Psyllium Husk pour Chronic Constipation
A Preuves Plusieurs grands essais cliniques montrent de manière constante des bénéfices significatifs.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.
En conclusion
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
Population: Review of dietary fiber role in GI tract
Population: Review of dietary management of chronic constipation
Population: Review of psyllium husk for constipation and diarrhea
Population: Alzheimer's disease patients
Population: Constipation patients
Population: Adults with chronic constipation
Key Statistics
18
Études
1400
Participants
Positive
Note
Referenced Papers
Dosage & Usage
mg = milligrams · mcg = micrograms (1,000× smaller) · IU = International Units
Posologies couramment utilisées
- 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
Limite supérieure : Well-tolerated up to 30 g/day with adequate fluid intake
Posologies étudiées dans la recherche
| Posologie | Durée | Effet | N |
|---|---|---|---|
| None | -- | Mixed | -- |
| None | -- | Mixed | -- |
| None | -- | Positive | -- |
| None | -- | Mixed | 410 |
| None | -- | Negative | -- |
| Various foods, drinks, diets | -- | Positive | -- |
| None | -- | Positive | -- |
| None | 1 weeks | Neutral | -- |
Moment optimal de prise : With meals and a full glass of water (240 mL minimum); space 1-2 hours from medications
Safety & Side Effects
Effets indésirables signalés
- ⚠ 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)
Interactions connues
- ● 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)
Apport maximal tolérable : Well-tolerated up to 30 g/day with adequate fluid intake
Consultez toujours votre professionnel de santé avant de commencer tout complément alimentaire.Consultez toujours votre professionnel de santé avant de commencer tout complément alimentaire.
Frequently Asked Questions
Does Psyllium Husk help with Chronic Constipation?
How much Psyllium Husk should I take for Chronic Constipation?
Are there side effects of Psyllium Husk?
How strong is the evidence for Psyllium Husk and Chronic Constipation?
Related Evidence
Autres ingrédients pour Chronic Constipation
Psyllium Husk pour d'autres pathologies
References
- [1] Eirini Dimidi. Proc Nutr Soc. 2025. Dietary management of chronic constipation: a review of evidence-based strategies and clinical guidelines. doi:10.1017/S0029665125100694 PubMed
- [2] Justyna Przybyszewska et al.. Prz Gastroenterol. 2025. The role and therapeutic effectiveness of Plantago ovata husk (psyllium husk) in the prevention and non-pharmacological treatment of gastrointestinal diseases. … doi:10.5114/pg.2024.141832 PubMed
- [3] Christian von Muhlenbrock et al.. Best Pract Res Clin Gastroenterol. 2025. The role of dietary fiber in the gastrointestinal tract: when, how and why? doi:10.1016/j.bpg.2025.102080 PubMed
- [4] . Med Lett Drugs Ther. 2025. Comparison chart: Some drugs for irritable bowel syndrome with constipation (IBS-C). doi:10.58347/tml.2025.1721e PubMed
- [5] . Med Lett Drugs Ther. 2025. Drugs for irritable bowel syndrome. doi:10.58347/tml.2025.1721a PubMed
- [6] Lvwan Xu et al.. Food Funct. 2024. Synergistic effects of Ligilactobacillus salivarius Li01 and psyllium husk prevent mice from developing loperamide-induced constipation. doi:10.1039/d4fo04444d PubMed
- [7] Emeline Keller et al.. J Feline Med Surg. 2024. Psyllium husk powder increases defecation frequency and faecal score, bulk and moisture in healthy cats. doi:10.1177/1098612X241234151 PubMed
- [8] Sandra Utz et al.. Z Gastroenterol. 2024. [Phytotherapeutic recommendations in medical guidelines for the treatment of gastroenterological diseases - a systematic review]. doi:10.1055/a-2279-5045 PubMed
- [9] Claire L Todd et al.. Cochrane Database Syst Rev. 2024. Conservative, physical and surgical interventions for managing faecal incontinence and constipation in adults with central neurological diseases. doi:10.1002/14651858.CD002115.pub6 PubMed
- [10] Enrique Coss-Adame et al.. Neurogastroenterol Motil. 2024. The effect of fiber supplementation with agave fructans or psyllium plantago in symptoms of constipation and its relation with whole … doi:10.1111/nmo.14908 PubMed
- [11] Daniel Staursky et al.. Curr Opin Gastroenterol. 2024. Step on the accelerator: modern treatment of constipation. doi:10.1097/MOG.0000000000000982 PubMed
- [12] Alice Van Der Schoot et al.. Aliment Pharmacol Ther. 2024. Systematic review and meta-analysis: Foods, drinks and diets and their effect on chronic constipation in adults. doi:10.1111/apt.17782 PubMed
- [13] Hao Lai et al.. Gut Microbes. 2023. Effects of dietary fibers or probiotics on functional constipation symptoms and roles of gut microbiota: a double-blinded randomized placebo trial. doi:10.1080/19490976.2023.2197837 PubMed
- [14] Silvia Salvatore et al.. Nutrients. 2023. Dietary Fibers in Healthy Children and in Pediatric Gastrointestinal Disorders: A Practical Guide. doi:10.3390/nu15092208 PubMed
- [15] Richard Gearry et al.. Am J Gastroenterol. 2023. Consumption of 2 Green Kiwifruits Daily Improves Constipation and Abdominal Comfort-Results of an International Multicenter Randomized Controlled Trial. doi:10.14309/ajg.0000000000002124 PubMed
- [16] Blake J Purtle et al.. Ann Intern Med. 2023. In persons with constipation or IBS-C, kiwifruit vs. psyllium increased spontaneous bowel movements. doi:10.7326/J23-0022 PubMed
- [17] Mayara Belorio et al.. Crit Rev Food Sci Nutr. 2022. Psyllium: a useful functional ingredient in food systems. doi:10.1080/10408398.2020.1822276 PubMed
- [18] Alice van der Schoot et al.. Am J Clin Nutr. 2022. The Effect of Fiber Supplementation on Chronic Constipation in Adults: An Updated Systematic Review and Meta-Analysis of Randomized Controlled Trials. doi:10.1093/ajcn/nqac184 PubMed
- [19] Waseem Khalid et al.. Food Sci Nutr. 2022. Fiber-enriched botanicals: A therapeutic tool against certain metabolic ailments. doi:10.1002/fsn3.2920 PubMed
- [20] Mohamed Eltorki et al.. Can J Gastroenterol Hepatol. 2022. Kiwifruit and Kiwifruit Extracts for Treatment of Constipation: A Systematic Review and Meta-Analysis. doi:10.1155/2022/7596920 PubMed
- [21] Satish S C Rao et al.. Am J Gastroenterol. 2021. Efficacy and Safety of Over-the-Counter Therapies for Chronic Constipation: An Updated Systematic Review. doi:10.14309/ajg.0000000000001222 PubMed
- [22] Samuel W Chey et al.. Am J Gastroenterol. 2021. Exploratory Comparative Effectiveness Trial of Green Kiwifruit, Psyllium, or Prunes in US Patients With Chronic Constipation. doi:10.14309/ajg.0000000000001149 PubMed
- [23] Seung Joo Kang et al.. J Neurogastroenterol Motil. 2021. Medical Management of Constipation in Elderly Patients: Systematic Review. doi:10.5056/jnm20210 PubMed
- [24] Neha R Santucci et al.. Complement Ther Med. 2021. Non-pharmacologic approach to pediatric constipation. doi:10.1016/j.ctim.2021.102711 PubMed
- [25] Teodora Surdea-Blaga et al.. Curr Opin Gastroenterol. 2021. Dietary interventions and irritable bowel syndrome - what really works? doi:10.1097/MOG.0000000000000706 PubMed
- [26] Johnson W McRorie et al.. J Am Assoc Nurse Pract. 2020. Laxative effects of wheat bran and psyllium: Resolving enduring misconceptions about fiber in treatment guidelines for chronic idiopathic constipation. doi:10.1097/JXX.0000000000000346 PubMed
- [27] . Med Lett Drugs Ther. 2020. Drugs for Irritable Bowel Syndrome. PubMed
- [28] Paul Moayyedi et al.. J Can Assoc Gastroenterol. 2019. Canadian Association of Gastroenterology Clinical Practice Guideline for the Management of Irritable Bowel Syndrome (IBS). doi:10.1093/jcag/gwy071 PubMed
- [29] Jonna Jalanka et al.. Int J Mol Sci. 2019. The Effect of Psyllium Husk on Intestinal Microbiota in Constipated Patients and Healthy Controls. doi:10.3390/ijms20020433 PubMed
- [30] Noureddin Soltanian et al.. Clin Nutr ESPEN. 2019. Effect of flaxseed or psyllium vs. placebo on management of constipation, weight, glycemia, and lipids: A randomized trial in constipated … doi:10.1016/j.clnesp.2018.11.002 PubMed
- [31] Liang Dai et al.. World J Clin Cases. 2019. Irritable bowel syndrome and functional constipation management with integrative medicine: A systematic review. doi:10.12998/wjcc.v7.i21.3486 PubMed
- [32] E R Ceresola et al.. Eur Rev Med Pharmacol Sci. 2018. Targeting patients' microbiota with probiotics and natural fibers in adults and children with constipation. doi:10.26355/eurrev_201810_16177 PubMed
- [33] S Vande Velde et al.. Acta Gastroenterol Belg. 2018. Constipation and fecal incontinence in children with cerebral palsy. Overview of literature and flowchart for a stepwise approach. PubMed
- [34] Wendy J Dahl et al.. Can J Diet Pract Res. 2018. Is Fibre an Effective Strategy to Improve Laxation in Long-Term Care Residents? doi:10.3148/cjdpr-2017-028 PubMed
- [35] Johnson W McRorie et al.. J Acad Nutr Diet. 2017. Understanding the Physics of Functional Fibers in the Gastrointestinal Tract: An Evidence-Based Approach to Resolving Enduring Misconceptions about Insoluble and … doi:10.1016/j.jand.2016.09.021 PubMed
- [36] Diego Currò et al.. Br J Pharmacol. 2017. Probiotics, fibre and herbal medicinal products for functional and inflammatory bowel disorders. doi:10.1111/bph.13632 PubMed
- [37] V G M Prasad et al.. Indian J Gastroenterol. 2017. Management of chronic constipation in patients with diabetes mellitus. doi:10.1007/s12664-016-0724-2 PubMed
- [38] Monica R P Rao et al.. Int J Biol Macromol. 2016. Phosphorylation of psyllium seed polysaccharide and its characterization. doi:10.1016/j.ijbiomac.2015.12.043 PubMed
- [39] Johnson W McRorie et al.. Dig Dis Sci. 2016. Fermented Fiber Supplements Are No Better Than Placebo for a Laxative Effect. doi:10.1007/s10620-016-4304-1 PubMed
- [40] Miguel Mínguez et al.. Rev Esp Enferm Dig. 2016. Use of polyethylene glycol in functional constipation and fecal impaction. doi:10.17235/reed.2016.4571/2016 PubMed
- [41] Anne Mounsey et al.. Am Fam Physician. 2015. Management of Constipation in Older Adults. PubMed
- [42] E Lever et al.. Aliment Pharmacol Ther. 2014. Systematic review: the effect of prunes on gastrointestinal function. doi:10.1111/apt.12913 PubMed
- [43] Si-Le Chen et al.. Medicine (Baltimore). 2014. Efficacy and complications of polyethylene glycols for treatment of constipation in children: a meta-analysis. doi:10.1097/MD.0000000000000065 PubMed
- [44] Shanti Eswaran et al.. Am J Gastroenterol. 2013. Fiber and functional gastrointestinal disorders. doi:10.1038/ajg.2013.63 PubMed
- [45] K E Trinkley et al.. J Clin Pharm Ther. 2011. Treatment of irritable bowel syndrome. doi:10.1111/j.1365-2710.2010.01177.x PubMed
- [46] E P Halmos et al.. Aliment Pharmacol Ther. 2011. Dried plums, constipation and the irritable bowel syndrome. doi:10.1111/j.1365-2036.2011.04719.x PubMed
- [47] . Prescrire Int. 2009. Irritable bowel syndrome: a mild disorder; purely symptomatic treatment. PubMed
- [48] Baljit Singh. Int J Pharm. 2007. Psyllium as therapeutic and drug delivery agent. doi:10.1016/j.ijpharm.2007.01.028 PubMed
- [49] Syed H Tariq. J Am Med Dir Assoc. 2007. Constipation in long-term care. doi:10.1016/j.jamda.2007.02.009 PubMed
- [50] Howard Y Chang et al.. Curr Treat Options Gastroenterol. 2006. Current gut-directed therapies for irritable bowel syndrome. doi:10.1007/s11938-006-0013-8 PubMed
- [51] M Ceranić et al.. Acta Chir Iugosl. 2006. [Plantago ovata]. doi:10.2298/aci0601009c PubMed
- [52] H Krammer et al.. Internist (Berl). 2005. [Therapeutic options of chronic constipation]. doi:10.1007/s00108-005-1509-3 PubMed
- [53] C J Bijkerk et al.. Aliment Pharmacol Ther. 2004. Systematic review: the role of different types of fibre in the treatment of irritable bowel syndrome. doi:10.1111/j.0269-2813.2004.01862.x PubMed
- [54] Bazian Ltd. Clin Evid. 2004. Constipation in adults. PubMed
- [55] . Altern Med Rev. 2002. Plantago ovata. (Psyllium). PubMed
- [56] J H Xing et al.. Dis Colon Rectum. 2001. Adverse effects of laxatives. doi:10.1007/BF02234645 PubMed
- [57] W Ashraf et al.. Mov Disord. 1997. Constipation in Parkinson's disease: objective assessment and response to psyllium. doi:10.1002/mds.870120617 PubMed
- [58] M Petticrew et al.. Health Technol Assess. 1997. Systematic review of the effectiveness of laxatives in the elderly. PubMed
- [59] G L Sussman et al.. Allergy Proc. 1990. Psyllium anaphylaxis. doi:10.2500/108854190778879828 PubMed
- [60] M L Swartz. Gastroenterol Nurs. 1989. Citrucel (methylcellulose/bulk-forming laxative). doi:10.1097/00001610-198907000-00013 PubMed
- [61] A Prior et al.. Gut. 1987. Double blind study of ispaghula in irritable bowel syndrome. doi:10.1136/gut.28.11.1510 PubMed
- [62] A Prior et al.. Biomed Pharmacother. 1986. Management of irritable bowel syndrome. PubMed
- [63] A P KLOTZ. JAMA. 1964. IRRITABLE COLON. PubMed
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