... extract( Senna leaf extract;Senna alexandrina) Sennosides treatment of constipation Cassia angustifolia extract( Senna leaf extract;Senna ... prepared enema, suppository or stool softener, into a block of mixed fiber laxatives to form a coalition cathartic. ... ., diabetic autonomic neuropathy), prolonged bed rest/hospitalization, use of constipating medications (e.g., narcotics), or irritable bowel ...