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Summary:  Not all laxatives are created the same.  Discussed in this episode are the nonpharmacologic options to relieve constipation, and the OTC Laxative options available should nonpharmacologic efforts fail.  Included is a brief explanation of the peristaltic movement that is pooping, and how the different laxative options affect that process.  Though there is often a silly poop joke or phrase lurking nearby i.e. dropping the kids off at the pool, a healthy and properly functioning bowel is essential for your overall health.  Please consult your healthcare providers for any questions and guidance about constipation and your gut health.

Topics:

·       Constipation Definition 02:00

·       Before Using Laxatives 03:00

·       OTC Laxatives 04:00

·       Bulk Laxatives (Metamucil/Citrucel/Fibercon) 06:15

·       Peristalsis and Bowel Movements 06:45

·       Osmotic Laxatives (Miralax/MOM) 07:50

·       Stool Softeners (Docusate) 09:30

·       Lubricant Laxatives 10:00

·       Stimulant Laxatives (Bisacodyl & Senna) 11:00

·       Laxative Overuse 12:00

·       Rx Laxatives

      Irritable Bowel Syndrome with Constipation – Linzess 12:30

      Opiate Use – Relistor to prevent GI effects of opiates 13:10

·       Onset of Action 14:30

-              Bulk = 12 hrs to 3 days

-              Stool Softeners = 12 hrs to 3 days

-              Stimulant = 6 to12 hrs

-              Lubricant =  6 to 12 hrs

-              Enema/Suppository = 15 min to 1 hr

·       Side Effects/Over usage 17:30

·       Interactions with Medication  Consult Pharmacist 19:25

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