Laxatives can help you empty your bowels if you're constipated.
When you take them
Before taking laxatives you need to be sure that you really are constipated. Normal bowel movements vary from person to person.
If you have cancer, you should always check with your doctor or nurse before taking any type of laxative.
You may not be able to take some types of laxatives if you have a bag on your tummy (a colostomy or ileostomy) to collect your poo (stools or faeces). Your doctor or nurse will want to assess your constipation and the cause of your constipation before recommending the best treatment for you.
How you take them
You can buy many laxatives over the counter without a prescription. Other types of laxatives need a doctor’s prescription.
Laxatives come as:
- tablets, capsules or granules
- foods, such as bran
- powders that can be made into a drink by adding water or fruit juice
- an enema that you have into the back passage
- suppositories that you have into the back passage
Types of laxative
There are several types of laxatives. Each work in a different way.
Bulk forming laxatives
These work by swelling up inside your bowel. They help soften and increase the amount of stool. This encourages your bowels to move and push the stools out. They can take a few days to work properly. Examples include:
- wheat bran
These work by speeding up bowel movement. They can take between 8 and 12 hours to work. Examples include:
- glycerol suppositiories
- senna (Senakot)
- syrup of figs
- co-danthrusate (Normax) and co-danthramer
Surfactant laxative (stool softener)
These work by softening the stool by drawing more water and fat into the stool.
- docusate sodium
These work by drawing more water into your bowel. This makes your stools softer and easier to pass. Examples include:
- lactulose syrup
- macrogols (Movicol and Idrolax)
- magnesium salts (Andrews liver salts, Epsom salts, Cream of magnesia)
- phosphate enemas
- sodium citrate (Microlette and Microlax enemas)
Opioid receptor blockers
People having opioid type painkillers often have constipation. A drug called methylnatrexone (Relistor) can help. It reduces constipation in people having opioid painkillers when other laxatives have not worked.
Side effects of laxatives
Different laxatives have different side effects.
Bulk forming laxatives can cause wind and swelling in the abdomen. They can also block up your bowel. To prevent this you need to drink plenty of water.
Other types of laxatives can cause stomach cramps and wind, and large doses can cause diarrhoea.
The side effects usually go away once your bowels have opened. But if you continue to have cramping or abdominal swelling, or if you develop diarrhoea, let your doctor or nurse know straight away.
Taking herbal supplements for constipation
Some herbal medicines claim to be laxatives that can help relieve constipation. Some are safe and do work. But we don’t know exactly how some of these medicines will react with your particular cancer drugs.
Herbal products aren't necessarily all safe. Although they are natural products and you can buy them over the counter at a health shop, some may be harmful to take alongside cancer treatment. So it is very important to let your doctor know if you are planning on taking any herbal medicine alongside your cancer treatment.