Docusate (or docusate salts) is a stool softener used to treat occasional constipation. It is also used in painful anorectal conditions such as hemorrhoids and anal fissures, to help avoid pain caused by straining during bowel movements. Basically, Docusate works by increasing the amount of water the stool absorbs in the gut, making the stool softer and easier to pass. It is, however, worth noting that the available evidence does not support the use of this laxative for these purposes. In fact, multiple studies have found docusate to be no more effective than a placebo for improving constipation. Others have also found it to be less useful for the treatment of chronic constipation than psyllium. When it comes to its side effects, Docusate may, on rare occasions, cause abdominal cramps or diarrhea. However, it is acceptable during pregnancy and breastfeeding.