Management of Constipation: Physical Purgatives I
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Management of Constipation: Physical Purgatives I

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@EnviousHeisenberg

Questions and Answers

Which type of purgative retains water in the bowel and stimulates peristalsis by releasing cholecystokinin?

Non-absorbable osmotic salts

Which condition can be managed using lactulose as an osmotic laxative?

Constipation

What is the main mechanism of action of lactulose as an osmotic laxative?

Forms soft stool by reducing pH of the colon

What is the main disadvantage of using liquid paraffin (paraffin oil) as a lubricant purgative?

<p>Can cause leakage from the anal sphincter</p> Signup and view all the answers

How do non-absorbable osmotic salts act as purgatives?

<p>By retaining water in the bowel</p> Signup and view all the answers

Which substance is formed by lactulose when split by colon bacteria, leading to a reduction in pH of the colon?

<p>Lactic acid</p> Signup and view all the answers

What is the primary purpose of using bulk forming purgatives?

<p>To add bulk to the stool</p> Signup and view all the answers

What is the primary use of saline purgatives such as magnesium sulfate (Epsom's salt)?

<p>Retaining water in the bowel</p> Signup and view all the answers

Which outcome is associated with a reduction in pH of the colon due to lactulose administration?

<p>Decreased formation of ammonia</p> Signup and view all the answers

What is one of the disadvantages of using liquid paraffin (paraffin oil) as a lubricant purgative?

<p>Decreases absorption of fat-soluble vitamins</p> Signup and view all the answers

Which of the following is NOT a primary use of lactulose as an osmotic laxative?

<p>Prevention of lipid pneumonia</p> Signup and view all the answers

What is the main disadvantage of using magnesium sulfate (Epsom's salt) as a saline purgative?

<p>None of the above</p> Signup and view all the answers

Which substance is formed by lactulose when split by colon bacteria, leading to a reduction in pH of the colon?

<p>Lactic acid</p> Signup and view all the answers

How does liquid paraffin (paraffin oil) act as a lubricant purgative?

<p>Softens and lubricates hard fecal mass and mucosa of the large intestine</p> Signup and view all the answers

What is the primary mechanism of action of non-absorbable osmotic salts as purgatives?

<p>Retaining water in the bowel</p> Signup and view all the answers

In which condition is lactulose commonly used as an osmotic laxative?

<p>Hepatic encephalopathy (Hepatic coma)</p> Signup and view all the answers

What outcome is associated with a reduction in pH of the colon due to lactulose administration?

<p>Decreased production of ammonia</p> Signup and view all the answers

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