laxative abuse


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laxative abuse

GI tract A phenomenon often accompanied by factitious diarrhea found in ± 4% of new Pts seen by gastroenterologists and up to 20% of those evaluated in a tertiary referral center Clinical Finger clubbing, skin hyperpigmentation, colonic inflammation, steatorrhea, osteomalacia, protein-losing enteropathy, nephropathy, melanosis coli–sigmoidoscopy, ahaustral right colon–barium enema Lab ↓ K+, ↑ uric acid, kidney stones; ↓ stool osmolality–eg, < 250 mOsm/kg, ↑ stool sulfate, phosphate.

laxative abuse

The ingestion of cathartic drugs to relieve perceived constipation when none is present or to prevent the absorption of nutrients, e.g., in bulimia. Patients who consume excessive quantities of laxatives may complain of chronic diarrhea or may present with illnesses caused by electrolyte deficiencies.
See also: abuse
References in periodicals archive ?
Stimulant laxative abuse should also be stopped abruptly, but the consequences of long-term abuse are challenging.
Prevalence of surreptitious laxative abuse in patients with diarrhoea of uncertain origin: a cost benefit analysis of a screening procedure.
The seven patients with surreptitious laxative abuse were women, ranging in age from 25 to 58 years (Table 2).
Full workup revealed an elevated fecal magnesium level, and a concurrent diagnosis of laxative abuse was confirmed after discussion with the family.
Potassium is used to treat or prevent potassium deficiency caused by diuretic drugs (water pills), prolonged vomiting, diarrhea or laxative abuse.
Indeed, she and her associates have found that laxative abuse, most common among patients with purging anorexia (72%) and combined anorexia and bulimia nervosa (59%), is associated with a significantly higher prevalence of borderline personality disorder--characterized particularly by feelings of suicidality, self-harm, emptiness, and anger, she reported.
Then to prevent the otherwise inevitable consequence of weight gain there are periods of food restriction and often vomiting, laxative abuse or excessive exercising.
I could not maintain my toothpick figure forever, so I took to laxative abuse like a nun to religion, swallowing up to 20 a day and spending my life on the toilet floor doubled over with cramps.
Preoccupation with food, whether through overeating, starving, purging, laxative abuse, or compulsive exercise, interferes with an attorney's professional functions.
Constant vomiting can destroy the teeth, laxative abuse will damage the bowels and the major diet changes can affect fertility.
Afterward, the bulimic will feel guilty and purge to get rid of the food by vomiting, laxative abuse, diuretic abuse or exercising obsessively.