Constipation psyllium

A laxative is most often prescribed for the short-term relief or prevention of constipation. Certain stimulant, emollient, and saline laxatives are used to evacuate the colon for rectal and bowel examinations. Fecal softeners or mineral oil are used prophylactically in patients who should not strain during defecation, such as after anorectal surgery or a myocardial infarction. Psyllium may be used in patients with irritable bowel syndrome and diverticular disease. Fblycarbophil may be prescribed for constipation or diarrhea associated with irritable bowel syndrome and diverticulosis. Mineral oil is... 

Increased intake of soluble fiber in the form of oat bran, pectins, certain gums, and psyllium products can result in useful adjunctive reductions in total and LDL cholesterol (5% to 20%), but these dietary alterations or supplements should not be substituted for more active forms of treatment. They have little or no effect on HDL-C or triglyceride concentrations. These products may also be useful in managing constipation associated with the bile acid resins (BARs). 

Psyllium Useful in patients with irritable bowel syndrome and diverticular disease. Polycarbophil For constipation or diarrhea associated with conditions such as irritable bowel syndrome and diverticulosis acute nonspecific diarrhea. 

Laxative effect. Seed hull, taken orally by adults at a dose of 7 g/person, increased weekly fecal mass without influencing transit time or frequency . Seedcoat, administered orally to 80 patients at a dose of 6.4 g/person three times daily, was active in a blinded placebo controlled study of efficacy of extract in treatment of irritable bowel syndrome " . Water extract of the dried kernel, administered orally to 40-year-old adults of both sexes, was active . Seed powder, administered orally to adults of both sexes, was active. Biological activity reported has been patented ". Dried seeds, administered orally to adults at a dose of 0.5 g/person, were active. Placing the seeds in water increased their volume, 90% alcohol produced a decrease in volume to normal seed size, and linseed oil had no effect on volume. The seed mucilage remained in gel form and is considered preferable to the solid form because it is more easily digested " . Dried seed powder, administered orally to 35 patients with chronic constipation at a dose of 50 mg/person, was active in a controlled, double-blind study " . Fiber, administered orally to adults, was active. Psyllium fiber and sennosides were prepared into a wafer to be... 

POOH Odes, H. S., and Z. Madar. A doubleblind trial of a celandine. Aloe vera and psyllium laxative preparation in adult patients with constipation. Digestion... 

Common complaints are constipation and bloating, usually relieved by increasing dietary fiber or mixing psyllium seed with the resin. Resins should be avoided in patients with diverticulitis. Heartburn and diarrhea are occasionally reported. 

Patients taking colestyramine often have constipation, abdominal discomfort, and heartburn, but dietary fiber, such as psyllium, can reduce the symptoms (5,6). Other effects are flatulence, nausea, and fecal impaction a mild laxative may be needed, particularly in the elderly. Many other patients complain of anorexia and occasionally there is diarrhea. Doses of colestyramine higher than the 10-16 g normally used can cause steatorrhea (7). 

Psyllium seeds are tasteless and odourless, and their peculiar action on the intestines renders them of particular value in sluggishness and atony of this organ. Swelling into a demulcent, jelly-like mass, which gently lubricates and stimulates the bowels, the seeds do not gripe, and their action is certain. Probably nothing better than Psyllium seeds can be given to most people for constipation, and they are eminently suited to children. The adult dose varies between two and four teaspoonfuls after meals, children proportionately with their age. 

Psyllium preparation (polysaccharide) Plantago psyllium (Plantaginaceae) HypoGlc (NIDDM human) [anti-constipation, anti-haemorrhoid, water-absorbant]... 

Opioid-induced constipation is more troublesome in older patients, and it should be anticipated by instituting laxative therapy along with the narcotic. A typical laxative regimen consists of psyllium and a stool softener. A mild stimulant laxative such as bisacodyl (Dulcolax) can be added if constipation becomes problematic. 

A 43-year-old man took clozapine 750 mg/day for 6 years and developed vomiting and epigastric pain (145). He had ulcerative esophagitis, and a CT scan was reportedly normal apart from constipation. He was given omeprazole 20 mg/day and twice-daily psyllium. Six months later he developed abdominal... 

Psyllium husk combined with microencapsulated paraffin has been compared with standard psyllium for the treatment of constipation in a randomized, double-blind study (2). There was a significant increase in the weekly number of defecations with the combined formulation, which was well tolerated no adverse effects were reported. 

Psyllium gum (gum psyllium) can be extracted from psyllium seed husks (hulls) [93]. The husks themselves are incorporated into products sold to prevent constipation and to a few food products as a source of dietary fiber. The gum is extracted when water or milk is added to these products. 

One study showed aloe to be an effective treatment in patients with chronic constipation in combination with psyllium and celandine, a stimulant laxative obtained from the Chelidonium majus plant (Odes and Madar, 1991). An earlier study showed aloin to be effective alone, and even more effective in combination with phenolphthalein (Chapman and Pittelli, 1974). Gas and cramps were the major adverse effects with treatment. 

If diarrhea is the chief complaint, it is treated with loperamide or cholestyramine. Pain is treated with dicyclomine, amitriptyline, and peppermint oil. Bran and psyllium are used to treat the constipation that may occur in IBS. Elatnlence is treated with simethicone. 

Patients taking cholestyramine and colestipol complain of bloating and dyspepsia, which can be substantially reduced if the drug is completely suspended in liquid several hours before ingestion. Constipation may occur but sometimes can be prevented by adequate daily water intake and psyllium, if necessary. Colesevelam may be less likely to cause the dyspepsia, bloating, and constipation observed in patients treated with cholestyramine or colestipol. 

Fiber supplements vary in the types of fiber that they contain. Psyllium, a naturally occurring soluble fiber, has been studied extensively, and research suggests a benefit in terms of constipation prevention, cholesterol reduction, blood sugar control, and weight loss, particularly when combined with a healthy diet. It also seems to help those suffering from irritable bowel syndrome (IBS), a common condition associated with bowel irregularity, bloating, and abdominal pain. 

Psyllium seed has laxative properties due to the swelling of its husk in water to form a gelatinous mass, thus keeping the feces hydrated and soft. The resulting bulk promotes peristalsis aud laxation and is thus useful in the treatment of chronic constipation (Goodman and gu.-majj 10,11 psyjjjyjjj jjas recently been reported to reduce postoperative pain and tenesmus. 

Husks (blond) and whole seeds (black and blond) whole seeds contain both husk and kernels husks are official in U.S.P. Blond psyllium husk subject of a positive German therapeutic monograph used for habitual constipation and supportive treatment of irritable bowel syndrome. ... 

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