Skip to main content
British Medical Journal logoLink to British Medical Journal
. 1974 Dec 21;4(5946):697–698. doi: 10.1136/bmj.4.5946.697

Possible Role of Laxatives in Analgesic Nephropathy

J S Wainscoat, Ronald Finn
PMCID: PMC1612817  PMID: 4441864

Abstract

Eight out of ten of patients with analgesic nephropathy were regular and usually heavy laxative takers compared with 12 out of 200 controls from the general population and four out of 70 patients attending a renal clinic. The finding that regular laxative taking was greatly increased in patients with analgesic nephropathy suggests that this condition may often be due to the combined abuse of both laxatives and analgesics. In a series of 40 patients with rheumatoid arthritis all were found to have normal renal function and no patient took laxatives regularly. This finding would explain why analgesic nephropathy is so uncommon in patients with rheumatoid arthritis despite the fact that they are regular and heavy analgesic takers.

Full text

PDF
697

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Connell A. M., Hilton C., Irvine G., Lennard-Jones J. E., Misiewicz J. J. Variation of bowel habit in two population samples. Br Med J. 1965 Nov 6;2(5470):1095–1099. doi: 10.1136/bmj.2.5470.1095. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Cove-Smith J. R., Knapp M. S. Sodium handling in analgesic nephropathy. Lancet. 1973 Jul 14;2(7820):70–72. doi: 10.1016/s0140-6736(73)93263-7. [DOI] [PubMed] [Google Scholar]
  3. Gault M. H., Rudwal T. C., Engles W. D., Dossetor J. B. Syndrome associated with the abuse of analgesics. Ann Intern Med. 1968 Apr;68(4):906–925. doi: 10.7326/0003-4819-68-4-906. [DOI] [PubMed] [Google Scholar]
  4. Koutsaimanis K. G., de Wardener H. E. Phenacetin nephropathy, with particular reference to the effect of surgery. Br Med J. 1970 Oct 17;4(5728):131–134. doi: 10.1136/bmj.4.5728.131. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Levin N. W. Analgesic nephrotoxicity. J Chronic Dis. 1969 Jan;21(8):527–532. doi: 10.1016/0021-9681(69)90048-4. [DOI] [PubMed] [Google Scholar]
  6. Macklon A. F., Craft A. W., Thompson M., Kerr D. N. Aspirin and analgesic nephropathy. Br Med J. 1974 Mar 30;1(5908):597–600. doi: 10.1136/bmj.1.5908.597. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Sorensen A. W. Is the relation between analgesics and renal disease coincidental and not causal? Nephron. 1966;3(6):366–376. doi: 10.1159/000179553. [DOI] [PubMed] [Google Scholar]

Articles from British Medical Journal are provided here courtesy of BMJ Publishing Group

RESOURCES