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Psyllium Husk cho 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

Kết luận

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 so với: None Outcome: IBS management heterogeneity in Latin America Hiệu quả: None None

Đối tượng nghiên cứu: Latin American gastroenterologists (DGBI specialists)

Review
The role of dietary fiber in the gastrointestinal tract: when, how and why?
Dose: None so với: None Outcome: None Hiệu quả: None None

Đối tượng nghiên cứu: 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 so với: Placebo Outcome: Pain outcomes Hiệu quả: None None

Đối tượng nghiên cứu: IBS patients

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

Đối tượng nghiên cứu: 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 so với: Standard care or placebo Outcome: Symptom improvement in GI diseases Hiệu quả: None None

Đối tượng nghiên cứu: Patients with gastroenterological diseases

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

Đối tượng nghiên cứu: Children with functional abdominal pain disorders

Key Statistics

8

Nghiên cứu

900

Người tham gia

Positive

B

Xếp hạng

Referenced Papers

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

Dosage & Usage

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

Liều lượng thường dùng

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

Giới hạn trên: Well-tolerated up to 30 g/day with adequate fluid intake

Liều lượng đã nghiên cứu

Liều lượng Thời gian Hiệu quả 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 --

Thời điểm dùng tốt nhất: With meals and a full glass of water (240 mL minimum); space 1-2 hours from medications

Safety & Side Effects

Tác dụng phụ đã được báo cáo

  • 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)

Tương tác đã biết

  • 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)

Mức hấp thụ tối đa cho phép: Well-tolerated up to 30 g/day with adequate fluid intake

Luôn tham khảo ý kiến bác sĩ trước khi bắt đầu sử dụng bất kỳ thực phẩm bổ sung nào.Luôn tham khảo ý kiến chuyên gia y tế trước khi sử dụng bất kỳ thực phẩm chức năng nào.

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

Tuyên bố miễn trừ FDA: Các tuyên bố này chưa được Cục Quản lý Thực phẩm và Dược phẩm (FDA) đánh giá. Các sản phẩm và thông tin trên trang web này không nhằm mục đích chẩn đoán, điều trị, chữa bệnh hoặc phòng ngừa bất kỳ bệnh nào. Xếp hạng bằng chứng được trình bày dựa trên phân tích của chúng tôi về nghiên cứu đã bình duyệt được công bố và không cấu thành tư vấn y khoa. Luôn tham khảo ý kiến chuyên gia y tế trước khi bắt đầu bất kỳ chế độ thực phẩm chức năng nào.