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Laxative overdose

Alternative Names

Laxative abuse

Symptoms

Nausea, vomiting, abdominal cramping, diarrhea, are most common. Dehydration and electrolyte problems are more common in children than adults. Below are symptoms specific to the actual product.

Bisacodyl:

  • Cramps
  • Diarrhea

Senna; Cascara sagrada:

  • Abdominal pain
  • Bloody stools
  • Collapse
  • Diarrhea

Phenolphthalein:

  • Abdominal pain
  • Collapse
  • Diarrhea
  • Dizziness
  • Drop in blood pressure
  • Low blood sugar
  • Rash

Sodium phosphate:

  • Abdominal pain
  • Collapse
  • Diarrhea
  • Muscle weakness
  • Vomiting

Magnesium-containing products:

  • Abdominal pain
  • Collapse
  • Coma
  • Death
  • Diarrhea (watery)
  • Drop in blood pressure
  • Flushing
  • Gastrointestinal irritation
  • Muscle weakness
  • Painful bowel movements
  • Painful urination
  • Slowed breathing
  • Thirst
  • Vomiting

Castor oil can cause gastrointestinal irritation.

Mineral oil can cause aspiration pneumonia, a condition where vomited stomach contents are inhaled.

Products containing methylcellulose, carboxymethylcellulose, polycarbophil, or psyllium may cause choking or intestinal blockage if they are not taken with plenty of fluids.

References

Ford MD, Clinical Toxicology. 1st ed. Philadelphia, Pa: WB Saunders; 2001: 332-333.

Feldman M, Friedman LS, Sleisenger MH, eds. Sleisenger & Fordtran’s Gastrointestinal and Liver Disease. 7th ed. Philadelphia, Pa: WB Saunders; 2002:149.

Review Date: 10/29/2007
Reviewed By: Eric Perez, MD, Department of Emergency Medicine, St. Luke's-Roosevelt Hospital Center, New York, NY. Review provided by VeriMed Healthcare Network.

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