this post was submitted on 09 Sep 2023
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United States | News & Politics

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A new report details an ongoing shortage of laxatives, purportedly fueled by an aging population and gut health TikTok influencers.


It might be time for Americans to start eating more fiber. The U.S. is experiencing a shortage of laxative products, according to a report this week from the Wall Street Journal. One alleged reason for the short supply is extra demand from younger people—an interest apparently fueled by TikTok influencers touting the supposed benefits of laxatives for good gut health.

The shortage concerns polyethylene glycol 3350, the active ingredient in many laxative brands, such as MiraLAX. According to a report from the analytics company Pattern, cited by the Wall Street Journal, product searches for laxatives have more than tripled over the past year on Amazon, while fiber product companies have reported an significant increase in sales as of late. The outlet also interviewed both gastroenterologists and suppliers about the drug’s declining availability, who offered several long- and short-term explanations for the increased demand.

The average American is getting older, for instance, and older people are more likely to regularly suffer from gastrointestinal conditions like constipation. The pandemic also changed many people’s dietary habits for the worse, leading to an increase in eating unhealthy snacks and other foods more likely to cause constipation. And at least part of the demand might stem from TikTok fans tuning into #GutTok, filled with people offering folk remedies for any number of gastrointestinal health issues.

GutTok has been a trending topic on the social media platform for quite some time, with influencers claiming to know the best way to reduce bloating, improve mood, and even clear acne by improving your gut health. While some of the provided suggestions for a better gut are likely to be harmless at worst, such as drinking more water, other ideas can be actively harmful, and that can include an overreliance on laxatives.

Chronic laxative use can worsen a person’s constipation further, to the point where they need higher and higher doses to pass their stool. They can also cause long-term damage to the intestines and raise the risk of rectal prolapse, a condition where the rectum slips out of the anus. And acute side effects like dehydration or stomach cramps aren’t exactly a picnic.

Though the occasional laxative is fine, people’s gut health would be better served by sustained positive changes in their lifestyle and diet, such as eating more fruits and vegetables as well as getting plenty of exercise. Whether these changes are possible on a widescale level in the U.S. anytime soon is another question.

“It’s crazy to think that our collective bowel dysfunction problems have gotten so bad that we’re literally running out of stool softeners,” George Pavlou, President of the Gastroenterology Associates of New Jersey, told the WSJ.


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[–] GregorGizeh@lemmy.zip 33 points 1 year ago (1 children)

Such an american problem to have, lol

Just eat some fibre and less junk. I eat only moderately healthy myself and haven’t needed laxatives in my life.

[–] Alto@kbin.social 12 points 1 year ago (7 children)

As another commenter mentioned, there's plenty of medications and health conditions that can lead to constipation. Not sure how that's their fault

[–] GregorGizeh@lemmy.zip 9 points 1 year ago

Obviously I don’t mean for medical conditions, just that you cannot possibly have a nation wide laxative shortage without there being a huge subset of consumers that don’t need it for medical reasons but because their diet consists of way too much fat, salt, sugar and carbohydrates, not enough fibre to reasonably pass all that junk, and too little physical activity to keep the internals running properly.

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[–] OhTheMoose@lemm.ee 13 points 1 year ago* (last edited 1 year ago) (4 children)

Its really not as easy to acquire fiber-dense foods in the US as one might assume. That shit costs money, and is a low priority for people who don't have money.

Edit: my point of it being a low priority for most people who don't have money stands.

[–] eran_morad@lemmy.world 32 points 1 year ago (2 children)

Wtf, no. Bananas, carrots, beans, lentils, oats, celery, lettuce, citrus… fucking so many dirt-cheap fiber-rich foods. Even bodegas sell some of these.

[–] electrogamerman@lemmy.world 9 points 1 year ago

It's crazy how adding these foods into my diet helped me feel with more energy.

I used to not eat vegetables, not because they were expensive (which are not), i was just lazy at cooking them.

Fast forward to 4 weeks ago, I started to add some vegetables here and there, not only my poops slips out of me like butter, I feel with more energy during the day.

[–] who8mydamnoreos@lemmy.world 4 points 1 year ago (5 children)

Those are not yummy in my tummy and require effort though. Remove like all the fruit and vegetables besides potatoes and deep fry it ok.

[–] socsa@lemmy.ml 7 points 1 year ago

MOMMMMM WHY ARE MY TENDIES GREEN AND BITTER?

[–] Uncaged_Jay@lemmy.world 3 points 1 year ago (1 children)

This is exactly the problem

[–] who8mydamnoreos@lemmy.world 3 points 1 year ago (5 children)

Did i not make it sarcastic enough? I forget how many autistic people are on this site.

[–] alp@lemmy.blahaj.zone 2 points 1 year ago

There is alot of overlap between really dumb people and sarcastic comments on the internet so it can be hard to tell sometimes

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[–] Swedneck@discuss.tchncs.de 2 points 1 year ago

bananas aren't tasty, and require effort?!?!

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[–] protist@mander.xyz 15 points 1 year ago* (last edited 1 year ago) (1 children)

A giant bag of carrots costs $2. Maybe try a giant bag of beans for $2, or some fucking potatoes. People who eat shit to a large degree are choosing to eat shit, not forced to due to poverty. People load up on sodas, sugary cereals, juices, chips, processed cheese products, cookies, you name it, and those things are largely more expensive than healthier alternatives

[–] Alto@kbin.social 3 points 1 year ago* (last edited 1 year ago) (2 children)

Peas sure, but $2 ain't even going to get you a small bag of carrots where I'm at, and I'm in a very LCOL area

[–] protist@mander.xyz 4 points 1 year ago* (last edited 1 year ago) (1 children)

2 lbs of carrots are $1.64 here in Austin, TX

A lb of dried red beans is $2.22 or you can get a can of them ready to eat for $1.27

When you say LCOL, are you referring to somewhere rural or a small town? Food and gas almost always costs more those places than in metro areas

[–] Alto@kbin.social 3 points 1 year ago* (last edited 1 year ago) (5 children)

Suburban-rural area, ~45min from a major city. Carrots are just weirdly expensive here I guess, because pretty much everything else along those lines are stupid cheap.

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[–] socsa@lemmy.ml 2 points 1 year ago* (last edited 1 year ago) (1 children)

I am in the number one or two HCOL area in the US and a bag of carrots at Aldi is like $0.79. At the local bulk market, it's like $20 for a 40lb box of big dick carrots with greens and shit still attached.

Yeah, I've never been anywhere that carrots and potatoes aren't one of the cheapest cost to calorie foods.

You can eat carrots raw, and potatoes are easy to cook in a microwave. In fact, I used to have "baked" potatoes for lunch at work and just kept some washed potatoes and butter at my desk. Prep is:

  1. Stab with fork
  2. Microwave for 6 minutes
  3. Cut open and add butter, salt, and pepper

You can get fancy with other toppings, but that alone is a good meal. You can do the same with sweet potatoes, and it's fantastic with cinnamon instead of salt+pepper.

[–] socsa@lemmy.ml 6 points 1 year ago (1 children)

This is complete nonsense. Eat vegetables with every meal and you will never have any issues. Vegetables are cheap and abundant year round in the US.

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[–] Rentlar@beehaw.org 2 points 1 year ago* (last edited 1 year ago) (1 children)

Damn I'm curious, how much are prunes compared to laxatives, in the US?

[–] Nepenthe@kbin.social 5 points 1 year ago* (last edited 1 year ago) (1 children)

Around me, in a mid-sized city? Anywhere from 25oz for $3.66 to only 8oz for $3.48

Laxatives seem to scale weirdly well, with a pack of 24 at $1.65 (sennosides - plant-based, gentle, hobby pooping) or 25 tablets at $10.99 (bisacodyl - synthetic, medically serious, competitive marathon pooping)

It's not too horrendous if you really like prunes, although I'll be totally honest and say I've spent decades almost always in the kind of financial position where that $3.66 could best be served elsewhere than on one single can of snack food.

Everyone knocks Little Caesars til they need to eat for an entire month on a single $20, and lots of people are just grabbing whatever is easy to get and the most filling so they can trudge back to their miserable hovel in peace.

But I wouldn't blame something like a laxative shortage on a generic food desert. If you can afford one, it seems like you can probably afford the other. For once.

[–] Rentlar@beehaw.org 2 points 1 year ago* (last edited 1 year ago)

Yeah that's interesting to know. I haven't delved too far in the article but I thought the gut health-related social media would have suggested foods like prunes, beans and other foods that make you shit more than it would recommend medication.

There are plenty of options that are part of a healthy diet that could be filling or as part of a snack.

[–] FartsWithAnAccent@lemmy.world 13 points 1 year ago (1 children)

Sounds pretty shitty, I don't understand how people have trouble pooping though: Just drink lots of water and eat stuff with fiber.

[–] superflippy@lemmy.world 17 points 1 year ago (1 children)

Some medications can make you constipated. Opioids, for instance.

[–] neuropean@kbin.social 12 points 1 year ago (2 children)

How many people do you think are on opioids at any given time? Enough to cause a laxative shortage?

[–] Fondots@lemmy.world 11 points 1 year ago (1 children)

Well we do have a whole opioid addiction crisis going on.

[–] FartsWithAnAccent@lemmy.world 5 points 1 year ago

We have an even bigger obesity/terrible diet crisis going on too though.

[–] Lucidlethargy@sh.itjust.works 2 points 1 year ago* (last edited 1 year ago)

Three million US citizens and 16 million individuals worldwide have had or currently suffer from opioid use disorder (OUD).

-StatPearls Publishing via The National Library of Medicine

You know what, this map is a much better source for this (the CDC). https://www.cdc.gov/drugoverdose/rxrate-maps/index.html#:~:text=The%20overall%20national%20opioid%20dispensing%20rate%20declined%20from%202012%20to,than%20142%20million%20opioid%20prescriptions).

[–] library_napper@monyet.cc 11 points 1 year ago* (last edited 1 year ago) (3 children)

Stop eating meat and stick to whole foods. This is a manufactured problem

Yup, lots of greens and whole grains and you should be as regular as a clock.

[–] kmkz_ninja@lemmy.world 3 points 1 year ago

Big BM invented meat so they could sell more laxatives.

[–] altima_neo@lemmy.zip 3 points 1 year ago

Have you seen what they eat on tiktok? Cheese covered burgers, deep fried blocks of cheese, Velveeta on everything.

[–] baremetal@lemmy.ml 11 points 1 year ago

Now I understand the MAGA.

[–] Catsrules@lemmy.ml 10 points 1 year ago (1 children)

Not sure what the issue is, when we have a taco bell on everyone street corner.

[–] Swedneck@discuss.tchncs.de 5 points 1 year ago (1 children)

big bell is making everyone constipated to drive sales

[–] Death_Equity@lemmy.world 2 points 1 year ago

It goes deeper than Bell. Yum! hides in the shadows pulling the strings.

[–] fubo@lemmy.world 8 points 1 year ago (1 children)

Psyllium? I hardly knew 'em!

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[–] NatakuNox@lemmy.world 7 points 1 year ago (3 children)

Yes diet plays a huge part. But the opioid epidemic is also driving this.

[–] BeardedBlaze@lemmy.world 2 points 1 year ago

The usage tripled in the past year. Opioid epidemic has been around quite longer.

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[–] CuttingBoard@sopuli.xyz 6 points 1 year ago

Eat a couple bowls of raisin bran.

[–] Zardoz@lemmy.world 5 points 1 year ago

Shredded wheat or raisin bran for cereal, bit of yogurt, some fruit, plenty of water. I eat like shit aside from this and I rarely have bowel issues.

[–] vivavideri@lemmy.world 3 points 1 year ago

Well, shit.

[–] Lucidlethargy@sh.itjust.works 3 points 1 year ago

We're good on coffee, though.

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