Psyllium Husk 用于 Irritable Bowel Syndrome (IBS)
BACG 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
结论
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
效果: None
None
研究人群: 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
效果: None
None
研究人群: 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
vs: Placebo
Outcome: Pain outcomes
效果: None
None
研究人群: IBS patients
Review
The role and therapeutic effectiveness of Plantago ovata seed husk (psyllium husk) in the prevention …
Dose: None
vs: None
Outcome: Colitis severity
效果: None
None
研究人群: 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
vs: Standard care or placebo
Outcome: Symptom improvement in GI diseases
效果: None
None
研究人群: Patients with gastroenterological diseases
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
效果: None
None
研究人群: Children with functional abdominal pain disorders
Key Statistics
8
研究数量
900
受试者
↑
Positive
B
等级
Referenced Papers
Best practice & …
2025
1 次引用
The Medical letter …
2025
The Medical letter …
2025
Revista de gastroenterologia …
2025
The Medical letter …
2025
Gastroenterology
2024
8 次引用
Nutrients
2024
5 次引用
Przeglad gastroenterologiczny
2024
4 次引用
[Phytotherapeutic recommendations in medical guidelines for the treatment of gastroenterological diseases - a systematic review].
Systematic Review
Zeitschrift fur Gastroenterologie
2024
3 次引用
Gastroenterology
2024
3 次引用
Dietary Fibers in Healthy Children and in Pediatric Gastrointestinal Disorders: A Practical Guide.
Review
Nutrients
2023
43 次引用
The American journal …
2023
39 次引用
Nutrients
2023
32 次引用
Journal of pediatric …
2023
21 次引用
Nutrients
2023
4 次引用
Journal of pediatric …
2023
1 次引用
In persons with constipation or IBS-C, kiwifruit vs. psyllium increased spontaneous bowel movements.
Other
Annals of internal …
2023
Gut
2022
39 次引用
American journal of …
2022
18 次引用
Expert review of …
2022
8 次引用
The Turkish journal …
2021
14 次引用
Current opinion in …
2021
6 次引用
The lancet. Gastroenterology …
2020
119 次引用
The Medical letter …
2020
Journal of the …
2019
171 次引用
World journal of …
2019
14 次引用
International journal of …
2017
146 次引用
Probiotics, fibre and herbal medicinal products for functional and inflammatory bowel disorders.
Review
British journal of …
2017
145 次引用
Clinical gastroenterology and …
2017
93 次引用
Journal of gastroenterology …
2017
32 次引用
Current opinion in …
2017
24 次引用
International journal of …
2016
69 次引用
Clinical gastroenterology and …
2016
2 次引用
Digestion
2014
61 次引用
The American journal …
2013
421 次引用
Journal of clinical …
2011
30 次引用
Alimentary pharmacology & …
2011
3 次引用
Canadian journal of …
2011
Current opinion in …
2010
22 次引用
BMJ (Clinical research …
2009
296 次引用
Australian family physician
2009
12 次引用
Prescrire international
2009
BMJ (Clinical research …
2008
550 次引用
International journal of …
2007
375 次引用
Digestive diseases and …
2006
70 次引用
Current treatment options …
2006
24 次引用
Systematic review: the role of different types of fibre in the treatment of irritable bowel syndrome.
Systematic Review
Alimentary pharmacology & …
2004
322 次引用
Gut
1987
153 次引用
Biomedicine & pharmacotherapy …
1986
4 次引用
Annals of internal …
1981
91 次引用
Annals of internal …
1981
6 次引用
IRRITABLE COLON.
Other
JAMA
1964
Dosage & Usage
mg = milligrams · mcg = micrograms (1,000× smaller) · IU = International Units
常用剂量
- 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
上限： Well-tolerated up to 30 g/day with adequate fluid intake
研究中使用的剂量
| 剂量 | 持续时间 | 效果 | 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 | -- |
最佳服用时间： With meals and a full glass of water (240 mL minimum); space 1-2 hours from medications
Safety & Side Effects
已报告的副作用
- ⚠ 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)
已知相互作用
- ● 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)
可耐受最高摄入量： Well-tolerated up to 30 g/day with adequate fluid intake
在开始服用任何补充剂之前，请务必咨询您的医疗保健提供者。
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
其他成分用于 Irritable Bowel Syndrome (IBS)
Psyllium Husk 用于其他健康状况
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