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Psyllium Husk für Irritable Bowel Syndrome (IBS)

B

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

Fazit

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 vs.: None Outcome: IBS management heterogeneity in Latin America Wirkung: None None

Population: Latin American gastroenterologists (DGBI specialists)

Review
The role of dietary fiber in the gastrointestinal tract: when, how and why?
Dose: None vs.: None Outcome: None Wirkung: None None

Population: Review of dietary fiber role in GI tract

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 vs.: Placebo Outcome: Pain outcomes Wirkung: None None

Population: IBS patients

Review
The role and therapeutic effectiveness of Plantago ovata seed husk (psyllium husk) in the prevention …
Dose: None vs.: None Outcome: Colitis severity Wirkung: None None

Population: Ulcerative colitis patients

Systematic Review
[Phytotherapeutic recommendations in medical guidelines for the treatment of gastroenterological diseases - a systematic review].
Dose: Peppermint oil, STW-5, psyllium, others vs.: Standard care or placebo Outcome: Symptom improvement in GI diseases Wirkung: None None

Population: Patients with gastroenterological diseases

Randomized Controlled Trial n=314
Sex-Dependent Efficacy of Dietary Fiber in Pediatric Functional Abdominal Pain.
Dose: Dietary fiber (psyllium) vs.: Low fiber diet Outcome: Abdominal pain frequency Wirkung: None None

Population: Children with functional abdominal pain disorders

Key Statistics

8

Studien

900

Teilnehmer

Positive

B

Bewertung

Referenced Papers

The Medical letter … 2025
Current opinion in … 2021 6 Zitierungen
The Medical letter … 2020
International journal of … 2017 146 Zitierungen
Journal of gastroenterology … 2017 32 Zitierungen
Current opinion in … 2017 24 Zitierungen
International journal of … 2016 69 Zitierungen
Clinical gastroenterology and … 2016 2 Zitierungen
Digestion 2014 61 Zitierungen
The American journal … 2013 421 Zitierungen
Journal of clinical … 2011 30 Zitierungen
Alimentary pharmacology & … 2011 3 Zitierungen
Current opinion in … 2010 22 Zitierungen
Australian family physician 2009 12 Zitierungen
International journal of … 2007 375 Zitierungen
Current treatment options … 2006 24 Zitierungen
Alimentary pharmacology & … 2004 322 Zitierungen
Biomedicine & pharmacotherapy … 1986 4 Zitierungen
Annals of internal … 1981 6 Zitierungen
JAMA 1964

Dosage & Usage

mg = milligrams · mcg = micrograms (1,000× smaller) · IU = International Units

Übliche Dosierungen

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

Obergrenze: Well-tolerated up to 30 g/day with adequate fluid intake

In der Forschung untersuchte Dosierungen

Dosierung Dauer Wirkung N
None -- Mixed 97
None -- Mixed --
None 3 weeks Positive --
None -- Positive --
Peppermint oil, STW-5, psyllium, others -- Positive --
Dietary fiber (psyllium) -- Positive 314
2 g -- Mixed --
Low-FODMAP, probiotics, fiber -- Positive --

Beste Einnahmezeit: With meals and a full glass of water (240 mL minimum); space 1-2 hours from medications

Safety & Side Effects

Gemeldete Nebenwirkungen

  • 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)

Bekannte Wechselwirkungen

  • 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)

Tolerierbare Höchstaufnahmemenge: Well-tolerated up to 30 g/day with adequate fluid intake

Konsultieren Sie immer Ihren Arzt, bevor Sie ein Nahrungsergänzungsmittel einnehmen.Konsultieren Sie immer Ihren Arzt, bevor Sie ein Nahrungsergänzungsmittel einnehmen.

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

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