Constipation responds to different tools depending on the cause. Bulk-forming laxatives like ispaghula husk add fibre and suit long-term gentle use; osmotic laxatives such as macrogol and lactulose draw water into the bowel to soften stools; stimulant laxatives like senna get things moving when a quicker nudge is needed. Plenty of fluids helps every one of them work. If constipation keeps returning, look at fibre and activity levels – or ask us.
















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