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Laxatives - A Practical Guide (Paperback, Softcover reprint of the original 1st ed. 1997)
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Laxatives - A Practical Guide (Paperback, Softcover reprint of the original 1st ed. 1997)
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Constipation is a common disorder that is often defined differently
by patients and physicians. Clinically, constipation occurs when
bowel move ments are difficult or painful. The "normality" of bowel
movements, in terms of frequency, varies among individuals;
frequency that is thought by one person to be constipation may be
reported by another to be usual and thus normal. Often the
perceived "need" to have a bowel movement leads to self-treatment
with laxatives as these drugs are widely available without a
prescription. This situation can raise problems in patient care,
because of potential interactions between laxatives and other
medications. Furthermore, chronic use (abuse) oflaxatives can cause
serious medical consequences, causing patients to visit physicians,
and even to be hospitalized for further evaluation and care. This
has a financial impact on the patient, and on health care systems.
It is essential that pharmacists, physicians and other health care
practitioners counsel patients on the causes of constipation and
the proper use oflaxatives. A medical work-up by a physician should
be done to determine if the constipation is due to a pathological
process. Often nor mal bowel function (for an invididual) can be
maintained by diet and/or lifestyle. Most laxatives in use today
are of botanical origin. Further research on the mechanism of
action of these and synthetic laxatives is needed to bet ter define
their pharmacology and toxicology."
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