Doctors usually suggest stool softeners for people who shouldn't strain while using the bathroom, especially if you've just had surgery or given birth. Examples include docusate calcium (Surfak) and docusate sodium (Colace).
In general, bulk-forming laxatives, also referred to as fiber supplements, are the gentlest on your body and safest to use long term. Metamucil and Citrucel fall into this category.
Osmotic laxatives such as polyethylene glycol (brand name Miralax) are well-tolerated by most older adults, and can be used daily.
Dulcolax® Liquid Laxative works faster than MiraLAX. Dulcolax® works in as little as 30 minutes (30 minutes to 6 hours) while MiraLAX works in 1–3 days (based on product labeling).
Metamucil is a bulk-forming laxative that's readily available OTC. It's mainly used to help relieve constipation. Metamucil side effects, such as gas and bloating, are typically mild for most people. It's very important to follow the directions on the packaging to help prevent serious side effects.
Stool softeners like docusate (Colace) work by reducing the hardness of stools, which should make them easier to pass. Problem is, they won't do much if you're already constipated, since they take three of four days to kick in, he adds. But they can help treat chronic constipation.
Straining is the most commonly identified symptom by older adults, even though physicians tend to rely on bowel movement frequency to diagnose constipation. Additionally, patients tend to underestimate their frequency of bowel movements. Normal stool frequency can vary between 3 motions per day and 3 motions per week.
Side effects of stool softeners may include stomach pain, nausea and diarrhea. Contact your doctor if the medicine doesn't help relieve your constipation within one week.
Bulk-forming fiber supplements include calcium polycarbophil (Equilactin, Fibercon), methylcellulose fiber (Citrucel), and psyllium (Fiber-Lax, Konsyl, Metamucil), and wheat dextrin (Benefiber). Unlike other laxatives, you can take these every day. They make the stool bigger and softer.
An example of a stool softener is docusate (1 brand name: Colace). These cause the intestine to hold more fluid. This softens stools and helps the bowel move them out. Examples include polyethylene glycol (1 brand name: Miralax) and magnesium hydroxide solution (brand name: Milk of Magnesia).
Docusate is often used when straining to have a bowel movement should be avoided (such as after a heart attack or surgery). Docusate is a stool softener. It works by increasing the amount of water the stool absorbs in the gut, making the stool softer and easier to pass.
Insoluble fiber is the most beneficial for softening stools. It does not dissolve in water and helps food pass more quickly from the stomach to the intestines. Wholewheat flour, nuts, beans, and vegetables, such as cauliflower, green beans, and potatoes all contain insoluble fiber.
MOVICOL® has a natural mode of action that works gently, in harmony with your body. acts locally in the colon to relieve constipation: The water retained by MOVICOL® softens the stool and bulks it up slightly. As the stool gently expands, it naturally triggers colonic activity and a bowel movement.
A stool softener usually is taken at bedtime. Follow the directions on the package or your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take stool softeners exactly as directed.
Stool softeners work naturally with the body and are better tolerated with fewer side effects. Stronger laxatives such as stimulant laxatives are more appropriate for more severe symptoms.
If the daily recommended amount of fluid is not drunk, then Metamucil could cause severe constipation, especially in people who are already dehydrated. Some products may contain sugar, sodium, or phenylalanine (phenylketonurics should avoid).
The active ingredient, psyllium husk, is a soluble viscous fibre that absorbs and holds moisture. This causes the psyllium to swell, supplying the necessary bulk to help form an easily eliminated stool. Metamucil will not cause immediate evacuation but generally produces an effect in 12 to 72 hours.
There's no evidence that daily use of fiber supplements — such as psyllium (Metamucil, Konsyl, others) or methylcellulose (Citrucel) — is harmful. Fiber has a number of health benefits, including normalizing bowel function and preventing constipation.
Try natural laxatives that work fast for constipation relief, which include: aloe vera, leafy greens, chia and flax seeds, high fiber fruits, probiotic foods, and coconut water. Also make sure to drink plenty of water/fluids when consuming natural laxatives, since these work with high fiber foods to help soften stool.
stool softener laxatives – such as arachis oil and docusate sodium, which increase the fluid content of hard, dry stools, making them easier to pass.
Some popular brands include bisacodyl (Correctol, Dulcolax, Feen-a-Mint), and sennosides (Ex-Lax, Senokot). Prunes (dried plums) are also an effective colonic stimulant and taste good, too. Note: Don't use stimulant laxatives daily or regularly.