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Psyllium Husk para 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

Conclusión

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 Efecto: None None

Población: 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 Efecto: None None

Población: 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 Efecto: None None

Población: 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 Efecto: None None

Población: 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 Efecto: None None

Población: 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 Efecto: None None

Población: Children with functional abdominal pain disorders

Key Statistics

8

Estudios

900

Participantes

Positive

B

Calificación

Referenced Papers

The Medical letter … 2025
The Medical letter … 2020
International journal of … 2017 146 citas
Journal of gastroenterology … 2017 32 citas
Current opinion in … 2017 24 citas
The American journal … 2013 421 citas
Journal of clinical … 2011 30 citas
Alimentary pharmacology & … 2011 3 citas
Current opinion in … 2010 22 citas
International journal of … 2007 375 citas
Current treatment options … 2006 24 citas
Biomedicine & pharmacotherapy … 1986 4 citas
Annals of internal … 1981 6 citas
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 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 --

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 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

Aviso legal FDA: Estas declaraciones no han sido evaluadas por la Food and Drug Administration. Los productos y la información en este sitio web no están destinados a diagnosticar, tratar, curar ni prevenir ninguna enfermedad. Las calificaciones de evidencia presentadas se basan en nuestro análisis de investigación publicada revisada por pares y no constituyen consejo médico. Siempre consulte a su profesional de salud antes de comenzar cualquier régimen de suplementos.