodium A-D, Pepto-Bismol should not be used for more than two days, and a healthcare provider should be consulted if symptoms do not improve or get worse.

While both medications are effective in treating diarrhea, they have some key differences. Imodium A-D can be used for children as young as 2 years old, while Pepto-Bismol is recommended for people 12 years and older. Pepto-Bismol can also treat additional symptoms such as heartburn, nausea, and indigestion, whereas Imodium A-D only treats diarrhea. Additionally, Pepto-Bismol may cause stool discoloration and tongue discolouration, turning the tongue or stools black. This effect is harmless but may be bothersome to some individuals.

Eat bland, starchy, low-fibre foods like bananas, rice, applesauce and toast (the BRAT diet)

The BRAT diet is a well-known approach to treating diarrhea, and it stands for bananas, rice, apples or applesauce, and toast. It was once a common recommendation for children with upset stomachs, but experts now say it may not be the best option due to its restrictive nature and lack of nutritional value. However, it can still be beneficial for adults experiencing diarrhea.

The BRAT diet consists of bland, starchy, and low-fibre foods that are gentle on the stomach and help to bind and bulk stool, making it an effective home remedy for diarrhea. Bananas are particularly helpful as they can restore potassium lost through frequent bowel movements.

When following the BRAT diet, it is important to also consume plenty of fluids to prevent dehydration. While water is good, it is also beneficial to drink liquids that contain electrolytes, such as broth, sports drinks, or rehydration solutions.

It is recommended that adults only follow the BRAT diet for a short period, gradually adding in other bland but nutritious foods as their diarrhea symptoms improve. Some suggested additions include baked, skinless chicken breasts, chicken soup with saltine crackers, and yogurt.

While the BRAT diet can be helpful for adults, it is important to note that it may not provide adequate nutrition for children. The American Academy of Pediatrics now recommends that children resume a normal, well-balanced diet within 24 hours of getting sick, including a mix of fruits, vegetables, meat, yogurt, and complex carbohydrates.

Take probiotics, either as supplements or by eating fermented foods like yoghurt and kefir

Probiotics are live microorganisms, such as bacteria and yeasts, that have beneficial effects on the body. They are available in supplement form and in certain foods, such as yoghurt and kefir. Probiotics can help to ease diarrhoea by restoring the balance of microbes in the gut.

Probiotics can be taken as a supplement or consumed through fermented foods. If opting for supplements, it is important to choose a product with a specific type of bacteria that has been tested and proven to work. Look for the Good Manufacturing Practices (GMP) seal and choose products that claim to be effective "through end of shelf life" rather than "at time of manufacture".

Probiotics in supplement form usually contain 1-10 billion colony-forming units (CFUs) per dose, but some can be much stronger. A higher CFU does not necessarily mean the product is better or more effective. A healthcare professional can help you select the most appropriate strain and dosage.

Probiotics can also be found in fermented foods and drinks, including yoghurt, kefir, sauerkraut, kimchi, pickles, and pickle juice. Check the labels for "live and active cultures" as food processing can sometimes destroy natural probiotics.

Probiotics may be especially beneficial for easing diarrhoea caused by antibiotics. Antibiotics can kill some of the good bacteria in the gut, leading to an imbalance and resulting in diarrhoea. Taking probiotics before, during, and several days after a course of antibiotics may reduce your chances of developing diarrhoea.

Probiotics have also been found to reduce the duration of acute infectious diarrhoea by approximately 25 hours compared to control groups. They have been shown to decrease the risk of diarrhoea lasting for four days or more by 59% and result in one fewer loose stool two days after taking them.

It is important to note that not all probiotics can ease diarrhoea, and some may only be effective for certain types. The bacteria strains most likely to help with diarrhoea include Lactobacillus reuteri, Lactobacillus rhamnosus, and the probiotic yeast Saccharomyces boulardii. A mix of a few different probiotics may also be beneficial.

While probiotics are generally considered safe, they may not be suitable for everyone. People with severe illnesses or compromised immune systems should not take probiotics due to the risk of an opportunistic infection. Additionally, those with certain digestive conditions, such as small intestinal bacterial overgrowth (SIBO), may experience worsened symptoms and brain fog when taking probiotics.

Avoid caffeine, alcohol, carbonated drinks, high-fibre foods and artificial sweeteners

Diarrhea is a common condition that usually resolves on its own within a few days. It is characterized by loose and watery stools and can be caused by various factors, including viruses, food allergies, food poisoning, medications, or dietary issues. While mild cases may not require medical treatment, it is important to stay hydrated and make dietary adjustments to manage the condition effectively.

To stop diarrhea, it is crucial to avoid certain foods and beverages that can aggravate the condition. Here are some specific recommendations to avoid caffeine, alcohol, carbonated drinks, high-fibre foods, and artificial sweeteners:

Avoid Caffeine

Caffeine is a stimulant that can increase the motility of the digestive tract, leading to looser stools and potentially worsening diarrhea. It is found in coffee, soda, certain teas, and chocolate. Opting for caffeine-free alternatives or herbal teas can be a better choice during an episode of diarrhea.

Abstain from Alcohol

Alcohol consumption can contribute to dehydration, which is a serious concern when experiencing diarrhea. Alcohol can also irritate the digestive tract and disrupt the balance of gut bacteria, potentially prolonging the duration of diarrhea. It is best to avoid alcoholic beverages until the condition subsides.

Eliminate Carbonated Drinks

Carbonated drinks, including sodas and sparkling water, can introduce excess gas into the digestive system, leading to increased discomfort and bloating. They can also worsen diarrhea by speeding up the movement of food through the intestines. Opt for still beverages or clear fluids to stay hydrated effectively.

Minimize High-Fibre Foods

High-fibre foods, such as bran, whole grains, and brown rice, can be difficult to digest when experiencing diarrhea. They may contribute to increased bowel movements and discomfort. Instead, opt for bland, low-fibre foods like bananas, white rice, applesauce, toast, potatoes, and lean protein sources such as fish or skinless chicken.

Steer Clear of Artificial Sweeteners

Artificial sweeteners, such as sorbitol and other sugar alcohols, are known to have a laxative effect and can aggravate diarrhea. They are commonly found in sugar-free chewing gum, candy, and some processed foods. Check ingredient labels and opt for naturally sweetened or unsweetened alternatives to avoid triggering further digestive issues.

In addition to these dietary adjustments, staying adequately hydrated with fluids and electrolytes is crucial when experiencing diarrhea. Oral rehydration solutions or sports drinks can help replenish lost fluids and minerals. Following these guidelines can help manage diarrhea more effectively and promote a speedier recovery.

Frequently asked questions