Senna for constipation

About senna

Constipation is a common problem. It can mean either going to the toilet less often than usual to empty your bowels, or passing hard or painful stools. Constipation can be caused by a number of things. Not eating enough fibre or not drinking enough fluid can cause constipation. Some conditions (such as pregnancy) can cause constipation, as can a lack of exercise or movement (such as being ill in bed) and some medicines.

Often, increasing the amount of fibre in your diet (such as by eating more fruit, vegetables, cereals, and wholemeal bread) and drinking plenty of water each day can effectively prevent or relieve constipation.

You could be recommended senna as a laxative to help relieve constipation if you cannot increase the fibre in your diet, or if this is insufficient. Senna works by encouraging the muscles in your bowel to move stools through your body. This helps you to go to the toilet. It usually has an effect within 8-12 hours. It is available to buy without a prescription at pharmacies and other retail outlets.

To make sure that this is the right treatment for you, before you start taking senna it is important that you speak with your doctor or a pharmacist if:

• You are pregnant or breastfeeding. This is because, if you are expecting a baby or breastfeeding, medicines should only be taken on the advice of a doctor or nurse.

• It is intended for a child under 12 years old. Laxatives should only be given to children on the advice of a doctor, or a healthcare professional experienced in the management of constipation in children.

• You are so constipated that you think you may have a blockage.

• You are taking or using any other medicines. This includes any medicines you are taking which are available to buy without a prescription, as well as herbal and complementary medicines.

• You have ever had an allergic reaction to a medicine.

• Before taking senna, read the manufacturer's printed information leaflet from the pack. It will give you more information about the medicine and will provide you with a full list of the side-effects which you could experience.

• The usual adult dose is two to four 7.5 mg tablets, or two to four 5 ml spoonfuls (10-20 ml) of liquid medicine once a day. Take senna in the evening. It should only be used for a few days - this is because your bowel can start to rely on this type of laxative to make it work rather than working on its own. If you are still constipated after taking senna for three days, you should make an appointment to speak with your doctor.

• If a doctor or healthcare professional has recommended senna for your child, check the label on the pack carefully to make sure that you give the correct dose for the age of your child.
  

• It is important for you to drink plenty while you are constipated. Adults should aim to drink at least two litres (about 8-10 cups) of fluid per day. Most sorts of drink will do but, as a start, try just drinking a glass of water 3-4 times a day in addition to what you normally drink.

• Try to eat a balanced diet containing high-fibre foods such as wholemeal and wholegrain breads and cereals, fruit and vegetables, brown rice and wholemeal pasta. If you are not used to a high-fibre diet, it may be best to increase the amount of fibre you eat gradually.

• Keeping your body active will help you to keep your digestive system moving, so try to take some regular daily exercise.

• You may wish to include some foods in your diet that contain sorbitol. Sorbitol is a naturally occurring sugar. It is not digested very well and draws water into your bowel which has an effect of softening stools. Fruits (and their juices) which have a high sorbitol content include apples, apricots, gooseberries, grapes (and raisins), peaches, pears, plums, prunes, raspberries and strawberries.

• You can read more about how to prevent or treat constipation in the separate condition leaflets called Verstopfung (for adults) and Verstopfung bei Kindern.

Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the ones which can occur with senna. You will find a full list in the manufacturer's information leaflet supplied with your medicine. Speak with your doctor or pharmacist if any of the following continue or become troublesome.

If you experience any other symptoms which you think may be due to senna, please speak with your doctor or pharmacist for further advice.

• Bewahren Sie alle Medikamente außerhalb der Reichweite und Sicht von Kindern auf.

• An einem kühlen, trockenen Ort aufbewahren, fern von direkter Hitze und Licht.