Episodes – Constipation

Bulk laxatives

(e.g. Ispaghula Husk, Stericulia, Methylcellulose)

  • These are ideal for small hard stools as they retain more water and make the faeces more bulky, this then stimulates the bowels.
  • They should be avoided in bowels which lack muscle tone, large mass of stool stuck in bowels , and constipation caused by opioid painkillers.
  • Do not take if one has difficulty in swallowing and one must drink plenty of water and sit or stand upright for at least an hour (don’t take immediately before bed).
  • It can take several days to work and side effects include abdominal cramp and flatulence.
  • They do take 24-36 hours to work and can be used in pregnancy.