It certainly makes sense to seek relief from the bloating, crampy abdominal pain, and irritability that constipation causes. Laxatives can help. But what if you need one every day?
Board-certified gastroenterologist Dr. Prem Chattoo often gets this question in his NYC practice. Uncovering the reasons for and solutions to chronic constipation and other bowel irregularities is a common occurrence at Hudson River Gastroenterology.
In answering the daily laxative question, quite honestly, it depends on the type of laxative you’re using and why.
Laxatives are medications or supplements that help stimulate bowel movements or soften stools.
They come in different types:
Each type works differently, and some are gentler on your system than others.
It depends on the type of laxative and why you’re taking it. Some types are safe for long-term use under medical guidance.
For instance, bulk-forming and osmotic laxatives are generally considered safe for long-term use, especially if you have chronic constipation or a condition like irritable bowel syndrome (IBS-C). Many people take these daily under medical supervision without harm.
On the other hand, stimulant laxatives that trigger muscle contractions can cause problems if overused.
Risks of stimulant laxative overuse include:
Frequent bowel movements can flush out essential minerals, such as potassium and sodium.
Daily use may lead to dependence, meaning your colon becomes “lazy” and stops functioning properly without stimulation.
The longer you use stimulant laxatives daily, the harder it becomes to have a natural bowel movement. Over time, this could lead to a vicious cycle: You can’t go without them, and taking more only makes the bowel more reliant.
Chronic constipation could signal more serious problems like thyroid disorders, diabetes, or colon blockage.
Daily laxative use shouldn’t be your solution for chronic constipation. Instead, Dr. Chattoo recommends scheduling an evaluation to determine the underlying cause of your sluggish bowels.
Constipation is a prevalent condition often associated with lifestyle factors, including inadequate hydration, a lack of dietary fiber, and physical inactivity. Additionally, certain medications, such as antidepressants or pain relievers, can slow your gut.
Chronic conditions such as Parkinson’s, multiple sclerosis, and pelvic floor dysfunction can also affect the nerves and muscles that help move stool through the bowels. Colon stricture or cancer may also play a role.
Thus, Dr. Chattoo begins with a thorough evaluation, a detailed discussion of your symptoms, and perhaps diagnostic studies to identify underlying issues.
Depending on your results, he then develops a treatment strategy that may include the safe use of stool softeners or other types of laxatives.
If you’re relying on laxatives daily, don’t self-diagnose. Schedule a visit with Dr. Prem Chattoo today. Call the office or request an appointment online.
