Laxatives/Bowel Medications

Commonly used medications: Miralax (polyethylene glycol), Senna/Senokot, Dulcolax Tablet/Suppository.

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How These Medications Help

  • Constipation can be experiences as- no BM for 2-3 days, passing hard stools, straining, abdominal discomfort, or nausea
  • Constipation is common with serious illnesses and laxatives are often needed
  • It is very important that if pain medications(opioids) are being taken that a laxative is used every day (do not take if having diarrhea)

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Common Causes Of Constipation

  • Medications, especially opioids
  • Being in bed and less active
  • Change in diet

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How To Take

  • Most laxatives are taken by mouth, Dulcolax Suppository and Fleets enemas are given rectally
  • For over-the-counter medications, follow the package instructions or as directed by Hospice Team
  • Most of these medications are over-the-counter
  • Senna laxative by mouth is the most common laxative provided by hospice. Can use 1-2x per day

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When Will It Work

  • Some laxatives may take several hours or even a day to work. Suppositories often work more quickly
  • Do not wait until constipation becomes severe. Preventing constipation is easier than treating it

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Common Side Effects

  • Very few with these medications
  • May cause cramping pain
  • May cause too many bowel movements or diarrhea

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When to Call Hospice

  • Moderate or severe abdominal pain
  • No bowel movement after two doses or several days
  • Rectal bleeding
  • Vomiting
  • New confusion or worsening agitation

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