Cascara sagrada, known simply as cascara, is a medicinal plant primarily used for constipation relieve. It is an herbal stimulant laxative; substances in cascara called cascarosides stimulate your large intestine to promote motility. You should not use cascara if you have abdominal issues, such as irritable bowel syndrome, according to the Sloan-Kettering Cancer Center. Consult your doctor before using cascara or any other herbs and supplements.
IBS
Cramping, abdominal pain and changes in bowel regularity are characteristics of IBS. The exact cause of irritable bowel syndrome remains unknown. Your symptoms may range from mild to severe. Cascara may not be safe for you to take if you have intestinal issues such as IBS. It may worsen your condition as it stimulates your intestines.
Stimulant Laxatives
Stimulant laxatives come in many forms. Cascara, for example, is available in capsule and liquid form. Cascara is most commonly used in herbal laxative teas. Sometimes it is combined with other laxative herbs, such as senna -- another plant with stimulant laxative effects. All stimulant laxatives, including cascara, can cause abdominal cramping, even if you do not have an abdominal issue such as IBS. This can complicate your problem.
Alternatives
Non-stimulant laxatives may be a safer alternative if you have abdominal issues. These are also known as bulking laxatives, or stool softeners. Bulking laxatives draw water into your intestines to provide bulk that softens your stool, making it easier to pass. Increasing your fiber and water intake also promotes bowel regularity. Whole-wheat bread, oatmeal and legumes are fiber-rich. The amount of water you need depends on your weight and activity level. The average adult should drink least eight glasses daily.
Precautions
Cascara's other side effects include diarrhea. Liver toxicity is a rare adverse reaction. It may cause excess potassium loss, due to its laxative effects. Cascara has the capacity to interact with your medications, so talk to your doctor if you are currently prescribed medicine. Long-term laxative use may cause dependence. You should not use cascara or other laxatives longer than a week without your doctor's permission. Cascara can cause uterine contractions. You should not use it if you are pregnant.
