title: [Laxative induced diarrhea- -a form of self-mutilation].
abstract: In the differential diagnosis of gastrointestinal disturbances the possibility of laxative abuse is considered either too late or not at all. The sequel is a protracted course of illness with a series of expensive and fruitless investigations. On the basis of three recently observed cases of laxative-induced diarrhea the problems of diagnosis and management are discussed. Methods of securing early diagnosis are mentioned. The overall prognosis must be considered unfavorable. The importance is stressed of long-term follow-up of these patients at community level, to ensure timely intervention should complications arise and to prevent further unnecessary investigations.
mesh_terms: D000328:Adult; D002400:Cathartics / Q000009:adverse effects*; D003967:Diarrhea / Q000139:chemically induced*; D005260:Female; D006801:Humans; D012652:Self Mutilation; D019966:Substance-Related Disorders
chemical_list: D002400:Cathartics
vernacular_title: Laxantieninduzierte diarrhöe- eine form von selbstmutilation