Fibre sources include wholegrain bread, prunes, raisins, pulses, carrots, bran and cereals. There are few groups who constitute a management problem. Caution should be exercised with pregnant women and, if food intake is affected, diabetics. Allergies Only relevant if the patient is allergic to the proposed management drug. Reaction of proposed medication Stimulant laxatives may cause adverse reactions such as stomach spasms.
Bulk laxatives present a risk if there is undiagnosed obstruction.
Let the patient suggest their personal preference. Product selection Significant pathology must first be ruled out. The regular use of laxatives should be discouraged. Immediate relief Enemas and suppositories should not be the first line of attack these should only be used on the recommendation of a doctor or if there is some compelling reason. Stimulant laxatives are useful for acute simple constipation.