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Enemas (such as hyperosmotic saline) and suppositories (such as glycerine suppositories) work by increasing water content and stimulating peristalsis to aid in expulsion, and both work much more quickly than oral laxatives. Because enemas work in 2–15 minutes, they do not allow sufficient time for a large fecal mass to soften.
Docusate is the common chemical and pharmaceutical name of the anion bis(2-ethylhexyl) sulfosuccinate, also commonly called dioctyl sulfosuccinate (DOSS). [2] [3] [4]Salts of this anion, especially docusate sodium, are widely used in medicine as an emollient laxative and as stool softeners, by mouth or rectally. [1]
Laxatives vary as to how they work and the side effects they may have. Certain stimulant, lubricant, and saline laxatives are used to evacuate the colon for rectal and bowel examinations, and may be supplemented by enemas under certain circumstances. Sufficiently high doses of laxatives may cause diarrhea.
There are usually no symptoms, but diarrhea and weight loss may occur. [27] Leishmaniasis* is spread by the sandfly, and in the dog as well as human has both cutaneous and visceral forms. The dog is considered to be the reservoir for human disease in the Americas. [28] Babesiosis* is spread by members of the family Ixodidae, or hard ticks.
Sorbitol is found in some dried fruits and may contribute to the laxative effects of prunes. [40] and is available for taking orally as a laxative. [41] [42] As an enema for constipation, the recommended adult dose is 120 mL of 25-30% solution, administered once. [43] Note that Sorbitol is an ingredient of the MICROLAX Enema.
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