Patient was educated on contraindications for using Senna as follows:

  1. Intestinal blockage or strictures
  • Senna for the most part is contraindicated in individuals with history of intestinal strictures and blockage.
  • Increased intestinal contractions in such individuals can increase the risk for perforation of the intestines with shock and hemorrhage.
  1. Undiagnosed abdominal pain
  • Senna usually is contraindicated in individuals with undiagnosed abdominal pain and cramping, as these complaints can deteriorate further with laxative use.
  1. Rectal bleed
  • Senna is contraindicated in individuals with rectal bleed, as these individuals are at risk for exacerbation of this complaint with laxative use.