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A new review sheds light on the use of laxatives in constipation treatment
An independent review, published in the American Journal of Gastroenterology, January 2005 concludes that many aspects of constipation, including the use of laxatives, are based on myths and misconceptions.1

The paper entitled ‘Myths and Misconceptions About Chronic Constipation’ clarifies many wrongly held beliefs and shows that often they are not based on hard fact or medical evidence.

Key findings:
Diet and lifestyle should not be assumed to be the cause of constipation in general
For some, a fibre-rich diet may be helpful, however, in many people with more severe constipation, fibre intake can make symptoms even worse
Increased fluid intake will not provide significant relief from constipation, except if you are dehydrated.
Further findings relate to the use of laxatives which have wrongly been associated with a number of unsubstantiated claims over the years. The review found that these claims are mostly unfounded and state:
Laxative-use does not cause damage to the colon
It is uncommon for most laxative-users to develop a level of tolerance, contrary to widely held beliefs.
Professor Müller-Lissner, lead author of the paper, comments, “Constipation is a widespread and sensitive disorder. Many sufferers often feel guilty and responsible for their symptoms, believing that their lifestyle is to blame. This review provides both sufferers and healthcare professionals with strong and legitimate foundations to remove these feelings of guilt.”
References
1 Müller-Lissner SA, Kamm MA, Scarpignato C, Wald A. Myths and Misconceptions About Chronic Constipation. American Journal of Gastroenterology 2005; 100: 232-242 www.amjgastro.com


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