Stimulant laxatives are a type of medicine used to treat constipation. They work by stimulating the nerves that control the muscles in your colon, forcing your colon into motion and helping to push out your stool. They are available over the counter in pharmacies, grocery stores and online, and are usually safe for short-term use. However, they should not be used for more than a week unless advised by a doctor.
Characteristics | Values |
---|---|
Definition | Laxatives are a type of medicine that can treat constipation. |
Types | Bulk-forming, osmotic, stool softeners, lubricants, and stimulants. |
Use | To treat constipation by softening hard stools or stimulating your bowels to get moving. |
Availability | Over-the-counter in pharmacies, grocery stores, and online. |
Forms | Pills, powders, liquids or syrups, suppositories, and enemas. |
Active Ingredients | Senna (also known as sennosides) or bisacodyl. |
Side Effects | Dehydration, abdominal pain, cramps, diarrhoea, bloating, gas, nausea, urine turning brownish-red, allergic reactions, electrolyte imbalances, and liver damage. |
Warnings | Do not use for more than a week unless advised by a doctor. Can be habit-forming and harmful to bowels with extended use. Not recommended for children under 6 without a doctor's instruction. |
What You'll Learn
Senna and bisacodyl are common active ingredients
Senna is derived from the fruit (pod) or leaf of the Senna alexandrina plant and typically causes a bowel movement within 6 to 12 hours. It is recommended for short-term use only and should not be taken for more than a week without medical supervision due to the risk of side effects, including stomach discomfort, cramps, and diarrhoea. Senna products are available under various brand names, such as Ex-Lax® and Senokot®.
Bisacodyl, commonly known by the brand name Dulcolax®, is typically taken at bedtime and takes effect within 6 to 12 hours. It is also available as a suppository, which works more quickly, usually within 10 to 45 minutes. Bisacodyl should not be taken for more than five consecutive days, as prolonged use can lead to diarrhoea and an electrolyte imbalance. Side effects may include nausea, stomach pain or cramps, and diarrhoea.
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They are available over the counter in tablets, liquids and suppositories
Stimulant laxatives are available over the counter in tablets, liquids, and suppositories. They are used to treat constipation by speeding up colonic muscle movement and inducing a bowel movement. They are designed to be used on a short-term basis only, for no longer than one week.
Tablets and capsules are swallowed, while suppositories are inserted directly into the rectum. Liquids can be measured out and drunk, or they can be in the form of gels that are placed directly into the bottom.
Some common over-the-counter stimulant laxatives include:
- Bisacodyl: Alophen, Carter's Little Pills, Correctol, Dulcolax, Ex-lax Ultra, Feen-A-Mint, Fleet Bisacodyl
- Sodium picosulfate: Dulcolax Pico, Dulcolax Perles
- Sodium bicarbonate and potassium bitartrate: Ceo-Two Evacuant suppository
- Senna: Black Draught, ExLax, Fletcher's, Senexon, SennaGen, and Senokot.
It is important to read and follow the package directions carefully when using stimulant laxatives. They should not be used for more than a week unless specifically advised by a doctor. They can be habit-forming and can be harmful to the bowels if used for an extended period of time.
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They are designed for short-term use only
Stimulant laxatives are designed for short-term use only. They are fast-acting treatments for constipation, working by triggering the intestines to contract and push out the stool. However, they are associated with harmful long-term effects and can be habit-forming, so they should not be used for more than a week unless advised by a doctor.
Stimulant laxatives are typically used to treat occasional or short-term constipation when other methods, such as lifestyle changes, have not been effective. They are available over the counter and can provide fast relief, usually within a few hours. However, they are not suitable for everyone, and it is important to read the label and follow the directions to avoid side effects.
The active ingredients in stimulant laxatives are usually either senna (also known as sennosides) or bisacodyl. Senna can turn urine a brownish-red colour, which is not harmful but should be discussed with a doctor. Other side effects of stimulant laxatives include bloating, gas, and stomach cramps. More serious side effects include diarrhoea, abdominal pain, intestinal blockage, and electrolyte imbalance.
Stimulant laxatives should not be used by those with intestinal blockages, undiagnosed rectal bleeding, or signs of appendicitis. They should also be avoided by those who have had allergic reactions to stimulant laxatives in the past, and they should not be given to children under six without a doctor's recommendation.
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They can cause abdominal pain, cramps and temporary incontinence
Stimulant laxatives are a type of medicine that can be used to treat constipation. They work by triggering the intestines to contract and push out the stool. However, it's important to note that they can also cause some side effects, such as abdominal pain, cramps, and temporary incontinence.
Abdominal pain and cramps are common side effects of stimulant laxatives. These occur because the laxatives cause the intestinal muscles to contract and stimulate bowel movements. This can lead to discomfort and pain in the abdomen as the body tries to push out the stool. It's important to drink plenty of fluids when taking stimulant laxatives to help reduce the risk of abdominal pain and cramps.
Temporary incontinence, or the loss of bowel control, can also occur as a result of taking stimulant laxatives. This is because the laxatives speed up the passage of stool through the intestines, which can lead to a sudden urge to have a bowel movement. If you experience temporary incontinence, it's important to seek medical advice and adjust the dosage or type of laxative.
While stimulant laxatives can be effective in treating constipation, it's crucial to be aware of their potential side effects. Abdominal pain, cramps, and temporary incontinence are some of the most common side effects associated with their use. Therefore, it's recommended to consult a doctor or pharmacist before taking stimulant laxatives and to follow the directions on the label.
Additionally, it's important to note that stimulant laxatives should not be used for more than a week unless specifically advised by a doctor. Overuse of stimulant laxatives can lead to a loss of muscle tone in the colon, making it difficult to have bowel movements without the help of laxatives.
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They can be addictive and unhealthy for those with eating disorders
While laxatives are generally safe and available over the counter, they can be habitually misused to lose weight, especially by those with eating disorders. This is known as laxative abuse or excessive laxative use. It is closely associated with an eating disorder called bulimia nervosa, where people misuse laxatives to "purge" after an eating binge. Laxative abuse is also common among people with body dysmorphia, anorexia nervosa, and bulimia nervosa.
Laxative abuse can lead to serious physical and mental health issues. Physically, it can cause severe dehydration, a reduction in electrolytes, and a disturbance in mineral balance, which can impair the functioning of vital organs. It can also lead to gastrointestinal discomfort, gas, loose stool, rectal irritation, chronic constipation, urinary tract infections, organ damage, and an increased risk of colon cancer. Mentally, it can cause or exacerbate depression and anxiety. Those who misuse laxatives often feel shame or embarrassment about their behaviour and may withdraw from friends and family.
Laxative abuse can also be addictive. People who abuse laxatives can develop a tolerance, leading them to need higher and higher doses to have a bowel movement. This is known as laxative dependency or "laxative addiction".
If you or someone you know is struggling with laxative abuse, it is important to seek professional help. Treatment typically involves psychotherapy and changes in eating habits.
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Frequently asked questions
Natural stimulant laxatives include aloe vera juice, chia seeds, and castor oil.
Natural laxatives often get the job done without the unpleasant side effects that over-the-counter laxatives can cause. Additionally, OTC or prescription laxatives may not fix underlying digestive issues and can sometimes make the problem worse.
The active ingredients in stimulant laxatives are typically either senna (also known as sennosides) or bisacodyl.
Common brand names of stimulant laxatives include Senexon, Senokot, Black Draught, Feen-A-Mint, and Dulcolax.
Stimulant laxatives trigger the intestines to contract and push out the stool. They differ from stool softeners, which work by reducing fluid absorption in the intestines, increasing the amount of water in the stool, and making it easier to pass.