Colace is ususally pretty safe. At 12 years old they are getting to where they can tolerate most adult drugs. Senna is also pretty safe but may be more laxative than stool softener. Be sure the patient drinks plenty of water-this is key with constipation! Water in the stool is what softens it so water has to be available for the gut to pull it into the stool. Be sure that the patient gets somewhere close to 64oz water daily. Tea and coffee do not count as fluid replacement because they act a a diuretic and pull more fluid off than they replace. Water is truly best but juices, even if you can get them to drink crystal light or even koolaid, as a last resort, to get water in them. Avoid carbonation though. Hope this helps.
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