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Cocaine may make some people have bowel movements. However, it may not necessarily be the drug, cocaine hydrochloride, that affects the digestive system. It may be due to other ingredients. Street dealers lace cocaine with other additives and drugs that can make a person need to go to the bathroom. People ingesting cocaine by mouth may have digestive system side effects. Nausea, vomiting, and constipation are other digestive effects of cocaine. Side effects can be short or long term. Long-term digestive effects of cocaine, such as perforation or bleeding, can be dangerous and potentially life threatening. Cocaine comes from the leaves of the coca plant, native to South America. The addictive substance is an alkaloid called cocaine hydrochloride. Cocaine hydrochloride causes many different effects on the body. In the short term, cocaine does not affect bowel movements. However, some people may have nausea. The long-term effects of using cocaine depend on how a person takes the drug. For example, using cocaine by mouth can cause severe bowel decay from reduced blood flow to the intestines. However, people do not usually have diarrhea with bowel decay. People may use cocaine, not knowing exactly what is in it. Street dealers may lace pure cocaine powder with fillers. This allows them to stretch their drug supply and increase profits. It is unclear if cocaine or other substances in the drug make people need to use the bathroom. Some people claim that having a bowel movement after snorting cocaine may be a psychological effect from feeling nervous and excited. However, medical research does not back these reports. Many factors contribute to how cocaine affects the body. The method of use and contaminants in cocaine can influence these. People usually snort cocaine in a powder form or rub it on their gums. Others may inject it directly into a vein or smoke it. The effects of the drug can last 15—60 minutes. However, the duration depends on how a person takes cocaine and how much they use. Cocaine stimulates the central nervous system by increasing the levels of the chemical messenger dopamine. Cocaine also causes an intense feeling of happiness and energy. It can also cause other effects, such as:. The long-term effects of using cocaine depend on how a person uses the drug. For example, people who snort cocaine may develop long lasting loss of smell and frequent nosebleeds. People who smoke it may develop asthma and have a higher risk of lung infections. Effects on the digestive system can occur in people who use cocaine by mouth. People may experience immediate digestive effects due to the contaminants and additives in cocaine. People typically only experience the digestive effects of cocaine if they ingest it by mouth. Pure cocaine does not immediately affect the digestive system, but extended use can cause severe bowel decay. Severe bowel decay involves the death of the cells lining the wall of the intestine due to restricted blow flow. Some drug dealers lace the cocaine fillers and cutting agents to extend their supply and make greater profits. Cocaine may contain substances such as laxatives and caffeine, making some people need to go to the bathroom. Some additives, such as fentanyl , can also cause constipation. Dealers may use additives such as:. People may also unknowingly ingest other drugs when using cocaine, such as amphetamines. Differing purities and different mixtures with additives can result in unique effects. While some people may poop after using cocaine, it may not occur every time. Cocaine increases the oxygen demand on the heart muscle cells and restricts blood flow by constricting blood vessels. In addition, cocaine can also affect platelets, which are cells involved in blood clotting. Cocaine can cause platelet aggregation, which leads to blood clots. These effects can strain the heart muscle and may cause serious complications such as a heart attack. Over time, cocaine can also accelerate the thickening of the blood vessel walls or atherosclerosis. People can also develop an irregular heartbeat from using cocaine. While there are no treatments for cocaine misuse that have Food and Drug Administration FDA approval, some treatment options include:. People may need to use the bathroom after using cocaine, but the drug may not have the same effect on everyone. Cocaine often contains additives and other drugs that can cause side effects, such as needing to have a bowel movement. Anecdotally, some people report needing to go to the bathroom after taking cocaine, as it causes heightened emotions. The length of time cocaine stays in a person's system depends on frequency of use and dosage, as well as other factors. Learn more. Learn more here. Cocaine is one of the most addictive and harmful drugs. Find out what cocaine is, its effects, what makes it addictive, and the health risks. If a person uses cocaine regularly and suddenly stops, they may experience withdrawal symptoms. Learn more about cocaine withdrawal here. Cocaine is a stimulant drug that is highly addictive. If a person uses cocaine, it can have both long- and short-term effects on their brain. Medical News Today. News Latest News. Podcasts All 3 ways to slow down type 2 diabetes-related brain aging Toxic metals in tampons: Should you be worried? Can tattoos cause blood or skin cancer? What makes a diet truly heart-healthy? Is intermittent fasting actually bad for your heart? Newsletters Sign Up. Follow Us. Why does cocaine make you poop? Medically reviewed by Alan Carter, Pharm. How it causes pooping Effects on the body Effects on digestion Other factors Complications Getting help Summary Cocaine may make some people have bowel movements. Why does cocaine make a person poop? How cocaine affects the body. Effects on the digestive system. Cocaine misuse can also cause the following symptoms, which require immediate medical attention:. Other contributing factors. Signs of serious health complications. Getting help for cocaine misuse. How we reviewed this article: Sources. Medical News Today has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical journals and associations. We only use quality, credible sources to ensure content accuracy and integrity. You can learn more about how we ensure our content is accurate and current by reading our editorial policy. Share this article. Latest news Semaglutide boosts heart health, weight loss but may lead to gut problems. Tenecteplase more likely to lead to 'excellent' stroke recovery, study finds. Mitochondria may trigger Crohn's disease by disrupting the gut microbiome. Mindfulness may be as effective as antidepressant for anxiety symptoms. Is coffee good for your heart health? Related Coverage. Cocaine: How long does it stay in your system? Medically reviewed by Deborah Weatherspoon, Ph. How does cocaine affect the heart? Medically reviewed by Dr. Payal Kohli, M. Everything you need to know about cocaine. Medically reviewed by University of Illinois. Cocaine withdrawal explained. What are the effects of cocaine on the brain?
The intensification and diversification of cocaine trafficking activities targeting the EU have continued since the last EU Drug Markets Report.
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Official websites use. Share sensitive information only on official, secure websites. Cocaine an alkaloid extracted from the Erythroxylon coca plant is used orally, intranasally, intravenously or smoked as crack the free-base form of cocaine. A recent survey from the Department of Health in the UK shows that the use of cocaine has increased considerably over the last 10 years. The common pathologies associated with cocaine and crack abuse include nasal septal perforation and necrosis, cardiovascular and respiratory problems and complications which arise as a result of intravenous injection of the drug including cellulitis, abscesses, arterial and venous thrombosis and infections such as hepatitis and human immunodeficiency virus. Cerebral events in patients following drug abuse include seizures, intra-cranial haemorrhage and strokes secondary to vasospasm. In this editorial we discuss some of the common complications of cocaine abuse that are well known by physicians but concentrate on the relatively uncommon, but life threatening, gastrointestinal complications which present to surgeons. One of the most common symptoms in patients taking cocaine is chest pain. Patients also present with symptoms and signs of cardiomyopathy, myocarditis, endocarditis and cardiogenic pulmonary oedema. Myocardial infarction in patients can be difficult to diagnose because of abnormal electrocardiograms in a high proportion of patients without chest pain who regularly take cocaine. This is further confounded by raised cardiac enzymes in such patients, when they may not necessarily have had a myocardial infarction. The treatment of myocardial infarction in this group of patients is similar to standard treatment protocols but also employs other drugs such as benzodiazepines and avoidance of certain drugs especially beta-blockers and possibly calcium channel blockers. Thrombolysis is not of proven benefit. Respiratory problems include cough, haemoptysis which may be due to pulmonary heamorrhage, mild dyspnoea and severe acute problems such as pneumothorax, pneumomediastinum, non-cardiogenic pulmonary oedema, i. Pneumothorax in patients who continue to abuse crack may be recurrent and these patients eventually end up needing a thoracotomy. Smoking of crack also leads to deterioration of underlying chest conditions such as asthma and bronchitis. The treatment of non-cardiogenic pulmonary oedema is diuretics, oxygen and mechanical ventilation as needed. Gastrointestinal complications of cocaine abuse are uncommon compared to the complication discussed above. They are relatively well documented in the American literature, due to the higher incidence of drug abuse in the USA. However, experience with this drug in the UK is limited; therefore heightened awareness of its complication is paramount, in the light of the increasing abuse of cocaine. The actual incidence of gastrointestinal complication is not known worldwide but in one series from the USA, 50 patients with juxtapyloric perforation were treated in a hospital over a period of 4 years. The number of cases reported from the UK is very limited, although the authors have recently encountered two cases of gastrointestinal perforation secondary to cocaine abuse within a few weeks. It is likely to increase as the number of cocaine abusers goes up. Following intake of the drug, abusers develop abdominal pain and tenderness. There may also be associated nausea, vomiting and bloody diarrhoea. The onset of symptoms may be within an hour following drug abuse but the presentation may be delayed by up to 48 hours. The diagnosis of an acute abdomen may be difficult and requires a high index of clinical suspicion, especially as there may be no abnormal findings on imaging investigation such as free intraperitoneal air. Cocaine abuse can cause mesenteric ischaemia and gangrene, which result in small and large bowel perforation as well as intra-peritoneal haemorrhage. The common underlying pathophysiological mechanism is cocaine-induced arterial vasospasm or vasoconstriction leading to intestinal ischaemia with mucosal and transmural necrosis. This is a chronic process afflicting young patients who present with abdominal pain aggravated by food and weight loss—the classical symptoms of mesenteric angina. In these patients the diagnosis can be made pre-operatively by angiography. The usual management of small or large bowel gangrene or perforation is by resection and primary anastomosis. Patients with mesenteric angina are treated with standard two-vessel bypass typically from the supra-coeliac aorta to the coeliac and superior mesenteric arteries, respectively. The Inferior mesenteric artery may be reimplanted at the same time if occluded at its origin. Following crack abuse, the usual cause of an acute abdomen is a pre-pyloric or a duodenal perforation. Crack abuse also causes ischaemic colitis, which presents with abdominal pain and bloody diarrhoea. It is not clear why crack abuse preferentially causes upper gastrointestinal perforation rather than bowel gangrene or perforation. One possible explanation is the documented effects on gastric motility and increased intragastric pressure associated with the smoking of crack, which may in part be due to increased air swallowing and breath holding. The management of gastroduodenal perforation is by standard closure of the perforation, which is usually mm in diameter. Patients should be tested for Helecobacter pylori either by per-operative biopsy or, subsequently, because of the high incidence of the infection in these patients. In view of the increasing abuse of cocaine and crack in this country, it is important that doctors should be aware of their abdominal complications especially mesenteric ischaemia and gastroduodenal perforation, which primarily affects younger age groups. These conditions should always be considered in patients with a history of cocaine abuse who present with abdominal pain in order to avoid delay in diagnosis and treatment. As a library, NLM provides access to scientific literature. Find articles by Alok Tiwari. Find articles by Mohammed Moghal. Find articles by Luke Meleagros. Similar articles. Add to Collections. Create a new collection. Add to an existing collection. 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