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About
Laxative Abuse and the Laxative Habit
Laxative
Abuse is a term used to describe the mis-use, and the over-use, of
laxatives which produces a complete dependency upon laxatives in order
to move the bowels. When over used or when used long term, the purgative
nature of laxatives causes a great deal of damage to The
Colon. This damage can cause the colon to become insensitive and fail
to function properly. When this occurs, the laxative habit has become
fixed. The laxative habit cannot be
kicked cold turkey without serious health risks. If
you think you have the laxative habit, consult with your doctor about
how to gradually recover the use of your colon and what strategy to use
to begin to reverse the habit.
Most individuals
unintentionally develop the laxative habit. Misconceptions about normal
Healthy Bowel Function is common. False beliefs
about the frequency with which bowels should be moving, lack of information
about how Stools are Formed can lead
some individuals who are overly concerned with bowel function, to take
laxatives. The very action of laxatives can hook
individuals on the use of laxatives. The relief from problems with
constipation can feel quite profound especially if the constipation was
accompanied by feelings of depression or sluggishness. The availability
of laxatives prepared as chocolates and gum packaged in convenient carry
along containers suggests that laxatives may be consumed much like after
dinner mints without adverse consequences. Some individuals self medicate
with laxatives in an attempt to cope with the side effects of Constipating
Medications and supplements. Consult with your doctor if you suspect
that your medication may be causing constipation. Some individuals get
started on laxatives in an attempt to loose water weight in preparation
for competitions (sports, pageants, etc.). Similarly, some misguided dieters
and individuals with eating disorders, take laxatives in an attempt to
loose weight. In this case, the determination of laxative abuse can be
difficult because this kind of laxative abuser usually vigorously denies
laxative use.
How Does
the Habit Start? Typically, the development of this habit starts
with the use of a Stimulant Laxative
to achieve overnight relief from Constipation.
Stimulant laxatives over empty the bowel.
This means that three days may pass before the individual
will feel the Defecation
Reflex (the urge to have a bowel movement) again. Anxiety to
move the bowels grows with the passing of each day. By the third
day of not moving the bowel, many individuals will take another
dose of laxatives. Again, after achieving the desired results, another
three days may go by before a bowel movement occurs. This delay
reinforces the need to continue the use of the laxative. Furthermore,
the packaging on many products indicates that laxatives can be taken
for up to two weeks. Some will conclude that they should continue
to take the laxative (and take it everyday) to correct the problem.
This is the point at which cultivation of the habit
can begin. Because of the damage that laxatives
cause, ever increasing dosages of laxatives may be required in order
to achieve the desired effect. Where one laxative dose produced
results, now two, then three doses a day, are required. Individuals
who abuse laxatives for a long period of time may end up taking
as many as 6 to 8 laxatives a day.
What are
the consequences? Essentially, whether taken
short term or long term, laxatives create and perpetuate the very problem
they were intended to correct. Laxatives induce constipation as
the tissues become dried out, muscles become weakened and the delicate
nerves lining the colon become damaged. This slows down intestinal motility
and results in constipation. With long term laxative
abuse, the colon becomes damaged and fails to function entirely. This
is laxative dependency. A laxative abuser has diarrhea in place
of well formed stools. Long term abusers tend to have weight loss, hair
loss, vomiting, abdominal pain, low energy, thirst, puffiness, mood swings,
bone pain and suffer symptoms of dehydration. With
prolonged use of laxatives a number of serious problems may arise such
as fluid and electrolyte imbalances, damage to other organs, and syndromes
resembling colitis.
What about
fiber laxatives? Many older persons tell us that they are not
constipated because they take Fiber
Laxatives everyday. This is also a laxative habit. If they were
to suddenly stop taking the fiber laxative, they would likely suffer
constipation due to the gradual dehydration that dry fiber laxatives
produce in the body. This dehydration damages
the colon and is not reversed overnight. Dry fiber laxatives draw
water from the body whether the body has it to spare or not. Furthermore,
if the body already is dehydrated, the dry fiber laxative can form
an impaction, a serious problem of blockage in the colon that results
in some 2,000 deaths every year in long term care facilities.
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