Warning: Serious Side Effects from Long-Term Use of Laxatives
The discomfort arising from constipation, the inability to defecate, and the distressing sensation associated with passing dry, hard, and lumpy stool can exacerbate the ordeal.
In such circumstances, experts often recommend increasing fiber intake and consuming plenty of fluids. However, some individuals may feel the need to resort to using laxatives, a type of medication that aids in alleviating and preventing constipation. But are these laxatives safe for long-term use? Should you take them every time you struggle with a bowel movement? A new report published by the specialized medical website "onlymyhealth" reveals the details.
Constipation and Laxatives
A laxative is a medication designed to treat individuals suffering from constipation and other digestive problems, such as Irritable Bowel Syndrome (IBS).
Chronic constipation is characterized by having fewer than three bowel movements per week, typically with stool that is hard or lumpy, and difficult bowel movements lasting for more than six months. In such cases, laxatives can help facilitate digestion and enable easier bowel movements without the need for straining.
However, not everyone experiencing constipation requires laxative medication.
For further clarification, Dr. Sushrut Singh, the Additional Director of Gastroenterology at Fortis Hospital Noida, says, "Laxatives are often used when lifestyle changes, like increasing dietary fiber, drinking plenty of fluids, and regular exercise, are adopted. They can provide relief to those suffering from irritable bowel syndrome, chronic idiopathic constipation, and constipation caused by opioid use. In addition, they are sometimes also used to empty the bowels before procedures like colonoscopies."
Understanding the Misuse of Laxatives and Their Side Effects
Frequent laxative abuse refers to inducing bowel movements, often without any medical need.
According to Medical News Today, this behavior is typically associated with individuals trying to lose weight quickly or manage eating disorders.
A study published in the International Journal of Eating Disorders followed a group of young women for 10 years to see if the use of diet pills or laxatives to lose weight increased the risk of developing eating disorders. It found that those who used these products were 3 to 5 times more likely to develop an eating disorder within 5 years compared to those who did not, reinforcing previous research that suggests using these products for weight control could be a red flag for future eating disorders.
Stimulant laxatives such as bisacodyl, castor oil, cascara sagrada, senna, and phenolphthalein are common laxatives misused and described by Dr. Singh as "dangerous," despite being over-the-counter medications.
One common side effect associated with long-term laxative use is electrolyte imbalance. Electrolytes include calcium, chloride, potassium, magnesium, and sodium, which help regulate many bodily functions.
Dr. Singh explains that electrolyte imbalance can lead to changes in heartbeat, weakness, confusion, and seizures. Furthermore, it can also cause dehydration, damage to the nerves and muscles in the digestive system, dependence on laxatives, kidney damage, and poor nutrient absorption.
Natural Ways to Treat Constipation
Instead of opting for laxatives, unless medically necessary, you can also turn to healthy lifestyle changes.
Singh details, "Eating fiber-rich foods such as fruits, vegetables, and whole grains can promote healthy digestion and regular bowel movements. Hydration is also crucial, as drinking lots of water helps soften the stool and facilitates its passage. The two work together to increase stool bulk, which helps move it swiftly through the colon. For those taking fiber supplements, it's essential to drink enough water to reduce the possibilities of bloating and potential blockages."
The use of laxatives is common among people with chronic constipation. Nevertheless, it is important to consult with a healthcare professional to determine if you truly need them and whether it is possible to alleviate symptoms using natural remedies.
While laxatives can provide short-term relief for chronic constipation, dietary changes, increased physical activity, and stress management can overall improve digestive health.
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