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Medications for Encopresis continued...

Emollient laxatives: These products decrease the absorption of water from the colon, and thus soften the stool, making it easier to pass.

  • Mineral Oil, Milkinol -- This laxative is largely tasteless and has an oily consistency. It may be more palatable if cold or mixed into a fluid such as orange juice. It may cause seepage of orange oil from the anus, which can cause itching and stain the underwear. This laxative should generally not be given with food.

Stimulant laxatives: These agents have direct actions on the lining of the intestinal wall. They increase water and salt secretion into the colon and irritate the intestinal lining to produce contractions.

  • Sennosides (Aloe Vera, Ex-Lax, Fletcher’s Castoria, Senokot) -- This laxative is derived from a plant, stimulates salt and water secretion into the colon, and promotes movement of stool through the colon. It may cause abdominal cramping at higher doses.
  • Bisacodyl (Dulcolax or Fleet Bisacodyl) -- This colorless and odorless compound increases muscle contractions in the colon and stimulates salt and water secretion. It can be given by mouth or as a suppository and may cause abdominal cramping at higher doses.
  • Dioctyl sodium sulphosuccinate (Colace, Dulcolax stool softener, Fleet Sof-Lax) -- This is a detergent that simulates salt and water secretion into the colon and promotes movement of stool through the colon. It may cause abdominal cramping at higher doses.

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