Chronic abdominal bloating and constipation can be incredibly frustrating and difficult conditions to navigate. I find that I am treating these conditions more and more in the clinic, and with these conditions I sometimes see laxative dependence.

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I wanted to make a video surrounding laxatives—how they work, the different kinds, why dependence happens, and share how I have partnered with patients to help them wean off of laxatives!

Common Herbal/Stimulant Laxatives (Habit-Forming):
Senna
Cascara
Frangula Bark
Ducolax (Bisacodyl)

Common Osmotic Laxatives (Non-Habit Forming):
MiraLax
LaxaClear
GlycoLax
Epsom Salt (Magnesium Sulphate)

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Dr. Levitt’s Ideal Bowel Habit (which I have adopted and use as a goal in clinic):
1. The ability to defer the urge to poop at least 1 hour without abdominal or rectal pain as a result of deferring that urge
2. Complete voluntary control over gas and normally formed stool, not diarrhea (a.k.a. no leaking gas or poop!)
3. Prompt initiation of a bowel movement once sitting on the toilet
4. Smooth, steady passage of stool over 1-2 minutes or less without pain, bleeding, or prolapse
5. Sensation of complete rectal emptying upon leaving the toilet
6. No rectal or perianal skin symptoms between bowel movements
7. No abdominal pain or bloating between bowel movements

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Remember, materials and content available in this channel, Pelvic Empowerment, are intended as general information only, and should not be substituted for medical advice, prescription, diagnosis, or treatment. Do not wean off of laxatives without the supervision of your primary care provider or trusted physician!

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