From the Guidelines
Pedialyte is not a recommended treatment for constipation, and instead, patients should consider increasing dietary fiber, drinking plenty of plain water, regular physical activity, and over-the-counter laxatives like MiraLAX (polyethylene glycol) as first-line treatments. According to the American Gastroenterological Association guideline 1, the use of fiber supplementation and osmotic laxatives like polyethylene glycol (PEG) is recommended for the management of chronic idiopathic constipation. PEG has been shown to be effective in increasing bowel movements and improving stool form, with a strong recommendation for its use in adults with chronic idiopathic constipation 1.
Some key points to consider for managing constipation include:
- Increasing dietary fiber intake, particularly with psyllium, which has been shown to be effective in managing constipation 1
- Drinking plenty of plain water to help soften stools
- Engaging in regular physical activity to stimulate bowel movements
- Considering over-the-counter laxatives like MiraLAX (polyethylene glycol) or docusate sodium if lifestyle changes are not effective
- Avoiding the use of Pedialyte as a treatment for constipation, as it is primarily designed for rehydration and does not contain ingredients specifically aimed at relieving constipation
It's essential to note that if constipation is severe or persistent, it's crucial to consult with a healthcare provider to rule out any underlying conditions that may require medical attention. The use of laxatives, including PEG, should be guided by the recommendations outlined in the American Gastroenterological Association guideline 1, which suggests a strong recommendation for the use of PEG in adults with chronic idiopathic constipation.
From the Research
Treatment Options for Constipation
- Constipation is a common condition that can be treated with various methods, including nonpharmacological and dietary changes, as well as prescription medications 2.
- For pediatric constipation, osmotic laxatives such as polyethylene glycol 3350 (PEG 3350) and lactulose are considered effective and safe therapies for both long and short term treatment 3.
Effectiveness of Laxatives
- Polyethylene glycol (PEG) has been shown to be more effective than other laxatives, including lactulose, in increasing defecation frequency and achieving treatment success in children with constipation 4.
- Senna, a stimulant laxative, has been found to be effective in treating constipation in children with anorectal malformation, and may be a better option than PEG in certain cases 5.
Use of Polyethylene Glycol
- Polyethylene glycol (PEG) with or without electrolytes is considered a first-line treatment for functional constipation in both adults and pediatric patients, due to its efficacy and safety 6.
- PEG has been shown to be more efficacious than placebo and lactulose in treating functional constipation, and is also effective in treating fecal impaction 6.