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How do you deal with dehydration with laxative abuse?
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Dr. Charles Cattano
Internal Medicine - Gastroenterology
In brief: Stop the abuse
"irritant" purgatives cause: melanosis coli (reversible pigmenting of colon lining), cathartic colon ("floppy" colon with limited muscle tone), & soap or chemical colitis (acute inflammation within hours of "cleansing" enema).
When laxatives are discontinued, edema develops that resolves in 3-6 weeks. Most laxative abusers don't wait 3-6 weeks & return to their purgatives to reduce weight & edema.

In brief: Stop the abuse
"irritant" purgatives cause: melanosis coli (reversible pigmenting of colon lining), cathartic colon ("floppy" colon with limited muscle tone), & soap or chemical colitis (acute inflammation within hours of "cleansing" enema).
When laxatives are discontinued, edema develops that resolves in 3-6 weeks. Most laxative abusers don't wait 3-6 weeks & return to their purgatives to reduce weight & edema.
Dr. Charles Cattano
Dr. Charles Cattano
Thank
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