Mild remedy for constipation. Laxative during pregnancy. Traditional treatment for constipation
Laxatives - peristalsis activators, accelerators of excretion of accumulated decay products from the body. On sale they are presented in a wide range, but the composition of each is different: some are synthetic, while others are vegetable.
The doctor prescribes drops that improve secretion and slow down the absorption of water in the colon if problems with the stool have appeared recently. After taking them, the volume of the intestine changes upwards, and the emptying process does not cause discomfort. Thus, a common reason for prescribing drops is unopened problems with the gastrointestinal tract.
Drops have a lot of advantages:
- They are sold in almost all pharmacies without a prescription.
- Specialized medicines are produced for the elderly and newborns.
- Convenient reception: putting a few drops into a bottle of water, after a couple of minutes you will feel much better.
- Economical expense.
- A mild effect on the body helps to quickly reduce the load on the gastrointestinal tract and pancreas.
- Complex impact, i.e. solution of the problem of constipation, normalization of the gastrointestinal tract and prevention of serious diseases of the small and large intestines.
List of strong fast acting remedies
Reference! A laxative drug is drunk without a doctor's prescription, if they know the exact reason.
The pharmacy sells various preparations of both synthetic and natural origin, which have their own "strong" and "weak" sides. Natural ones are better, but sometimes synthetic ones work faster.
Guttalax
The most effective remedy in the fight against constipation is Guttalax. It acts gently on the body. This has been proven by medical studies in volunteers with frequent constipation. Already after the first dose, eighty-five percent of patients admitted to changing their state of health for the better.
Taking Italian drops, the intestinal muscles are stimulated. They act on the lower sections of the large intestine without causing the dangerous side effect of severe fluid loss. The chair does not liquefy, and other organs do not suffer from their intake.
For a 50 ml bottle with Guttalax drops bought at a pharmacy, they pay 389 rubles. Most often, they are taken before bedtime so that the result appears in the morning.
When prescribing, the doctor will select the optimal dose for the patient, taking into account his weight, lifestyle and diet.
This drug has a lot of advantages, in particular, the absence of addiction, excellent tolerance, not contributing to the development of side effects.
Contraindications: children under 4 years old, adults with stomach ulcers, hemorrhoids, cracks in the anus, never take them.
Regulax
Another effective medication is Regulax. He is credited with a laxative effect. Components from the composition belong to the group of anthranos. When the natural sennosides of senna are converted, reinanthrone is formed, which gently but effectively affects the receptors of the large intestine.
Day by day, stimulation increases, the mobility of the intestine, as well as propulsive contractions, return to normal. For eight hours of action, the drops accelerate the movement of feces in the gastrointestinal tract, reduce resorptive processes in relation to fluid, stimulate the secretion of chlorine, increase the lumen in the intestine and the number of electrolytes.
If women took drops, the price of which in a pharmacy is 120-170 rubles, during pregnancy with constipation, their newborn children will never get relief from taking them. The course of treatment with them should be short, otherwise addiction will occur.
Other side effects:
- hives;
- severe diarrhea;
- violation of the heart rhythm;
- hematuria;
- discoloration of urea, etc.
You can not take it with vomiting, spastic constipation, intestinal obstruction, while breastfeeding, nausea, appendicitis, etc.
Weak
In a pharmacy, Slabilen drops are bought for 162 rubles, if constipation is caused by hypotension, weak peristalsis of the lower intestine. They are also shown to people who need to establish a defecation process for hemorrhoids, fissures, proctitis. Sometimes they are taken before surgery, x-rays or instrumental examinations.
Doctors will never prescribe drops Weak to patients:
- with intestinal obstruction;
- strangulated hernia;
- with acute inflammation of the abdominal organs;
- bleeding from the gastrointestinal tract.
They are also contraindicated in children under 4 years of age and women in the first three months of pregnancy.
It is advisable not to take them without consulting a doctor: only he will select the optimal dose, taking into account age and lifestyle. If the dosage is exceeded, they provoke diarrhea, loss of fluid and electrolytes, convulsions, abdominal pain, etc.
Drops of Ogarkov
The pharmacy sells Ogarkov's drops at a price of 305 rubles per 50 ml bottle. It is prescribed for constipation of any etiology, fissures in the rectum and hemorrhoids.
The tool has a gentle effect on the body, as the composition is dominated by medicinal plants. Over time, intestinal peristalsis is restored, the stool returns to normal, and pain and spasms disappear.
Ogarkov's drops have no side effects, which means that everyone can take them to free the intestines, restore its functions and reduce fermentation processes.
Hilak forte
Newborns and older children with constipation are recommended to take Hilak forte. The medication has few side effects and it is possible to combine it with drugs that treat candidiasis, vaginal dysbacteriosis, dermatological problems and allergies.
If many effective drugs have analogues, then Hilak forte does not have them. Why? The answer lies in the composition of the drops. They contain organic acids that accelerate and recreate the growth of lactobacilli. The body of a newborn produces them from birth, and if he is also breastfed, then their production is enhanced.
Other components include phosphoric, lactic and citric acids and concentrates of metabolic products of saccharolytic and proteolytic agents of indigenous microflora, potassium sorbate and amino acids. The composition does not contain substances that the body cannot digest. One milliliter contains one hundred billion beneficial live bacteria.
A drug from a pharmacy for 252 rubles helps not only in the fight against constipation, but also with bloating, thrush and vaginal dysbacteriosis.
Espumizan
If the baby has colic or constipation, they buy a bottle of Espumizan, which does not contain lactose and sugar. Its intake is not prohibited for allergy sufferers with a reaction to milk, as well as for children with diabetes.. A 30 ml bottle of drops will last for a long time, and the newborn will get rid of the excruciating pain that he cannot talk about. The main active ingredient in the drug is Simethicone, a mixture of poly- and silicon dioxide. It fights against increased gas formation and accumulation of gases.
Contraindications for use
Due to the fact that pharmacies mainly sell laxative drops without a prescription, doctors are in a hurry to warn patients. It is advisable to consult about their reception with them, so as not to harm yourself.
The fact is that many of them are categorically contraindicated for inflammation in the gastrointestinal tract, hemorrhoids and fissures in the anus. A consultation does not hurt if a mother is looking for an effective remedy for constipation in her child. Salt medicines are contraindicated for him, as they penetrate the bloodstream and cause systemic disorders. They are dangerous because of causing dehydration in the body.
Attention! To solve a delicate problem with a chair, they turn to a doctor. Only he can identify the cause, prescribe the best drops together and give recommendations on nutrition and lifestyle.
Constipation is a dangerous bowel disorder that leads to problems with stool. He is treated, and in parallel with this, they change their usual life. With the start of taking drops, patients sign up for classes in the gym or start running in the morning. They begin to avoid stress and emotional tension, and in the daily diet include food rich in fiber and dietary fiber, and always water.
In pharmacy kiosks today you can see a lot of drugs that have a laxative effect, but almost each of them has its own contraindication. The main disadvantage of almost all traditional laxatives is that they are not able to treat constipation, as well as provide a long-term therapeutic effect. These drugs solve only the problem of one day: I took a pill - I relaxed, but tomorrow the same problem will arise, and I will have to run to the pharmacy again.
What are laxatives
Laxatives are usually understood as pharmacological drugs that can cause defecation. Along with analgesics, laxatives are considered the most popular drugs that patients purchase without consulting a doctor. They are also among the drugs that are often abused by patients.
What does a laxative treat?
Most of the laxatives that are sold today in pharmacies are considered symptomatic treatment - with their mediation, it is possible to eliminate only the symptom of the disease, the external manifestation, and not the cause. It is safe to say that these laxatives do not cure constipation, they only make life a little easier for us - for a day or two. Patients take laxatives for decades, but they fail to eliminate the causes of constipation, since causal therapy is not carried out, there is no visible improvement in health.
The best treatment for constipation would be a proper diet and an active lifestyle. In this case, laxatives may not be needed. But if you still have to resort to them, choose those that are closest in composition to clinical nutrition and can actually eliminate the cause of constipation. Give preference to prebiotics, lactulose preparations.
What are laxatives
All the variety of laxatives that are presented on the shelves of pharmacies can be divided according to the mechanism of action. The main group should include irritant laxatives. This is the largest and most dangerous group of laxatives.
It is usually represented by herbal preparations:
- rhubarb root;
- buckthorn bark;
- joster fruits;
- senna leaves (Alexandrian leaf);
- sabura;
- senada;
- glaxena;
- kafiol;
- castor oil.
Among the synthetic drugs:
- bisacodyl;
- regulax;
- dulcolax;
- gutalax.
Mechanism of action of irritant laxatives
The laxative effect of irritant laxatives is achieved by irritating the colon's receptors with chemical compounds. Thus, it is possible to stimulate the peristalsis of the colon. These drugs act only at the level of the colon and are able to induce a single bowel movement six to ten hours after ingestion.
Constipation is a difficult act of defecation that occurs due to various reasons: malnutrition, lack of physical activity, drug abuse, pregnancy, intestinal pathology, etc. In any pharmacy there is a wide range of laxatives for constipation. But, like all drugs, laxatives also have their own indications and contraindications for use.
Irritating drugs
These funds are the fastest and most effective laxatives for constipation. Their action is due to irritation of the receptors, with the help of chemicals, of the large intestine, which enhances peristalsis and causes it to empty after a few hours. An irritant laxative is recommended for acute, occasional constipation. It is not recommended to use the funds of this group for more than 10 days, since there is a high probability of complications: intestinal atony, destruction of nerve receptors, dehydration and loss of salts by the body.
| Bisacodyl - tablets, suppositories (analogues: Dulcolax, Bisacodyl-Akri, Bisacodyl-Hemofarm) |  |
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Active substance:
Bisacodyl. |
Description:
A laxative used in acute constipation, which increases the contraction of the intestinal walls. |
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Properties:
A laxative for constipation, which increases the contraction of the intestinal walls, contains substances that activate the intestinal glands, contributing to the production of mucus. Thanks to this, fecal masses come out painlessly. |
Application:
Treatment begins with 1 tablet or 1 suppository. The tablet is taken in the evening, after dinner, the suppository is injected into the rectum at bedtime. If the expected effect does not occur in the morning, the amount is increased to 2-3 tablets (or 2 suppositories). In preparation for an examination or surgery, drink 2 tablets before going to bed or 1 suppository of the drug is administered rectally per day or on the eve of the procedure or surgery. |
Indications:
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Contraindications:
With caution, the drug should be used:
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Side effect:
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Price:
From 20 to 50 rubles. |
| Guttalax - drops, tablets (analogues: Slabilen, Laxigal, Guttasil,) |  |
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Active substance:
Sodium picosulfate monohydrate. |
Description:
A mild laxative that irritates the intestinal receptors responsible for its peristalsis. |
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Properties:
A laxative for constipation stimulates the contraction of the intestinal walls, and also reduces the loss of water and electrolytes from the body. |
Application:
Tablets are taken orally at night, in the amount of 1-2 pcs. Drops - 10-20 drops (5-10 mg). Drops and tablets should not be used for more than 10 days. |
Indications:
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Contraindications:
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Side effect:
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Price:
From 200 to 300 rubles. |
| Senade - tablets (analogues: Senadeksin, Gerbion Laksana, Glaksenna) |  |
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Active substance:
Senna leaf extract. |
Description:
Herbal laxative for constipation, stimulating the peristalsis of the intestinal walls. |
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Properties:
Laxative with senna leaves promotes quick and gentle emptying. Not addictive, stool changes. Laxative fast action, the average time of onset of the expected effect is 8 hours. |
Application:
Tablets are taken orally at night in the amount of 1 pc. If there is no effect, the number of tablets can be increased to 3 pcs. per day. |
Indications:
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Contraindications:
Caution should be taken when taking the drug in the following cases:
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Side effect:
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Price:
From 550 to 600 rubles. |
| Buckthorn - tablets (extract), bark |  |
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Active substance:
Dry extract of buckthorn. |
Description:
Laxative preparation based on herbal ingredients. |
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Properties:
The composition of the plant includes anthraglycosides, which cause irritation of the receptors of the intestinal walls, and as a result, a laxative effect. The tannins in the composition of the product soothe the irritated intestinal mucosa, which is injured due to stagnant feces. |
Application:
Take 1-2 tablets at night. The bark is brewed according to the instructions for use. |
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Indications:
Chronic constipation. |
Contraindications:
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Side effect:
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Price:
From 50 to 200 rubles. |
| Phytotransit - tablets (analogues: Laminaria tablets) |  |
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Active substance:
Laminaria thallus. |
Description:
Herbal laxative. |
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Properties:
The active substance of plant origin has an irritating effect on the nerve receptors of the intestine, restoring its peristalsis and enhancing the work of the glands that produce mucus. This contributes to the soft evacuation of feces. |
Application:
For the treatment of constipation, take 1 tablet 2 times a day. |
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Indications:
Chronic constipation caused by impaired intestinal motility. |
Contraindications:
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Side effect:
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Price:
From 170 to 230 rubles. |
| Rektaktiv - candles |  |
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Active substance:
Extract of chestnut fruit. |
Description:
A laxative drug prescribed for occasional constipation. |
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Properties:
Horse chestnut extract stimulates the natural contraction of the intestinal walls, causing rapid evacuation of stool. |
Application:
Apply 1 suppository 1 time per day, in the evening. It is allowed to increase the dose up to 3 pcs. per day to normalize the act of defecation. The use of the drug for more than 10 days is allowed only after the approval of a specialist. |
Indications:
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Contraindications:
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Side effect:
Burning in rectum. As a rule, this symptom goes away on its own, after a few minutes. |
Price:
From 230 to 350 rubles. |
| Glycelax - candles (analogues: Glycerin, Glycerin suppositories) |  |
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Active substance:
Glycerol. |
Description:
Rectal laxative suppositories for constipation. |
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Properties:
When injected into the rectum, the active substance irritates the intestinal walls, which causes reflex contractions and increases peristalsis. Glycerol envelops the feces, so emptying does not cause pain. |
Application:
Rectal suppositories are injected into the rectum in the morning in the amount of 1 pc. It is allowed to use no more than 1 candle per day. |
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Indications:
Constipation arising from age-related changes, psychogenic factors, with limited mobility. |
Contraindications:
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Side effect:
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Price:
From 80 to 160 rubles. |
| Mucofalk (Analogues: Phytomucil) |  |
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Active substance:
Psyllium seed coat powder. |
Description:
Laxative phytopreparation for oral solution preparation with orange flavor. |
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Properties:
The active substance of the drug increases in volume upon contact with liquid in the gastrointestinal tract. Due to this, mechanical irritation of the intestinal walls occurs, its peristalsis increases and constipation is eliminated. Psyllium seeds have an anti-inflammatory effect, so it is advisable to use the remedy at any stage of hemorrhoids. |
Application:
Apply 1 sachet 1 time per day. The contents of one package are dissolved in 150 ml of cold boiled water. The prepared solution is drunk immediately after preparation. It is allowed to drink it with a glass of liquid. The use of the drug has no age restrictions. It can be used as a laxative during pregnancy, breastfeeding, as well as for the elderly and children. |
Indications:
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Contraindications:
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Side effect:
In rare cases, in the first days of taking the drug, bloating in the abdomen and heaviness increase. |
Price:
From 450 to 600 rubles. |
Osmotic laxatives
A group of laxatives recommended for use for a one-time bowel cleansing in case of acute constipation or before an endoscopic examination of the large intestine or in case of food and drug poisoning. Osmotic drugs are not addictive, they do not form the "lazy gut" syndrome. They act symptomatically and do not eliminate the root cause that provoked constipation.
The main action of laxatives for constipation is based on an increase in osmotic pressure due to the retention of water in the intestinal ducts. This causes softening of the stool and its increase in volume and, as a result, creates a laxative effect. It is not recommended to use osmotic agents for chronic constipation. Despite their mild effect, their use for more than three months causes a serious imbalance of water and electrolytes in the body, which leads to dehydration and the loss of important micronutrients in the body.
| Magnesium sulfate - powder (analogues: bitter salt, Epsom salt, Magnesia, Epsom salt) |  |
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Active substance:
Magnesium sulfate. |
Description:
Osmotic laxative. |
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Properties:
Magnesium sulfate increases the flow of water into the intestinal ducts and is not absorbed into the blood. As a result, the feces soften, increase in volume, which causes a natural urge to defecate. |
Application:
For constipation, a laxative is taken in an amount of 20 g on an empty stomach, 1 time per day - adults; 5 g - children 6-12 years old; 10 g - adolescents under 18 years old. |
Indications:
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Contraindications:
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Side effect:
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Price:
From 50 to 100 rubles. |
| Fortrans - powder (analogues: Forlax, Realaksan, Osmogol, Tranzipeg) |  |
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Active substance:
Macrogol. |
Description:
A laxative for constipation with osmotic properties, used to cleanse the intestines. |
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Properties:
The laxative does not affect other organs, since it is not absorbed into the general bloodstream from the stomach. Fortrans has a very powerful and fast laxative effect, completely cleansing the intestines even from unformed feces. |
Application:
The contents of one sachet are dissolved in 1 liter of cold boiled water. The drug is taken every hour in an amount corresponding to the calculation: 1 liter of the finished solution per 15-20 kg of human body weight. If the agent is used to cleanse the intestines before procedures, it should be completed at least 4 hours before the diagnosis. |
Indications:
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Contraindications:
Caution should be used in the elderly. |
Side effect:
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Price:
From 100 to 150 rubles for 1 sachet. |
| Microlax - microclyster with sodium citrate |  |
Active substance:
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Description:
Combined remedy with a laxative effect: has an irritating effect and softens the stool. |
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Properties:
Micro enema has an almost instantaneous effect, liquefying stool within 15-20 minutes. The main advantage of the remedy is that it does not affect the functioning of the intestines as a whole, it is not addictive. Substances in the composition of microclysters actively stimulate the flow of water into the intestines, which contributes to the rapid liquefaction of feces and their rapid evacuation. In this case, all components of the drug are excreted in the feces and are not absorbed by the body. |
Application:
The tip of the microclyster is inserted all the way into the rectum. Use at the onset of the characteristic symptoms of constipation. If the violation of the stool continues for a long time, consultation with a specialist is required. |
Indications:
It has no age restrictions: microclysters can be used to cleanse the intestines during pregnancy and breastfeeding, children and the elderly. |
Contraindications:
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Side effect:
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Price:
From 300 to 450 rubles. |
Laxatives with prebiotics
These funds are characterized by a slow, but mild and safe action. They can be used by pregnant and lactating women, the elderly, during the recovery period after surgery and childbirth. Prebiotics are recommended for acute and chronic stool disorders. The substances that make up laxatives have a beneficial effect on the state of the intestinal microflora, increasing the number of beneficial bacteria.
| Portalak - syrup (analogues: Lactulose, Normaze, Duphalac) |  |
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Active substance:
Lactulose. |
Description:
Laxative for constipation with osmotic properties. |
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Properties:
The laxative enhances intestinal peristalsis by increasing the osmotic pressure in the intestinal ducts. Also, the drug normalizes the composition of the intestinal microflora, enhancing the growth of beneficial bacteria. |
Application:
To eliminate constipation, take 15 ml orally 3 times a day. This dosage is maintained for three days. Further, the amount is reduced to 10 ml 3 times a day. |
| Indications: |
Contraindications:
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Side effect:
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Price:
From 265 to 350 rubles. |
| Exportal - powder |  |
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Active substance:
lactitol monohydrate. |
Description:
Laxative-prebiotic for the treatment and prevention of constipation with osmotic properties. |
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Properties:
Lactitol is an active prebiotic that reaches the large intestine unchanged. The drug softens the feces, increases the osmotic pressure inside the intestinal ducts, promotes gentle bowel movements. It also has a beneficial effect on the qualitative and quantitative composition of the intestinal microflora, creating a favorable environment for the development of beneficial microorganisms. |
Application:
The powder is mixed with water, tea, coffee, juice and drunk immediately. In this case, the entire daily dose (20 g) is taken as 1 dose. With the normalization of the stool, when the effect obtained is stable (the bowel movement occurs 1 time per day), the amount of the drug taken can be reduced by 2 times. The course of treatment is long - 5 months. |
Indications:
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Contraindications:
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Side effect:
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Price:
From 240 to 300 rubles. |
Preparations of complex action
This group of drugs has a complex effect, is intended for the treatment of chronic diseases of the digestive tract, as well as for the elimination of chronic constipation and stool disorders.
| Allochol UBF |  |
Active substance:
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Description:
A drug that enhances the secretion of the digestive tract, restores intestinal motility, reduces flatulence and has a laxative effect. |
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Properties:
The active substances of the drug have a complex effect on the functioning of the liver, stomach and intestines. Due to the normalization of bile formation, it increases the motor activity of the intestinal walls, eliminates the reproduction of putrefactive and fermentative bacteria in the intestine. |
Application:
For the treatment of constipation, take 2 tablets 3 times a day after meals. The duration of treatment is 20-30 days. |
Indications:
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Contraindications:
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Side effect:
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Price:
From 20 to 100 rubles. |
| Spazmonet - tablets (analogues: Drotaverine, No-Shpa) |  |
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Active substance:
Drotaverine hydrochloride. |
Description:
An antispasmodic used to treat disorders in the functioning of organs caused by spasm of smooth muscles. |
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Properties:
The active substance of the drug helps to normalize the stool, with constipation caused by spasm of the smooth muscles of the intestine. The drug relieves pain, eliminates spasm, restores the normal functioning of the organ and prevents tissue necrosis. |
Application:
It is allowed to take up to 6 tablets per day until the spasm of the smooth muscles of the intestine is eliminated to obtain a laxative effect. |
Indications:
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Contraindications:
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Side effect:
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Price:
From 70 to 150 rubles. |
Folk remedies for constipation
If the causes that caused violations of the act of defecation are not diseases of the digestive tract or inflammatory, purulent processes in the intestines, then for the treatment of constipation, you can use folk laxatives prepared at home. When choosing herbal ingredients for them, it is necessary to take into account the individual intolerance of the ingredients.
Decoctions and infusions
For constipation, it is desirable to use herbal preparations from medicinal plants for oral administration. They have a complex effect: they increase peristalsis, reduce irritation, and restore intestinal microflora.
To eliminate constipation caused by spasm of the smooth muscles of the intestine:
- dill or fennel seeds;
- dried mint or lemon balm leaves;
- mistletoe inflorescences;
- three-leaf watch;
- dandelion root, valerian and rhubarb.
To eliminate atonic constipation caused by sluggish intestinal motility:
- hop cones;
- dill or fennel seeds;
- dandelion root;
- toadflax;
- inflorescences of tansy;
- centaury.
All ingredients are taken in equal proportions: to prepare 1 tbsp. infusion - 0.5 tsp. every plant. Next, the dry mixture is poured into 200-250 ml of boiling water, insisted and drunk in one or more doses throughout the day until a laxative effect is obtained. Every day a new decoction is prepared.
Oils
To eliminate constipation at home, various oils can be used as a laxative. They are taken orally or added to a cleansing enema solution. This method is for adults only. For children, oils are used only as external agents. The following means cause defecation:
- linen;
- pumpkin;
- vaseline;
- castor.
The oil is taken orally 15-30 g for half an hour. Do not use such a laxative for more than three days. Oil is added to the cleansing enema solution in an amount of 50 ml.
Food
Foods included in the daily menu can also help normalize stools and prevent frequent constipation. In case of defecation disorders, first of all, alcohol, fatty and fried foods, sweets and rich pastries should be abandoned and products with a laxative effect should be preferred:
- raisins and prunes;
- figs (it is recommended to eat it on an empty stomach);
- beet;
- beet, carrot, pumpkin juices;
- honey mixed with walnuts;
- dairy products;
- seaweed.
It is very useful for constipation before going to bed to drink a glass of kefir or fermented baked milk at night. And it is very important to consume less than 2 liters of non-carbonated water during the day.
Which laxative to choose?
Any laxative should be not only effective, but also harmless to the body. Before using absolutely any drug, you should carefully read the instructions, especially with contraindications and side effects. It is necessary to select drugs, taking into account the following factors:
- Acute, occasional constipation that does not have a chronic course - in this case, you can take irritant laxatives or eliminate constipation by increasing the osmotic pressure inside the intestinal duct: Fortrans, Bisacodyl, Guttalax. But it should be remembered that it is they who have multiple contraindications and side effects, the only exception is Microlax microclysters.
- Chronic constipation - in this situation, it is better to give preference to laxatives with prebiotics: Portalak, Exportal. They act gently, restore the intestinal microflora, are not addictive. Means of this group are most suitable for children, pregnant women and the elderly.
- Spastic constipation (impaired defecation caused by spasm of the intestinal muscles) - to eliminate the painful condition, painkillers should be used that relax muscles and reduce tone: Spazmonet, No-Shpa, Drotaverine.
It should be remembered that all laxatives for constipation do not treat the root cause of its appearance, but only eliminate the characteristic symptoms. Therefore, in case of systematic violations of the stool, a visit to the doctor is mandatory. Only a specialist will help identify factors that disrupt the functioning of internal organs, and help you choose the most effective drug, taking into account all the indications and contraindications for its use.
Fast-acting laxatives are used when you need to quickly clear the intestines. However, laxative drugs help to cope only with the symptomatic manifestation of the disease, and not its cause. In chronic constipation, this method of therapy is not used. The use of laxatives is advisable only in case of episodic constipation. Learn more about colon cleanse laxatives at.
Constipation laxatives are used for symptomatic treatment. They only help to temporarily eliminate the symptoms of the disease, and not its cause. Any laxatives with regular use can exacerbate the problem.
So what are the side effects of fast-acting constipation remedies?
- Lack of bowel movements without artificial stimulation of the intestines.
- Spasmodic pains in the lower abdomen.
- Hepatic or renal colic.
- Dehydration of the body.
- Imbalance of electrolytes in the body.
Despite the possible consequences of taking laxatives, in some cases this method helps to quickly cope with constipation at home. They are prescribed in the absence of bowel movements in bedridden patients and the elderly, as well as in patients before diagnosis or surgery.
Description of drugs of different types
1. Irritant laxatives.
This group includes options based on herbal extracts, as well as some synthetic drugs (candles, tablets and drops). Irritating drugs use chemicals to act on receptors in the colon. Thanks to this stimulation, intestinal peristalsis is increased and its emptying occurs. Most of them are plant extracts.
- Rhubarb roots and rhizomes are used to treat constipation and other ailments of the digestive system. The plant has a mild laxative effect, has antiseptic and choleretic properties.
- Buckthorn bark contains large amounts of anthraglycosides, which cause its irritating effect.
- Joster fruit has a strong laxative effect. The composition of the plant includes anthraquinone derivatives, pectides, flavonoids and tannins, which irritate the muscles of the intestines and colon, and thereby help to cope with constipation.
- Castor oil contains in its composition acids (oleic, linoleic, ricinoleic). These components contribute to the restoration of intestinal motility.
After taking fast-acting irritants for constipation, bowel movement occurs after 6-10 hours. But, despite the high effectiveness of such therapy, it can cause side effects. With regular use for constipation, laxative disease may occur. This disease is associated with a violation of water and electrolyte balance. The most common symptom is atony (loss of muscle tone) of the bowel.
2. Osmotic laxatives for constipation.
Osmotic fast-acting laxatives help increase stool volume. They are used to treat idiopathic constipation. This group includes saline medicines that help with constipation due to osmosis (fluid attraction).
- Sodium sulfate - used to treat acute episodic constipation. Sodium sulfate adsorbs salt from the intestines, which leads to an increase in fluid and thinning of the stool.
- Magnesium sulfate is prescribed for constipation in adults to cleanse the intestines before diagnostics, medical procedures or operations.
- Geyser Karlovy Vary salt comes from the famous Czech spa Karlovy Vary. Mineral salt has a mild laxative effect due to a change in the osmotic pressure in the intestine.
- Polyethylene glycol is a high molecular weight substance. It is used in the absence of bowel movements in adults and children. Polyethylene glycol can also be given to women during pregnancy and lactation.
Regular use of osmotic laxatives leads to electrolyte imbalance. For elderly people with cardiovascular diseases, long-term use of salt products is prohibited.
3. Prebiotics.
Prebiotics are food ingredients that are not digested and pass into the large intestine unchanged. They activate the growth of bifidobacteria and lactobacilli necessary for digestion, and also stimulate carbohydrate metabolism. Prebiotics are prescribed for the treatment of constipation in children and adults. The use of these substances is the safest method of treating constipation at home.
Prebiotics contain lactulose, a disaccharide based on fructose and galactose. It is not absorbed in the intestines and passes unchanged into the large intestine. Lactulose-based products for constipation have a mild laxative effect. Prebiotics help to quickly deal with constipation due to the following functions:
- elimination of pathogenic intestinal microflora;
- increase in the volume of feces;
- increased intestinal peristalsis;
- reduction of gas formation;
- decrease in intestinal pH.
4. Drugs that increase the volume of intestinal contents.
Bulk preparations are natural or synthetic substances that are not digested or absorbed into the bloodstream. 8-10 hours after ingestion, defecation occurs.
This group of laxative drugs includes substances of plant origin, as well as synthetic polysaccharides.
- Agar-agar is a red algae found in the Pacific and Indian Oceans. The composition of this algae includes protein, carbohydrates and coarse fibers. Agar-agar has a mild laxative effect. Once in the intestines, the algae swells, which leads to an increase in the volume of feces.
- Methylcellulose is indicated for the treatment of constipation and IBS in adults and the elderly. This substance belongs to the group of synthetic polymers. When ingested, methylcellulose stimulates the growth of stool volume.
- Flax seeds help to quickly cope with constipation without side effects.
When are certain methods used?
1. Overview of laxatives for adults.
By prescription, tablets and suppositories based on bisacodyl can be used. It helps to increase the volume of mucus in the intestines and normalize its peristalsis. However, it is contraindicated in patients with kidney and liver diseases, with spastic constipation and hemorrhoids.
2. List of drugs for pregnant women.
According to statistics, every 4 women during pregnancy experience difficulty with emptying. In most cases, constipation is associated with temporary anatomical changes in the body of the future mother (enlargement of the uterus and compression of the intestine). Constipation in a woman during pregnancy is a problem that requires an immediate solution. Delayed bowel movements lead to intoxication of the body of the expectant mother and fetus. How to eliminate an unpleasant ailment without leaving home?
During pregnancy, taking irritating laxative tablets is contraindicated. They can cause reflex contractions. In addition, you should abandon the use of drugs such as Bisacodyl, Kafeol, drugs based on magnesium sulfate and castor oil. The most gentle method of treating constipation at home is taking prebiotics (Duphalac, Laktofiltrum, Prelax, Guttalax). During pregnancy, physiotherapy (electrical stimulation, electrophoresis) is prohibited.
3. List of drugs for the elderly.
Constipation occurs due to anatomical changes in the body. With age, the length of the intestine increases, and the muscles of the colon lose their tone. In addition, constipation can be a consequence of taking certain drugs.
You can cope with such an unpleasant problem at home with the help of fast-acting drugs.
- Guttalax is a mild laxative. Its active substance, diphenol, acts directly in the colon.
- "Prelax" is a prebiotic that helps to quickly cope with constipation without leaving home. The composition of the prebiotic contains lactulose - a safe substance that adsorbs water.
Elderly people, depending on the causes of constipation and its nature, may be prescribed laxatives, irritants or salts (in the form of tablets or drops).
4. List of drugs for bedridden patients.
In bedridden patients, constipation is a common problem. In most cases, the absence of bowel movements in patients is associated with hypodynamia. In addition, the problem is greatly aggravated by the use of drugs and the stress that people experience after severe injuries and operations.
To eliminate problems with emptying, bedridden patients are prescribed osmotic, emollient and stimulant laxatives.
- Psyllium-based products (in the form of tablets and drops). Psyllium is the seed of the Indian psyllium. They are an indispensable source of dietary fiber. Psyllium-based medications are well tolerated in the elderly and in patients recovering from surgery.
- Softening suppositories with glycerin and enema are used to treat constipation in bedridden patients with cardiovascular disease.
- Candles with bisacodyl, tablets based on sodium picosulfate and anthraquinones are stimulant laxatives. They are prescribed to restore emptying in bedridden patients and the elderly.
Prevention of constipation
1. Proper balanced nutrition is the key to the functioning of the intestines. For prevention, it is recommended to eat at least 4 times a day.
2. Inclusion in the daily menu of fruits and vegetables rich in fiber and dietary fiber.
3. An active lifestyle is the key to the health of the body, in particular, the organs of the digestive system.
4. Compliance with the drinking regime. In order to prevent constipation, it is recommended to drink 2 liters of fluid per day.
Constipation or constipation affects one in five people in the world. Moreover, this problem is most common in countries with a high standard of living. The first inconvenience with difficult bowel movements begins between the ages of 25 and 40, later the situation often worsens.
Despite the fact that constipation is a common problem, medicine does not recognize it as an independent disease, but considers it only as a symptom. Therefore, medical therapy is always aimed at eradicating the main cause of its occurrence.
One of the effective methods for diagnosing pathology is colonoscopy (examination of the inner surface of the large intestine using a special probe). In parallel with the treatment, it is necessary to alleviate the discomfort of the patient, for which the appropriate drugs are used.
When to take a laxative
If the stool is less than three times a week, or the consistency of the feces is hard, this is an alarm signal. However, such violations can also be random.
Causes of constipation:
- Wrong nutrition. The diet is low in vegetables, fruits and fiber. But there are too many foods that are quickly digested (white bread, broths, meat and dairy products).
- Insufficient intake of fluid in the body. A person needs an average of 1.5-2 liters per day.
- Constant rush, food on the go, stress and other factors of city life.
- Use of diets for weight loss.
- Forced retention of bowel movements (for example, at work) gradually reduces the sensitivity of colon receptors.
- Lack of physical activity negatively affects the tone of peristalsis.
- Consequences of operations.
Severe constipation may be due to causes such as a birth defect in the digestive system, volvulus, or intussusception. In these cases, surgery is often required.
How to choose a laxative
Medications to normalize stool fall into five categories.
Emollients
Enemas and suppositories
They are prescribed after childbirth and operations or before diagnostic procedures. Contraindicated in uterine bleeding, inflammation of the colon, defect in the mucous membrane of the anus, acute hemorrhoids. Enemas and suppositories have no side effects with short-term treatment.
contact laxatives
They irritate the mucous membrane of the colon and its nerve endings, and also prevent the absorption of fluid, due to which the feces remain soft. Due to the powerful and not always controlled effect, they are used for acute constipation, and the course of treatment is usually short. They should not be taken by children, the elderly and patients with limited mobility.
Fast action products
If the main goal is to get rid of discomfort as soon as possible, one of the three drugs will help.
Colon cleanser based on polyethylene glycol with the addition of sodium compounds. Sold in pharmacies in the form of a powder, soluble in water. The principle of action is based on the retention of fluid in the intestine, due to which its contents increase in volume and are easier to excrete from the body. The drug is not involved in the metabolic process.
Often used to prepare for an examination or surgery. Fortrans is not recommended for the treatment of children, it is contraindicated in the general poor condition of the patient and some diseases of the gastrointestinal tract.
This fast-acting laxative is a 5 ml disposable microclyster containing peptizers (substances that break down stool). The drug can be used at any age, it begins to act within only 10-15 minutes after application, does not require pre-treatment with an antiseptic. Allowed during pregnancy.
Only intolerance to the components can serve as a contraindication. The price of a package for 12 servings is about 950 rubles.
Drops for internal use based on sodium picosulfate, stimulating the contraction of the walls of the colon. The medicine begins to act 6-10 hours after ingestion, so it is better to use it before bedtime.
Guttalax is effective for hemorrhoids, anal fissures, postoperative recovery. This cheap remedy for constipation is fairly fast acting, does not require a prescription, and is approved for children over 4 years of age.
Mild laxatives
They are used when the maximum safe and long-term effect is important.
Inexpensive medicine based on a polymeric substance intended for the treatment of constipation in adults and children over 8 years of age. Sold as a soluble powder. Increases the volume of water in the intestines, stimulates its peristalsis and nerve fibers. Reduces the loss of electrolytes during bowel movements. The drug begins to act within 1-2 days after use.
Macrogol is not absorbed in the body, but is excreted along with feces. It can be used for a long time, which is especially useful for chronic stool problems. Contraindicated in inflammation or obstruction of the colon, ulcerative colitis, Crohn's disease.
Poslabin Lactulose
In addition to normalizing the activity of peristalsis, it stimulates the development of beneficial bacteria in the gastrointestinal tract, which leads to its gradual but natural recovery.
This mild laxative for every day is dispensed in pharmacies without a prescription and has no contraindications. Effective for chronic problems with defecation, salmonellosis, digestive disorders. For the normalization of microflora, a substance called lactulose, which is part of the drug, is responsible. This component also contains some other laxatives, for example, Duphalac.
Chewable tablets with apricot powder, psyllium, dill and senna extracts. They have an enveloping effect and stimulate the bowels. It is desirable to use them in the evening with meals, it is not necessary to drink. The effect comes the next morning.
Usually the course of admission lasts 2 weeks, if necessary, repeats. In addition to tablets, Phytolax can be bought in the form of bars, tea, and a soluble concentrate. Before use, it is advisable to consult a doctor. This medicine should not be taken during pregnancy and breastfeeding.
Folk remedies
The laxative effect is characteristic mainly of herbal products. It is necessary to increase the amount of vegetables and fruits. Cook porridge only on water. Give preference to cold dishes. Thanks to proper nutrition, digestion can be brought back to normal at home.
List of natural laxatives:
- Prunes. Helps to get rid of slag formations, has a softening effect in case of chronic constipation. Before use, the fruits must be soaked in warm water and squeezed.
- Dried apricots or figs are a mild laxative. You can make tea or compote and take it in the morning.
- Carrot juice has a healing effect on many organs, including the digestive system. During cooking, you can not use the core of the vegetable.
- Beet. A good bowel cleanser, suitable for preparing salads that have a laxative effect.
- Decoction of yarrow herb. Affects the smooth muscles of the intestine, stimulating their contraction. Restores its mucous membrane and relieves gases.
- Senna is an effective natural remedy, is part of many drugs.
Laxative for children
The most important conditions for normal bowel movements are a sufficient amount of fluid and potassium in the body. In childhood, the balance of these components is usually disturbed as a result of overheating or infection.
There is no potassium in boiled water, which means that the body's need for mineral salts must be met differently. The easiest way is to give your child figs, dried apricots, prunes or raisins. For babies, a decoction made from a tablespoon of dried grapes and a glass of boiling water is recommended. Fruit is best given in the form of juice.
It is desirable to reduce the amount of protein products, cottage cheese, chocolate, nuts. But yogurts, one-day kefir and yogurt will be useful. Avoid white bread. Strict dieting is not required, in itself it will not solve the problem.
For younger children, two types of laxatives are best, which can be used without medical advice. These are liquid oils (castor, almond, olive) and preparations containing senna (Senadexin, Glaxena, Regulax).
It is better to start with a very small dose, for example, half a tablet taken at bedtime. If the next morning it does not bring results, the dose should be slowly increased (but not more than two tablets). It is necessary to choose the minimum portion at which the child will successfully visit the toilet every morning.
In the process of such therapy, it is very important to prevent overheating and monitor a sufficient amount of potassium in food. If symptoms persist for 3 days, you should see a doctor. If all is well, the selected dose should be maintained for two weeks, and then gradually reduced until complete recovery.
Often, difficulties with emptying can be triggered by psychological factors, such as the inconvenience of the toilet, the presence of queues, and so on, this should also be taken into account before buying medicines. If the discomfort is caused by hemorrhoids or a crack in the anus, glycerin suppositories give a good effect.
