laxative



References: Laxative






J Clin Gastroenterol. 1987 Aug;9(4):427-30.
Laxative consumption in chronic nonorganic constipation.

Corazziari E, Materia E, Bausano G, Torsoli A, Badiali D, Fanucci A, Fraracci L, Morini S, Capurso L, Montesi A, et al.

Cattedra di Gastroenterologia I, Clinica Medica II, Universita La Sapienza, Roma, Italy.

We looked at laxative consumption and its relationship to bowel habits, total gastrointestinal transit time (TGITT), and symptoms in patients with chronic nonorganic constipation. Of the patients, 87.9% used laxative, 30% habitually. Laxative intake increased with age, so that habitual consumption was more frequent in patients with long-standing (greater than 10 years) constipation. Although habitual laxative users had a consistent trend toward lower bowel frequency and prolonged TGITT, no relationship was found among intake and observed bowel frequency, TGITT, or large bowel segmental transit time. Although laxatives induced more satisfactory or less difficult evacuations, they also caused diarrhea and mucus in the stool. Laxative consumption did not bring about any detectable improvement in the abdominal or extraabdominal symptoms usually associated with constipation.

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=3655276&dopt=Abstract constipation laxative



Nurs Times. 1997 Jan 22-28;93(4):35-6.
A strategy to reduce laxative use among older people.

Stewart E, Innes J, Mackenzie J, Downie G.

Royal Cornhill Hospital, Aberdeen.

Institutions can be places of routine and unquestioned practice in the administration of medications. In one mixed ward of psychogeriatric patients constipation was a common problem for which laxatives were routinely given. In this particular ward, many of the patients were receiving up to five different laxatives a day either orally or rectally. Dementia and being bed or chair-bound greatly increased the risk of chronic constipation. Excessive laxative use is another cause of chronic constipation. A review of practice and a decision implement a new approach was prompted by the arrival of new ward managers. The use of laxatives was stopped almost entirely and a new dietary regime was started. This article outlines how the changes were implemented.

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=9043323&dopt=Abstract constipation laxative



Geriatr Nurs. 1997 Jan-Feb;18(1):12-7.
Changing bowel hygiene practice successfully: a program to reduce laxative use in a chronic care hospital.

Benton JM, O'Hara PA, Chen H, Harper DW, Johnston SF.

Sisters of Charity of Ottawa (SCO) Hospital, Ontario, Canada.

Laxative use was significantly reduced in our long-term care facility when an interdisciplinary program based on a philosophy of prevention and health promotion was implemented. Specifically, increased fluid and fiber intake, timely toileting habits, and regular activity/exercise led to a halving of the number of patients receiving laxatives as required, relative to pre-program levels and relative to a control unit not receiving the program.

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=9060264&dopt=Abstract constipation laxative



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