CONSTIPATION AND IBS Flashcards
laxatives (bulk forming type)
cause elimination of soft semisolid stools
helps distend colon & stim peristalsis
wheat bran
psyilium husk
isapughula husk
semisyenthetic cellulose
osmotic type
cause inc in fecal fluid causing inc. stoll liquidity
lactulose
sorbitol
lubricant type
retard water from leavng the stool thus softening it
liquid paraffin
surfactant type
allow water, lipid to penetrate the stool softening it
docusate sodium
purgative type
osmotic
prompt bowel evacuation byrapid water movement into small intestines and colon giving high volume of liquid stools
magnesium salts
polyethylene glycol
irritant type
anthraquinone
hydrolysed in colon giving bowel movement
senna
cascara
aloe
organic irritants
phenolphtalein
bisacodyl
sodium picosulfate
oil type
castor oil that becomes ricolinic acid
bisacodyl ADR
allergy reaction
Steven-Johnson syndrome
mucosal damage
inflammation
senna ADR
skin rash
brown pigmentation of colonic mucosa
urine disolouration
colonic atony in chronic use
senna ADR
skin rash
brown pigmentation of colonic mucosa
urine disolouration
colonic atony in chronic use
Magnesium salt ADR
nausea
mild abdominal cramps
unpleasant taste
lactulose ADR
flatulence
cramp
nausea
bedridden patients
prevent constipation (4 class of laxatives)
psyilium
lactulose
liquid paraffin
docusate
treat constipation
bisacodyl
senna
soap water/ glycerine enema
functional constipation
senna
bisacodyl
dietary fibre
post-operative patients
psyilium
lactulose
docusates
bowel prep
mg sailts
senna
