Newsgroups: alt.drugs From: [g--g--y] at [rintintin.Colorado.EDU] (Scott Grigsby) Subject: Why opium causes constipation Date: Fri, 11 Feb 1994 02:23:24 GMT Well, I bugged all of you to tell me why opium causes constipation. I hadn't received a reply, so while on my way to class today I stopped at the library (and never quite made it to class. The library has that effect...). When I got home, I found that someone had sent me a reply, confirming what the library told me. So here's what I found out (you're dying to know, aren't you?): The gastrointestinal tract contains many opioid receptors (gamma, kappa, and sigma, I think), to which the opiods bond (duh). The rest I'll copy from this book (I forgot the title, but the authors (of this chapter) are T.H. Bewley and A.H. Ghodse): "There is a decrease of motility with increase in tone of the central part of the stomach. There is an increase tone in the first part of the duodenum... Digestion of food in the small intestine is delayed where propulsive contractions are markedly decreased. The action on the small intestine is thought to cause about a quarter of the total constipating effect. In the large intestine, propulsive peristaltic waves in the colon are diminished or abolished after morphine. Delay in passage of contents causes dessication of feces. Anal sphincter tone is augmented." So that's it. Scott -- ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~\__________/~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Scott Grigsby ///-///-/// The cut worm forgives the plow. \\\-\\\-\\\ -Blake [g--g--y] at [rtt.colorado.edu] ///-///-///