What can I take for severe constipation?
Severe constipation can be a distressing and uncomfortable condition that affects many people. It is characterized by infrequent bowel movements, hard stools, and difficulty passing them. If you are struggling with severe constipation, it is important to seek medical advice to determine the underlying cause. However, there are several over-the-counter (OTC) and prescription medications that can help alleviate symptoms and restore regular bowel function. In this article, we will explore some of the most effective options available to you.
OTC Laxatives for Severe Constipation
One of the most common treatments for severe constipation is the use of over-the-counter laxatives. These medications work by either increasing the amount of water in the stool or by stimulating the muscles in the intestines to move stool more quickly through the digestive tract. Here are some popular OTC laxatives:
1. Miralax (polyethylene glycol): This osmotic laxative works by drawing water into the bowel, which softens the stool and makes it easier to pass.
2. Dulcolax (bisacodyl): This stimulant laxative works by directly stimulating the muscles in the intestines to contract and move stool through the digestive tract.
3. Senokot (senna): This herbal laxative contains the active ingredient sennoside, which stimulates the muscles in the intestines to contract and increase bowel movements.
4. Colace (docusate sodium): This stool softener works by attracting water to the stool, which makes it softer and easier to pass.
Prescription Medications for Severe Constipation
In some cases, OTC laxatives may not be sufficient to treat severe constipation. Your doctor may prescribe stronger medications that are designed to address the underlying causes of constipation. Some of these prescription options include:
1. Lubiprostone (Amitiza): This medication is used to treat chronic constipation in women with irritable bowel syndrome with constipation (IBS-C). It works by increasing fluid secretion in the intestines.
2. Prucalopride (Nuzyra): This is a selective serotonin receptor agonist that stimulates the muscles in the intestines to contract and move stool.
3. Linaclotide (Linzess): This medication is used to treat both constipation-predominant IBS and chronic constipation. It works by increasing fluid secretion in the intestines and by slowing the movement of stool through the digestive tract.
Other Treatments and Lifestyle Changes
In addition to medications, there are several lifestyle changes and other treatments that can help manage severe constipation:
1. Increase Fiber Intake: Eating a diet rich in fiber can help soften stools and increase the frequency of bowel movements. Good sources of fiber include fruits, vegetables, whole grains, and legumes.
2. Stay Hydrated: Drinking plenty of fluids, especially water, can help keep stools soft and easy to pass.
3. Regular Exercise: Regular physical activity can help keep the digestive system moving and prevent constipation.
4. Probiotics: These beneficial bacteria can help maintain a healthy balance of gut flora and may help with constipation.
5. Stool Softeners: For those with chronic constipation, stool softeners can be used to make stools easier to pass.
Conclusion
Severe constipation can be treated effectively with a combination of medications, lifestyle changes, and other treatments. It is important to consult with a healthcare professional to determine the best approach for your individual situation. By addressing the underlying causes and implementing a comprehensive treatment plan, you can find relief from severe constipation and improve your overall quality of life.
