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Psyllium Husk для 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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Итог

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 или: None Outcome: IBS management heterogeneity in Latin America Эффект: None None

Популяция: Latin American gastroenterologists (DGBI specialists)

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

Популяция: 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 или: Placebo Outcome: Pain outcomes Эффект: None None

Популяция: IBS patients

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

Популяция: 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 или: Standard care or placebo Outcome: Symptom improvement in GI diseases Эффект: None None

Популяция: Patients with gastroenterological diseases

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

Популяция: Children with functional abdominal pain disorders

Key Statistics

8

Исследования

900

Участники

Positive

B

Оценка

Referenced Papers

Best practice & … 2025 1 цитирований
The Medical letter … 2025
Expert review of … 2022 8 цитирований
Current opinion in … 2021 6 цитирований
The Medical letter … 2020
International journal of … 2017 146 цитирований
Journal of gastroenterology … 2017 32 цитирований
Current opinion in … 2017 24 цитирований
International journal of … 2016 69 цитирований
Clinical gastroenterology and … 2016 2 цитирований
Digestion 2014 61 цитирований
The American journal … 2013 421 цитирований
Journal of clinical … 2011 30 цитирований
Alimentary pharmacology & … 2011 3 цитирований
Current opinion in … 2010 22 цитирований
Australian family physician 2009 12 цитирований
International journal of … 2007 375 цитирований
Current treatment options … 2006 24 цитирований
Alimentary pharmacology & … 2004 322 цитирований
Biomedicine & pharmacotherapy … 1986 4 цитирований
Annals of internal … 1981 91 цитирований
Annals of internal … 1981 6 цитирований
JAMA 1964

Dosage & Usage

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

Часто используемые дозировки

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

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

Дозировки, изученные в исследованиях

Дозировка Длительность Эффект 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 --

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

Safety & Side Effects

Зарегистрированные побочные эффекты

  • 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)

Известные взаимодействия

  • 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)

Допустимый верхний уровень потребления: Well-tolerated up to 30 g/day with adequate fluid intake

Всегда консультируйтесь с врачом перед началом приёма любых добавок.Всегда консультируйтесь с лечащим врачом перед началом приёма любой добавки.

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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