전통적 완하제
- Affiliated Author(s)
- 박경식
- Alternative Author(s)
- Park, Kyung Sik
- Journal Title
- 대한내과학회지
- ISSN
- 1738-9364
- Issued Date
- 2015
- Abstract
- Based on published guidelines on the management of chronic constipation, secondary causes should be excluded and then patients
should be told to increase their dietary fiber intake to 20-25 g per day. If these measures do not improve the symptoms, conventional
laxatives are generally the next choice. Although there is limited evidence for the efficacy of these older laxatives due to
a lack of well-designed clinical trials, most clinicians agree that they are effective at relieving the symptoms of constipation.
Conventional laxatives include bulk-forming, osmotic, and stimulant laxatives. Bulking laxatives consist of fiber such as psyllium,
cellulose, and bran. Osmotic laxatives are classified into sugar-based laxatives and polyethylene glycol. Bisacodyl and sodium picosulfate
are stimulant laxatives. Understanding their mechanisms of action, efficacy, and side effects might improve the quality of
life of patients suffering from chronic constipation. (Korean J Med 2015;88:1-8)
Keywords: Constipation; Laxatives
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