Secondary constipation is associated with chronic disease processes, medication use, and psychosocial issues. You can use these instructions to use a rectal suppository by yourself. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Ending the Opioid Crisis - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press. To moisten the tip of the suppository, apply a lubricating jelly such as K-Y Jelly. Throw away unused or expired drugs. Mineral oil makes the surface of stools slippery, which helps them pass through the body more easily. Adverse effects (AEs): The most common AEs associated with the use of Follow all instructions closely. Phosphate enemas should be avoided in older adults because of the high risk of electrolyte disturbances, which are sometimes fatal. Indication: Glycerin Suppositories are used in the treatment of acute and temporary episodes ofconstipation and is suitable for use in adults, children, and infants. Accessibility Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. For instance, they may contain glycerin to treat constipation or acetaminophen to treat a fever. Low impact exercise options include walking to work, swimming, and doing yoga. Mortality Risk in Chronic Kidney Disease Patients Transitioning to Dialysis: Impact of Opiate and Non-Opiate Use. This content does not have an Arabic version. A hair strand drug test can be used to detect drugs used over the past 90 days. senna suppositories in 30 minutes, but may not occur for some individuals for up to 2 hours. Laxative use and mortality in patients on haemodialysis: a prospective cohort study. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. Stimulant laxatives are usually recommended when osmotic laxatives don't work. They include children and people who have diabetes or kidney disease. They help prevent straining during bowel movements. Laxatives: OTC products for constipation. Rectal bleeding, blood in stools Online ahead of print. Using a liquid glycerin suppository is a good option for it to act quickly. stream You may also report side effects at https://www.fda.gov/medwatch. Lay on your side with the lower leg straightened out and the upper leg bent toward your stomach. Bethesda, MD 20894, Web Policies Do not use 2 doses at the same time or extra doses. You must check It is effective and moderately well tolerated in older adults.16 A subgroup analysis of 163 patients older than 65 years found that nausea was the most common adverse effect, occurring in 18% of patients.22 In one study of patients with constipation after orthopedic surgery, lubiprostone was as effective as senna.31 Lubiprostone may be reserved for constipation that does not respond to less expensive treatment options. Treating constipation with laxatives. Constipation in older adults. <> Phillips laxative caplets. g*DUYW*q}y?ZyYglk^F-J3{WF[Qg:{=+;0H%~oYlHJJ-:{B%i\[Ht5]'LWxp(~Zjqy7Owu~ T. Pre-ESRD laxative use was defined as, MeSH Proportion of laxative use within each 6-month period over 36 months pre- and post-ESRD transition. Mineral oil usually works within 6 to 8 hours when taken by mouth, and within 15 minutes when used rectally. Taking laxatives for too long can cause dehydration and electrolyte imbalances. If this doesnt work, osmotic and stimulant laxatives are often second-choice options. (2021). Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. Overall, the recommended position for rectal suppository administration is on your side. Wash your hands again with soap and hot water. 4 0 obj advice about side effects. Canadian Family Physician. (2001). All Rights Reserved. How long after using a suppository can I poop? Epub 2020 Aug 10. (2015). Hold one buttock gently to one side so that you can see the opening of the rectum. The effectiveness and safety of magnesium salts, such as magnesium hydroxide and magnesium citrate, have not been well studied in older adults. Glycerin belongs to a class of drugs known as hyperosmotic laxatives. This article will discuss what a glycerin suppository is, how it works, and ways to use it. Laxative Use and Change in Estimated Glomerular Filtration Rate in Patients With Advanced Chronic Kidney Disease. You will need to talk about any risks to your baby. For this medicine, the following should be considered: Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Her mission is to give people the knowledge and tools they need to better their lives. Glycerin suppositories work by drawing water into the intestine, softening and lubricating the stool, and stimulating the area. Bran and psyllium improve stool frequency in older patients,18 but there is more evidence for the effectiveness of psyllium than bran in persons of all ages.17 A few small studies in older adults demonstrated equivalent effectiveness of methylcellulose and polycarbophil to psyllium.16 Adverse effects such as bloating, abdominal distention, and gas are more common with psyllium.27 Bulk laxatives should be avoided if fecal impaction is present. SK is prescribed glycerin suppositories as needed for constipation, however, glycerin is not recommended for patients on a ketogenic diet. Bandla, H. P. R, et al. Low, A. Below well discuss stool softeners and the other categories of laxatives osmotic, stimulant, saline, bulk-forming, and lubricant laxatives. In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. Clinical management of hiv on kidney failure patients? This will allow time for the suppository to melt and give you better relief. In some situations, your healthcare provider may recommend combining a stool softener and laxative. Pre-ESRD laxative use was defined as at least two laxative prescriptions 30-days apart during the 1-year pre-ESRD period. The rectal enema formulation can cause: Mineral oil is the only OTC lubricant laxative. If soap and water are not available, use hand sanitizer instead. Search dates: August 2014 and June 2, 2015. It works by relaxing the muscles of the bladder, which decreases spasms. Constipation typically defined as having fewer than three bowel movements per week is a common complaint in healthcare providers offices. Glycerin Suppositories are indicated for acute and temporary episodes of constipation. The content on Healthgrades does not provide medical advice. The opinions and assertions contained herein are the private views of the authors and are not to be construed as official or reflecting the views of the Department of Defense, the U.S. Army Medical Corps, or the U.S. Army at large. However, many people have no side effects or only have minor side effects. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. WebThis product is used to relieve occasional constipation. If the first position is not comfortable, or if youre having difficulties inserting the suppository, you can also try kneeling face down with your hips lifted, and your head toward the floor. Do glycerin suppositories cause electrolyte imbalances? Pedia-Lax Warnings Make sure your doctor knows if you are pregnant or breastfeeding, or if you have kidney disease, stomach pain, nausea, or vomiting. This PEG is an iso-osmotic agent that has been consistently effective in the treatment of constipation.18 A meta-analysis of PEG vs. lactulose for the treatment of chronic constipation in adults up to 75 years of age showed that PEG is more effective and led to fewer adverse effects than lactulose.29 A small RCT comparing PEG with ispaghula husk (psyllium) showed that PEG was more effective, with a more rapid onset of action.30. Endoscopy vs. Colonoscopy: How Do They Differ? This helps avoid straining during a bowel movement, which is especially important in people with heart conditions or hemorrhoids. This will make it difficult to have a bowel movement without using a glycerin suppository. Increased exercise does not improve symptoms of constipation in nursing home residents or older adults. To make sure glycerin rectal is safe for you, tell your doctor if you have: nausea, vomiting, or stomach pain; rectal bleeding; a change in bowel habits that has However, continual use may lead to the loss of regular bowel function. Web2. ? <>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Generally, steps include: If you are using the suppository for an adult, or are using it yourself, follow these steps: Side effects of glycerin suppositories include the following: If you experience any of the following symptoms, contact your doctor: If you use glycerin suppositories too frequently, you may lose your regular bowel functioning. what signs you had. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. Use of this website and any information contained herein is governed by the Healthgrades User Agreement. DailyMed. What can help with constipation during pregnancy? Schuster, B. G., et al. Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. Diseases of the Colon & Rectum. Pregnant people should aim for 25g of fiber daily. Such methods may be especially helpful for young children and older adults who cannot take medications by mouth, according to a 2021 review. (2021). Stool softeners allow water and fat to build up in the stool, making it softer and easier to pass. Fleet glycerin suppository. Store the suppositories in a cool place to prevent melting. Talk with a doctor if youre having issues with rectal suppositories, or if other questions and concerns arise. Learn more about the potential benefits and side effects of rectal suppositories, as well as a step-by-step guide on how to administer them. If you have trouble giving yourself a rectal suppository, ask a loved one to follow these steps to help you. If you are having difficulty accessing this website, please call or email us at (855) 268-2822 or ada@goodrx.com so that we can provide you with the services you require through alternative means. To make sure glycerin rectal is safe for you, tell your doctor if you have: nausea, vomiting, or stomach pain; Mariotti J. Some drugs may have another patient information leaflet. It is approved by the U.S. Food and Drug Administration for chronic constipation and irritable bowel syndrome. You should drink a lot of water while taking bulk-forming laxatives. If you are still constipated after three days, you should see your doctor. All rights reserved. The proportion of patients prescribed laxatives increased as patients progressed to ESRD, peaking at 37.1% in the 6 months immediately following ESRD transition, then remaining fairly stable throughout the post-ESRD transition period. Wet suppository before putting in rectum. In older adults, rectal receptors may have a diminished response to stretching, blunting the urge to defecate despite accumulation of large quantities of stool. The typical frequency of bowel movements in adults ranges from three times per week to three times per day. Am J Nephrol. Get surprising tips for reducing gas and relieving painful bloating. Laxative Use and Risk of Dyskalemia in Patients with Advanced CKD Transitioning to Dialysis. Kidney: Glycerine sup does not damage kidneys. And glycerine is a simple lubricant for the intestin. But some fleet enemas ( sodium bisphosphate) containing phosphates are discouraged in patients with kidney failure or insufficiency as the increase the serum level of phosphates to a non desirable level. And Buspar daily. Causes of secondary constipation include medication use, chronic disease processes, and psychosocial issues. Osmotic laxatives allow water to be easily absorbed in the small intestine. This over-the-counter medication is easy to use for both children and adults. It is intended for informational purposes only. Some. WebBisacodyl suppositories (Dulcolax) are generally more effective than glycerin-based suppositories. WebThese medications are used to treat acid reflux and heartburn, and some studies suggest that they can increase the risk for kidney disease, osteoporosis, or other nutritional Any added Clinical Trials and Safety: Your Questions Answered. This is because the suppository melts inside the body and is absorbed directly into the bloodstream. Learn when to worry about blood in the stool and when to contact a doctor if you're pooping blood. Chronic constipation occurs in 16% of adults, with older patients experiencing constipation more often.1 About one-third of adults 60 years or older report at least occasional constipation1, and in nursing home residents, the prevalence is 50% or more.2 Approximately 33 million adults in the United States have constipation resulting in 2.5 million physician visits and 92,000 hospitalizations each year.3. 2023 Feb;27(2):151-160. doi: 10.1007/s10157-022-02289-8. Epub 2022 May 6. Because of the limited data and potential harm, long-term use of magnesium salts is not recommended. Rarely, they cause stomach cramps or a rash. 5. Doctors typically provide answers within 24 hours. Are fleet glycerin suppositories safe to use in patients heart problems? Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. https://www.aafp.org/afp/2011/0801/p299.html. If you have rectal bleeding or you do not have a bowel If you are allergic to this medicine (glycerin suppositories); any part of this medicine (glycerin suppositories); or any other drugs, foods, or substances. DailyMed. If youre a parent or caregiver, you can also use these steps to give a suppository to a child or another adult. Do not use this medicine (glycerin suppositories) for more than 1 week unless told to do so by your doctor. It can keep the suppository from melting after it is inserted. Are glycerin suppositories safe for heart patients? Constipation and defecation problems. Medication from a rectal suppository tends to work quickly. The .gov means its official. Constipation is common in childhood. Changing some of your daily habits is often all thats needed. Many times this medicine (glycerin suppositories) is used on an as needed basis. Osmotic laxatives are not absorbable. Review article: Diagnosis, management and patient perspectives of the spectrum of constipation disorders. Miralax polyethylene glycol 3350 powder, for solution. Administration of rectal suppositories or enemas. All rights reserved. Call your doctor or 911 if you think you may have a medical emergency. Constipation is common, but certain foods can provide relief. International Foundation for Gastrointestinal Disorders. Primary constipation is also referred to as functional constipation. This method may be preferable if you or your child cannot take medications by mouth. Most patients are initially treated with lifestyle modifications, such as scheduled toileting after meals, increased fluid intake, and increased dietary fiber intake. This allows the stool to move quickly through the intestines, resulting in more frequent bowel movements. Glycerin a rectal suppository usually takes 15 minutes to 1 hour to work. x[mo7na!}-9 C?d3.R"gf/}qXW?x{WoBYWUuVFTr{yqv;|Z] dV7h>_^|Xd///};wZ~]z No drug sharing sensitive information, make sure youre on a federal A previous article in American Family Physician reviewed the diagnostic approach to chronic constipation in older adults (https://www.aafp.org/afp/2011/0801/p299.html). Be sure to push the suppository past the sphincter, which is the muscular opening of the rectum. Epub 2017 Jul 5. Here are 17 foods that can relieve constipation and keep you regular. Lubiprostone (Amitiza), a chloride channel activator that moves water into the intestinal lumen, is approved by the U.S. Food and Drug Administration for long-term treatment of chronic constipation in adults. Wash your hands with soap and warm water. Video chat with a U.S. board-certified doctor 24/7 in a minute. Proper insertion and following post-administration instructions may help reduce these effects. If youre still having hard stools after a week of using them, contact your healthcare provider. What is the life expectancy for a patient with stage 4 kidney failure? Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco. American Pregnancy Association. If youve ever felt too uncomfortable to eat much of anything, youre not alone. A Guide to Chronic Pancreatitis Treatment, Acute Pancreatitis Treatment: What You Need to Know. Federal government websites often end in .gov or .mil. Available for Android and iOS devices. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. Push the suppository gently and slowly, pointed end first, into the rectum (back passage). Oral saline laxatives can cause loose and watery stools. The rectum is stimulated by an osmotic effect. If you have kidney problems, talk to your healthcare provider before taking osmotic laxatives. (2021). Adverse effects of laxatives. For example, fever-reducing medications such as acetaminophen may be administered rectally if you cannot take the oral versions due to vomiting or other issues that might otherwise prevent you from swallowing liquids or tablets. Lactulose and sorbitol are hyperosmolar sugar alcohols that increase frequency of defecation and reduce straining. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding. A 30-year-old male asked about a 24-year-old female: Connect with a U.S. board-certified doctor by text or video anytime, anywhere. 7,752,060 and 8,719,052. endobj You can unsubscribe at any time. Dickson, I. ConstipationSelf care. Unless the suppository is a laxative, try not to empty your bowels. However, its also important to know the insertion depth limits, which can vary by age: If the suppository comes out after you insert it, you may not have pushed it far enough into the rectum. A colonoscopy is specifically used to look at the colon. Keep them in the refrigerator if the medication label says to do so. Siegel, J. D., et al. Additional fiber intake in the form of polycarbophil, methylcellulose, or psyllium may improve symptoms. Throw away used materials and wash your hands thoroughly. A systematic review of five RCTs found that probiotics did not improve constipation in adults.32. Created for people with ongoing healthcare needs but benefits everyone. Weinstein, M. (2001). ANNE MOUNSEY, MD, MEGHAN RALEIGH, MD, AND ANTHONY WILSON, MD. Lie on your side and raise your knee to your chest. If your symptoms or health problems do not get better or if they become worse, call your doctor. 3 0 obj with your doctor, nurse, pharmacist, or other health care provider. Don't use mineral oil, stimulant laxatives or enemas to treat infant constipation. The next step in the treatment of constipation is the use of an osmotic laxative, such as polyethylene glycol, followed by a stool softener, such as docusate sodium, and then stimulant laxatives. Stimulant laxatives can produce a bowel movement in 6 to 12 hours if taken orally, and 15 minutes to 1 hour if given rectally. If you have rectal bleeding or you do not have a bowel movement after using this medicine (glycerin suppositories), talk with your doctor. Learn more about how we ensure our content is accurate, thorough, and unbiased by reading our. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. StatPearls. Drug class: Laxatives. Gently squeeze the suppository to check if it is firm enough to insert. It is not a substitute for professional medical advice, diagnosis or treatment. Careers. Pediatrics. Liquid glycerin suppositories provide faster relief for occasional constipation. Medical treatment of constipation. Often, more than one subtype occurs simultaneously.4 Normal transit constipation is the most common. American Academy of Family Physicians. (2018). Its available under the brand names Senna-S, Dok Plus, or Senexon-S. WebYou should not use this medicine if you have had an allergic reaction to glycerin. 2018 Nov;72(5):701-710. doi: 10.1053/j.ajkd.2018.04.022. Put suppository into the rectum with gentle pressure, pointed end first. This makes it easier to pass hard stools out of the body. Doctors diagnose chronic constipation when symptoms persist for over 3 months. Semin Dial. Medications for constipation are listed in Table 1.1624 Figure 1 provides a suggested approach to the management of chronic constipation in older adults. Glycerin suppositories are only meant for occasional use. Glycerin suppositories side effects Please enable it to take advantage of the complete set of features! BISAC-10 Bisacodyl stimulant laxative - bisacodyl suppository. Plagued by constipation? Suppositories for Hemorrhoids: Do They Work? According to a 2019 review of research, certain health conditions that affect the gastrointestinal (GI) tract may also reduce the effectiveness of the drugs being administered rectally, and even increase the risk of pain. Generic name: glycerin (rectal) [ GLISS-er-in ] Brand names: Fleet Glycerin Suppositories Adult, Fleet Glycerin Suppositories Pediatric, Pedia-Lax Liquid, Sani-Supp Drug class: Laxatives Medically reviewed by Drugs.com on Sep 13, 2022. Osmotic laxatives increase the amount of fluid in the body and could overload your heart. Peripherally acting mu-opioid antagonists are effective for opioid-induced constipation but are expensive. Learn how food triggers can make symptoms worse and ways a six food elimination diet can help. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. This creates a softer and bulkier stool, making it easier to pass. Copyright 2023 Healthgrades Marketplace, LLC, Patent US Nos. Rectal suppositories are alternatives to taking oral medications. It works by drawing water into the intestines. It is then retained for up to five or 10 minutes, until the urge to have a bowel movement is felt. What are normal bowel movement patterns? endobj Diarrhea is the most common adverse effect and led to cessation of treatment in 4% of patients.24, Probiotics. GoodRx Health has strict sourcing policies and relies on primary sources such as medical organizations, governmental agencies, academic institutions, and peer-reviewed scientific journals. Rectal drug delivery system: An overview. To learn more, please visit our, is not absorbed through the rectum, which is why it draws water out of the body into the, . Contact Laxative Use and the Risk of Arteriovenous Fistula Maturation Failure in Patients Undergoing Hemodialysis: A Multi-Center Cohort Study. It is more common in females and adults ages 65 years and older. If you think you may have a medical emergency, immediately call your doctor or dial 911. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Citrucel methylcellulose powder, for solution. Are glycerin suppositories safer for heart patients? Hannoodee, S., et al. A glycerin suppository is a solid form of laxative that can quickly relieve the discomfort and pain caused by temporary constipation. Factors independently associated with pre-ESRD laxative use. To insert a rectal suppository, youll first need soap and water or hand sanitizer to clean your hands. This includes your doctors, nurses, pharmacists, and dentists. This content does not have an English version. Fleet Glycerin Suppositories Adult, Pedia-Lax Liquid Glycerin Suppositories, Fleet Glycerin Suppositories Pediatric, Sani-Supp. Brand names: Colace Pediatric, Sani-Supp (n.d.) Laxatives during pregnancy. For these, please consult a doctor (virtually or in person). To remove feces from the body to prevent contamination during surgery. Do not use more often than told by the doctor. The presence of other medical problems may affect the use of this medicine. Contact your healthcare provider if you dont have a bowel movement within 30 minutes of using a saline enema. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. The 17 Best Foods to Relieve Constipation, Everything You Should Know About a Hair Strand Drug Test, Debra Sullivan, Ph.D., MSN, R.N., CNE, COI. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Factors associated with laxative use during the last 1-year pre-ESRD period were identified by multivariable logistic regression. Glycerin also has lubricating and softening properties that ease evacuation. 2020;51(9):715-725. doi: 10.1159/000509451. Do not use 2 doses at the same time or extra doses. Many times this medicine (glycerin suppositories) is used on an as needed basis. Do not use more often than told by the doctor. What are some side effects that I need to call my doctor about right away? Laxatives. Long-term use of magnesium-based laxatives should be avoided because of potential toxicity. Are glycerin suppositories safe? We've rounded up the best at-home kidney health test kits. Trademarks, brands, logos, and copyrights are the property of their respective owners. Dont take stool softeners for more than a week at a time. (2005). If you have symptoms of constipation that last more than a week, talk with your primary care doctor. DailyMed. Solid (red) and dotted (blue) lines represent single and combined use of laxatives, respectively. Sood, M. R. (2021). Humco Mineral Oil Heavy - mineral oil liquid. The water softens the stools and makes it easier to expel them. and transmitted securely. Never disregard or delay professional medical advice in person because of anything on HealthTap. (2021). Other laxatives, like saline or lubricant laxatives, may be good options in certain situations. Would you like email updates of new search results? Methods: Now, youll enjoy a streamlined experience created specifically for healthcare providers. Bayer. For best results, lie on your left side and bend your knees toward your chest. Laxatives. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. (2020). Non-medication interventions like increasing your fiber intake should be tried first. For non-prescription products, read the label or package ingredients carefully. Rectal suppositories are used for administering medications when you cannot do so orally. pharmacist if you have questions about the best way to throw out drugs. Polyethylene glycol (Miralax) is preferred over lactulose for the treatment of constipation because it is more effective and has fewer adverse effects. Epub 2020 Sep 18. Privacy Policy|Advertising Policy|Privacy Preferences Center|Do Not Sell My Personal Information. If youre giving the suppository to someone else, you may want to place them in this second position. Learn how we can help 5.4k views Answered >2 years ago (2021). 6 Foods to Avoid with Eosinophilic Esophagitis. This work is written by US Government employees and is in the public domain in the US. People may become constipated when they eat a diet that is low in fiber, do not drink plenty of water, or do not relieve themselves as soon as they feel the need. They come in different shapes and sizes but are usually narrowed at one end. And glycerine is a simple lubricant for the intestin. Although glycerin suppositories come in different shapes and sizes, they are usually narrower at one end to make insertion easier. How to use rectal suppository. Electrolytes are substances in your body. (2019). while you are pregnant. If you think there has been an overdose, call your poison control center or get medical care right away. Background: DailyMed. Uses Warnings Before taking Side effects Interactions Dosage Keep all drugs out of the reach of children and pets. FOIA Kidney: Glycerine sup does not damage kidneys. Its available as a generic oral liquid or a rectal enema (Fleet Mineral Oil Enema.). One study found that around 16% of U.S. adults experience constipation. It will also discuss any risks or side effects. We often refer to stool softeners and laxatives as different medications. Purohit TJ, et al. A more recent article on chronic constipation in adults is available. An official website of the United States government. DailyMed. Bulk-forming laxatives are available as OTC products, including: Bulk-forming laxatives add soluble fiber to the stool, causing more water absorption. Created for people with ongoing healthcare needs but benefits everyone. Int J Environ Res Public Health. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. If you need medication, your obstetrician may recommend bulk-forming laxatives, Milk of Magnesia, or stool softeners.
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