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Laxative abuse
Nausea, vomiting, abdominal cramping, diarrhea, are most common. Dehydration and electrolyte problems are more common in children than adults. Below are symptoms specific to the actual product.
Bisacodyl:
Senna; Cascara sagrada:
Phenolphthalein:
Sodium phosphate:
Magnesium-containing products:
Castor oil can cause gastrointestinal irritation.
Mineral oil can cause aspiration pneumonia, a condition where vomited stomach contents are inhaled.
Products containing methylcellulose, carboxymethylcellulose, polycarbophil, or psyllium may cause choking or intestinal blockage if they are not taken with plenty of fluids.
Malagelada JR, Malagelada C. Nausea and vomiting. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger & Fordtran’s Gastrointestinal and Liver Disease. 8th ed. Philadelphia, Pa: Saunders Elsevier; 2006:chap 8.
Sackeyfio AH, Gottlieb SJ. Anorexia nervosa and bulimia nervosa. In: Tintinalli JE, Kelen GD, Stapczynski JS, Ma OJ, Cline DM, eds. Emergency Medicine: A Comprehensive Study Guide. 6th ed. New York, NY: McGraw-Hill; 2004:chap 291.
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