Sodium: A Natural Laxative Or Not?

Sodium is a component of saline laxatives, which are used to treat constipation. Saline laxatives are thought to work by increasing fluid in the small intestine, typically resulting in a bowel movement after 30 minutes to 6 hours. They are available over the counter and are usually taken orally, but they can also be administered rectally. However, when treating constipation, it is recommended to use milder products such as stool softeners or bulk-forming laxatives. Docusate sodium is a commonly used stool softener that helps to soften stools and facilitate bowel movements. It is available in various forms, including softgels, liquids, and syrups.

Sodium phosphate is a saline laxative

Sodium Phosphate: A Saline Laxative

Sodium phosphate works by drawing water into the large intestine, softening the stool, and facilitating a bowel movement. It is essential to follow the directions on the package carefully and not exceed the recommended dosage to avoid serious health risks, including kidney and heart damage.

When using this medication, it is crucial to stay properly hydrated by drinking plenty of clear liquids. Additionally, individuals should consult their doctor or pharmacist if they have any allergies, medical conditions, or are taking other medications.

Sodium phosphate may cause side effects such as anal discomfort, stinging, or blistering. More severe side effects include reduced urination and swelling in the ankles, feet, and legs. If any of these symptoms occur, individuals should stop using the medication and seek medical advice.

In summary, sodium phosphate is a saline laxative that effectively treats constipation by increasing fluid in the large intestine. It is a fast-acting solution, but it should be used with caution and under medical supervision to ensure safe and effective relief from constipation.

Docusate sodium is a type of sodium used as a laxative

Docusate sodium is typically administered orally with a full glass of water or juice and can be taken once daily or in divided doses. It usually provides relief within 12 to 72 hours of initiating treatment. It is important to follow the directions on the product package or a doctor's advice when taking this medication. While docusate sodium is generally well-tolerated, it may cause mild side effects such as stomach pain, diarrhoea, or cramping.

Docusate sodium is a common treatment for constipation and is available under various brand names, including Colace, Dulcoease, and Dioctyl. It is classified as an over-the-counter medication in many places, but it is important to consult a doctor or pharmacist if you have any questions or concerns about taking this or any other medication.

Laxatives are used to treat constipation

Laxatives work by making stools softer and easier to pass, or by stimulating the bowels to get moving. They are typically used if lifestyle changes, such as increasing fibre and fluid intake, have not helped with constipation. It is important to only use laxatives occasionally and for short periods, stopping once your condition improves.

There are several different types of laxatives, including:

• Bulk-forming laxatives: These increase the bulk of your stool by making it bigger and softer, which stimulates the colon to contract and push the stool out. They are usually the gentlest type and least likely to cause side effects.
• Osmotic laxatives: These soften the stool by pulling water from other body parts and sending it to the colon.
• Stool softener laxatives: These increase the water and fat content of the stool, making it softer.
• Lubricant laxatives: These coat the colon, preventing water absorption from the stool and making it slippery for easier passage.
• Stimulant laxatives: These activate the nerves controlling the muscles in the colon, forcing it into motion to move the stool along.

Laxatives come in various forms, including pills, powders, liquids, suppositories, enemas, and syrups. It is important to follow the instructions on how and when to take them to prevent side effects such as bloating, gas, and stomach cramps.

Constipation can be treated with lifestyle changes

While sodium-based stool softeners can be used as a laxative to treat constipation, there are also several lifestyle changes that can help treat constipation. Here are some detailed suggestions to help manage constipation:

Dietary Changes

• Increase Fibre Intake: Aim for 20-35 grams of fibre per day. Include high-fibre foods such as whole grains, nuts, seeds, fruits, and vegetables. Whole wheat bread, brown rice, dried figs, prunes, raspberries, apples, broccoli, carrots, and peas are excellent sources of fibre.
• Avoid Low-Fibre Foods: Reduce your intake of dairy products, sugary treats, and high-fat meats, as these can contribute to constipation.
• Stay Hydrated: Drink plenty of fluids, especially water. Aim for at least 1.5 litres of water per day. Dehydration can worsen constipation.
• Meal Timing: Try to eat your meals around the same time each day. This helps establish a regular bowel pattern.
• Bran Cereal: Consider having bran cereal for breakfast. It is high in fibre and can promote bowel movements.
• Avoid High-Fructose Fruits: If you have bowel sensitivity, avoid high-fructose fruits like apples, pears, and watermelon, as they can cause gas.

Exercise and Bowel Habits

• Light Exercise: Incorporate light exercises like walking after meals or during breaks. Exercise helps stimulate bowel movements and improves digestion.
• Don't Hold It In: When you feel the urge to use the bathroom, don't ignore it. Holding it in can weaken your bowel signals over time, contributing to constipation.
• Regular Bowel Pattern: Try to establish a regular bowel routine. Aim for a bowel movement 20-30 minutes after meals, as wave-like motions in your intestines start around this time.
• Use a Step Stool: Consider using a small step stool or a toilet stool to elevate your feet while on the toilet. This posture shift can make it easier to eliminate waste.

Stress Management

Manage Stress: Stress can slow down digestion and contribute to constipation. Try relaxation techniques like meditation, deep breathing, or mental imagery to reduce stress levels.

Remember, it's best to introduce these changes gradually and consult your doctor if constipation persists or is accompanied by other concerning symptoms.

Laxatives can be bought over the counter

Laxatives are available as over-the-counter (OTC) medications, but it's important to exercise caution when using them. Most people who use laxatives don't actually need them, and long-term use can have serious health repercussions, including dehydration, kidney injury, and electrolyte imbalances. In rare cases, it can even lead to death.

If you're experiencing constipation, it's recommended to first try a high-fibre diet, increased fluid intake, regular exercise, and practising good bathroom hygiene. If these measures don't work, consult a physician to discuss laxative use, especially if you plan to take laxatives for more than a couple of days.

There are several types of laxatives available over the counter:

• Bulk-forming laxatives: These work by bulking up your stool with indigestible particles (colloid) that absorb water, causing distension of the bowel and triggering bowel movements. Examples include FiberCon (polycarbophil), Citrucel (methylcellulose), and Metamucil (psyllium).
• Stool softeners: These allow water and fat to penetrate the stool, making it softer. Phillips' Stool Softener Liquid Gels (docusate) and Pedia-Lax (glycerin suppository) are available over the counter. Mineral oil is also commonly used, especially for children and adults with disabilities, but it needs to be mixed with juice to be palatable.
• Stimulant laxatives: These directly stimulate the intestinal nervous system and cause electrolyte and fluid secretion by the colon. The long-term safety of these laxatives is still unclear, and they should only be used for extended periods by patients with neurological impairments who are hospitalised or in long-term care facilities. An example of an OTC stimulant laxative is Dulcolax (bisacodyl).
• Osmotic laxatives: These are non-absorbable compounds that draw water into the colon, liquefying your stool. Examples include Milk of Magnesia (magnesium hydroxide) and Miralax (polyethylene glycol 3350).
• Sodium phosphate osmotic laxatives: These have been linked to serious health risks, and the Food and Drug Administration (FDA) has warned against taking more than one dose in 24 hours.

Frequently asked questions