hello dr. melamed, can i take senna indefinitely for regularity? thanks.

Dear Dewitt!

Senna is the laxative herb that irritates colon wall and causes peristaltic movement. It is useful for occasional use. Taking Senna regularly may cause habitual constipation when colon does not work without stimulation. I use Senna in an herbal formula with the combination of the other herbs for the healing and cleansing purposes.

However, chronic constipation can cause many symptoms, which are very far from the colon. Persons with chronic constipation are in risk of the diverticulosis and colorectal cancer. Do not kill the messenger.

Having constipation may be the sign of numerous health problems. Sadly, this neglected disorder typically is treated symptomatically by laxatives like senna. The best way is to understand the reasons for chronic constipation to focus on the root of the problem.

Some reasons for your constipation can be:
   Candida-yeast overgrow. It is possible after antibiotics, drinking chlorinated water. Constipation/diarrhea may also be symptoms of it.
   Celiac disease, food  allergy, sensitivity
   Little amount of the friendly intestinal bacteria
   Pancreatic deficiency Gas, bloating, left upper abdominal pain
   Low amount of the bile. Bile constipation is in people that avoid fatty foods or have the acidic bile. Bile is natural simulator of the intestinal peristaltic  
   Not enough magnesium, potassium
   Not enough fiber in the diet
   Low thyroid function. Some areas in the USA where have water supply has the low amount of iodine. Temperature test may show that
   Depression. Combination of constipation and depression is well-known medical fact
   Sedentary lifestyle, lack of exercise,  
   Some medications
   Changes in life or routine such as travel
   Ignoring the urge to go to the bathroom.

It will be unprofessional to give you advise without knowing your age, lifestyle, eating habits, medications, and medical date. If you like to go deeply in your situation, I may help.

Have good health.


Peter Melamed. Ph.D.
Biotherapy Clinisc of San Francisco
Phone: (415) 409-3939
Fax: (415) 409-3909


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Peter Melamed, PhD


I can answer all questions about digestive health, especially in focus on the non-drug, non-surgery treatment. It includes healing diet, acupuncture, herbal medicine, nutritional supplementation, healing mineral water, abdominal massage, and cleansing techniques. All these practices are widely used by gastroenterologists all over the world.


This is my everyday job at Biotherapy Alternative Medicine Clinic in San Francisco. I have decades of the experience of working as an MD in ICU, outpatient department and privet practice. I have helped many of my patients with the chronic digestive disorders by using the non-drug, non-knife approach for the 20 years.

I published many articles on internet about gastrointestinal disorders. 1. Peter Melamed, Ph.D., Felix Melamed, LAc, MSTCM. EBook Healthy Pancreas, Healthy You. Publisher Biotherapy, Inc, September 2014 2. Peter Melamed, Felix Melamed. Chronic Metabolic Acidosis Destroys Pancreas. JOP. J Pancreas (Online) 2014 Nov 28; 15(6): 552-560 3. Peter Melamed, Felix Melamed. Short Review of Our Work - "Chronic Metabolic Acidosis Destroys Pancreas" with Focus on the Functional Exocrine Pancreatic Disorders JOP. J Pancreas (Online) 2015 Jul 08; 16(4):365-368 4. Peter Melamed, PhD, and Felix Melamed, MS. Acidity Kills the Pancreas. Townsend Letter, the Examiner of Alternative Medicine. August/September 2015, p. 74-80 5. Peter Melamed, Felix Melamed. The Role of the Metabolic Acidosis in the Development of Chronic Pancreatitis. SM Group (USA) Chronic Pancreatitis: Recent Advances. 2015, Aug 10

MD, Ph.D. in the medical science and also LicAc, RN

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