I have been using laxatives on and off since 1985. For several years, I used it as a way of purging myself of unwanted calories. After several years, I stopped doing that but was already addicted and using laxatives is now the only way I can go to the bathroom… I have now been diagnosed with IBS (obviously the type with constipation). When I told my doctor about my issues with laxatives, all he says is to eat better, increase my fiber intake and try not to use laxatives. I have even had a gastroscopy and they found nothing substantial but I am on Aciphex and prescription Zantac due to stomach issues. I have tried to go without using laxatives but get so sick and toxic that I use them just to feel better. I am at my wits end. I am very scared that I have done irreparable harm to myself. My IBS symptoms are very uncomfortable – I have a hard time eating a lot of foods and can only eat small amounts. I feel I have really messed myself up but neither my doctor nor the gastro specialist seemed to take me seriously. What can I do??? – MC
Dear MC,
As you have discovered, it can be physically very difficult to stop using laxatives. I’m glad to hear you’re not using them to purge calories anymore. As you may already know laxatives don’t purge calories, only fluid. Just as a reminder, laxative overuse can cause dehydration with rebound fluid retention, also low potassium which can cause heart failure. Many find it helpful to know the weight changes often experienced are fluid shifts, not actual body weight gains.
In order to regain normal bowel function a bowel retraining program is needed. That involves the gradual increase of fiber, a regular meal plan and the gradual decrease of laxatives. It is important to stop the laxatives that are intestinal irritants immediately and change to a more natural laxative such as a stool softener. You should be able to stop laxatives completely but a gradual process is needed to limit the physical discomfort. Unless your doctors have experience with eating disorders they may not be familiar with this process. I recommend you contact a registered dietitian with eating disorder experience. She/he will be networked with MDs that can also assist in the process, if needed. Go to the article “Finding a Nutritionist” for help with that process.
We hope you find someone who will take you seriously and guide you on a path to feeling better.
Emily