Diarrhea due to Laxative Abuse: Causes & Reasons

Possible Causes for Diarrhea due to Laxative Abuse

Differential Diagnosis Causes of secretory diarrhea in adults of the developed countries include laxative abuse, carcinoid syndrome, microscopic colitis, and bile salt malabsorption [statpearls.com]

due to ileal resection. [statpearls.com]

Though more common in developing countries, diarrhea due to infection from Vibrio cholera, enterotoxigenic Escherichia coli may also need to be ruled out after careful assessment [statpearls.com]

Anorexia Nervosa

[…] from laxative abuse, will cause a non-anion gap acidosis [44]. [jeatdisord.biomedcentral.com]

The mainstays of treatment for the hypokalemic metabolic alkalosis due to vomiting and diuretic abuse are intravenous saline and potassium. [jeatdisord.biomedcentral.com]

[…] mentioned in part two of this series, all modes of purging, which are engaged in excessively, will result in hypokalemia and metabolic alkalosis, although milder cases of diarrhea [jeatdisord.biomedcentral.com]

Bulimia Nervosa Purging Type

Abstract Since the primary role of psychoeducation in eating disorders is to act as a foundation for other interventions, nutritional rehabilitation should use the same therapeutic principles as psychotherapy. This paper looks at the possibility that traditional psychoeducational results can be enhanced in patients[…] [ncbi.nlm.nih.gov]

Islet Cell Tumor

There are two general types of islet cell tumors of the pancreas; functional and nonfunctional. Both types can increase hormone levels, but the hormones released by functional islet cell tumors produce symptoms, whereas those released by nonfunctional tumors do not. Symptoms that eventually develop with[…] [sharecare.com]

Laxative Abuse

Abstract Laxative abuse is an uncommon but clinically important cause of chronic diarrhea, a condition often associated with other gastrointestinal symptoms, as well as with disturbances in electrolyte and acid-base balance. A high index of suspicion, a detailed history, and the detection of laxative in stool and/or[…] [ncbi.nlm.nih.gov]

Laxative

A case of poisoning caused by an excessive dose of herbal laxative tablets is reported. The patient's symptoms included coma and prolonged peripheral neuropathy. The clinical features were characteristic of podophyllin poisoning. Podophyllin was a component of the laxative tablets, but the container gave no[…] [ncbi.nlm.nih.gov]

Hypokalemia

Diarrhea due to laxative abuse is an occasional cause of hypokalemia in the adolescent or adult. Enema abuse is a related cause of hypokalemia. [medical-dictionary.thefreedictionary.com]

Gastrointestinal losses of potassium usually are due to prolonged diarrhea or vomiting, chronic laxative abuse, inadequate dietary intake of potassium, intestinal obstruction [rarediseases.org]

The urinary potassium test is useful in cases where the patient is denying the practice of laxative or enema abuse. [medical-dictionary.thefreedictionary.com]

Bartter Syndrome

In western countries hypokalemia is most commonly caused by the use of diuretics, then by diarrhea (spontaneous or due to laxative abuse) or vomiting. [omicsonline.org]

Salti-Salem Syndrome

Additionally, excessive perspiration due to hot weather or exercise can cause hypokalemia. Affected Populations Hypokalemia may affect both males and females. [rarediseases.org]

Primary Hypomagnesemia with Secondary Hypocalcemia

Causes of gastrointestinal loss of magnesium include diarrhea and vomiting and abuse of laxatives. [clinchem.aaccjnls.org]

Hypomagnesemia can also be due to lack of intake or absorption of dietary magnesium, due to malabsorption, bowel resection, fistula, malnutrition, alcoholism, or total parenteral [clinchem.aaccjnls.org]

Normokalemic Periodic Paralysis

Gastric suctioning* -Chronic laxative abuse* Hypokalemia due to Renal K loss 1) Aldosterone 2) inc flow thru distal nephron Aldosterone and renal K loss -Aldosterone, which [quizlet.com]

Hypokalemia due to extrarenal loss of K -Most common cause of hypokalemia is gastrointestinal loss due to infectious diarrhea! [quizlet.com]

Intraperitoneal Abscess in the Right Lower Quadrant

Ischemic diseases of the GI tract Note: Diarrhea as the predominant symptom may be due to lactase deficiency, laxative abuse, malabsorption, and hyperthyroidism. [my.ilstu.edu]

Hypocalcemia

Causes of gastrointestinal loss of magnesium include diarrhea and vomiting and abuse of laxatives. [clinchem.aaccjnls.org]

Hypomagnesemia

Causes of gastrointestinal loss of magnesium include diarrhea and vomiting and abuse of laxatives. [clinchem.org]

Hypomagnesemia can also be due to lack of intake or absorption of dietary magnesium, due to malabsorption, bowel resection, fistula, malnutrition, alcoholism, or total parenteral [clinchem.org]

Alkalosis

“saline-responsive” (urine chloride <10-30 mM, usually patient is hypovolemic) Vomiting or nasogastric suction Chloride-wasting diarrhea (villous adenoma, laxative abuse) [emcrit.org]

Remote diuresis High-dose penicillin therapy Renal hypoperfusion (due to hypovolemia, heart failure, or cirrhosis) PLUS exogenous alkali TPN with excess acetate Citrate (massive [emcrit.org]

Familial Pseudohyperkalemia

Most common causes: Decreased Intake - alcoholism, elderly, anorexia GI loss - Vomiting/diarrhea, NG tube, laxative abuse, fistulas, villous adenoma, ureterosigmoidostomy, [quizlet.com]

Intracellular shift of K Renal potassium loss (due to drugs, CHF, MH crisis, mineralocorticoid-excess states). [quizlet.com]

Muscle weakness Hypotension Vomiting Diarrhea Polyuria Polydypsia Dyspnea Exertion Full Assessment! [quizlet.com]

Bulimia Nervosa

The medical complications of laxative abuse can be divided into two main categories, those due to effects on the gastrointestinal system along with the systemic effects, of [jeatdisord.biomedcentral.com]

They act rapidly and directly to stimulate colonic motility, producing a large volume of watery diarrhea. [jeatdisord.biomedcentral.com]

Arthrogryposis, Perthes Disease and Upward Gaze Palsy

[…] deficiency or laxative abuse 3. greasy or malodorous 4. contains blood or pus Definition 1. secretory 2. osmotic 3. malabsorption 4. inflammatory Term Diarrhea-causing organisms [flashcardmachine.com]

Common causes - cholera, neuroblastoma, E. coli 2. slows or stops during fasting, transport defect, high osmolality, water, acidic, + reducing substances. usually due to lactase [flashcardmachine.com]