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Laxatives: Uses and Considerations
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Laxatives: Uses and Considerations

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Questions and Answers

What is the term for the evacuation of formed fecal material from the rectum?

  • Laxation (correct)
  • Osmosis
  • Catharsis
  • Purgation
  • Which of the following may occur if volume depletion is prominent due to habitual use of laxatives?

  • Secondary aldosteronism (correct)
  • Anemia
  • Hypothyroidism
  • Osteoporosis
  • What do catharsis and purgation refer to?

  • Evacuation of formed fecal material
  • Altering motility by stimulating contractions
  • Evacuation of unformed fecal material (correct)
  • Enhancing retention of intraluminal fluid
  • How do laxatives act to enhance retention of intraluminal fluid?

    <p>By decreasing net absorption of fluid</p> Signup and view all the answers

    What is a potential effect of excessive loss of calcium in the stool due to laxative use?

    <p>Osteomalacia</p> Signup and view all the answers

    When are laxatives employed according to the given text?

    <p>Before surgeries and procedures requiring an empty colon</p> Signup and view all the answers

    What is the mechanism of action of osmotic laxatives?

    <p>Increase the activity of NO synthase and the biosynthesis of platelet-activating factor</p> Signup and view all the answers

    How do semisynthetic celluloses like methylcellulose and calcium polycarbophil work as dietary fiber supplements?

    <p>Absorb water and increase faecal bulk</p> Signup and view all the answers

    What effect does wheat bran have on stool weight and transit?

    <p>Increases stool weight and transit due to high lignin content</p> Signup and view all the answers

    What is the main effect of magnesium-containing laxatives?

    <p>Lead to intraluminal fluid and electrolyte accumulation and increased intestinal motility</p> Signup and view all the answers

    What happens when dietary fiber that is not fermented reaches the colon?

    <p>It increases stool bulk by attracting water</p> Signup and view all the answers

    What is the mechanism of action of phosphate salts like sodium phosphate as laxatives?

    <pre><code>Lead to intraluminal fluid and electrolyte accumulation and increased intestinal motility </code></pre> Signup and view all the answers

    What is the effect of fermentation of fiber in the colon?

    <p>Produces short-chain fatty acids that are trophic for colonic epithelium</p> Signup and view all the answers

    What is the main effect of nondigestible sugars and alcohols like lactulose, sorbitol, and mannitol?

    <p>Resist intestinal disaccharidase activity and produce short-chain fatty acids</p> Signup and view all the answers

    What do fruits and vegetables primarily contribute to stool transit?

    <p>Increased bacterial mass due to fermentation</p> Signup and view all the answers

    What are the general considerations related to habitual use of laxatives?

    <p>Excessive loss of water and electrolytes, secondary aldosteronism, steatorrhea, protein-losing enteropathy with hypoalbuminemia, and osteomalacia due to excessive loss of calcium in the stool.</p> Signup and view all the answers

    What is the distinction between laxation and catharsis or purgation?

    <p>Laxation refers to the evacuation of formed fecal material from the rectum, while catharsis or purgation is the evacuation of unformed, usually watery fecal material from the entire colon.</p> Signup and view all the answers

    How do laxatives act to enhance retention of intraluminal fluid?

    <p>Laxatives act by enhancing retention of intraluminal fluid through hydrophilic or osmotic mechanisms.</p> Signup and view all the answers

    What is the main effect of the commonly used laxatives?

    <p>The commonly used laxatives promote laxation by enhancing the retention of intraluminal fluid and altering motility.</p> Signup and view all the answers

    When are laxatives employed before surgical, radiological, and endoscopic procedures?

    <p>Laxatives are employed before surgical, radiological, and endoscopic procedures where an empty colon is desirable.</p> Signup and view all the answers

    What are the potential complications of laxative use?

    <p>Excessive loss of water and electrolytes, secondary aldosteronism, steatorrhea, protein-losing enteropathy with hypoalbuminemia, and osteomalacia due to excessive loss of calcium in the stool.</p> Signup and view all the answers

    What is the main effect of dietary fiber supplements like semisynthetic celluloses (e.g., methylcellulose and calcium polycarbophil)?

    <p>They absorb water and increase faecal bulk.</p> Signup and view all the answers

    What is the main effect of magnesium-containing laxatives?

    <p>They stimulate the release of cholecystokinin, leading to intraluminal fluid and electrolyte accumulation, and increased intestinal motility.</p> Signup and view all the answers

    What is the role of platelet-activating factor in the gut?

    <p>It is a phospholipid proinflammatory mediator that stimulates colonic secretion and GI motility.</p> Signup and view all the answers

    What is the effect of fermentation of fiber in the colon?

    <p>It produces short-chain fatty acids that are trophic for colonic epithelium and increases bacterial mass.</p> Signup and view all the answers

    What is the main effect of dietary fiber that is not fermented?

    <p>It attracts water and increases stool bulk.</p> Signup and view all the answers

    What is the effect of nondigestible sugars and alcohols like lactulose, sorbitol, and mannitol?

    <p>They are hydrolyzed in the colon to short-chain fatty acids.</p> Signup and view all the answers

    How do osmotically active laxatives, such as magnesium-containing laxatives, work?

    <p>They lead to intraluminal fluid and electrolyte accumulation and increased intestinal motility.</p> Signup and view all the answers

    What is the main effect of wheat bran as a dietary fiber supplement?

    <p>It is most effective at increasing stool weight and transit.</p> Signup and view all the answers

    What is the mechanism of action of phosphate salts like sodium phosphate as laxatives?

    <p>They are better absorbed than magnesium salts, hence higher doses are required for their cathartic effect.</p> Signup and view all the answers

    What is the main effect of psyllium husk as a dietary fiber supplement?

    <p>It leads to an increase in colonic bacterial mass.</p> Signup and view all the answers

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