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Liquid paraffin: a reappraisal of its role in the treatment of constipation
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  • Published on:
    Re: The Role of Liquid Paraffin in the Treatment of Constipation

    Dear Editor

    We are most grateful to Drs Thulasimani and Ramaswamy for the interest that they have shown in our paper on liquid paraffin use in children. Some of the points raised in this letter underline our inability to draw firm conclusions on which to base recommendations regarding liquid paraffin therapy because of a lack of evidence.

    For example, fat soluble vitamin malabsorption remains a theoretical...

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    Conflict of Interest:
    None declared.
  • Published on:
    The Role of Liquid Paraffin in the Treatment of Constipation
    • M Thulasimani, Medical Officer, Dept. of Paediatrics, &* Associate Professor
    • Other Contributors:
      • Ramaswamy S*

    Dear Editor

    We read with interest the article by Sheriff et al on "Liquid Paraffin: a reappraisal of its role in the treatment of constipation." which appeared in your journal. Besides the important facts projected in it, we like to strengthen the article by putting forth our views and additional points for the benefit of the readers.

    The authors have concluded that concerns regarding the development of fat...

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    Conflict of Interest:
    None declared.
  • Published on:
    Re: Bisacodyl in chronic constipation

    Dear Editor,

    In response to Dr. Tawfik's query, we use bisacodyl(dulcolax) by mouth. The enteric coated tablets appear to work well, even if crushed. Karen O'Driscoll -GI Clinical Nurse Specialist- finds that whole tablets can be effectively disguised in garden peas!

    We wholeheartedly agree with Dr.Tawfik that suppositories are particularly to be avoided in this group. We reserve any form of per- recta...

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    Conflict of Interest:
    None declared.
  • Published on:
    Bisacodyl in chronic constipation

    Dear Editor

    Sharif et al recommend bisacodyl (Dulcolax) by mouth to achieve disimpaction in children with chronic constipation [1]. Bisacodyl comes as enteric-coated tablets which should not be crushed or chewed and I am not aware that there is a liquid preparation. The majority of children with stool-withholding chronic consipation are toddlers who will not take tablets. How do the authors get round that problem? U...

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    Conflict of Interest:
    None declared.