Laxative abuse

Laxative abuse occurs when a person overuses laxatives in an attempt to have "normal" bowel movements. Some of the reasons people abuse laxatives include:

• not having enough fiber or water in their diets
• having the mistaken belief that it is necessary to have at least one bowel movement every day
• having an eating disorder or
• taking certain medicines that cause constipation

Laxative abuse can have serious effects. It can damage the muscular function of the bowel. People who abuse laxatives may require more of the laxative to get results, until eventually the laxatives do not work. Excessive laxative use can also drain the body of water, vitamins, and minerals. Loss of minerals and salts can cause an imbalance in the body's electrolyte system with malnutrition as the result. Other problems with laxative abuse are kidney failure, kidney stones, and the effects of medicines can be changed. These types of changes are most likely to affect the elderly.

No laxatives should be used unless suggested by a healthcare provider. The safest laxatives are bulk forming agents that contain a crushed seed called psyllium, which is a form of fiber and easily digested. Some people may have gas from these laxatives, this usually happens if too much is taken too soon. The gas will become less as the body adjusts to the extra fiber. Many brands of fiber exist, such as Metamucil and Fibercon.

Check with a healthcare provider if laxatives are being abused. Tapering off laxatives is necessary to prevent problems. Changing to products containing psyllium may help.

Try these natural alternatives to prevent constipation:

• drink plenty of water with each meal and throughout the day, at least eight 8-ounce glasses a day
• eat more fresh fruits, vegetables, and whole grains to increase dietary fiber
• go to the bathroom when you feel the urge (often right after a meal) and
• exercise regularly to promote bowel movements

Last Reviewed 2005

Disclaimer: This content is reviewed periodically and is subject to change as new health information becomes available. The information provided is intended to be informative and educational and is not a replacement for professional medical evaluation, advice, diagnosis or treatment by a healthcare professional.

HIL File DIGE3508.rf2 VRS# 5413 Data Version 7.0 Copyright 1999, 2002 McKesson Health Solutions LLC. All rights reserved.