How many laxatives should you take for constipation relief. What is docusate and how does it work as a laxative. When should you use docusate and what are its key facts. Who can safely take docusate and what are the contraindications. How to properly administer docusate in various forms. What are the potential side effects of docusate and how to manage them.

Understanding Docusate: A Gentle Laxative for Constipation

Docusate is a widely used laxative that helps alleviate constipation by softening stool and facilitating easier bowel movements. This medication is particularly beneficial for individuals experiencing difficulty with bowel movements due to dry stools, hemorrhoids, or anal fissures. Additionally, healthcare providers may recommend docusate as a preparatory measure before certain diagnostic procedures, such as abdominal X-rays.

Available in various forms, including capsules, liquid, and enemas, docusate can be obtained through prescription or over-the-counter at pharmacies. One popular brand, DulcoEase, is readily available for purchase without a prescription.

How does docusate work?

Docusate functions as a stool softener by increasing the amount of water absorbed by the stool. This action helps to make bowel movements easier and less painful, particularly for individuals dealing with hard, dry stools.

Key Facts About Docusate: Effectiveness and Usage

Before using docusate, it’s essential to understand its key characteristics and effects:

• Onset of action: Capsules and liquid forms typically take 1-2 days to show effects.
• Rapid relief: Enema form usually works within 20 minutes.
• Age restrictions: Not recommended for children under 12 without a doctor’s prescription.
• Duration of use: Should not be used for more than a week without consulting a healthcare provider.
• Common side effect: Nausea may occur in some users.

Who Should and Shouldn’t Use Docusate?

While docusate is generally safe for most adults and children over 12, certain individuals should exercise caution or avoid its use altogether.

Suitable candidates for docusate:

• Adults and children aged 12 years and older experiencing constipation
• Individuals with occasional constipation due to dietary changes or lifestyle factors
• Patients preparing for specific medical procedures

Contraindications and precautions:

Docusate may not be suitable for individuals with:

• Known allergies to docusate or its ingredients
• Intestinal blockages
• Severe abdominal pain
• Recent episodes of nausea or vomiting (within the last 24 hours)

For the enema form, additional contraindications include:

• Hemorrhoids or anal fissures
• Inflammatory bowel conditions such as ulcerative colitis or Crohn’s disease
• Paralytic ileus

Proper Administration of Docusate: Forms and Dosages

Docusate comes in various forms, each with specific administration instructions:

Capsules:

• Swallow whole with plenty of water
• Standard dose: 1 capsule, three times daily
• Maximum daily dose: 5 capsules

Liquid:

• Use the provided measuring cup or spoon for accurate dosing
• Standard dose: Two to three 5ml spoonfuls, three times daily
• Follow with water or another beverage

Enema:

• Gently squeeze the tube of liquid into the anus
• Standard dose: 1 tube of liquid
• A second dose may be used later in the day or the following day if needed

For optimal results, take docusate at regular intervals throughout the day. Mealtimes can serve as helpful reminders. Enemas work quickly, typically within 5-20 minutes, so use them when you have access to a toilet.

Managing Missed Doses and Overdose Scenarios

In the event of a missed dose, simply take the next scheduled dose as normal. It’s important not to double up on doses or take extra to compensate for the missed one.

While an occasional extra dose is unlikely to cause harm, it may lead to diarrhea and stomach discomfort. If you’re concerned about taking too much docusate, consult a healthcare professional for guidance.

Potential Side Effects of Docusate

Like all medications, docusate can cause side effects in some individuals, though many people experience no or only minor effects.

Common side effects:

• Nausea
• Diarrhea
• Stomach cramps

These effects are typically mild and resolve within a few days. When using the enema form, some users may experience a burning sensation or pain around the anus, which usually subsides quickly.

When to seek medical attention:

While rare, serious side effects can occur. Consult a healthcare provider if you experience persistent or severe symptoms, including prolonged pain or bleeding following enema use.

Maximizing the Benefits of Docusate Treatment

To enhance the effectiveness of docusate and promote overall digestive health, consider the following tips:

• Stay hydrated by drinking 6-8 glasses of water daily
• Gradually reduce the dosage as your condition improves
• Incorporate fiber-rich foods into your diet
• Engage in regular physical activity
• Establish a consistent bathroom routine

By following these guidelines and using docusate as directed, most individuals can experience significant relief from constipation and improve their overall bowel health.

Alternatives to Docusate: Exploring Other Constipation Remedies

While docusate is an effective option for many, some individuals may prefer alternative treatments for constipation relief. Consider these options:

Natural remedies:

• Increased fluid intake
• Dietary changes (e.g., adding more fruits, vegetables, and whole grains)
• Probiotic supplements
• Regular exercise

Other over-the-counter laxatives:

• Bulk-forming agents (e.g., psyllium)
• Osmotic laxatives (e.g., polyethylene glycol)
• Stimulant laxatives (e.g., bisacodyl)

It’s important to consult with a healthcare provider before trying new treatments, especially if you have chronic constipation or underlying health conditions.

Understanding Chronic Constipation: When to Seek Medical Advice

While occasional constipation is common, persistent or severe cases may indicate an underlying health issue. Consider consulting a healthcare provider if:

• Constipation lasts longer than three weeks
• You experience severe abdominal pain
• You notice blood in your stool
• You have unexplained weight loss
• Laxatives, including docusate, fail to provide relief

A medical professional can help identify potential causes of chronic constipation and recommend appropriate treatment options, which may include lifestyle changes, medications, or further diagnostic tests.

Docusate in Special Populations: Pregnancy, Breastfeeding, and Elderly Care

The use of docusate in certain populations requires special consideration:

Pregnancy:

While docusate is generally considered safe during pregnancy, it’s essential to consult with a healthcare provider before use. They may recommend alternative methods for managing constipation during pregnancy, such as dietary changes or gentle exercise.

Breastfeeding:

Docusate is typically considered safe for use while breastfeeding. However, as with any medication, it’s best to consult with a healthcare provider to ensure it won’t affect milk production or the infant’s health.

Elderly care:

Older adults may be more susceptible to side effects or interactions with other medications. Healthcare providers may need to adjust dosages or recommend alternative treatments based on individual health status and medication regimens.

Preventing Constipation: Lifestyle Strategies for Long-Term Digestive Health

While docusate can provide effective relief for constipation, implementing preventive measures can help maintain long-term digestive health:

1. Maintain a high-fiber diet rich in fruits, vegetables, and whole grains
2. Stay hydrated by drinking plenty of water throughout the day
3. Engage in regular physical activity to promote bowel motility
4. Establish a consistent bathroom routine
5. Manage stress through relaxation techniques or mindfulness practices
6. Limit consumption of foods known to contribute to constipation, such as processed foods and dairy products
7. Avoid excessive use of laxatives, which can lead to dependence

By incorporating these strategies into your daily routine, you can significantly reduce the likelihood of experiencing constipation and minimize the need for laxatives like docusate.

Docusate Interactions: Medications and Supplements to Consider

While docusate is generally safe, it’s important to be aware of potential interactions with other medications and supplements:

Medications that may interact with docusate:

• Mineral oil laxatives
• Certain antibiotics (e.g., doxycycline)
• Some heart medications (e.g., digoxin)
• Certain blood thinners (e.g., warfarin)

Supplements to use with caution:

• Vitamin E
• Fat-soluble vitamins (A, D, K)

Always inform your healthcare provider about all medications and supplements you’re taking to avoid potential interactions and ensure safe use of docusate.

Docusate for Children: Safety Considerations and Alternative Approaches

While docusate is not recommended for children under 12 without a doctor’s prescription, constipation in children is a common concern. Consider these approaches for managing pediatric constipation:

Non-medicinal strategies for children:

• Encourage increased fluid intake
• Promote a balanced diet rich in fruits, vegetables, and whole grains
• Establish regular bathroom routines
• Encourage physical activity

When to consult a pediatrician:

• Persistent constipation lasting more than two weeks
• Signs of discomfort or pain during bowel movements
• Blood in the stool
• Unexplained weight loss or failure to thrive

A healthcare provider can assess the child’s condition and recommend appropriate treatments, which may include dietary changes, behavior modifications, or safe laxative options suitable for pediatric use.

The Future of Constipation Treatment: Emerging Therapies and Research

While docusate remains a widely used and effective treatment for constipation, ongoing research continues to explore new therapies and approaches:

Emerging treatments for constipation:

• Probiotic and prebiotic therapies
• Targeted microbiome interventions
• Novel pharmacological agents targeting specific digestive processes
• Personalized medicine approaches based on individual gut flora

As research progresses, we may see more tailored and effective treatments for various types of constipation, potentially offering alternatives or complements to traditional laxatives like docusate.

In conclusion, docusate serves as a valuable tool in managing constipation for many individuals. By understanding its proper use, potential side effects, and alternatives, patients can make informed decisions about their digestive health. Always consult with a healthcare provider for personalized advice and to ensure safe and effective treatment of constipation.

Docusate: a laxative to treat constipation

1. About docusate

Docusate is a type of medicine called a laxative. It helps to soften your poo and makes your bowel movements easier if you have problems pooing (constipation).

It is helpful when you have difficulty going to the toilet because of dry poos or piles (haemorrhoids) or if you have a tear in the lining of your intestine near your anus (anal fissure).

You may also be given docusate if you’re going to have an x-ray of your stomach. It can help you empty your bowels beforehand.

Docusate comes as capsules and as a liquid that you swallow. It also comes as an enema. This is a tube of liquid medicine which you squeeze into your anus (bottom).

Docusate is available on prescription or to buy from pharmacies. There is one brand called DulcoEase that you can buy in pharmacies and shops.

2. Key facts

• Docusate capsules and liquid take 1 or 2 days to work.
• The enema usually works within 20 minutes, so it’s best to stay close to a toilet.
• Only give docusate to a child under 12 years old if their doctor prescribes it.
• Do not take it for more than a week without talking with your doctor.
• Common side effects include feeling sick (nausea).

3. Who can and cannot take docusate

Most adults and children aged 12 years and over can safely take docusate.

Important

Never give docusate to a child under 12 years old unless their doctor prescribes it.

Docusate is not suitable for some people. To make sure it is safe for you, tell your doctor or pharmacist if you have:

• ever had an allergic reaction to docusate or any other medicines
• a blockage in your gut (intestine)
• stomach pains
• been feeling sick or have vomited in the last 24 hours

Do not use an enema containing docusate if you have:

• piles (haemorrhoids) or bleeding from your bottom
• a sore around your anus (anal fissure)
• ulcerative colitis or Crohn’s disease, or other inflammatory bowel condition
• parlytic ileus (when the muscles in your bowel are not able to move food and liquid along)

4.

How and when to take or use docusate

Docusate comes as capsules, liquid and an enema.

How to take or use it

Capsules – swallow the capsule whole with plenty of water.

Liquid – this comes with a plastic cup or spoon to measure the dose. Do not use a kitchen spoon as it will not give the right amount. If you do not have a cup or spoon, ask your pharmacist for one. When you’ve swallowed it, drink plenty of water or have another drink, such as milk or orange juice.

Enema – squeeze the tube of liquid gently into your anus. The information leaflet which comes with your docusate will explain how to do this.

Docusate does not usually upset your stomach. You can take the capsules or liquid with or without food. Try to take your medicine at regular intervals throughout the day. Mealtimes (breakfast, lunch and dinner) are useful reminders.

There is no specific time of day to use an enema but it works quickly (usually between 5 and 20 minutes), so use it when you know you’ll be near a toilet.

Dosage

Capsules – the normal dose is 1 capsule, taken 3 times a day. Do not take more than 5 capsules in a day.

Liquid – the normal dose is two or three 5ml spoonfuls. Take this dose 3 times a day.

Enema – normally 1 tube of liquid is all you need. If you need a second dose, you can use it later in the day or the next day.

You will usually feel more comfortable within 1 or 2 days of treatment. Reduce the dose as your condition gets better.

Drink plenty of fluids (6 to 8 glasses a day) while you are taking docusate or your constipation may get worse.

What if I forget to take it?

If you forget a dose of docusate, do not worry. Just take the next dose as normal.

Never take 2 doses at the same time. Never take an extra dose to make up for a forgotten one.

What if I take too much?

Taking an extra dose of docusate as a one-off is unlikely to harm you, but it is a good idea to drink lots of water. You may get diarrhoea and stomach pain, but this will usually get better within 1 or 2 days.

If you’re worried, talk to your doctor or a pharmacist for advice.

5. Side effects

Like all medicines, docusate may cause side effects in some people but most people have no side effects or only minor ones.

Common side effects

If you get any of these side effects, talk to your doctor or pharmacist:

• feeling sick (nausea)
• diarrhoea
• stomach cramps

These side effects are mild and usually go away after a couple of days.

When using a docusate enema you may get a burning feeling or pain around your bottom (anus). Occasionally the wall of the anus may bleed. This is a reaction to the enema and it usually clears up quickly. If the pain or bleeding does not go away or you are worried, talk to your doctor or pharmacist.

Serious side effects

In rare cases, it’s possible to have a serious allergic reaction (anaphylaxis) to docusate.

Immediate action required: Call 999 now if:

• your lips, mouth, throat or tongue suddenly become swollen
• you’re breathing very fast or struggling to breathe (you may become very wheezy or feel like you’re choking or gasping for air)
• your throat feels tight or you’re struggling to swallow
• your skin, tongue or lips turn blue, grey or pale (if you have black or brown skin, this may be easier to see on the palms of your hands or soles of your feet)
• you suddenly become very confused, drowsy or dizzy
• someone faints and cannot be woken up
• a child is limp, floppy or not responding like they normally do (their head may fall to the side, backwards or forwards, or they may find it difficult to lift their head or focus on your face)

You or the person who’s unwell may also have a rash that’s swollen, raised, itchy, blistered or peeling.

These can be signs of a serious allergic reaction and may need immediate treatment in hospital.

These are not all the side effects of docusate. For a full list see the leaflet inside your medicines packet.

Information:

You can report any suspected side effect using the Yellow Card safety scheme.

Visit Yellow Card for further information.

6. How to cope with side effects of docusate

What to do about:

• feeling sick – try taking docusate with a meal or snack. You could also try mixing your dose with some water or fruit juice.
• diarrhoea – if you’re using docusate for mild constipation and get diarrhoea, stop taking docusate. Your bowels will usually return to normal in a few days. Drink plenty of water or other fluids to prevent dehydration and stop the constipation returning. If your doctor has prescribed docusate for severe or long-term constipation and you get diarrhoea, ask them for advice about what to do. Do not take any other medicines to treat diarrhoea without speaking to a pharmacist or doctor.
• stomach cramps – if you get stomach cramps, reduce your dose of docusate until this goes away.

7. Pregnancy and breastfeeding

If you’re pregnant or breastfeeding, you can try to treat constipation without taking a medicine. This involves eating more fibre and drinking plenty of fluids. It may also help to do gentle exercise.

If diet and lifestyle changes do not work, your doctor or midwife may recommend a laxative, such as lactulose or Fybogel. These laxatives are quite often used during pregnancy and while breastfeeding.

Docusate in pregnancy

Docusate is occasionally used in pregnancy and there is no evidence to suggest it will harm your baby. However, other types of laxative are usually tried first, because there is more information to say that they are safe.

Docusate and breastfeeding

If your doctor or midwife recommends docusate, instead of lactulose or Fybogel, it’s usually ok to use this medicine while breastfeeding. The amounts of docusate found in breast milk are probably very small and are unlikely to affect your baby.

If you notice that your baby is not feeding as well as usual, or if you have any other concerns about your baby, talk to your health visitor, midwife or doctor as soon as possible.

Non-urgent advice: Tell your doctor if you’re:

• trying to get pregnant
• pregnant
• breastfeeding

For more information about how laxatives can affect you and your baby, read this leaflet about treating constipation on the Best Use of Medicines in Pregnancy (BUMPs) website.

8. Cautions with other medicines

Do not take docusate with a mineral oil laxative such as liquid paraffin.

Mixing docusate with herbal remedies and supplements

There’s very little information about taking herbal remedies and supplements with docusate.

Important:
Medicine safety

Tell your doctor or pharmacist if you’re taking any other medicines, including herbal medicines, vitamins or supplements.

9. Common questions about docusate

How does docusate work?

Docusate helps to soften your poo by increasing the amount of water in it. This makes it easier for you to go to the toilet.

Docusate also stimulates the muscles that line your gut, helping poo to move poo along your bowel to your anus.

When will I feel better?

Docusate capsules and liquid normally take 1 or 2 days to work. The enema usually works after 5 to 20 minutes, so it’s best to stay close to a toilet.

Talk to your doctor or pharmacist if you are still constipated after a week.

How long willI take docusate for?

Take docusate for up to 1 week. If you take docusate for longer, your bowel can start to rely on it, rather than working on its own.

If you are still constipated after taking docusate for a week, talk to your doctor.

If your constipation is caused by an illness or a medicine you’re taking, your doctor will advise you about when it’s best to stop taking docusate.

Is it safe to take docusate for a long time?

It’s best to use docusate occasionally and for a few days at a time.

Using laxatives like docusate for longer can lead to long term diarrhoea.

They can also cause an electrolyte imbalance. This means that levels of salts and minerals like sodium, potassium and magnesium in your body get too high or too low. A severe electrolyte imbalance can cause serious health problems such as muscle spasm and twitching, and even fits or seizures.

Using docusate for many weeks, even months, could also stop your bowel working properly on its own.

Can I take different laxatives together?

For most people, 1 laxative will be enough to relieve constipation.

Occasionally, you may need to take 2 different types of laxatives at the same time to get your bowels moving again.

Only take 2 laxatives together on the advice of your doctor or pharmacist as there is an increased risk of side effects.

Are there other laxatives I can try?

There are other types of laxative. They work in a different way to docusate but are equally good at treating constipation.

Bulk-forming laxatives, for example Fybogel. These increase the bulk or weight of poo which in turn stimulates bowel movement. They take 2 or 3 days to work.

Osmotic laxatives, for example lactulose. These draw water from the rest of the body into your bowel to soften your poo and make it easier to go to the toilet. They take at least 2 days to work.

Stimulant laxatives, for example senna and bisacodyl. These stimulate the muscles that line your gut, helping them to move poo along your gut. Senna takes about 8 hours to work.

Is there any food or drink I need to avoid?

You can eat and drink normally while taking docusate.

It might be a good idea to stop eating pastries, puddings, sweets, cheese and cake for a while as these foods can make constipation worse.

Can I drink alcohol with it?

Yes, you can drink alcohol with docusate.

Can I use docusate after surgery?

It’s quite common to have constipation after surgery. Using a laxative may help relieve the discomfort.

If you have constipation after an operation, it’s better to use lactulose because it is gentler than docusate. You can get lactulose from pharmacies.

Can lifestyle changes help constipation?

It’s often possible to improve constipation without having to use laxatives. Before trying docusate – or to stop constipation coming back – it may help to:

• eat more fibre – aim for about 30g of fibre a day. High-fibre foods include fruit, vegetables and cereals. If you’re not used to a high-fibre diet, increase the amount of fibre you eat gradually.
• add bulking agents, such as wheat bran, to your diet. These will help make your poo softer and easier to pass (although bran and fibre can sometimes make bloating worse).
• drink plenty of water – to keep poo soft
• exercise regularly – keeping your body active will help to keep your gut moving

Laxatives: OTC Products for Constipation

Constipation is a common condition that makes it difficult to have a bowel movement. It can be caused by:

• Your diet
• Certain medicines
• Dehydration
• Too little physical activity
• Intestinal problems

Constipation can usually be treated with medicines called laxatives. Many laxatives are available over-the-counter (OTC). This means you can buy them at the store without a prescription from your doctor. Some may be called stool softeners or fiber supplements.

Path to improved health

How do laxatives work?

There are several different kinds of laxatives. Each one works a different way. These are the most common types.

Bulk-forming laxatives

These laxatives add “soluble” fiber to the stool. This causes the stool to absorb more water. It creates larger, softer stools. The larger stools help trigger the bowel (intestines) to contract. This moves the stools out. Bulk-forming laxatives generally are the safest type of laxative.

Examples of bulk-forming laxatives include:

• Psyllium (1 brand name: Metamucil)
• Polycarbophil (1 brand name: FiberCon)
• Methylcellulose (1 brand name: Citrucel)

To reduce your risk of side effects, you should start slowly. Make sure to drink plenty of fluids while taking bulk-forming laxatives. Gradually increase how much you use until you get the results you want.

Lubricant laxatives

These coat the surface of the stools to make them slippery. Doing this helps the stools move out of the body more easily. Glycerin suppositories lubricate the inside of the anus (the outside opening of the intestine). This makes it easier to pass hard stools out of the body.

Stool softeners

These help mix fluid into stools to soften them. This makes stools easier to pass out of the body. An example of a stool softener is docusate (1 brand name: Colace).

Osmotic laxatives

These cause the intestine to hold more fluid. This softens stools and helps the bowel move them out. Examples include polyethylene glycol (1 brand name: Miralax) and magnesium hydroxide solution (brand name: Milk of Magnesia).

Stimulant laxatives

These are the harshest type of laxatives. They cause the bowel to squeeze or contract to move the stools out. Bisacodyl (1 brand name: Dulcolax) and sennosides (1 brand name: Senokot) are examples of stimulant laxatives. Stimulant laxatives should not be used for more than a few days. When these laxatives are taken for a long time, the bowel can lose its muscle tone. It can “forget” how to push the stool out on its own. 

Should I use a laxative to treat constipation?

Most of the time, constipation doesn’t require treatment with laxatives. It will usually go away on its own. Or you can make changes in your diet and other habits. You can prevent or treat constipation by:

• Eating foods rich in soluble and insoluble fiber (bran, oats, foods made with whole grains, fruits, and vegetables)
• Drinking enough fluids (especially water)
• Getting enough exercise

You may try all of these things and still be constipated. That is when taking a laxative may help you. 

How do I safely take OTC laxatives?

Before you take an OTC laxative, read the directions on the drug facts label. This will tell you how much medicine to take and how often to take it. If you have any questions about how much medicine to take, call your family doctor or pharmacist. Keep a record of the OTC medicines you are using and when you take them. If you need to go to the doctor, take this list with you.

Follow these tips to make sure you are taking the right amount of an OTC laxative:

• Take only the amount recommended on the medicine’s label. Don’t assume that more medicine will work better or quicker. Taking more than the recommended amount can be dangerous.
• If you are taking a prescription medicine, ask your doctor if it’s okay to also take an OTC laxative.

How can I safely store OTC laxatives?

Store all medicines out of reach and sight of young children. Keep medicines in a cool, dry place. This will help prevent them from becoming less effective before their expiration dates. Do not store medicines in bathrooms or bathroom cabinets. They are often hot and humid.

Things to consider

Most laxatives don’t have side effects if you use them correctly. However, sometimes they can cause cramping, gas, bloating, nausea, or diarrhea.

Laxatives aren’t meant for long-term use. Don’t use laxatives for longer than 1 week unless your doctor recommends it. Long-term use or overuse of laxatives can cause health problems. Overusing laxatives may also hide symptoms your doctor should know about. This could delay finding out about other health problems and starting treatment.

Some people are at risk for electrolyte imbalances while taking certain laxatives. They include children and people who have diabetes or kidney disease. Electrolytes are substances in your body. They help your nerves, organs, and muscles work properly.

Taking laxatives can cause you to eliminate too many electrolytes. When this happens, you may have side effects. These could include nausea, vomiting, headache, confusion, fatigue, and muscle weakness or spasms. Electrolyte imbalance can be serious. Check with your child’s doctor before giving him or her a laxative. If you have a chronic condition, be sure to talk to your doctor before taking a laxative.

Who shouldn’t take laxatives?

Don’t take laxatives if you are allergic to any of the ingredients. Some people may be allergic to psyllium, a key ingredient in 1 type of bulk-forming laxative.

If you have a condition called phenylketonuria, you shouldn’t take a laxative that contains phenylalanine.

Could laxatives cause problems with any medicines or supplements I take?

Laxatives can get in the way of how your body absorbs certain medicines and nutrients. Don’t take any other medicines within 2 hours of taking a laxative. If you’re taking a prescription medicine of any kind, talk to your doctor before taking a laxative. You also shouldn’t mix different types of laxatives. This includes oral laxatives (taken by mouth) and suppositories. Don’t take bisacodyl within 1 hour of taking antacids or drinking milk.

Mineral oil and castor oil are sometimes used as laxatives. They shouldn’t be used often. If mineral oil is used often, it can cause deficiencies of vitamins A, D, E, and K. Castor oil is a stimulant laxative. Using it a lot can cause you to lose muscle tone in your bowel. This can lead to long-term constipation. Mineral oil and castor oil also interact with some medicines. These include blood-thinners, antibiotics such as tetracycline, and certain heart and bone medicines.

When should I call my doctor?

If you have any of the following symptoms, talk to your doctor before using an OTC laxative:

• Nausea
• Stomach pain
• Sudden change in your bowel habits that lasts 2 weeks or longer
• Vomiting
• Blood in stool
• Black or dark-colored stool

Stop taking laxatives and call your doctor if you have any bleeding from your rectum. Also call your doctor if you don’t have a bowel movement after using a laxative. These could be signs of a more serious problem.

Questions to ask your doctor

• What kind of laxative is best for me?
• Am I taking any other medicines that will interact with a laxative?
• Do I need a prescription laxative, or can I buy one over the counter?
• How long should I take a laxative?
• Can I use a bulk-forming laxative every day?
• Are there any tests you recommend before I begin taking laxatives?

Resources

National Institutes of Health, MedlinePlus: Constipation

Copyright © American Academy of Family Physicians

This information provides a general overview and may not apply to everyone. Talk to your family doctor to find out if this information applies to you and to get more information on this subject.

How many days can constipation last and what to do

How many days of stool retention in adults can be considered constipation?

How many days of stool retention in adults can be considered constipation?

Constipation is a violation of the function of bowel movement, in which the intervals between acts of defecation increase to 3 days or more, and there is also significant physical discomfort in the process of bowel movement ^{1, 3} .

There is no unambiguous answer to the question of how many days of stool retention in an adult can be considered constipation, and cannot be. The normal rhythm of bowel movements for a person can be determined by the nature of nutrition and other individual characteristics. The use of a large amount of food containing coarse vegetable fiber, while limiting protein products, may be accompanied by two to three bowel movements per day ⁵ .

On a mixed diet, daily stools in the morning are normal. In those whose diet is dominated by refined foods, the frequency of bowel movements (up to 3 per week) and the volume of feces are simultaneously reduced. Stool frequency is not a cause for concern as long as bowel movements are not accompanied by discomfort ⁵ .

On a mixed diet, daily stools in the morning are normal. In those whose diet is dominated by refined foods, the frequency of bowel movements (up to 3 per week) and the volume of feces are simultaneously reduced. Stool frequency is not a cause for concern as long as bowel movements are not accompanied by discomfort ⁵ .

Main causes and symptoms
Main causes and symptoms

In healthy adults, ^{1, 5} can provoke stool retention:

psychogenic
causes – anxiety and depression

medication

physical inactivity

9000 6

reduction in the proportion of products containing coarse vegetable fiber in the diet

The main symptom of constipation is the absence of voluntary defecation
for several days. Also, constipation is considered to be the need to push with the urge to defecate with soft feces, the appearance of hard fragmented stools, a significant increase in the diameter and density of the fecal cylinder, which, when separated, injures the mucous membrane of the rectum and anus, a feeling of incomplete emptying of the intestine ⁵ . It is not uncommon for a person to have to help himself manually by pressing his hand
on the area of ​​the pelvic floor, removing the stool with his finger ⁴ .

No matter how long constipation lasts in an adult, the absence of stool and discomfort during bowel movements may not be considered by the patient as a sufficient reason to visit a doctor
, although in fact this is not the case ^{1, 3} . It is often not customary to talk about the problem of constipation in general, and it happens that the Internet becomes the only “consultant” for the patient.

No matter how long constipation lasts in an adult, the absence of stool and discomfort during bowel movements may not be considered by the patient as a sufficient reason to visit a doctor
, although in fact this is not the case ^{1, 3} . It is often not customary to talk about the problem of constipation in general, and it happens that the Internet becomes the only “consultant” for the patient.

What to do with stool retention?
What to do with stool retention?

Consider the algorithm of actions in cases where constipation lasts for several days in a healthy adult.

The first and most important thing to do is to remember how often a bowel movement is normal and how much your own feelings have changed when trying to go to the toilet. It is worth talking about constipation
in cases where the deviation from the individual norm is
48 hours or more, and there are also characteristic symptoms (hard stools, pain during bowel movements, the need to push, etc.) ^{1, 4, 5} .

If problems with a chair have arisen for the first time, it is necessary, if possible, to determine the cause of the delay in the chair. If there have already been difficulties with defecation, it is better to contact a specialized gastroenterologist and undergo the necessary examination. Treatment of constipation should be comprehensive. In addition to taking laxatives, it includes recommendations for lifestyle and dietary changes ^{1, 3-5} .

Danger of stool retention
Danger of stool retention

Stretching of the smooth muscle fibers of the intestinal wall by accumulating fecal masses, including suppression of the urge to defecate, may contribute to constipation ⁸ .

Constipation is not just stool retention
Constipation is not just stool retention

Constipation has a significant negative impact on the patient’s quality of life ^{1, 3} .

Constipation leads to unpleasant symptoms that are not directly related to the act of defecation, such as lethargy, feeling of heaviness and fullness in the abdomen, decreased mood ⁶ .

Constipation fixes patients’ attention on bowel function: they begin to pay too much attention to the quantity and quality of stools ⁶ .

Long term constipation management

Recurring bowel problems are cause for concern and action. To do this, first of all, you need to contact a doctor who will determine the cause of constipation and give the necessary recommendations, including on lifestyle modification and nutrition correction ^{1, 4, 5} :

In addition to lifestyle recommendations, your doctor may also prescribe laxatives ^{1, 4, 5} .

increase the amount of foods containing coarse vegetable fiber in the diet: vegetables, fruits, bran;

drink at least 2 liters of fluid per day;

increase physical activity.

One of the laxatives is Guttalax®

⁹ .

Its active ingredient, sodium picosulfate, has a dual mechanism of action: it not only promotes colon peristalsis, but also helps soften stools ⁹ . In addition, Guttalax® is available in drops, which allows you to individually select the appropriate dose of laxative ⁹ . It is also worth noting that Guttalax® is not only not addictive when taken in recommended doses, but also does not require a course of administration – it can be used once as needed, exactly when there is such a need ⁹ . With prolonged constipation, it is imperative to consult a doctor who will determine the cause of constipation and give recommendations, and not resort to self-medication.

More about the drug

Comparative studies show that the effectiveness of colon cleansing when using a low-volume regimen did not suffer, and overall tolerability improved ⁹ .

Bisacodyl is a local laxative that acts specifically in the large intestine ¹⁰ . Bisacodyl enhances peristalsis and promotes the accumulation of water and electrolytes in the lumen of the colon. This leads to stimulation of defecation, reduction of evacuation time and softening of the stool. Bisacodyl is the active ingredient in Guttalax® Express ¹⁰ .

CONTRAINDICATIONS. IT IS NECESSARY TO CONSULT WITH A SPECIALIST.

Bisacodyl instructions for use, price: Overdose, side effects

THERE ARE CONTRAINDICATIONS. POSSIBLE SIDE EFFECTS. A SPECIALIST’S CONSULTATION IS NECESSARY. Constipation

The author of the article

Pogorelova Evgenia Sergeevna,

Candidate of Pharmaceutical Sciences, pharmacist

All authors

Content of the article

• Bisacodyl: what helps
• Bisacodyl: after how long it works
• Bisacodyl does not work: what to do
• How to speed up the action of Bisacodyl
• Bisacodyl side effects
• Bisacodyl: Overdose
• Summary
• Ask an expert on the subject of the article

Regular stool is a stable work of the gastrointestinal tract and a guarantee of good health. According to statistics, constipation occurs in 12-19% of the adult population, and in people over 60 in 36% of cases. To prevent problems with bowel movements, it is recommended to follow a diet, drink enough water and lead an active lifestyle. If constipation still appears, then along with the main treatment, the doctor will prescribe a laxative.

Pharmacist Evgenia Pogorelova will talk about the laxative drug Bisacodyl, how long it takes to start working, what side effects it has, and what happens in case of an overdose.

All products Bisacodyl

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Bisacodyl: what helps

Bisacodyl is a laxative based on the active ingredient of the same name. Available in the form of 5 mg tablets and 10 mg rectal suppositories in Russia, Latvia, Serbia and Germany. The drug causes irritation of receptors in the intestinal mucosa, which increases its mobility and increases the production of mucus. This promotes the movement of undigested food debris.

Bisacodyl indications:

• constipation caused by poor intestinal motility in old age or after surgery
• stool normalization for hemorrhoids, proctitis and anal fissures
• preparation for operations or instrumental examinations: X-ray, endoscopy, colonoscopy and others

Bisacodyl: how long does it take to work

A common question: “How quickly does Bisacodyl work?”. The time of occurrence of the effect depends on the dosage form of the drug. Bisacodyl tablets begin to act 6 hours after ingestion, but when taken at bedtime, the time increases to 8-12 hours. With rectal administration, a laxative effect occurs within 10-30 minutes, depending on the individual characteristics of the organism.

Bisacodyl does not work: what to do

It is important to remember that Bisacodyl tablets do not start to show their effect immediately. If within 12 hours the laxative effect of the drug is not manifested, you can repeat the intake at a minimum dose of 5 mg. The maximum daily dosage is 15 mg.

Re-use of suppositories can be done only after a day. If in this case there is no result from the medicine, it is necessary to consult a doctor about replacing the drug.

How to speed up the action of Bisacodyl

Bisacodyl is a powerful laxative and there is no need to speed up its action. The only thing that can be done is to correctly follow the rules for taking the medicine. Bisacodyl is taken orally at bedtime or 30 minutes before breakfast. Tablets should be swallowed without chewing and with a small amount of water. In case of urgent need for a laxative effect, apply suppositories.

Bisacodyl: side effects

Long-term use of Bisacodyl in high doses will lead to excessive loss of water and electrolytes, which is dangerous for the body. As a result, muscle weakness, heart failure, seizures and an excessive decrease in blood pressure may occur.

Common side effects include:

• nausea
• abdominal pain and heaviness
• flatulence
• allergic reactions

Bisacodyl: overdose

When using Bisacodyl, it is important to follow your doctor’s instructions and instructions and not to take the drug without indications. Otherwise, there is a risk of overdose, the consequences of which can be serious. These include:

• Chronic diarrhea
• Dehydration
• Abdominal cramps and pain
• An excessive decrease in the level of potassium in the blood, which causes psycho-emotional instability, muscle weakness and rapid physical fatigue, as well as increased urination, shortness of breath and abnormal heart rhythm
• Development of urolithiasis
• Damage to the kidneys and renal tubules

There is no specific treatment for laxative overdose. Therapy is aimed at eliminating the consequences of drug abuse: replenishment of fluid and electrolytes, as well as antispasmodics for pain.

Summary

• Regular stools are essential for a stable gastrointestinal tract and a guarantee of well-being
• Bisacodyl is a laxative based on the active ingredient of the same name
• Bisacodyl tablets begin to act 6 hours after ingestion, when administered rectally, the effect begins within 30 minutes.