Psyllium Husk para Chronic Constipation
A Evidencia Múltiples ensayos clínicos de gran tamaño muestran de forma consistente beneficios significativos.Multiple meta-analyses confirm psyllium significantly increases stool frequency (mean +2.4/week) and stool weight. Superior to placebo with NNT of 3 for constipation relief. Recommended by AGA and ACG guidelines.
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A
Conclusión
Multiple meta-analyses confirm psyllium significantly increases stool frequency (mean +2.4/week) and stool weight. Superior to placebo with NNT of 3 for constipation relief. Recommended by AGA and ACG guidelines.
Key Study Findings
Review
The role of dietary fiber in the gastrointestinal tract: when, how and why?
Dose: None
vs: None
Outcome: None
Efecto: None
None
Población: Review of dietary fiber role in GI tract
Review
Dietary management of chronic constipation: a review of evidence-based strategies and clinical guidelines.
Dose: None
vs: None
Outcome: None
Efecto: None
None
Población: Review of dietary management of chronic constipation
Review
The role and therapeutic effectiveness of Plantago ovata husk (psyllium husk) in the prevention and …
Dose: None
vs: None
Outcome: None
Efecto: None
None
Población: Review of psyllium husk for constipation and diarrhea
Meta-Analysis
n=410
Conservative, physical and surgical interventions for managing faecal incontinence and constipation in adults with central …
Dose: None
vs: Placebo
Outcome: Constipation symptoms
Efecto: SMD -0.62, 95% CI -1.10 to -0.14
None
Población: Alzheimer's disease patients
Randomized Controlled Trial
Double-blind
The effect of fiber supplementation with agave fructans or psyllium plantago in symptoms of constipation …
Dose: None
vs: None
Outcome: Constipation symptoms
Efecto: None
p > 0.05
Población: Constipation patients
Meta-Analysis
Systematic review and meta-analysis: Foods, drinks and diets and their effect on chronic constipation in …
Dose: Various foods, drinks, diets
vs: Control diet or placebo
Outcome: Stool output, transit time, symptoms, QoL
Efecto: None
None
Población: Adults with chronic constipation
Key Statistics
18
Estudios
1400
Participantes
↑
Positive
A
Calificación
Referenced Papers
The Proceedings of …
2025
2 citas
Przeglad gastroenterologiczny
2025
2 citas
Best practice & …
2025
1 citas
The Medical letter …
2025
The Medical letter …
2025
Food & function
2024
8 citas
Journal of feline …
2024
8 citas
[Phytotherapeutic recommendations in medical guidelines for the treatment of gastroenterological diseases - a systematic review].
Systematic Review
Zeitschrift fur Gastroenterologie
2024
3 citas
The Cochrane database …
2024
3 citas
Neurogastroenterology and motility
2024
3 citas
Current opinion in …
2024
2 citas
Systematic review and meta-analysis: Foods, drinks and diets and their effect on chronic constipation in adults.
Meta-Analysis
Alimentary pharmacology & …
2024
Gut microbes
2023
143 citas
Dietary Fibers in Healthy Children and in Pediatric Gastrointestinal Disorders: A Practical Guide.
Review
Nutrients
2023
43 citas
The American journal …
2023
39 citas
In persons with constipation or IBS-C, kiwifruit vs. psyllium increased spontaneous bowel movements.
Other
Annals of internal …
2023
Critical reviews in …
2022
99 citas
The American journal …
2022
80 citas
Food science & …
2022
52 citas
Kiwifruit and Kiwifruit Extracts for Treatment of Constipation: A Systematic Review and Meta-Analysis.
Meta-Analysis
Canadian journal of …
2022
9 citas
Efficacy and Safety of Over-the-Counter Therapies for Chronic Constipation: An Updated Systematic Review.
Systematic Review
The American journal …
2021
62 citas
The American journal …
2021
47 citas
Journal of neurogastroenterology …
2021
37 citas
Complementary therapies in …
2021
30 citas
Current opinion in …
2021
6 citas
Journal of the …
2020
33 citas
The Medical letter …
2020
Journal of the …
2019
171 citas
The Effect of Psyllium Husk on Intestinal Microbiota in Constipated Patients and Healthy Controls.
RCT
International journal of …
2019
162 citas
Clinical nutrition ESPEN
2019
64 citas
World journal of …
2019
14 citas
European review for …
2018
23 citas
Acta gastro-enterologica Belgica
2018
17 citas
Canadian journal of …
2018
2 citas
Journal of the …
2017
447 citas
Probiotics, fibre and herbal medicinal products for functional and inflammatory bowel disorders.
Review
British journal of …
2017
145 citas
Indian journal of …
2017
50 citas
International journal of …
2016
69 citas
Digestive diseases and …
2016
28 citas
Revista espanola de …
2016
27 citas
American family physician
2015
Systematic review: the effect of prunes on gastrointestinal function.
Systematic Review
Alimentary pharmacology & …
2014
59 citas
Efficacy and complications of polyethylene glycols for treatment of constipation in children: a meta-analysis.
Meta-Analysis
Medicine
2014
19 citas
The American journal …
2013
421 citas
Journal of clinical …
2011
30 citas
Alimentary pharmacology & …
2011
3 citas
Prescrire international
2009
International journal of …
2007
375 citas
Journal of the …
2007
84 citas
Current treatment options …
2006
24 citas
[Plantago ovata].
Review
Acta chirurgica Iugoslavica
2006
Der Internist
2005
5 citas
Systematic review: the role of different types of fibre in the treatment of irritable bowel syndrome.
Systematic Review
Alimentary pharmacology & …
2004
322 citas
Constipation in adults.
Review
Clinical evidence
2004
Plantago ovata. (Psyllium).
Review
Alternative medicine review …
2002
6 citas
Diseases of the …
2001
199 citas
Movement disorders : …
1997
196 citas
Systematic review of the effectiveness of laxatives in the elderly.
Systematic Review
Health technology assessment …
1997
128 citas
Psyllium anaphylaxis.
Case Report
Allergy proceedings : …
1990
12 citas
Gastroenterology nursing : …
1989
3 citas
Gut
1987
153 citas
Biomedicine & pharmacotherapy …
1986
4 citas
IRRITABLE COLON.
Other
JAMA
1964
Dosage & Usage
mg = milligrams · mcg = micrograms (1,000× smaller) · IU = International Units
Dosificaciones de uso común
- 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
Límite superior: Well-tolerated up to 30 g/day with adequate fluid intake
Dosificaciones estudiadas en la investigación
| Dosificación | Duración | Efecto | N |
|---|---|---|---|
| None | -- | Mixed | -- |
| None | -- | Mixed | -- |
| None | -- | Positive | -- |
| None | -- | Mixed | 410 |
| None | -- | Negative | -- |
| Various foods, drinks, diets | -- | Positive | -- |
| None | -- | Positive | -- |
| None | 1 weeks | Neutral | -- |
Mejor momento para tomar: With meals and a full glass of water (240 mL minimum); space 1-2 hours from medications
Safety & Side Effects
Efectos secundarios reportados
- ⚠ 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)
Interacciones conocidas
- ● 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)
Ingesta máxima tolerable: Well-tolerated up to 30 g/day with adequate fluid intake
Consulte siempre a su profesional de salud antes de comenzar cualquier suplemento.Siempre consulte a su profesional de salud antes de comenzar cualquier suplemento.
Frequently Asked Questions
Does Psyllium Husk help with Chronic Constipation?
Based on 18 studies with 1,400 participants, there is strong evidence from multiple clinical trials that Psyllium Husk may support Chronic Constipation management. Our evidence grade is A (Strong Evidence).
How much Psyllium Husk should I take for Chronic Constipation?
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 Chronic Constipation?
We rate the evidence as Grade A (Strong Evidence). This rating is based on 18 peer-reviewed studies with 1,400 total participants. The overall direction of effect is positive.
Related Evidence
Otros ingredientes para Chronic Constipation
Psyllium Husk para otras condiciones
References
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