Vanin J R, Saylor K E
J Am Coll Health. 1989 Mar;37(5):227-30. doi: 10.1080/07448481.1989.9939064.
Laxative abuse is an increasingly popular weight-loss method on college campuses, particularly for individuals with eating disorders. It is a dangerous habit, which many mistakenly believe will prevent caloric absorption and weight gain. Serious medical problems that may occur with laxative abuse include electrolyte and fluid imbalance, structural and functional colonic changes, and allergic reactions. Because patients are often secretive about abusing laxatives, laxative abuse should be considered if there is suspicion about the use of potentially destructive weight-control methods or about an eating disorder. A complete history and physical exam are essential parts of an assessment that should also include questions about diet, eating and exercise habits, and body image. Laboratory tests may provide additional supportive data. Treatment includes education, discontinuation of laxatives, medical follow-up as necessary, and psychotherapy. A college campus is an ideal forum for education, referral, and prevention programs.
滥用泻药在大学校园里正日益成为一种流行的减肥方法，尤其是对于患有饮食失调症的人。这是一种危险的习惯，许多人错误地认为它能阻止热量吸收和体重增加。滥用泻药可能引发的严重医学问题包括电解质和液体失衡、结肠结构和功能改变以及过敏反应。由于患者往往对滥用泻药守口如瓶，所以如果怀疑有人使用了可能具有破坏性的体重控制方法或患有饮食失调症，就应考虑存在滥用泻药的情况。完整的病史和体格检查是评估的重要组成部分，评估还应包括有关饮食、饮食和运动习惯以及身体形象的问题。实验室检查可能会提供额外的支持性数据。治疗包括教育、停用泻药、必要时的医学随访以及心理治疗。大学校园是开展教育、转诊和预防项目的理想场所。
