They are not intending to commit suicide but are trying to become unconscious so they do not binge,'' she explains. Youngsters who buy large quantities of OTC diuretics should also arouse suspicion. And excessive use of ginseng can be dangerous to someone who is not eating, particularly if taken with lots of black coffee. Pharmacists can also watch out for laxative abuse and help patients give up these products. Many abusers do not appreciate that laxatives do not cause weight loss because calories are quickly absorbed.
Laxatives simply cause dehydration and loss of important vitamins, minerals and electrolytes.
The EDA has a 'Coming off laxatives' advice sheet, which suggests that people who have been taking laxatives for a short while should try to stop at once. Other people may find a gradual approach is better, say, a 10 per cent reduction a week or keeping certain days of the week laxative-free. Some people find their weight increases when they stop taking laxatives or they feel bloated, but this is only temporary. Many sufferers make the mistake of brushing their teeth after being sick, which increases the risk of erosion. Instead they should rinse the mouth thoroughly with water, then wait several hours before brushing or eating anything acidic, such as fruit.