In addition to developing and maintaining a healthy lifestyle with proper diet, exercise and bowel habits, laxatives may still be warranted when suffering from constipation. Over-the-counter options ( such as MiraLAX® or osmotic agents) can be safe and beneficial if used as directed, and work by pulling fluid into the intestine and stool to help the stool be softer and increase the amount of bowel movements. Stool softeners may be helpful in reducing the need to strain when having a bowel movement, such as in cases after surgery or child-birth. Stimulant laxatives make the intestines contract or squeeze and move the stool along. In general when considering a laxative, you should always discuss with your healthcare provider or gastroenterologist who may consider other health concerns that may require caution with certain medications.