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Psyllium Husk untuk 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

Kesimpulan

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 Efek: None None

Populasi: 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 Efek: None None

Populasi: 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 vs: None Outcome: Colitis severity Efek: None None

Populasi: Ulcerative colitis patients

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 Efek: None None

Populasi: 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 vs: Placebo Outcome: Pain outcomes Efek: None None

Populasi: 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 vs: Standard care or placebo Outcome: Symptom improvement in GI diseases Efek: None None

Populasi: Patients with gastroenterological diseases

Key Statistics

8

Studi

900

Peserta

Positive

B

Peringkat

Referenced Papers

The Medical letter … 2025
The Medical letter … 2020
International journal of … 2017 146 sitasi
Journal of gastroenterology … 2017 32 sitasi
Current opinion in … 2017 24 sitasi
International journal of … 2016 69 sitasi
Clinical gastroenterology and … 2016 2 sitasi
The American journal … 2013 421 sitasi
Journal of clinical … 2011 30 sitasi
Alimentary pharmacology & … 2011 3 sitasi
Current opinion in … 2010 22 sitasi
International journal of … 2007 375 sitasi
Current treatment options … 2006 24 sitasi
Biomedicine & pharmacotherapy … 1986 4 sitasi
Annals of internal … 1981 6 sitasi
JAMA 1964

Dosage & Usage

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

Dosis yang Umum Digunakan

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

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

Dosis yang Diteliti dalam Penelitian

Dosis Durasi Efek N
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 --

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

Safety & Side Effects

Efek Samping yang Dilaporkan

  • 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)

Interaksi yang Diketahui

  • 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)

Asupan atas yang dapat ditoleransi: Well-tolerated up to 30 g/day with adequate fluid intake

Selalu konsultasikan dengan tenaga kesehatan Anda sebelum memulai suplemen apa pun.Selalu konsultasikan dengan penyedia layanan kesehatan Anda sebelum memulai suplemen apa pun.

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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