Patients who are suffering with constipation can take a suitable laxative to help them poo more regularly. Most laxatives will work within 3 days, but they should only be used for a short period of time. Laxatives are not suitable for use by children, unless prescribed by their GP.
There are a number of different types of laxatives and you will need to use your WHHAM questioning techniques to ensure you are recommending the most suitable.
- Bulk-forming laxative - (methylcellulose & ispaghula husk) work in the same way as fibre to increase the bulk of the stools by helping to retain fluid, encouraging the bowel to push the stool out
- Osmotic laxatives - (Lactulose) soften the stools and make them easier to pass by increasing the amount of water in the bowels
- Stimulant laxatives - (Senna & bisacodyl) speeds up the movement of your bowels by stimulating the nerves that control the muscle lining of the digestive tract
- Stool softener laxatives - (Arachis oil & docusate sodium) increase the fluid content of hard, dry stools, making them easier to pass.
Constipation can also be helped by making some simple changes to diet and lifestyle which can make a difference within a few days.
Changes to diet
- Drinking plenty of fluids and avoiding alcohol
- Increasing fibre in their diet
- Adding wheat bran, oats or linseed to their diet
Increasing activity
- Increasing daily activity with a short walk or run
Improving toilet routines
- Don't delay going to the toilet if you have the urge
- If possible use a small stool to raise your knees above your hips