Effective Solutions for Relieving Constipation: Understanding the Right Medications

Constipation can be a frustrating and uncomfortable condition, but choosing the right treatment is essential for quick and lasting relief. The key to successful management lies in identifying the underlying cause and selecting the appropriate medication accordingly.

Understanding Osmotic Laxatives

Osmotic laxatives work by drawing water into the intestines, which increases stool volume and stimulates bowel movement. These are especially effective for individuals with mild to moderate constipation. Commonly used options include polyethylene glycol and lactulose, both of which are well tolerated and widely recommended.

Softening the Stool with Lubricant Laxatives

Lubricant laxatives help soften the stool and ease its passage through the digestive tract. They are ideal for sensitive populations such as the elderly, children, or those with medical conditions like hypertension, hemorrhoids, or post-surgery patients. Examples include glycerin, mineral oil, and docusate sodium.

Stimulant Laxatives for Enhanced Bowel Motility

For individuals experiencing slow gastrointestinal transit, stimulant laxatives can help increase intestinal contractions and fluid secretion, leading to more regular bowel movements. Senna, bisacodyl, castor oil, and phenolphthalein fall into this category and are typically used for short-term relief.

Boosting Digestive Movement with Prokinetic Agents

Prokinetic drugs like mosapride and itopride stimulate gut motility by acting on the enteric nervous system. These medications are particularly beneficial for those suffering from slow-transit constipation and may be used intermittently over longer periods under medical supervision.

Restoring Gut Balance with Probiotics

Imbalances in gut flora can contribute to constipation. Probiotics such as bifidobacterium triple viable tablets, lactic acid bacteria, and butyric acid-producing bacteria can help restore healthy digestion and improve bowel regularity by supporting a balanced microbiome.

Before turning to medication, it's important to evaluate lifestyle factors such as diet, hydration, and physical activity, which play a major role in maintaining regularity. If symptoms persist or worsen despite treatment, consulting a healthcare provider is strongly advised to reassess the approach and ensure safe, effective care.

References:

[1] Ge Junbo, Xu Yongjian, Wang Chen. Internal Medicine. 9th Edition[M]. Beijing: People's Health Publishing House, 2018:448-449.

[2] Song Yanqing. To Treat Constipation with Medication, First Understand Its Cause[J]. Self-Care, 2021:1.

[3] Liu Zhenghui, Yuan Minhui, Du Xiaoquan. Diagnosis and Treatment of Functional Constipation[J]. Colorectal & Anal Surgery, 2016, 22(S1):122-123.