In simple words: Laxative abuse is when someone uses too many laxatives to try to lose weight.This is harmful and can cause serious problems like dehydration, stomach pain, and even damage to the intestines. It's often related to eating disorders and isn't a healthy way to lose weight.

Laxative abuse refers to the excessive and habitual use of over-the-counter laxatives for the purpose of weight loss or purging.This is a dangerous practice often associated with eating disorders like bulimia nervosa. The misuse of laxatives leads to various health complications, including electrolyte imbalances, dehydration, damage to the intestines (potentially leading to rectal prolapse), chronic constipation, and an increased risk of colon cancer. Diagnosis involves patient history, physical examination, and laboratory tests (such as electrolyte panels and liver/kidney function tests). Treatment typically includes cognitive behavioral therapy (CBT), dietary counseling, and addressing the underlying eating disorder.

Example 1: A 17-year-old female patient presents with recurrent abdominal pain, dehydration, and electrolyte abnormalities. History reveals daily laxative use for weight control. She exhibits signs of bulimia nervosa, including binge eating episodes followed by self-induced vomiting and laxative misuse., A 35-year-old male patient reports chronic constipation despite using laxatives regularly. He believes daily bowel movements are necessary for good health. Examination reveals evidence of rectal prolapse. The patient denies any intentional weight-loss attempts and is diagnosed with laxative abuse based on misuse patterns and physical findings., A 28-year-old female patient admitted to the hospital for severe dehydration is found to have been misusing laxatives for weight control.She demonstrates significant electrolyte imbalance requiring intravenous fluid and electrolyte replacement.The team includes a psychiatrist, dietitian, and gastroenterologist for ongoing care and treatment.

Detailed patient history including frequency, type, and dosage of laxatives used;description of weight-loss or purging behaviors;results of electrolyte panels, blood counts, liver and kidney function tests; documentation of physical examination findings (e.g., rectal prolapse);assessment for comorbid eating disorders; treatment plan including CBT, nutritional counseling, and follow-up appointments.

** Laxative abuse is a serious issue often associated with significant medical and psychological morbidity. Early identification and appropriate treatment are crucial to preventing long-term complications.