bulk forming laxatives

Question 1

What are the indications for bulk forming laxatives?

Answer 1

constipation, anal fissure

Question 2

What are the contraindications for bulk forming laxatives?

Answer 2

faecal impaction, swallowing difficulties, colonic atony, intestinal obstruction

Question 3

First and second line treatment for bulk forming laxatives?

Answer 3

first line therapy for constipation in adults

Question 4

Mechanism of action of bulk forming laxatives?

Answer 4

absorb liquid from the intestines and swell to create a soft bulky stool, increase of faecal mass stimulates peristalsis in the intestine and distends the bowel to initiate reflex bowel activity

Question 5

What are the side effects of bulk forming laxatives?

Answer 5

abdominal cramps, flatulence, bloating, nausea, dehydration

Question 6

What are the monitoring requirements for bulk forming laxatives?

Answer 6

none

Question 7

Treatment cessation in bulk forming laxatives?

Answer 7

none

Question 8

Patient and carer advice for bulk forming laxatives

Answer 8

may take a few days to develop full effect. don’t take before bed. need to maintain/increase fluid intake to avoid obstruction