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Common Name
Senna Pods
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Botanical Name
Senna alexandrina
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Part Used
Fruit
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Clinical Summary
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Alcohol
45%
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Dose
10 to 40mL weekly
Used in more severe cases of constipation and conditions in which easy bowel evacuation, with soft stools, is desirable such as in haemorrhoids and after colon, rectal or abdominal surgery. Short term application is advisable. Can be taken on the fourth day of an intestinal worm protocol to cleanse the bowel of the dead parasites. Concurrent administration of carminatives and antispasmodics, such as ginger (Zingiber officinale) or fennel (Foeniculum vulgare), is highly recommended.
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Traditional Use
Senna pods have been used for their stimulating laxative effect in more severe cases of constipation.
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Actions
Laxative
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Indications
Constipation, conditions in which easy bowel evacuation with soft stools is desirable such as anal fissures, haemorrhoids, after colon and rectal surgery, for bowel clearance before X-ray examinations and before and after abdominal surgery.
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Energetics
Cold, dry
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Use in Pregnancy
Possibly safe when used short-term orally and appropriately. Possibly unsafe when used orally long term or in high doses.
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Contraindications & Cautions
Do not use for prolonged periods. Senna should not be used for more than one to two weeks. Excessive, or chronic use, or abuse may cause electrolyte imbalance including potassium deficiency, albuminuria (a condition of having too much protein in the urine which results from damage within the kidneys) and haematuria (blood in the urine). Adverse effects include diarrhoea, fluid loss, colic and possible hepatic reactions. Do not use in intestinal upsets including irritation, inflammations, diarrhoea, nausea and vomiting, intestinal obstruction and stenosis, atony, irritation of the bowel, inflammatory colon diseases, appendicitis, abdominal pain of unknown origin, severe dehydration states with water and electrolyte depletion or chronic constipation.
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Drug Interactions
Caution with digoxin, diuretic drugs, oestrogens, stimulant laxatives and warfarin.
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Dietary Information
Vegan friendly. Gluten and dairy free
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Substitutes
Rhubarb, Cascara Sagrada, Aloes, Butternut, Buckthorn