← Master Index· Section 5 · Gastrointestinal Disorders · Chapter 22

Constipation

ConstipationCICOICOsmotic laxatives

30-Second Snapshot

What it is:Infrequent or difficult passage of stool, often with straining or a sense you didn't fully empty. Chronic when it's been going on 3 months or more. Chronic idiopathic constipation (CIC) hits about 8-12% of US adults.

The core problem:Either not enough water is staying in the stool (too dry, too hard, too slow through the colon), or the pelvic floor/rectum isn't coordinating the actual act of defecation. Almost every drug class works by pulling more water into the lumen, speeding transit, or both. A small handful work by getting an opioid off the gut's µ-receptors.

What you do about it:Fiber and fluids first, always. Then step up: osmotic laxative → add a stimulant PRN → secretagogue or prokinetic if still stuck. Opioid-induced constipation (OIC) gets its own track once you suspect the opioid itself is the driver.

Worth knowing

Almost every laxative class is named for how it moves water, not what it "does" to the colon. Bulk-formers hold water already there. Osmotics drag water in. Secretagogues actively pump chloride and fluid into the lumen. Stimulants irritate the mucosa and speed the muscle wall along. Once you sort a drug into one of those four buckets, the onset, the side effects, and the tier all make sense without memorizing them separately.

Pathophysiology - Why the Drugs Work

Constipation is primary(no identifiable cause, most CIC and IBS-C) or secondary(a drug, a disease, or a lifestyle factor is doing it). Before reaching for a laxative, always ask what's actually causing it, because "add a laxative" is not the answer to hypothyroidism or an anticholinergic med list.

Secondary causes worth screening for

CategoryExamples
GI diseaseIBS, diverticulitis, hemorrhoids, anal fissure, tumor, Hirschsprung disease
Metabolic/endocrineHypothyroidism, diabetes with neuropathy, hypercalcemia
NeurogenicParkinson disease, spinal cord injury, stroke, CNS tumor
PregnancyProgesterone slows motility, colon reabsorbs more fluid, iron supplements pile on
CardiacHeart failure (gut hypoperfusion/edema)
PsychogenicHabitually ignoring the urge to go, depression, other psychiatric disease

Drug-induced constipation - the mechanism ties it together

Anticholinergics(antihistamines, TCAs, antipsychotics, antispasmodics, antiparkinsonian agents like benztropine) block muscarinic receptors on the gut wall and directly slow peristaltic contractions. This is the same receptor blockade that causes dry mouth and blurred vision elsewhere, so a patient on an anticholinergic med for a completely different reason (overactive bladder, allergies, insomnia) can present with constipation as the "side effect" rather than the chief complaint.

Opioidshit µ-opioid receptors in the enteric nervous system itself, not just the CNS. That's why opioid-induced constipation doesn't respond to typical CNS-sparing tricks and instead needs a drug that blocks the gut receptor specifically (the PAMORAs, below). Oral opioids have a stronger constipating effect than parenteral, because they hit a higher concentration of gut receptors on first pass.

Other frequent offenders: calcium channel blockers(smooth muscle relaxation extends to the gut), iron salts, calcium- or aluminum-containing antacids, NSAIDs, and non-potassium-sparing diuretics(volume contraction pulls more water out of stool).

The trap

A patient starts an antihistamine, a bladder anticholinergic, anda TCA for neuropathic pain, then gets a "why is my constipation not responding to Miralax" complaint. The answer isn't a stronger laxative, it's recognizing three overlapping anticholinergic burdens on one gut. Always scan the med list before escalating therapy.

Clinical Presentation

Rome IV criteria require at least 2 of the signs below on ≥25% of bowel movements, for the diagnosis of functional constipation.

CategoryFindings
Frequency/formFewer than 3 bowel movements per week; hard, small, or dry stools
Defecation mechanicsStraining, feeling of incomplete evacuation, sense of anorectal blockage, needing manual maneuvers (digital disimpaction, pelvic pressure) to pass stool
What's notably absentLoose stools essentially never occur without laxative use, if they do, reconsider the diagnosis
Alarm features - don't just add a laxative

Hematochezia, melena, unintentional weight loss, anorexia, iron-deficiency anemia, family history of colon cancer or IBD, new/worsening constipation in an elderly patient without a clear cause, or symptoms refractory to treatment.Any of these, plus new-onset symptoms after age 50, warrants workup (colonoscopy, labs) before symptomatic therapy, not instead of it.

Exam:a rectal/digital exam checks for fecal impaction, anal stricture, rectal mass, fissures, hemorrhoids, or rectal prolapse, and can catch a mechanical cause a laxative will never fix.

Diagnosis

Diagnosis is clinical. There's no routine lab recommendationfor garden-variety constipation, order tests based on clinical suspicion, not reflexively.

Treatment Approach

Goals:relieve symptoms, reestablish a normal bowel pattern, and do it while minimizing adverse effects, not just achieving any bowel movement by any means.

First, treat what's treatable: correct hypothyroidism, stop or switch a constipating drug if there's a reasonable alternative, or lower its dose if there isn't. If the patient must stay on a constipating drug (opioids especially), build prevention into the regimen from day one rather than waiting for symptoms.

The escalation ladder

Fiber first → osmotic laxative (preferred first-line pharmacologic agent) → add a stimulant laxative PRN if no relief → secretagogue or prokinetic if still refractory.Stimulants are for intermittent/PRN use, not because they're dangerous long-term, but because osmotics have the better safety and tolerability profile for daily chronic use.

The general algorithm, spelled out
  • Diagnose constipation → evaluate history and current medications → treat any underlying cause found.
  • Start dietary fiber ± bulk-forming supplement in everyone as the foundation.
  • Opioid-induced constipation (>4 weeks on opioids):go straight to lubiprostone or a peripheral opioid-receptor antagonist (methylnaltrexone, naloxegol, naldemedine) rather than working up the standard ladder, since a bulk-former or standard osmotic often can't out-compete active µ-receptor blockade in the gut.
  • Acute constipation (<3-6 months):osmotic or stimulant laxative.
  • Chronic constipation (>6 months):trial an intestinal secretagogue (lubiprostone, linaclotide, plecanatide) → add an osmotic laxative (e.g., PEG) for 2-4 weeks if no relief → add a stimulant laxative (e.g., bisacodyl) if still no bowel movement in 2 days or no relief.

Nonpharmacologic Therapy

Dosing Table by Onset Tier

Laxatives are grouped by how fast they work, which is also roughly how aggressive they are. Match the tier to the clinical urgency, don't reach for a same-day agent for routine chronic maintenance.

AgentAdult DoseOnset
Bulk-Forming Agents (soften stool, 1-3 days)
PsylliumVaries by product1-3 days
MethylcelluloseVaries by product1-3 days
Polycarbophil4-6 g/day1-3 days
Emollients / Stool Softeners (1-3 days)
Docusate sodium50-360 mg/day1-3 days
Docusate calcium50-360 mg/day1-3 days
Docusate potassium100-300 mg/day1-3 days
Osmotic Laxatives (soften stool, 1-3 days; preferred first-line)
Polyethylene glycol 3350 (Miralax)17 g/dose in 120-240 mL liquid, once-twice daily (max 34 g/day)1-3 days, can take up to 6 mo for durable response
Magnesium oxide400-500 mg daily1-3 days
Lactulose15-30 mL orally (~15 g/day)1-3 days
Lactitol20 g/day1-3 days
Sorbitol30-50 g/day1-3 days
Stimulant Laxatives (soft/semifluid stool, 6-12 hr; PRN use)
Bisacodyl (oral)5-15 mg orally6-12 hr
Senna8.6-17.2 mg (dose varies by formulation)6-12 hr
Magnesium sulfate (low dose)<10 g orally6-12 hr
Saline / Watery Evacuation Agents (1-6 hr; bowel prep, not routine use)
Bisacodyl (rectal)10 mg rectally1-6 hr
Magnesium citrate18 g in 300 mL water1-6 hr
Magnesium hydroxide (milk of magnesia)2.4-4.8 g orally1-6 hr
Magnesium sulfate (high dose)10-30 g orally1-6 hr
PEG-electrolyte lavage solution4 L total, 240 mL every 10 min (bowel prep)1-6 hr
Secretagogues (chronic constipation, third-line)
Lubiprostone (Amitiza)24 mcg BID with food (CIC and OIC)days
Linaclotide (Linzess)145 mcg daily, empty stomach ≥30 min before first meal (72-145 mcg for IBS-C)days
Plecanatide (Trulance)3 mg daily, any time with regard to fooddays
Prokinetic
Prucalopride (Motegrity)2 mg daily (1 mg daily if CrCl <30)days
Opioid Receptor Antagonists (OIC specifically)
Methylnaltrexone450 mg orally daily, or 12 mg SC dailyhours
Naloxegol25 mg dailyhours
Naldemedine0.2 mg dailyhours
Alvimopan12 mg preop, then 12 mg BID up to 7 days (max 15 doses); post-op bowel resection onlyhours

Class-by-Class Detail

Bulk-forming agents and emollients - the gentle tier

Bulk-formers(psyllium, methylcellulose, polycarbophil) work like the fiber they're derived from: they hold water in the stool mass, increasing bulk and softness, which stimulates peristalsis mechanically. They need adequate fluid intake to work and to avoid worsening obstruction in someone with a stricture, so they're a poor choice if a mechanical blockage hasn't been ruled out.

Docusatesare surfactants (detergent-like), increasing water and electrolyte secretion into the small and large bowel so stool stays softer. Key point the handbook is explicit about: docusates prevent constipation, they don't treat it.They're the right call after an MI (avoid straining), after rectal surgery, or with acute perianal disease, where the goal is a soft stool rather than actively driving one out. Don't reach for docusate as monotherapy in someone who's already constipated and needs an active push.

Osmotic laxatives - PEG, magnesium, lactulose

All osmotics pull water into the lumen by osmotic gradient; they differ in cost, taste, and adverse effect profile rather than mechanism.

Polyethylene glycol (PEG 3350)is the workhorse: OTC, tasteless, well-tolerated, and response can be durable for up to 6 months of daily low-dose use. Main complaints are bloating, cramping, and abdominal discomfort, mechanical from the fluid shift, not mucosal irritation.

Magnesium oxideis cheap and effective but needs a renal function check first, magnesium accumulates in renal impairment and can cause clinically significant hypermagnesemia (lethargy, weakness, cardiac conduction changes at high levels). Same caution for any magnesium-based saline cathartic.

Lactuloseis a nonabsorbable disaccharide fermented by colonic bacteria, producing gas along with its osmotic pull, which is exactly why it's notfirst-line: it's costlier than PEG and the flatulence/bloating tradeoff is worse. Reserve it for patients who fail fiber plus a standard osmotic, or for acute constipation where a quick option is needed.

Saline cathartics aren't for routine use

Magnesium and sodium phosphate salts are fine as one-time bowel preps before colonoscopy, but repeated or chronic use risks fluid/electrolyte depletion, and magnesium or sodium accumulation in renal impairment or heart failure. These risks compound with long-term use, this is a bowel-prep tool, not a daily maintenance drug.

Stimulant laxatives - bisacodyl and senna

Bisacodyl (diphenylmethane class) and senna (anthraquinone class) directly stimulate colonic mucosa and myenteric plexus, triggering a bowel movement in 6-12 hours(oral) or as fast as 1 hour (rectal bisacodyl). They're reserved for intermittent/PRN use, or for patients who've already failed bulk-forming and osmotic agents, both because the evidence base for daily use is thinner and because prolonged use can drive electrolyte imbalance and cramping. Some patients with severe chronic constipation and nonmodifiable risk factors do end up using them regularly, that's a clinical judgment call, not a contraindication.

Secretagogues - lubiprostone, linaclotide, plecanatide

These three all increase intestinal fluid secretion, but through distinct mechanisms, worth knowing because it explains why one might work when another doesn't.

Lubiprostone (Amitiza)Linaclotide (Linzess)Plecanatide (Trulance)
MechanismProstaglandin E1 analog, activates ClC-2 chloride channelson the apical enterocyte membraneGuanylate cyclase-C (GC-C) agonist, raises cGMP, activates CFTR chloride channelAlso a GC-C agonist, same downstream pathway as linaclotide
IndicationsCIC andOICCIC and IBS-CCIC (not IBS-C)
Dose24 mcg BID with food145 mcg daily, empty stomach3 mg daily, any time
Age restrictionNone specifiedNot <18 yearsNot <18 years (and avoid in kids <6 due to dehydration risk)
Main adverse effectNausea (take with food to blunt it), headache, diarrheaDiarrhea (16.3% vs 2.3% placebo)Diarrhea (4.3% vs 1.0% placebo, milder than linaclotide)

All three are reserved for patients who fail conventional first-line therapy (fiber, osmotic laxatives), reflecting both cost and the fact that a cheaper agent should get a fair trial first.

Prucalopride - the prokinetic

A selective 5-HT4 receptor agonist, it stimulates colonic peristalsis and secretion through enteric neurotransmission rather than an osmotic or secretory mechanism, closer to "making the motor run" than "adding water to the tank." Dose is 2 mg daily, reduced to 1 mg daily if CrCl <30. Common adverse effects are headache, abdominal pain, nausea, and diarrhea. The 2023 AGA/ACG guideline gives it a strong recommendationspecifically for patients who fail OTC agents, it's positioned above the secretagogues in evidence strength even though it often gets reached for later in practice.

Opioid-Induced Constipation - Its Own Track

OIC happens because opioids agonize µ-opioid receptors directly in the enteric nervous system, not just centrally, slowing motility, reducing secretions, and tightening sphincter tone. That peripheral gut receptor is exactly why standard laxatives often underperform here and why a dedicated drug class exists.

AgentClassDoseNiche
MethylnaltrexonePAMORA (peripherally acting µ-opioid receptor antagonist)450 mg PO daily or 12 mg SC dailyOIC in advanced illness/palliative care, or when laxatives have failed
NaloxegolPAMORA25 mg dailyOIC, chronic noncancer pain
NaldemedinePAMORA0.2 mg dailyOIC, chronic noncancer pain
AlvimopanGI-selective µ-antagonist12 mg preop, then 12 mg BID up to 7 days/15 dosesShort-term, in-hospital only: accelerates GI recovery after bowel resection

Why "PAMORA" matters as a concept:these drugs are engineered to not cross the blood-brain barrier well, so they reverse the gut's opioid effect without touching central analgesia. You are not undoing the patient's pain control by giving one.

Alvimopan's restriction

Contraindicated if the patient has been on therapeutic opioid doses for more than 7 consecutive daysbefore surgery, in that setting it can precipitate opioid withdrawal or GI perforation risk. It's a short-course, inpatient-only drug, never send it home with a patient.

Lubiprostonealso carries an OIC indication (dual approval with CIC), it's a reasonable non-PAMORA option when you want to avoid touching opioid receptors altogether.

IBS-C - Where Constipation Overlaps With Pain

IBS-C is constipation plusrecurrent abdominal pain tied to bowel habit, that pain component is what separates it from plain CIC and is why treatment doesn't stop at a laxative.

SeverityAdd for constipationAdd for pain
MildOsmotic laxative (PEG)Antispasmodics (dicyclomine, hyoscyamine) or peppermint oil
Moderate-severeSecretagogue (linaclotide has the strongest evidence, plecanatide, lubiprostone) or tenapanorContinue above; consider adding a neuromodulator if pain persists
Persistent pain/psych symptoms-TCA, SSRI, or gut-directed brain-behavior therapy (CBT, hypnotherapy)

Antispasmodics(dicyclomine 20 mg up to QID PRN; hyoscyamine IR 0.125-0.25 mg q4-8h PRN, max 1.5 mg/day) are anticholinergics that relax intestinal smooth muscle to cut cramping pain. Widely used clinically despite thin trial data, and worth remembering they carry the same dry mouth/blurred vision/dizziness burden as any anticholinergic, don't stack them on top of a TCA without noticing.

Tenapanor(not covered in the handbook chapter but relevant here) is an NHE3 inhibitor, it blocks sodium absorption in the gut, pulling water into the lumen. Minimally absorbed systemically. Main adverse effect is diarrhea (14.8% vs 2.3% placebo).

Monitoring - What, When, Why

ParameterWhenWatching for
Bowel movement frequency/consistencyOngoing, patient-reportedTreatment response, using patient's own baseline as the target, not a fixed number
Renal functionBefore and during chronic magnesium-based laxative useMagnesium accumulation, especially in renal impairment or elderly patients
ElectrolytesWith chronic or high-dose saline cathartic useFluid/electrolyte depletion from repeated osmotic pulls
Alarm symptomsEvery visitNew hematochezia, weight loss, anemia - reopen the workup, don't just escalate the laxative
Adherence to nonpharm measuresEach follow-upWhether fiber/fluid trial was actually adequate (dose and duration) before calling it a failure
Diarrhea on secretagoguesAfter initiationDose-limiting GI adverse effect; may need to hold or reduce

Patient Counseling - What You'll Actually Say

  • Set fiber expectations:"Add fiber slowly over a couple weeks, not all at once, or you'll just trade constipation for bloating and gas. Give it a full month before deciding it's not working, most people notice something in 3 to 5 days."
  • PEG (Miralax) counseling:"Mix the full packet in 4 to 8 ounces of any drink, it's tasteless. It can take a day or two to kick in, this isn't an emergency fix."
  • Docusate reality check:"This one's for preventing straining, not for treating constipation you already have. If you're already backed up, this alone probably won't be enough."
  • Stimulant laxatives (senna, bisacodyl):"Use these when you need it, not every day as a habit. If you're using this most days, let's talk about switching your daily regimen."
  • Linaclotide/plecanatide timing:"Take this on an empty stomach, at least 30 minutes before your first meal, or it won't absorb the way it's supposed to and you'll get more diarrhea for less benefit."
  • Magnesium products:"If you have kidney problems or heart failure, check with me before using magnesium-based laxatives regularly, they can build up."
  • Opioid patients, said proactively:"Since you're starting this pain medication, let's get ahead of the constipation now rather than waiting for it to happen. Most people on opioids need a bowel regimen from day one."
  • Red flag script:"If you ever see blood in your stool, black tarry stool, or you're losing weight without trying, call me before just adding more laxative."

High-Yield Recall Sheet

  • Osmotic laxatives (PEG) are preferred first-line pharmacotherapy,after fiber, over stimulants or secretagogues.
  • Docusate prevents constipation, it doesn't treat it.Use post-MI, post-rectal surgery, or with acute perianal disease.
  • Fiber target: 20-35 g/day,ramp slowly, give it a full month, effects often felt in 3-5 days.
  • Soluble fiber (psyllium) beats insoluble fiber (bran)for global symptom relief.
  • Stimulant laxatives (bisacodyl, senna) = PRN/intermittent use,not first-line daily maintenance.
  • Anticholinergics cause constipation by blocking muscarinic receptors directly on the gut wall, same mechanism as their dry mouth and blurred vision.
  • Opioids act on µ-receptors in the gut itself,which is why OIC needs PAMORAs (methylnaltrexone, naloxegol, naldemedine), not just a stronger laxative.
  • PAMORAs don't cross the blood-brain barrier well,so they fix OIC without reversing central analgesia.
  • Alvimopan is inpatient-only, short course, contraindicated with >7 days of preop opioid use.
  • Lubiprostone is the one secretagogue approved for both CIC and OIC.
  • Linaclotide and plecanatide are GC-C agonists(raise cGMP → CFTR chloride secretion); lubiprostone is a ClC-2 chloride channel activator.Different receptor, same fluid-secretion endpoint.
  • Linaclotide is taken on an empty stomach 30+ min before the first meal;plecanatide and lubiprostone are not stomach-timing dependent (lubiprostone should be with food to reduce nausea).
  • Prucalopride is a 5-HT4 agonistwith a strong AGA/ACG recommendation for patients failing OTC therapy; renal-dose to 1 mg if CrCl <30.
  • IBS-C requires abdominal pain plus constipation;CIC does not require pain. That's the whole differentiator.
  • Magnesium-based and saline laxatives are for bowel prep or occasional use,not chronic daily therapy, watch renal function and heart failure status.
  • Alarm symptoms (bleeding, weight loss, anemia, new symptoms after age 50) mean workup, not just a stronger laxative.
  • Pelvic floor dysfunction responds poorly to fiber alone, consider biofeedback/pelvic floor retraining.