What medicine should adults take for constipation? Analysis of hot topics on the Internet in the past 10 days
Constipation is a common digestive system problem for adults. In the past 10 days, the discussion on "adult constipation medication" has continued to rise online. This article will combine the latest hot topics and medical advice to provide you with structured solutions.
1. Top 5 hotly discussed constipation topics on the Internet (data in the past 10 days)

| Ranking | Topic keywords | Search volume trends | Main discussion platform |
|---|---|---|---|
| 1 | Probiotics treat constipation | ↑58% | Xiaohongshu/Zhihu |
| 2 | Lactulose side effects | ↑42% | Baidu Know/Tieba |
| 3 | Traditional Chinese Medicine vs Western Medicine Effect | ↑35% | WeChat public account |
| 4 | Medication for constipation during pregnancy | ↑28% | Mother and baby community |
| 5 | Constipation drug dependence problem | ↑25% | Douban/Hupu |
2. Comparison of categories of commonly used constipation drugs
| drug type | Representative medicine | Onset of effect | Applicable people | Things to note |
|---|---|---|---|---|
| Osmotic laxatives | Lactulose, polyethylene glycol | 6-12 hours | all ages | Diabetics should use lactulose with caution |
| Stimulant laxatives | Senna, bisacodyl | 4-6 hours | short term emergency | Not suitable for continuous use for more than 1 week |
| volumetric laxatives | Wheat cellulose | 24-48 hours | chronic constipation | Need to drink lots of water |
| probiotic preparations | Bifidobacterium triple live bacteria | 2-7 days | People with intestinal flora imbalance | Need to be kept refrigerated |
| lubricating laxative | kaiselu | Instant | Fecal impaction | For rectal use only |
3. Medication guide for different groups of people
1.average adult: Osmotic laxatives (such as polyethylene glycol 4000) are preferred, as they are highly safe and less likely to cause dependence.
2.elderly: It is recommended to use volumetric laxatives and probiotic preparations in combination. Pay attention to drug interactions.
3.pregnant woman: Lactulose is the first choice, stimulant laxatives and castor oil are prohibited.
4.postoperative patients: Prokinetic drugs such as mosapride can be used, but doctor's advice is required.
4. Medication precautions
| Things to note | Detailed description |
|---|---|
| Medication time | Osmotic laxatives are recommended to be taken on an empty stomach in the morning |
| drug combination | Avoid taking antidiarrheal medications and aluminum-containing antacids at the same time |
| Dosage adjustment | Start with the smallest effective dose |
| Treatment course control | Chronic constipation treatment takes 4-8 weeks |
| Indications for discontinuation | Consider reducing the amount of stool when the frequency of bowel movements is ≥ 3 times/week |
5. Non-drug auxiliary solutions
1. Diet adjustment: daily intake of 25-30g dietary fiber (equivalent to 500g vegetables + 200g fruits)
2. Drinking water recommendation: 1500-2000ml per day. Drinking warm water on an empty stomach in the morning is best.
3. Exercise plan: 30 minutes of brisk walking or abdominal massage every day (clockwise)
4. Defecation habits: Go to the toilet at a fixed time, no more than 10 minutes each time
6. When do you need medical treatment?
You should seek medical attention immediately if the following conditions occur: constipation persists for more than 2 weeks, is accompanied by abdominal pain/weight loss, blood in the stool or black stool, symptoms worsen after taking medication, etc.
Reminder: This article is for reference only. Please consult your doctor or pharmacist for specific medication. The treatment of constipation requires an individualized plan, and do not use stimulant laxatives for a long time on your own.
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