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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Wean Off Laxative Dependency Used For Severe Constipation And Water Retention?

i am trying to recover from laxative dependency. I suffer severe water retention (i will gain 10-20lbs in a matter of days if I do not take laxatives) and severe constipation. This water retention severelky hurts to the point i cannot walk. I want a schedule to wean myself off but need guidance. I have been using duolax for about 6 years about 200 a day now. I use to use more but I am trying to get off. Any help is appreciated.
Mon, 25 Feb 2019
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General Surgeon 's  Response
Hello,

Long term dependency of laxatives make the GI functional aspects greatly hampered and disturbed.

There should be a schematic follow up to taper the dose under the guidance of expert consultant surgeon for best results, here are some helpful handy information
- sudden quitting of laxative is hazardous for intestine and general body system
- gradual dose tapering is recommended
- addition of bulk-forming laxative with non habit forming properties as well as GI prokinetic agents as levosulpiride, digestive enzymes with natural herbs are must as adjoining supporters
- many cases require behavior therapy, counselling sessions with psychiatrist and supportive psychiatric medicines as well
- plenty of liquids will be the key factor here.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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How To Wean Off Laxative Dependency Used For Severe Constipation And Water Retention?

Hello, Long term dependency of laxatives make the GI functional aspects greatly hampered and disturbed. There should be a schematic follow up to taper the dose under the guidance of expert consultant surgeon for best results, here are some helpful handy information - sudden quitting of laxative is hazardous for intestine and general body system - gradual dose tapering is recommended - addition of bulk-forming laxative with non habit forming properties as well as GI prokinetic agents as levosulpiride, digestive enzymes with natural herbs are must as adjoining supporters - many cases require behavior therapy, counselling sessions with psychiatrist and supportive psychiatric medicines as well - plenty of liquids will be the key factor here. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon