Psyllium Husk cho Irritable Bowel Syndrome (IBS)
B Bằng chứng Ít nhất một thử nghiệm ngẫu nhiên ủng hộ điều này, với các kết quả phần lớn nhất quán.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
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
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
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
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
Key Statistics
8
Nghiên cứu
900
Người tham gia
↑
Positive
B
Xếp hạng
Referenced Papers
Best practice & …
2025
1 trích dẫn
The Medical letter …
2025
The Medical letter …
2025
Revista de gastroenterologia …
2025
The Medical letter …
2025
Gastroenterology
2024
8 trích dẫn
Nutrients
2024
5 trích dẫn
Przeglad gastroenterologiczny
2024
4 trích dẫn
[Phytotherapeutic recommendations in medical guidelines for the treatment of gastroenterological diseases - a systematic review].
Systematic Review
Zeitschrift fur Gastroenterologie
2024
3 trích dẫn
Gastroenterology
2024
3 trích dẫn
Dietary Fibers in Healthy Children and in Pediatric Gastrointestinal Disorders: A Practical Guide.
Review
Nutrients
2023
43 trích dẫn
The American journal …
2023
39 trích dẫn
Nutrients
2023
32 trích dẫn
Journal of pediatric …
2023
21 trích dẫn
Nutrients
2023
4 trích dẫn
Journal of pediatric …
2023
1 trích dẫn
In persons with constipation or IBS-C, kiwifruit vs. psyllium increased spontaneous bowel movements.
Other
Annals of internal …
2023
Gut
2022
39 trích dẫn
American journal of …
2022
18 trích dẫn
Expert review of …
2022
8 trích dẫn
The Turkish journal …
2021
14 trích dẫn
Current opinion in …
2021
6 trích dẫn
The lancet. Gastroenterology …
2020
119 trích dẫn
The Medical letter …
2020
Journal of the …
2019
171 trích dẫn
World journal of …
2019
14 trích dẫn
International journal of …
2017
146 trích dẫn
Probiotics, fibre and herbal medicinal products for functional and inflammatory bowel disorders.
Review
British journal of …
2017
145 trích dẫn
Clinical gastroenterology and …
2017
93 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
Canadian journal of …
2011
Current opinion in …
2010
22 trích dẫn
BMJ (Clinical research …
2009
296 trích dẫn
Australian family physician
2009
12 trích dẫn
Prescrire international
2009
BMJ (Clinical research …
2008
550 trích dẫn
International journal of …
2007
375 trích dẫn
Digestive diseases and …
2006
70 trích dẫn
Current treatment options …
2006
24 trích dẫn
Systematic review: the role of different types of fibre in the treatment of irritable bowel syndrome.
Systematic Review
Alimentary pharmacology & …
2004
322 trích dẫn
Gut
1987
153 trích dẫn
Biomedicine & pharmacotherapy …
1986
4 trích dẫn
Annals of internal …
1981
91 trích dẫn
Annals of internal …
1981
6 trích dẫn
IRRITABLE COLON.
Other
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 | -- | Positive | -- |
| Dietary fiber (psyllium) | -- | Positive | 314 |
| None | 3 weeks | Positive | -- |
| Peppermint oil, STW-5, psyllium, others | -- | Positive | -- |
| None | -- | 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
Các thành phần khác cho Irritable Bowel Syndrome (IBS)
Psyllium Husk cho các tình trạng khác
References
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