Constipation Flashcards
What lifestyle modifications can be made to aid constipation?
Drink more water
Increase fibre
Regular exercise
Toilet routine and position
Medicine for constipation can be split into 2 groups
Laxatives
Enemas
How do osmotic laxatives work?
Increase the amount of water in the large bowel either:
Draw fluid in - lactulose
Retain fluid they came with- macrogols (movicol) is
Stimulant laxatives work by?
Increasing intestinal motility
Either oral or PR
Name some stimulant laxatives
Senna
Docusate sodium - (glycerin)
Bisacodyl
Docusate sodium suppositories work how?
Cause rectal irritation and lubrication- acting as a stimulant and stool softener
Name some bulk forming laxatives and state how they work
Methylcellulose
Ispaghula husk
Medicinal fibre
How do stool softeners work?
Decrease surface tension of stool
Increase penetration of fluid into stool
Name some stool softeners
Docusate sodium
Arachis oil
Liquid paraffin