List of effective laxatives for constipation

Defecation( bowel evacuation) is the most important natural and obligatory purifying function of our body. And if defecation occurs less than 1 time in 2-3 days - this is constipation. In this case, a person feels severe discomfort, heaviness and even pain in the intestines. This is not only unpleasant, but also very dangerous, as it causes an intoxication of the body. With constipation, you need to help the body to get rid of accumulated stool as soon as possible. This can be done with the help of various laxatives.

  • List of drugs
  • Irritants
  • bisacodyl( Dulkolaks)
  • Guttalaks( Slabilen)
  • buckthorn( Rhamnus)
  • Izafenin
  • Castor oil
  • Rhubarb root
  • Sabur( evaporated juice of aloe leaves)
  • Senade( Gerbion Lexan, Glaksenna, Senadeksin Senaleks, Senna extract dry, Tisasen)
  • Phenolphthalein( Purgen)
  • Osmotics
  • Karlovy Vary salt
  • Magnesium( magnesium sulfate, English salt)
  • Sodium sulfate( sodium sulfate, glauber salt)
  • Fortrans( Macrogol, OSmogolev, Realaksan, Tranzipeg, Forlaks, Forteza Rompharm)
  • Prebiotics
  • Dufalac( Normase, Lactulose, Lactusan, Portalak, Prelaksan)
  • Eksportal( Importal H)
  • Softeners
  • Vaseline oil
  • Fillers
  • Agar
  • Psyllium
  • Wheat bran
  • Seedsflax
  • Local laxatives
  • Bisacodyl suppositories( Dulcolax candles)
  • Glycerin suppositories( Glycelax, Glycerin suppositories)
  • Microlax
  • For pregnant
  • For infants
  • For elderly
  • Natural laxatives

List of

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Irritants of

Act due to irritation and, accordingly, stimulation of sensitive receptors of intestinal walls. This leads to increased peristalsis and accelerated defecation. The effect from the use of such tools is quite rapid and comes in 6-10 hours.

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Bisacodyl( Dulcolax)

The active ingredient is bisacodyl. The form of release - tablets, suppositories rectal.

Assigned with reduced motor activity and flaccid peristalsis of the colon, as well as for bowel cleansing before surgery, radiographic and endoscopic examinations.

As a laxative, take 1 tablet a day in the evening, before going to bed. If necessary, single dose can be increased to 2-3 tablets.

Side effects: swelling or heaviness in the abdomen, nausea, mucous and bloody discharge during and after stool.

Contraindications: intestinal obstruction, bleeding from the digestive tract or uterus, acute inflammation of the abdominal cavity, cystitis, spastic constipation, acute hemorrhoids or proctitis, disturbance of the water-electrolyte balance, age up to 6 years. Be wary for pregnant and lactating women, patients with liver and kidney disease.
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Guttalax( Slabilene)

The active substance is sodium picosulphate monohydrate. The form of release - tablets, drops for reception inside.

Effective for constipation caused by atony or hypotension of the intestine, drugs, dysbiosis, a violation of diet, is used as a mildening remedy for hemorrhoids, proctitis, anal fissures.

For morning stools it is recommended to take before going to bed. Adults and children older than 10 years take 5-10 milligrams( 1-2 tablets or 10-20 drops) per day, children 4-10 years - 2.5-5 milligrams( 0.5-1 tablet or 5-10 drops).Children under 4 years are recommended to take the drug in drops at the rate of 1 drop for every 2 kg of body weight.

Side effects: spasms and abdominal pain, nausea, vomiting, dizziness, skin rash, itching.

Contraindications: intestinal obstruction, acute inflammatory or obstructive bowel disease, severe dehydration, fructose intolerance( for drops) or lactose( for tablets), hypersensitivity. Take with caution in pregnancy, at the age of 4 years.

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Rooster( buckthorn)

Form of release - powder of bark of buckthorn, tablets with an extract of fruits of the zoster.

It is used for chronic constipation.

To prepare the solution, 6 grams of powder( 3 filter bags) should be poured into 100 milliliters of boiling water, insist, strain, bring boiled water to 200 milliliters. Adults and children over 12 years of age take 0.5 glasses in the morning and before bedtime. Tablets take 1-2 pieces at night.

Side effects: flatulence, abdominal pain, skin rash, change of urine color to bright yellow.

Contraindications: spastic, as well as neurogenic and endocrine origin constipation, acute abdominal syndrome, intestinal obstruction, appendicitis, colitis, enteritis, fever, pregnancy, lactation, age 12 years.
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The active substance is isazenin. Form release - a tablet of 10 milligrams.

Malotoxic, not affecting the kidney preparation, is effective for chronic constipation, intestinal atony.

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Adults take 10-15 milligrams 2 times a day after meals or 20 milligrams 1 time per night. The maximum daily dose is 50 milligrams. Dosage for older children is ½ from an adult.

Side effects: abdominal pain, nausea, allergic manifestations.

Contraindications: obstruction or adhesion of the intestines, uterine or gastrointestinal bleeding, intake of alkalis and mineral alkaline waters, pregnancy, lactation, children's age, hypersensitivity. Take with caution in case of liver or kidney damage.
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Castor oil

The active ingredient is castor oil( castor oil seed oil).Form release - capsules, oily solution for oral administration.

Used as a remedy for constipation, in the complex therapy of hemorrhoids.

Adults take 20-30 milliliters 1 time per day, children over 12 years old - from 5 to 15 milliliters.

Side effects: weakness, nausea, cramps and stomach pain, vomiting, diarrhea, dizziness, allergic rashes;with constant use - enterocolitis, atony of the intestine, dehydration of the body.

Contraindications: chronic constipation, impaired patency or acute inflammation of the intestine, uterine or intestinal bleeding, kidney damage, pregnancy, lactation, age 12 years, hypersensitivity.
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Rhubarb root

Form release - tablets, powder, syrup, alcoholic 3% solution.

Natural laxative;in small quantities has astringent effect, stopping diarrhea.

For adults, take 0.5-2 grams of powder( 2-3 tablets) 1-2 times a day, but not more than 5 grams per day. Children - no more than 2 grams per day. You can cook infusion - for 1 tablespoon of raw materials 0.5 cups of boiling water, drink before bed.

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Side effects: irritation of the oral mucosa, changes in urine color, allergic manifestations.

Contraindications: tendency to frequent diarrhea, hemorrhoids, bleeding, urolithic or cholelithiasis, cholecystitis, pancreatitis, gastritis with high acidity, gout, diabetes mellitus, metabolic disorders, pregnancy, lactation, age under 1 year.
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Sabur( evaporated juice of aloe leaves)

Form of release - powder, dry extract of sabur in capsules, tincture of alcohol.

It is used as a laxative and tonic for the intestines, including with a sedentary lifestyle.

Take 15-100 milligrams of powder or 10-20 drops of tincture before meals 1-3 times a day.

Side effects: with prolonged use - hemorrhoids or inflammation of the intestines.

Contraindications: acute gastrointestinal diseases, severe cardiovascular lesions, hypertension, a tendency to bleeding, menstruation, hemorrhoids, cystitis, pregnancy, lactation, children's age.
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Senadé( Herbion Laxana, Glaxenna, Senadexin Senalex, Senna extract dry, Tisasen)

The active ingredient is an extract of Senna leaves. The form of release - tablets.

Means of plant origin, eliminates acute and chronic constipation caused by sluggish peristalsis of the intestine, regulates stools with hemorrhoids, paraproctitis, anal fissures.

Adults and children over 12 years of age are prescribed 1 tablet 1 time a day before bedtime, washed down with water, with a weak effect, the dose can be increased to 2-3 tablets. Children 6-12 years old take ½ tablets, if necessary - 1-2 tablets.

Side effects: abdominal pain, flatulence, nausea, with prolonged use in high doses - diarrhea, vomiting, urine discoloration, weakness, convulsions, disturbance of water-electrolyte metabolism, skin rash.

Contraindications: spastic constipation, intestinal obstruction, strangulated hernia, abdominal pain of unclear character, cystitis, uterine or gastrointestinal bleeding, acute inflammatory diseases of the abdominal cavity organs, disturbances of water-electrolyte metabolism, age of up to 6 years, hypersensitivity to the drug. Take with caution in pregnancy, lactation, kidney or liver disease, after cavitary operations.
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Phenolphthalein( Purgen)

The active ingredient is phenolphthalein. The forms of release are tablets, powder for ingestion.

A strong laxative that enhances intestinal motility, but accumulates in the kidneys.

The average daily intake for adults is 100 milligrams, the maximum is 300 milligrams. For children, the dosage is calculated according to age and weight and can range from 50 to 200 milligrams per day.

Side effects: palpitation, lack of potassium, a change in the color of urine to brown, albuminuria( excretion of protein in the urine), inflammation of the intestine, allergic reactions.

Contraindications: intestinal obstruction, complex of "acute abdomen" symptoms, kidney disease, age up to 3 years, individual intolerance. With prolonged use, it becomes addictive.
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Contain substances that contribute to softening and increasing the volume of stool due to the prevention of fluid absorption by the walls of the intestine. They act even faster than stimuli - for 4-6 hours. There are, however, exceptions, when the result of the action of these laxatives is prolonged for a day.

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Karlovy Vary salt

Mineral geyser salt, form of release - powder in sachets or plastic jars.

It is prescribed for maintenance therapy or prevention of diseases of the digestive system, musculoskeletal system, metabolism, gynecological sphere, as well as for normalization of water-electrolyte balance, weight reduction, and cosmetology.

Before use, dissolve 1 tablespoon of salt in 0.5 liters of water, heated to 40 degrees, drink the solution warm. In case of constipation, it is enough to drink 100-200 milliliters of solution in small sips or through a glass tube. If necessary, repeat after 10-12 hours.

Side effects: excessive laxative or diuretic effect.

Contraindications: bowel obstruction, cardiovascular diseases with edema, renal dysfunction, dehydration, pregnancy, lactation, individual intolerance.
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Magnesia( magnesium sulfate, English salt)

Represents a magnesium salt of sulfuric acid. Form release - powder for the preparation of suspension, ampoules for injection, as well as powder, balls, briquettes for athletes.

Has vasodilator, spasmodic and tocolytic, anticonvulsant, antiarrhythmic, calming, choleretic, diuretic, laxative activity.

With constipation 30-40 milligrams of powder dilute 100 milliliters of water and take it on an empty stomach or before bedtime, to speed up defecation, you can drink plenty of water. The daily dose for children 6-12 years is 6-10 grams, for children 12-15 years - 10-15 grams, over 15 years - 15-30 grams or at the rate of 1 gram for each year of life of the child. Also with the help of magnesia solution it is possible to do cleansing enemas.

Side effects: nausea, flatulence, vomiting, diarrhea, thirst, exacerbation of inflammatory diseases of the digestive tract, electrolyte imbalance, headache, pressure decrease, weakness, bradycardia, dyspnea.

Contraindications: intestinal obstruction, appendicitis, rectal bleeding, chronic renal failure, dehydration, lactation, age to 6 years, hypersensitivity. Take with caution during pregnancy.
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Sodium sulfate( sodium sulphate, glauber salt)

Saline laxative, available as a powder for solution preparation.

Allows to clean the intestines along the entire length, and also removes bile, removes swelling.

Adults take 15-30 grams of powder on an empty stomach, diluting it in warm water. Dosage for children is 1 gram of funds for 1 year of life.

Side effects: nausea, indigestion, intestinal colic, frequent urination.

Contraindications: inflammation of the abdominal cavity, exhaustion of the body, reduced pressure, menstruation, pregnancy. Use with caution in old age. Long-term administration leads to the washing out of the body of nutrients.
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Fortrans( Macrogol, Osmogol, Realaxan, Transipeg, Forlax, Forteza Rompharm)

Active ingredient - macrogol. Form release - powder for the preparation of solution for oral administration.

Laxative for lavage( washing) of the intestine, containing electrolytes, which prevents the disturbance of the water-electrolyte balance.

Content 1 sachet-sachet dissolve in boiled water according to the instructions( 50-60 grams of powder per 1 liter of water) and drink 0.5-1 cup of solution every 10-15 minutes. When constipation is enough to take 10-20 grams of powder per day, before the examination should drink more - at a rate of 1 liter of solution for 15-20 kilograms of body weight.

Side effects: nausea, flatulence, a feeling of overflow of the stomach or intestines, vomiting, swelling, skin rash, itching.

Contraindications: obstruction, narrowing or swelling of the intestine, perforation of digestive organs, erosion or ulcers of the gastrointestinal tract, dehydration, severe condition of the patient, pregnancy, age of 15 years, individual intolerance.
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After a day, drugs that belong to the group of prebiotics also start functioning. Interacting with the intestinal microflora, they produce special organic acids, which, in turn, contribute to the retention of fluid absorption and softening of stool. Distinctive feature of prebiotics in sparing effect on the body.

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Dufalac( Normase, Lactulose, Lactusan, Portalalac, Prelaxan)

The active ingredient is lactulose. Form release - syrup( Laktusan also available in tablets, and Prelaxan - in powder).

Is a laxative drug with osmotic properties, promotes the excretion of ammonia from the blood through the intestines. Take inside after eating.

For constipation, the daily intake for adults is 15-40 milliliters of syrup in the first 3 days, then 10-25 milliliters. Children over 6 years are prescribed 3 days of 15 milliliters, then - 10 milliliters. Children 1-6 years - 5-10 milliliters per day, children under 1 year - 5 milliliters. Side effects: nausea, flatulence, diarrhea.

Contraindications: intestinal obstruction, rectal bleeding, intolerance to fructose or galactose, galactosemia, colostomy, ileostoma, hypersensitivity. Take precautions with diabetes.
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Export( Importal H)

The active ingredient is lactitol monohydrate. Form release - powder for the preparation of solution for oral administration.

Like preparations of lactulose, it is prescribed for stool regulation, with hepatic encephalopathy, hepatic coma or precoma, hyperammonemia. Take it once, in the morning or in the evening, dissolving the powder in water.

Adults start with 20 grams, after a few days, reducing the dose to 10 grams. Dosage for children is calculated according to body weight and is 0.25 grams per kilogram of body weight.

Side effects: nausea, bloating and abdominal pain, itching in the anus, vomiting, diarrhea.

Contraindications: violation of intestinal permeability, rectal bleeding, organic lesions of the gastrointestinal tract, galactosemia, pregnancy, age under 1 year, individual intolerance.
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This is a group of laxatives that soften stool masses.

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Vaseline oil

Active substance - paraffin liquid. Produced in vials.

This mineral oil is effective for constipation, poisoning with fat-soluble substances, used for lubricating the catheter, in cosmetology.

As a laxative, use within 15-30 milliliters 1-2 times a day, but not more than 5 days.

Side effects: intestinal atony, hypovitaminosis.

Contraindications: intestinal obstruction, rectal bleeding, inflammation of the abdominal cavity, febrile syndrome, pregnancy, individual intolerance. In childhood use only externally.
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fillers Absorb all the liquid that is in the intestines, while swelling and increasing the volume of feces. The action is quite simple, but protracted - the effect of such laxatives can be expected only after a few days.

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Represents dried brown and red algae. Form release - powder, plates, tablets.

Removes toxins and toxins, improves liver function, normalizes peristalsis of the intestine, and struggles with excess weight.

For constipation, take 1 tablet daily, with plenty of water. You can cook jelly - 1 teaspoon of powder pour 1 glass of water, bring to a boil and boil for 5 minutes before dissolving, then allow to cool. The maximum daily dose of the substance is 4 grams.

Side effects: severe diarrhea, allergic reactions.

Contraindications: intestinal obstruction, hypersensitivity. It is not recommended to eat with chocolate, black tea, products containing wine or fruit vinegar, oxalic acid.
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Represents the husks of flea plantain seeds - an indigestible food fiber soluble in water. Form release - powder, capsules, chewing cakes.

Restores the production of insulin, slows the absorption of fats and carbohydrates, normalizes metabolism.

In the form of powder take 1 teaspoon 2-3 times a day, increasing the dose to 3 teaspoons 2 times a day. Capsules to drink 1 piece 2 times a day, it is possible to increase the dose to 3-4 capsules per day.

Side effects: nausea, vomiting, flatulence, abdominal pain, dizziness, headache, muscle spasms, allergic manifestations.

Contraindications: hypersensitivity, pregnancy, lactation, children's age. With caution - with severe lesions of the digestive system, mental disorders, impaired cerebral circulation, in old age.
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Wheat bran

Biologically active additive, source of dietary fiber( fiber).Produced in the form of powder.

Clears the intestines from toxins, toxins, feces, beneficial effect on the brain, nervous and cardiovascular systems.

Adults and children from 14 years to take 1-2 teaspoons 2 times a day, squeezed large amounts of liquid. Gradually, the daily dose can be increased to 30 grams.

Side effects: allergic reactions.

Contraindications: diarrhea syndrome, exacerbation of peptic ulcer, adhesive adhesions of the abdominal cavity, hypersensitivity.
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Flax seeds

Vegetable with enveloping, softening, bactericidal, anti-inflammatory, cleansing action.

Take in the form of a solution - 1.5 teaspoon of the seed for 200 milliliters of water. Drink ¼ cup 3 times a day for half an hour before meals. During treatment, use a sufficient amount of liquid.

Side effects: not identified.

Contraindications: inflammation of the esophagus, entrance to the stomach or intestines, ileus, stricture of the esophagus and gastroesophageal region, individual intolerance.
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Local laxatives

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Bisacodyl suppositories( Dulcolax candles)

Active substance - bisacodyl. The form of release - suppositories rectal, tablets.

Effective with decreased motility and sluggish peristalsis of the intestine, used to regulate stools with anal fissures, hemorrhoids, proctitis, intestinal cleansing before surgery and examinations.

Suppositories should be injected deep into the rectum once a day. Adults and children over 14 years of age are prescribed 10-20 milligrams( 1-2 candles), children 8-14 years old - 10 milligrams( 1 candle), children 2-7 years old - 5 milligrams( 1/2 candles).

Side effects: irritation of the rectum, intestinal colic, diarrhea, which can lead to loss of fluid and electrolytes, allergic manifestations.

Contraindications: intestinal obstruction, bleeding from the digestive tract or uterus, acute inflammation of the abdominal cavity organs, peritonitis, cystitis, spastic constipation, acute hemorrhoids or proctitis, disturbance of the water-electrolyte balance, age up to 2 years, individual intolerance. Take with caution in pregnancy, lactation, impaired liver and kidney function.
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Glycerin Suppositories( Glycelalax, Glycerin Suppository)

The active ingredient is glycerol( glycerin).

Irritant to the mucous membrane of the rectum, softens the stool and reflexively stimulates defecation.

Adults inject 1 suppository per day, preferably 15-20 minutes after breakfast;children - 0.5-1 candles, depending on age.

Side effects: irritation of the rectum

Contraindications: exacerbation of hemorrhoids, anal fissures, inflammation of the rectum, hypersensitivity. Use with caution during pregnancy and lactation.
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Active ingredients - sodium citrate, sodium lauryl sulfoacetate, sorbitol solution. Form release - solution for rectal administration.

It is used for constipation, before endoscopic and radiologic examination of the gastrointestinal tract.

Adults and children over 3 years of age enter the entire length of the microclyster tip into the rectum and squeeze out the contents; children up to 3 years of age should be injected with a tip half the length, to a special mark.

Side effects: pain in the abdomen, itching in the anus, loose stool, allergic manifestations.

Contraindications: individual intolerance. Use with caution in pregnancy and lactation.
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For pregnant

Stimulation of the intestine can stimulate and reduce uterus. For this reason, pregnant women categorically can not take drugs from the group of irritants and osmotics. Do not fit during pregnancy and softeners, since mineral oils, especially when taken for a long time, interfere with the absorption of vitamins important for women( A, E, D, K) and cause psychological dependence.

During pregnancy, the intake of laxative prebiotics on the basis of lactulose is allowed, which has detoxification properties, gently acts in the intestine, normalizes its microflora and does not stimulate motility too much.

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For children

Optimum choice of a laxative for a child will be prebiotics. They simultaneously stimulate the intestine, and restore its microflora. However, it is better to try to solve the problem of defecation by changing the nutrition of the child, including in his diet sour-milk products, natural juices, as well as foods rich in fiber.

If the problem has not been resolved by changing the diet, children are prescribed lactulose-based preparations, flaxseed.

Read also what to choose inexpensive but effective pills for diarrhea( diarrhea)
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For the elderly

In people of advanced age, constipation occurs frequently, and there are many natural physiological causes. Elderly people need to be very careful, because intensified attempts at defecation, natural with constipation, can provoke the formation of hernias, the appearance of cracks in the anus, a violation of blood circulation in the brain and even a stroke.

The body needs help with the help of gentle laxatives. In principle, you can use laxatives from all the above groups, but with age-specific features.

So, laxative preparations from the category of irritants, especially on the basis of Senna, lead to the loss of electrolytes and promote the development of intestinal atony, and excipients reduce the effectiveness of antibiotics, cardiac glycosides and anticoagulants.

Laxative emollients disrupt the absorption processes and, accordingly, the effects of medications, and osmotics cause leaching of salts. Prebiotics can come to the rescue, but it is better to start the fight with constipation using natural laxatives.

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Natural laxatives

So, the most simple, harmless natural laxative is water. Just one glass of her, drunk on an empty stomach, naturally clears the stomach and literally "starts" the process of digestion.

Useful laxatives with constipation are also kefir( necessarily fresh), aloe juice, fresh potato juice, radishes, spinach, carrot and plum juices, as well as pickled cabbage brine. Promotes the prevention of constipation and food, rich in fiber, especially cabbage, green apples, beets, grapes;prune;sea ​​kale;apricots;figs;bran from cereals.

To number of natural laxatives are also vegetable oils: castor, olive, linseed.

Effective and safe as natural laxatives, there are also infusions: seeds of cumin and dill, licorice and rhubarb root, prune fruits and figs.

  • May 28, 2018
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