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On average, infants have 3-4 bowel movements/day, and toddlers have 2-3 bowel movements per day. At around age 4, children develop an adult-like pattern of bowel movements (1-2 stools/day). The median onset of functional constipation in children is at 2.3 years old, with girls and boys being similarly affected. [2]
The main use is for treatment of constipation. In surgery it is used for pre-operative evacuation of the bowel. [3] In diagnostic testing it is used before x-ray examinations or physical examinations of the colon. It is safe for use in children. [4] If used in children under 3 years, it is recommended that the nozzle is only inserted half way. [5]
Constipation-related health care costs total $6.9 billion in the US annually. [18] More than four million Americans have frequent constipation, accounting for 2.5 million physician visits a year. [57] Around $725 million is spent on laxative products each year in America. [57]
Bulk-forming laxatives, also known as roughage, are substances, such as fiber in food and hydrophilic agents in over-the-counter drugs, that add bulk and water to stools so they can pass more easily through the intestines (lower part of the digestive tract). [2] Properties. Site of action: small and large intestines; Onset of action: 12–72 hours
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.
The active ingredient was changed when the product was renamed in 1959, to be the laxative bisacodyl; the original active ingredients were purported to be 1 ⁄ 4 grain (16 mg) of aloe and 0.062 grains (4.0 mg) podophyllum resin. [3]