Laxatives are products that promote
bowel movements.
Purpose
Laxatives are used to treat constipation - the passage of small amounts of
hard, dry stools, usually fewer than three times a week. People who are
constipated may find it difficult and even painful to have bowel movements.
They may also feel bloated, sluggish, and generally uncomfortable and may
have other symptoms such as a dull headache and low back pain. But these
symptoms do not always mean that laxatives are necessary. A great deal of
misunderstanding exists about their use.
Many people believe that they are constipated and should take a laxative if
they do not have a bowel movement every day or if their stools are sometimes
hard. However, a wide range in normal bowel habits exists, depending on the
individual and his or her diet. Some people have bowel movements as often as
three times a day, some only three times a week. Anything within this range
is considered normal. In addition, some people's stools are naturally firmer
than others.
Occasional constipation can often be treated without laxatives. Increasing
the amount of fiber in the diet, drinking enough water and other liquids,
such as fruit and vegetable juices, exercising regularly, and setting aside
time every day to have a bowel movement are the first steps. These measures
will also help prevent constipation from occurring again. If these methods
do not relieve the problem, a physician may suggest using a laxative for a
limited time. A physician should always be the one to decide when a laxative
is needed and which type of laxative should be used.
Description
Laxatives come in various forms - liquids, tablets, suppositories, powders,
granules, capsules, chewing gum, chocolate-flavored wafers, and caramels.
The basic types of laxatives are bulk-forming laxatives, lubricant
laxatives, stool softeners (also called emollient laxatives), and stimulant
laxatives.
Bulk-forming Laxatives
Bulk-forming laxatives contain materials, such as cellulose and psyllium,
that pass through the digestive tract without being digested. In the
intestines, these materials absorb liquid and swell, making the stool soft,
bulky, and easier to pass. The bulky stool then stimulates the bowel to
move. Laxatives in this group include such brands as FiberCon, Fiberall, and
Metamucil.
Lubricant Laxatives
Mineral oil is the mostly widely used Lubricant Laxative. Taken by mouth,
the oil coats the stool. This keeps the stool moist and soft and makes it
easier to pass. Lubricant laxatives are often used for patients who need to
avoid straining - after abdominal surgery, for example.
Stool Softeners (emollient laxatives)
As their name suggests, Stool Softeners make stools softer and easier to
pass by increasing their moisture content. This type of laxative does not
really stimulate bowel movements, but it makes it possible to have bowel
movements without straining. Stool Softeners are best used to prevent
constipation in people who need to avoid straining - because of recent
surgery, for example. However, they are not very effective at treating
existing constipation. Docusate (Colace, Sof-Lax) is an example of a stool
softener.
Stimulant Laxatives
Ingredients in these laxatives stimulate muscles and nerves in the
intestines. This helps move the stool along. Although these laxatives are
popular and effective, they should be used with care, as they are more
likely than other types to cause side effects. They may also work more
quickly and powerfully than other laxatives. Examples of stimulant laxatives
are Bisacodyl (Correctol) and Senna (Senokot).