Psyllium Husk لـ Irritable Bowel Syndrome (IBS)
B الأدلة تدعم ذلك تجربة عشوائية واحدة على الأقل، مع نتائج متسقة في معظمها.ACG recommends soluble fiber (psyllium) over insoluble fiber for IBS. Improves global IBS symptoms with particular benefit in IBS-C. NNT of 7 for global symptom improvement.
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B
الخلاصة
ACG recommends soluble fiber (psyllium) over insoluble fiber for IBS. Improves global IBS symptoms with particular benefit in IBS-C. NNT of 7 for global symptom improvement.
Key Study Findings
Observational Study
n=97
Survey of Latin American gastroenterologists, specialists in disorders of gut-brain interaction, on the diagnosis and …
Dose: None
مقابل: None
Outcome: IBS management heterogeneity in Latin America
التأثير: None
None
المجتمع المدروس: Latin American gastroenterologists (DGBI specialists)
Review
The role of dietary fiber in the gastrointestinal tract: when, how and why?
Dose: None
مقابل: None
Outcome: None
التأثير: None
None
المجتمع المدروس: Review of dietary fiber role in GI tract
Review
The role and therapeutic effectiveness of Plantago ovata seed husk (psyllium husk) in the prevention …
Dose: None
مقابل: None
Outcome: Colitis severity
التأثير: None
None
المجتمع المدروس: Ulcerative colitis patients
Randomized Controlled Trial
n=314
Sex-Dependent Efficacy of Dietary Fiber in Pediatric Functional Abdominal Pain.
Dose: Dietary fiber (psyllium)
مقابل: Low fiber diet
Outcome: Abdominal pain frequency
التأثير: None
None
المجتمع المدروس: Children with functional abdominal pain disorders
Randomized Controlled Trial
3 weeks
Double-blind
Nutraceuticals and Pain Disorders of the Gut-Brain Interaction in Infants and Children: A Narrative Review …
Dose: None
مقابل: Placebo
Outcome: Pain outcomes
التأثير: None
None
المجتمع المدروس: IBS patients
Systematic Review
[Phytotherapeutic recommendations in medical guidelines for the treatment of gastroenterological diseases - a systematic review].
Dose: Peppermint oil, STW-5, psyllium, others
مقابل: Standard care or placebo
Outcome: Symptom improvement in GI diseases
التأثير: None
None
المجتمع المدروس: Patients with gastroenterological diseases
Key Statistics
8
الدراسات
900
المشاركون
↑
Positive
B
التقييم
Referenced Papers
Best practice & …
2025
1 اقتباسات
The Medical letter …
2025
The Medical letter …
2025
Revista de gastroenterologia …
2025
The Medical letter …
2025
Gastroenterology
2024
8 اقتباسات
Nutrients
2024
5 اقتباسات
Przeglad gastroenterologiczny
2024
4 اقتباسات
[Phytotherapeutic recommendations in medical guidelines for the treatment of gastroenterological diseases - a systematic review].
Systematic Review
Zeitschrift fur Gastroenterologie
2024
3 اقتباسات
Gastroenterology
2024
3 اقتباسات
Dietary Fibers in Healthy Children and in Pediatric Gastrointestinal Disorders: A Practical Guide.
Review
Nutrients
2023
43 اقتباسات
The American journal …
2023
39 اقتباسات
Nutrients
2023
32 اقتباسات
Journal of pediatric …
2023
21 اقتباسات
Nutrients
2023
4 اقتباسات
Journal of pediatric …
2023
1 اقتباسات
In persons with constipation or IBS-C, kiwifruit vs. psyllium increased spontaneous bowel movements.
Other
Annals of internal …
2023
Gut
2022
39 اقتباسات
American journal of …
2022
18 اقتباسات
Expert review of …
2022
8 اقتباسات
The Turkish journal …
2021
14 اقتباسات
Current opinion in …
2021
6 اقتباسات
The lancet. Gastroenterology …
2020
119 اقتباسات
The Medical letter …
2020
Journal of the …
2019
171 اقتباسات
World journal of …
2019
14 اقتباسات
International journal of …
2017
146 اقتباسات
Probiotics, fibre and herbal medicinal products for functional and inflammatory bowel disorders.
Review
British journal of …
2017
145 اقتباسات
Clinical gastroenterology and …
2017
93 اقتباسات
Journal of gastroenterology …
2017
32 اقتباسات
Current opinion in …
2017
24 اقتباسات
International journal of …
2016
69 اقتباسات
Clinical gastroenterology and …
2016
2 اقتباسات
Digestion
2014
61 اقتباسات
The American journal …
2013
421 اقتباسات
Journal of clinical …
2011
30 اقتباسات
Alimentary pharmacology & …
2011
3 اقتباسات
Canadian journal of …
2011
Current opinion in …
2010
22 اقتباسات
BMJ (Clinical research …
2009
296 اقتباسات
Australian family physician
2009
12 اقتباسات
Prescrire international
2009
BMJ (Clinical research …
2008
550 اقتباسات
International journal of …
2007
375 اقتباسات
Digestive diseases and …
2006
70 اقتباسات
Current treatment options …
2006
24 اقتباسات
Systematic review: the role of different types of fibre in the treatment of irritable bowel syndrome.
Systematic Review
Alimentary pharmacology & …
2004
322 اقتباسات
Gut
1987
153 اقتباسات
Biomedicine & pharmacotherapy …
1986
4 اقتباسات
Annals of internal …
1981
91 اقتباسات
Annals of internal …
1981
6 اقتباسات
IRRITABLE COLON.
Other
JAMA
1964
Dosage & Usage
mg = milligrams · mcg = micrograms (1,000× smaller) · IU = International Units
الجرعات الشائعة
- general:
- 5-10 g/day (with adequate water)
- ibssupport:
- 5-10 g/day (start low, titrate up over 1-2 weeks)
- constipation:
- 10-20 g/day in divided doses with at least 240 mL water per dose
الحد الأعلى: Well-tolerated up to 30 g/day with adequate fluid intake
الجرعات المدروسة في الأبحاث
| الجرعة | المدة | التأثير | ن |
|---|---|---|---|
| None | -- | Mixed | 97 |
| None | -- | Mixed | -- |
| None | -- | Positive | -- |
| Dietary fiber (psyllium) | -- | Positive | 314 |
| None | 3 weeks | Positive | -- |
| Peppermint oil, STW-5, psyllium, others | -- | Positive | -- |
| None | -- | Mixed | -- |
| Low-FODMAP, probiotics, fiber | -- | Positive | -- |
أفضل وقت للتناول: With meals and a full glass of water (240 mL minimum); space 1-2 hours from medications
Safety & Side Effects
الآثار الجانبية المُبلّغ عنها
- ⚠ Gas and bloating (common initially; start with low dose and titrate up)
- ⚠ Esophageal/bowel obstruction if taken without adequate water (CRITICAL: always take with full glass of water)
- ⚠ Abdominal cramping at high initial doses
- ⚠ May reduce appetite (feeling of fullness)
التفاعلات المعروفة
- ● May reduce absorption of medications if taken simultaneously (space 1-2 hours)
- ● Lithium (reduced absorption)
- ● Carbamazepine (reduced absorption)
- ● Diabetes medications (may enhance blood sugar lowering; monitor glucose)
الحد الأقصى المسموح به: Well-tolerated up to 30 g/day with adequate fluid intake
استشر مقدم الرعاية الصحية دائماً قبل البدء بأي مكمل غذائي.
Frequently Asked Questions
Does Psyllium Husk help with Irritable Bowel Syndrome (IBS)?
Based on 8 studies with 900 participants, there is moderate evidence from clinical studies that Psyllium Husk may support Irritable Bowel Syndrome (IBS) management. Our evidence grade is B (Good Evidence).
How much Psyllium Husk should I take for Irritable Bowel Syndrome (IBS)?
Studies have used various dosages. A commonly studied range is 5-10 g/day (with adequate water). Always consult your healthcare provider before starting any supplement regimen.
Are there side effects of Psyllium Husk?
Reported side effects may include Gas and bloating (common initially; start with low dose and titrate up), Esophageal/bowel obstruction if taken without adequate water (CRITICAL: always take with full glass of water), Abdominal cramping at high initial doses, May reduce appetite (feeling of fullness). Most side effects are mild and dose-dependent. Consult your doctor if you experience any adverse reactions.
How strong is the evidence for Psyllium Husk and Irritable Bowel Syndrome (IBS)?
We rate the evidence as Grade B (Good Evidence). This rating is based on 8 peer-reviewed studies with 900 total participants. The overall direction of effect is positive.
Related Evidence
مكونات أخرى لـ Irritable Bowel Syndrome (IBS)
Psyllium Husk لحالات أخرى
References
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