Do you often get constipated? Or do you often feel uncomfortable in your stomach or feel full? At times like these, many of us think about eating fiber-rich foods or taking a fiber supplement that you can buy from a pharmacy. One such fiber supplement that is used by many people around the world is called Psyllium. Some people also call it Isengol. So today, let's learn more about it.
What is Psyllium?
Simply put, psyllium is a type of soluble fiber derived from the husk of a plant. It comes in powder form, capsules, and chewable bars.
So how does this work inside our bodies? It's very simple. When we take this with water, it forms a gel inside our intestines. This gel combines with our stools, increasing their bulk and water content. What happens is that the muscles in the intestines get a good push, and the stool passes out easily. That means constipation gets good relief.
Not only that, but Psyllium can do several other good things.
- Lowering cholesterol: This can also reduce the absorption of harmful cholesterol from the foods we eat. Therefore, it also helps with heart health to some extent.
- Aids in digestion: This helps in the overall healthy functioning of the digestive system.
Things you need to tell your doctor before taking this medicine
Although psyllium is a fiber supplement, it may not be suitable for people with certain health conditions. Therefore, before you start using it, if you have any of the conditions below, you should definitely talk to your doctor.
| Health condition or opportunity | Description |
|---|---|
| Intestinal obstruction | If you have previously had a blockage in your bowel or a similar problem. |
| Difficulty swallowing | If you have difficulty swallowing, you should be careful when using this. |
| Inflammatory bowel disease | If you have an inflammatory bowel disease such as Crohn's disease or Ulcerative Colitis. |
| Other stomach or intestinal problems | If you have any other type of stomach upset or intestinal problem. |
| Change in bowel habits | If your bowel movement pattern suddenly changes and it lasts for more than two weeks. |
| Allergies | If you are allergic to psyllium, other medications, food coloring, or preservatives. |
| Pregnancy or breastfeeding | If you are pregnant, trying to get pregnant, or breastfeeding. |
How exactly do you use this?
The way you use this is very important. If you use it incorrectly, you could even choke.
The most important thing is to always take Psyllium with a full glass of water. This is a must.
- Powder: Add the recommended amount to a glass of water, stir well, and drink immediately . Do not leave it for too long, as it will quickly thicken into a gel.
- Chewable Bar: Chew it completely and swallow it. Be sure to drink a full glass of water afterward.
- If using capsules: Take them with a glass of water.
Usually, the instructions are on the package. Or, use it exactly as your doctor tells you. Take it at the right time. Do not take more than the prescribed dose.
What if you give it to small children?
Doctors sometimes recommend this for children over the age of 4. But it should only be done on medical advice. If you are giving it to a child, talk to your doctor about it.
What to do if you overdose?
If you think you have taken too much of this, immediately call the National Poisons Information Centre at the Colombo National Hospital . Or go to the Emergency Treatment Unit (ETU) of the nearest hospital.
What if I miss a dose?
If you miss a dose, take it as soon as you remember. But if it is almost time for your next dose, skip the missed dose and take your next dose at the scheduled time. Never take a double dose.
Things to watch out for and side effects
If your symptoms do not improve or worsen while using this medicine, talk to your doctor.
Important: If you have been using this as a treatment for constipation for more than a week and there is no improvement, or if you have rectal bleeding, stop using it immediately and see a doctor. This could be a sign of a more serious condition.
Drink plenty of water during the day while taking psyllium. Drinking at least 8 glasses of water can further reduce constipation and prevent dehydration.
What are the possible side effects?
Most people don't experience any major side effects, but sometimes the following can occur.
| Side effects that should be reported to the doctor immediately | |
|---|---|
| Allergic Reactions | Skin rash, itching, swelling of the face, lips, tongue or throat. |
| Choking | Chest pain, difficulty swallowing or breathing, vomiting. (This often happens if you don't drink enough water.) |
| Side effects that are usually not serious (but should be reported to the doctor if they persist) | |
| Bloating | Feeling of fullness in the stomach. |
| Diarrhea | Flatulence. |
| Gas | Flatulence. |
| Stomach pain or nausea | Feeling a slight stomach ache or feeling like vomiting (nausea). |
Does it interact with other medications?
Psyllium can reduce the absorption of other medications you are taking. Therefore, it is best to take psyllium 2 hours before or 2 hours after taking your other medications. Ask your doctor for more information about this.
How do you store this?
- Keep out of reach of children .
- Store at room temperature (between 15-30 degrees Celsius) away from moisture.
- Do not use after the expiration date.
Take-Home Message
- Whenever taking psyllium, be sure to take it with a full glass of water . Not drinking enough water can cause serious conditions such as a sore throat.
- If you have other medical conditions (especially bowel problems, difficulty swallowing), inform your doctor before taking psyllium.
- Do not use psyllium for constipation for more than a week without medical advice. If you have blood in your stool, stop using it immediately and see a doctor.
- Take psyllium 2 hours before or 2 hours after taking other medications, as this can reduce the body's absorption of other medications you are taking.
- This is just a supplement. Remember that eating a balanced diet rich in fiber-rich vegetables, fruits, and exercise is essential for a healthy life.


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