Psyllium has been the subject of clinical trials which have confirmed
the herb's action as both an anti-diarrheal and as a laxative,
promoting the restoration of healthy bowel functioning. Psyllium hulls
act like a "broom," cleansing the colon and absorbing toxins
adhered to intestinal walls.
Psyllium increases available water content within the large intestine,
thus increasing the bulk of the stool and making its passage easier,
thus helping to relieve hemorrhoids
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MORE INFORMATION
Common names: Flea seed, Ispaghula, Spogel
Botanical names: Plantago ovata, Plantago ispaghula
Parts used and where grown
Psyllium is native to Iran and India and is currently cultivated in
these countries. The seeds are primarily used in traditional herbal
medicine. Psyllium seed husks are mainly used to treat constipation.
Psyllium has been used in connection with the following conditions
Constipation
Diabetes
Diverticular disease
High cholesterol
Irritable bowel syndrome
Atherosclerosis
Diarrhea
Hemorrhoids
High triglycerides
Ulcerative colitis (to maintain remission)
Parkinson's disease (for constipation)
Weight loss and obesity
Historical or traditional use (may or may not be supported by
scientific studies)
In addition to its traditional and current use for constipation,
psyllium was also used topically by herbalists to treat skin
irritations, including poison ivy reactions and insect bites and
stings. It has also been used in traditional herbal systems of China
and India to treat diarrhea, hemorrhoids, bladder problems, and high
blood pressure.
Active constituents
Psyllium is a bulk-forming laxative and is high in both fiber and
mucilage. Psyllium seeds contain 10-30% mucilage. The laxative
properties of psyllium are due to the swelling of the husk when it
comes in contact with water. This forms a gelatinous mass that keeps
feces hydrated and soft, provided it is taken with sufficient water.
The resulting bulk stimulates a reflex contraction of the walls of the
bowel, followed by emptying.1
Psyllium is a common ingredient in over-the-counter bulk laxative
products. One preliminary trial found that psyllium seeds relieved
constipation when it was due to lifestyle factors (e.g., inadequate
fiber, sedentary lifestyle), but not when an actual disease was the
cause.2 Numerous double-blind trials have found that supplementation
with psyllium can lower total cholesterol and LDL ("bad"😉
cholesterol.3 However, levels of HDL ("good"😉 cholesterol are not
affected by psyllium supplementation.4 The cholesterol-lowering effect
of psyllium has been reported in children,5 as well as in adults.6
Psyllium supplementation has also improved blood sugar levels in some
people with diabetes.7 8 9 The soluble fiber component of psyllium is
believed to account for this effect.
In a double-blind trial, people with ulcerative colitis had a reduction
in symptoms such as bleeding and remained in remission longer when they
took 20 grams of ground psyllium seeds twice daily with water compared
to the use of the medication mesalamine alone.10 Also, the combination
of the two was slightly more effective than either alone.
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