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| Home > Mercy Medical Group > MMG Health Information > Adults > Diarrhea and Constipation |
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Over-the-Counter Medications for Constipation and Diarrhea |
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CONSTIPATION
Laxatives are to be used only for short-term relief of constipation. Do not use
laxatives if you are not constipated, unless directed by your physician.
Frequency of bowel movements can vary from person to person, from one daily to
one every few days. Consult your physician if constipation lasts longer than one
week.
A diet consisting of roughage (whole grain breads, cereals, bran, fruit and
green leafy vegetables), six to eight full (8-ounce) glasses of liquids each day
and daily exercise are important in maintaining healthy bowel function.
Do not use a laxative within two hours of taking other medicines, because it may
interfere with the absorption of the medication. Many laxatives often contain
large amounts of sugars, carbohydrates and sodium. If you are on a low-sugar,
low-calorie or low-salt diet, check with your health care professional before
using.
- Bulk-forming agents
Citrucel® (methylcellulose), Metamucil® (psyllium) and Fibercon® (polycarbophil)
are bulk-forming agents that work to keep water in the intestine. This aids in
softening the stool and allows for a quicker emptying of the bowel, usually
within 12 to 72 hours. It is very important that you take these products with
8-ounces of water.
If you have abdominal pain, nausea, vomiting, rectal bleeding or sudden
changes in bowel habits lasting for two weeks do not use bulk-forming agents
without consulting your physician. If chest pain, vomiting or difficulty in
swallowing or breathing occur after taking these agents, seek immediate
medical attention.
- Stool softeners
Colace® (docusate) and mineral oil are examples of stool softeners. Stool
softeners work by softening stools for easier bowel movements. Do not take
docusate and mineral oil together.
- Stimulant laxatives
Dulcolax® (bisacodyl), Perdiem® (senna) and castor oil are examples of
stimulant laxatives. Stimulant laxatives act directly on the colon (large
intestine) to promote muscular contraction. It works in six to eight hours
after taken by mouth or within one hour of inserting a suppository into the
rectum. Stimulant laxatives may be habit forming to the colon and make the
person dependent on the laxative for normal bowel movements. These should be
used with caution. Peri-Colace® (docusate and casanthranol) is a combination
of a stool softener and a stimulant laxative. This product is not to be used
regularly, unless directed by your physician.
- Hyperosmotic laxatives
Glycerin suppositories are examples of hyperosmotic laxatives that work to
produce a bowel movement in 30 minutes. The side effects to glycerin
suppositories are minimal.
- Saline laxatives
Magnesium citrate is an example of a saline laxative. This product works to
cause a bowel movement by drawing water into the bowel, causing an increase in
pressure so that the body responds by pushing the contents along. These are
not to be used for repeated correction of constipation. Each dose should be
taken with full (8-ounce) glass of water to provide enough liquid for the
medicine to work properly. These medications can be cause stomach cramping,
nausea, vomiting and dehydration
DIARRHEA
Diarrhea may be serious. Do not use an antidiarrheal medication for more than
two days unless directed by your physician. Do not use an over-the-counter
product if the diarrhea is accompanied by a high fever (over 101 degrees
Fahrenheit) or if blood is present in the stool.
- Antidiarrheal medicines
Imodium AD® (loperamide), Kaopectate®, Donnagel® (attapulgite) and
Pepto-Bismol® (bismuth subsalicylate) are examples of medication used to
relieve diarrhea. Antidiarrheal medications reduce the number of bowel
movements and improve the consistency of loose or watery bowel movements.
Pepto-Bismol contains aspirin and should not be used if you are
allergic to aspirin or have a viral illness (flu or chicken pox), because it may
increase your risk of Reye's syndrome. Pepto-Bismol may also cause temporary
darkening of the tongue and/or stool.
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