Patient was educated on precautions to be exercised while taking Metamucil as follows:
- Metamucil absorbs water and swell in the intestines, giving rise to an unpleasant bloating sensation, abdominal discomfort, and flatulence. If these unpleasant symptoms are too bothersome, change in plan could be made by trying other laxatives.
- Metamucil needs large amount of water to be able to form bulk, which stimulates the bowels to move. So, these laxatives are to be taken with a full 8 oz. glass of water. So, extra caution must be exercised while administering bulk laxatives for patients placed on fluid limitations, such as, individuals with congestive heart failure and renal failure. Count this water too towards daily fluid allowance.
- Also, water is needed to swallow the Metamucil completely into the stomach. Care must be taken to prevent Metamucil absorb water and swell, while it is in the throat, which can result in choking and difficulty breathing.
- Since Metamucil takes large amount of water to be able to exert their effects, caution must be exercised with regards to rehydration. Noncompliance with rehydration can lead to episodes of intense dehydration. A deliberate effort for rehydration should be made, especially in senior citizens, as they frequently present with diminished sensitivity to thirst and are likely to skip drinking water.
- Metamucil absorbs water and swells, taking lot of space in the intestines. If the space in the intestines is compromised in the first place, such as, in individuals with intestinal strictures or adhesions from previous surgeries, the swollen Metamucil can cause severe intestinal blocks, necessitating an emergency. So, Metamucil for the most part is contraindicated in such individuals. Let your doctor know about any of such surgical history that can put you at risk for an intestinal block.
