Who Should Not Take Psyllium?
Psyllium husk is a common herb found in many over-the-counter laxatives, fiber supplements and colon-cleansing products. It swells in the stomach and provides bulk in the intestine. According to Clayton College of Natural Health, psyllium husk is an intestinal cleanser and removes toxins from the colon. Psyllium seeds, which have a laxative effect, come from the Plantain plant. Plantain is used in herbal medicine as a natural laxative. Although fiber is an essential part of a healthy diet, there are some who should avoid psyllium fiber and psyllium-containing products.-
Precautions
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Psyllium fiber supplements should be taken with plenty of water. If taken with insufficient water, it may cause blockages in the intestines. Although used to treat constipation, if not taken as directed, psyllium fiber can worsen constipation. Gas, cramping and bloating are other common side effects of using psyllium. A caution in Clayton College's online herb guide states that psyllium fiber may even "cause asthma if the powder is inhaled."
Contraindications
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According to the National Institutes of Health, although it may be necessary for those with chronic constipation, non-constipated patients should not take psyllium-based fiber supplementation within a few days prior to endoscopy or colonoscopy procedures. The NIH also warns that, "Psyllium-containing products may delay gastric emptying time and reduce the absorption of some drugs." Therefore, it is important to take medications either at least one hour before or one hour after taking this fiber supplement. Children under the age of 12 should not be given fiber supplements unless directed by a physician.
Considerations
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If considering using psyllium fiber supplements for regularity, use only as directed, and begin with small doses. Take the minimum dose for one week and look for changes in bowel habits. Increase the dose, one week at a time, and do not exceed the recommended amount. Those who have been diagnosed with irritable bowel syndrome (IBS), colitis or Crohn's disease may want to consider a gentler alternative. Apple pectin and soluble vegetable fiber (used in Benefiber) are less binding. Asthmatics should avoid using fiber powders, but may consider using tablets or wafers instead. Diabetics should be closely monitored when using psyllium because of its potential to reduce blood sugar.
Benefits
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Although there are possible side effects, there are also some benefits of psyllium to be aware of. Because it absorbs liquid in the digestive tract, it is effective in treating acute diarrhea. If taken before meals, it also may help to lower cholesterol by absorbing fat in the stomach. If taken with plenty of water, it can effectively relieve constipation. As with any supplement, it should be used with caution.
Warnings
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According to the Online Drug Information guide, "You should not take [psyllium] ... if you have trouble swallowing, have a sudden change in bowel habits that lasts longer than two weeks," or experience "severe nausea, vomiting, or stomach pain." If taking psyllium fiber for the first time, also look for signs of allergic reaction. Common products that contain psyllium include: Metamucil, Citrucel, Fiberall, Natural Fiber Therapy, Perdiem Fiber Powder and Reguloid.
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