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Psyllium Husk (Soluble Fibre) for IBS-C

Reviewed by the Nimbera editorial team · Last updated May 2026

A double-blind RCT by Shulman et al. (Clin Gastroenterol Hepatol, 2017; n=103) found psyllium supplementation reduced mean abdominal pain episodes significantly more than placebo (8.2 vs 4.1 reduction, p=0.03) in patients with IBS.$10-$20 for a 1-2 month supply

How to use

Start with 5 g (approximately 1 teaspoon) of psyllium husk powder mixed into 240 ml of water or juice once daily. Gradually increase over 2-4 weeks to 10-15 g/day in divided doses (e.g., 5 g before breakfast and 5 g before dinner) to minimise initial bloating. Always drink a full glass of water with each dose. Take separately from medications by at least 2 hours.

How it works

Psyllium is a soluble, gel-forming fibre that absorbs water in the colon, softening stool and reducing straining for IBS-C. It also slows intestinal transit in IBS-D, normalises stool consistency, and acts as a prebiotic to support healthy gut bacteria.

Where to buy

Metamucil (original or sugar-free), Konsyl Organic Psyllium, NOW Psyllium Husk - available at Walmart, Target, CVS, and health food stores. Buy plain psyllium husk powder rather than flavoured products to avoid added sugars that may worsen symptoms.

Typical cost: $10-$20 for a 1-2 month supply

Safety notes

Must be taken with adequate water - taking without sufficient fluid can cause choking or intestinal blockage. Can cause initial gas and bloating as gut bacteria adjust; start low and increase slowly. May reduce absorption of medications (warfarin, diabetes drugs, thyroid medications) if taken simultaneously - separate by 2 hours. Avoid if you have difficulty swallowing or known bowel obstruction.

Drug & supplement interactions

  • Always tell your doctor or pharmacist about any supplements you take.
  • Interactions can occur with prescription medications, blood thinners, and immunosuppressants.
  • Herbal remedies can affect how the body absorbs or metabolises drugs.
  • Check drugs.com interactions checker before starting.

This information is compiled from primary clinical literature and is for informational purposes only. It is not a substitute for professional medical advice. Read our full disclaimer.