Laxative and diuretic abuse

Laxatives and diuretics

Laxatives are any product designed to stimulate evacuation of the bowels - they include tablets, syrups, salts, drinks, laxatives in confectionery form, and 'natural' laxatives. Diuretics remove water from the body. Laxative or diuretic abuse is when you take laxatives or diuretics frequently over a prolonged period of time or taking more than the recommended dose on any one occasion.

Neither laxative or diuretic abuse will achieve anything other than very temporary and short term apparent weight loss. Laxatives will not reduce the amount of calories you absorb. Diuretic abuse does reduce the amount of water in the body. However water is vital for the appropriate functioning of all the body’s systems and diuretic abuse can lead to fatal complications. There are numerous and long-term medical side effects of laxative abuse that can lead to serious health problems and even fatalities.

So called ‘slimming drugs’ can also have serious side effects and should only ever be taken under medical supervision, and never to lose weight inappropriately.

Living without Laxatives

Many people who suffer from bulimia and anorexia find themselves abusing laxatives, that is taking more than the recommended dose, or regularly taking laxatives over a period of weeks, months or even years. Here we would like to give you some guidelines to help you come off laxatives. These are not hard and fast rules, but rather ideas and suggestions that some people have found useful, and which you might like to use as a starting point in your journey to recovery.

Before you begin, try to prepare yourself mentally for the task ahead of you. Think about why you take laxatives - there are probably a number of reasons. Consider the situations in which you take laxatives: At a set time every day? After a binge? When you are alone or depressed? Try to focus on the positive side of giving up laxatives and write down some of the benefits of kicking the habit. Laxative abuse can have serious and long-term effects on your health, and by giving up laxatives you will undoubtedly be improving your health. Your appearance is also likely to improve - most people find that their skin looks better and their stomach becomes less bloated. You will save money. You will be able to feel proud that you have managed to break out of the vicious circle of laxative abuse. You will be one step nearer to recovery from your eating disorder.

If you have been taking laxatives for just a short while, or if you only take relatively small amounts, you may well be able to stop all at once. Throw away all your packets of laxatives; don't keep any in the house, and don't let yourself buy any more. This will not be easy, but some people do find that breaking the habit in this way works.

If, however, you have been abusing laxatives for some time, or if you take large doses of laxatives, you may find that a more gradual approach is better. You could try cutting down the amount of laxatives you take - a realistic target might be to reduce the number of laxatives you take by ten percent each week, so that after ten weeks you will no longer be taking laxatives.

• Alternatively, you might like to try keeping certain days of the week 'laxative free', and then gradually increase the number of days when you don't take laxatives until you are no longer taking them at all. Keep a record of your progress.
• You will find it easier if you increase the amount of fibre in your diet. Baked potatoes, fruit, vegetables, wholemeal bread and dried fruit are all good sources of fibre. Do not eat large amounts of bran as this can interfere with the absorption of important vitamins and minerals. Do drink plenty of water.
• Try not to panic about gaining weight - some people do find that their weight increases when they stop taking laxatives, but this is invariably temporary. If you stop taking laxatives and eat a normal healthy diet, you will not become overweight. You might feel a bit bloated at first, but again this is temporary. Most people find that in the long run their stomach is less bloated after giving up laxatives. Wearing loose clothes can help.
  
• Do not panic if you find that you become constipated. 'Rebound constipation' is a common, but not inevitable side effect of laxative abuse and will ease with time and with a healthy and normal-sized diet.
  
• Keep reminding yourself that all the medical evidence suggests that laxatives DO NOT aid weight loss. They simply make you dehydrated. It is fluids and valuable vitamins and minerals that are lost, rather than calories which the body absorbs very quickly.

Setbacks

Finally, try not to be depressed by setbacks. Giving up laxatives is not easy, and not everyone will succeed first time. Be kind to yourself and be proud of any progress you make. Take one day at a time. If you manage to cut down the amount of laxatives you take, but do not yet feel ready to stop altogether, then that is still an achievement. Even if your efforts are not successful, any attempt at giving up laxatives is a step in the right direction.

Support

Giving up laxatives is often difficult and support can really help. Confide in someone who will understand what you are going through and who can offer you the encouragement and support you need. Sometimes a close friend or relative can help. You may have a sympathetic GP, counsellor, psychologist or psychiatrist. Some people find that their local beat Self Help Group is a great source of support. Don't forget there is also the beat helplines

It is important that you tackle other aspects of your eating disorder at the same time as trying to come off laxatives. You will be no nearer to recovery if you stop taking laxatives and replace them by decreasing the amount you are eating, or start vomiting instead.