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Laxatives are a type of medicine that can treat constipation. They're often used if lifestyle changes, such as increasing the amount of fibre in your diet, drinking plenty of fluid and taking regular exercise, have not helped. Laxatives are available to buy from pharmacies and supermarkets. They're also available on prescription from a doctor.
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GPs should continue to prescribe laxatives to manage acute constipation with more complex aetiology (e.g. iatrogenic) and chronic constipation. The NHS England guidance does not apply to the management of children and laxatives for children should continue to be prescribed by GPs.
Complications of long-term constipation. Long-term constipation can lead to faecal impaction. This is where poo has built up in the last part of the large intestine (rectum). The main symptom is diarrhoea, which leaks through the build-up of solid poo. Faecal impaction may be treated with: stronger laxatives – prescribed by a GP
1 laxative class for at least 4 days during the preceding 2 weeks. ADDITIONAL PRESCRIBING INFORMATION Local implementation of guideline: • If diet and lifestyle advice (1st line management) has failed to relieve constipation or there is an immediate clinical need for a laxative, review the patient and prescribe based on the laxative choices ...
GPs should continue to prescribe laxatives to manage acute constipation with more complex aetiology (e.g. iatrogenic) and chronic constipation. The NHS England guidance does not apply to the management of children and laxatives for children should continue to be prescribed by GPs.
If the person has opioid-induced constipation: Do not prescribe bulk-forming laxatives. Offer an osmotic laxative and a stimulant laxative (or docusate is an alternative which also has stool-softening properties). Gradually titrate the laxative dose(s) up or down aiming to produce soft, formed stool without straining at least three times per week.
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The aim of laxatives is to increase stool frequency or ease of stool passage by increasing stool water content (directly by osmotic or intestinal secretory mechanisms) or by accelerating bowel transit. Bulk-forming laxatives (containing soluble fibre) act by retaining fluid within the stool and increasing faecal mass, stimulating peristalsis ...
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