OSP products include the prescription brands Visicol and Osmo Prep, as well as OTC brands including Fleet Phospha-soda. Over-the-counter OSP products are considered safe if used in low doses to treat constipation. But Fleet began marketing the product in higher doses as a bowel cleanser, which prompted the same risk of kidney damage and the form of kidney injury known as acute phosphate nephropathy.

OSPs work by pulling fluid from the body and out the colon, causing a laxative effect. While the body is purging itself of fluids, calcium-phosphate crystals can form in the kidneys, blocking the renal tubes. Symptoms of OSP-related kidney damage can come immediately or take as long as a few days or few weeks to surface. These symptoms include lethargy, drowsiness, decreased urine output, and swelling of the legs, ankles and feet. Often, the diagnosis isn’t immediately linked to use of OSP.

To date, more than 50 lawsuits have been filed against Fleet by people who suffered kidney injury from use of OSPs, including one recently settled in Virginia in which the lone plaintiff was awarded $10 million.

SOURCE: Fleet Attorney › Lawsuits mount against maker of over-the-counter bowel cleanser

Detox was once considered a medical procedure performed in hospitals or clinics designed to rid the body of dangerous and sometimes life-threatening levels of alcohol, drugs or poisons. Businesses picked up on the “healthier living through detox” idea, promoting various cleansings to eliminate toxins in the body that they say cause a host of nasty symptoms such as headaches, bloating, joint pain, fatigue and depression. But some of the body cleansing practices come with serious warnings.

Colon cleansing is perhaps the most talked about method of detox. The practice is used to cleanse the bowel prior to medical procedures such as colonoscopies. Some people follow a similar practice to relieve constipation or to cleanse their colon for health reasons. Solutions or pills – available both by prescription and over the counter – are taken by the consumer to induce a series of bowel movements designed to empty the intestines.

However, Dr. Reyes says there are serious risks associated with colon cleansing. For starters, the practice can cause dehydration, electrolyte imbalance, impaired bowel function, and disruption of the intestinal flora. But an even more serious condition has been linked to some colon cleansing products called oral sodium phosphates, or OSPs. OSP products include prescription brands Visicol and Osmo Prep, and over-the-counter brands such as Fleet Phosopha-soda, and have been linked to a serious kidney injury known as acute phosphate nephropathy.

The bottom line, says Dr. Reyes, is that the human body is well equipped to ward off environmental toxins. “If you’re generally healthy, concentrate on giving your body what it needs to maintain its robust self-cleaning system – a healthful diet, adequate fluid intake, regular exercise, sufficient sleep, and all recommended medical checkups,” he says. “If you experience fatigue, pallor, unexplained weight gain or loss, or changes in bowel function that persist for days or weeks, visit your doctor instead of a detox spa.”

SOURCE: Fleet Attorney › Some detox practices carry serious risks

Many colon cleansing products claim to produce rapid weight loss, but studies have shown that the weight loss from colon cleansing is from fasting and water loss, not the melting away of fat that would be most beneficial. Along with water loss, Endyke says, “is a risk of electrolyte imbalances, dehydration, and a weakening of the colon muscle from stimulant laxatives, resulting in a dependence on the product for regular bowel movements.”

In some cases, use of colon cleansing products can be dangerous to your health. Earlier this year the Food and Drug Administration (FDA) issued its sternest safety warning for prescription oral phosphate drugs used to cleanse the bowel before procedures such as colonoscopies after receiving numerous reports of a rare but serious form of kidney failure, known as acute phosphate nephropathy or nephrocalcinosis, among patients who used the drugs. The prescription drugs that fell under the warning include Visicol and OsmoPrep.

That warning translated to a concern about over-the-counter laxatives such as Fleet Phospha-soda made by C.B. Fleet. While considered safe for use in low doses to treat occasional constipation, the products have been recommended for use in larger doses by doctors for patients prior to procedures. Colon cleansing enthusiasts have also turned to the products, and the FDA has raised concerns about the safety of those products. As a result, C.B. Fleet has pulled those products from store shelves and has made them available by prescription only.

Endyke says the body has an elaborate defense and removal system that involves not only the gastrointestinal system but also the skin, immune system, kidneys and liver that work to ride the body of natural and synthetic chemicals we ingest daily. Her suggestion for keeping your colon clean – “eating several fruits and good portions of vegetables, as well as cereal fibers, and whole grains daily.”

Source: Taunton Daily Gazette

SOURCE: Fleet Attorney › Colon cleansing products may be hazardous to your health