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Dr. Andrew Rynne

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Took senokot and feeling constipated. Any advice?

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Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16026 Questions

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Posted on Mon, 17 Dec 2012 in Constipation
Question: I have been eating senokot, about 3 or 4a day (out of the normal dosage of 6) due to constipation. Especially during the period when I was on the Dukan Diet, where I had only protein for two whole days. I finished the Senokot in two months, but now I am having constipation despite eating nothing but salad for three days. Please advise if this is a dependency on laxatives, and also provide me a cure. Thank you.
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Answered by Dr. Michelle Gibson James 4 hours later
Hi, thanks for using healthcare magic

There are different types of laxatives that can be used for constipation.Senokot falls into the category of stimulant laxative that cause contractions in the muscles of the intestine to rid it of stool, they can be harsh on the body and are not recommended for long term use.Bulk forming laxatives such as metamucil, benefiber,citrucel can be used for long periods for constipation.
It is possible that the prolonged use of laxatives can lead to dependence where a person is unable to stool without the medication.
Normally if this is the case, it is advised to reduce the medication slowly to allow your body to adjust to not having it, it may be better than stopping altogether.
You may want to consider restarting the senokot, take the dosage you were using for a few days then cut the dose in half.
When your body has adjusted to this reduced dosage , you would reduce it again.You would know that it has adjusted because you would stool at least 2 times a week.
While you are reducing the dosage, you may want to consider using a high fiber diet , which you seem to be doing already.Continue the salads, vegetables, whole grain and whole wheat products, oats, barley,prunes, fluids.

I hope this helps, feel free to ask any other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Michelle Gibson James 1 minute later
Hi, I did end up having bowel movements but it is very obvious that it was not as big a movement as past days with senokot. Should i still go back to senokot, or should i just continue my high fibre diet and leave it as that?
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Answered by Dr. Michelle Gibson James 23 minutes later
Hi, if you are having at least 2 to 3 bowel movements week without the senokot then you can continue without it and just continue using a high fiber, high fluid diet.

Feel free to ask any additional questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Michelle Gibson James 2 minutes later
So i don't have to lessen my dosage, despite the bowel movements are not as substantial as it should be?
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Answered by Dr. Michelle Gibson James 26 minutes later
Hi

At this point, even with a reduction in the amount of stool passed you can consider continuing the high fiber diet.



Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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