See information below on IBS and this treatment. To create a Treatment Checklist, go to the bottom of the screen and enter your information in the four sections: 1) past or present use, 2) frequency and duration, 3) did this treatment work?, and 4) significant side effects. To see the next treatment either click on the treatment list at the bottom of the screen or click ‘Save and Continue to Next Treatment.’ Click ‘Submit (Done)’ to generate a list to print or email, to discuss with your physician.

Soluble Fiber (Psyllium, Ispaghula Husk)

How it works:
Poorly fermented, soluble, gel-forming fiber softens stool and increases fecal biomass, which could benefit bowel symptoms in patients with IBS-C or chronic constipation.
Which symptoms it helps:
Stool frequency, stool consistency, and straining are most likely to improve.
How long it takes to see a benefit:
Varies from days to weeks.
Who may benefit:
Potentially beneficial for all subgroups but psyllium may be most beneficial for IBS-C and IBS-M patients.
FDA approved:
Over the counter (no prescription needed).
Dosage:
Dose titration typically required. Start at a low dose and slowly increase over days to weeks.
Special considerations or risks:
N/A
Most common side effects:
Bloating, distention, flatulence, cramping.

Recommendation:
ACG recommends psyllium, but not wheat bran, for overall symptom improvement in IBS patients.

Recommendation:
STRONG
Quality of Evidence:
MODERATE
Level of Evidence:
√
Past and Present Use Frequency and Duration Did this treatment work? Significant Side Effects
Past Use   Present Use   Yes   No   N/A