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the free magnesium ions that are dissociated from a citrate complex cannot be absorbed easily by the intestinal wall the resulting concentration gradient leads to an osmotic effect water is drawn into the lumen of the colon the loss of liquid is compensated for by the amount of additional fluids patients are advised to drink when taking an osmotic laxative in this way the stool is softened the second substance is converted by bacteria in the colon into an active metabolite this then stimulates nerve endings and the intestinal wall thereby increasing peristalsis the contractions carry the ball content along towards the rectum dual-action stimulant and osmotic laxative softens the stool and stimulates peristalsis cleansing the colon of fecal matter