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Laxatives (if needed)

If fibre and diet changes do not help, laxatives may help with constipation.

Types of laxatives used for IBS-C

Type of laxative

How it works

Examples

Bulk forming laxatives

Add gentle bulk and water to help poo move through the bowel

Ispaghula husk (Fybogel), methylcellulose

Osmotic laxatives

Pull water into your bowel to make poo softer and easier to pass

Macrogol (e.g. Movicol), Lactulose

Stimulant laxatives (short-term use)

Help your bowel move poo along

Bisacodyl

New research shows that senna (a type of stimulant laxative) does not work well for constipation.

Some laxatives can take 2–3 days to start working.

⚠️ Important: Always talk to a pharmacist or GP before using laxatives regularly.