Increasing fibre too quickly or starting bran or fibre supplements (e.g. Metamucil or Psyllium husk) without drinking enough fluids can make constipation worse. It can cause bloating, flatulence, discomfort and pain.
What happens if you take too much Metamucil? You will need to remember to drink more fluids during the day when you take Metamucil. If you add too much fiber and bulk without adding enough water, it can make constipation worse.
Bowel obstruction. A bowel obstruction (blockage) is a serious side effect that can occur with Metamucil. This is especially true if you don't follow proper instructions while using it. Metamucil needs water to work, so not drinking enough water with your dose can lead to a blockage.
Taking medicinal fiber, such as psyllium (Metamucil®) or methylcellulose (Citrucel®) with two ounces of water slows the movement in the gastrointestinal (GI) tract. The fiber absorbs excess fluid like a sponge.
This is because fermentable fiber is used as food by the bacteria in your gut, resulting in the production of gases in your large intestine. This could cause an increase in gas production in your gut, which might make your symptoms worse.
Dietary fiber is also associated with increased bloatedness and abdominal discomfort[22]. Insoluble fiber was reported to worsen the clinical outcome of abdominal pain and constipation[18-20].
Conclusion. Psyllium can worsen the constipation if not taken appropriately. It is important to instruct patients who are receiving psyllium ingredients to drink a good amount of fluids to avoid the development of bowel obstruction especially in long-term use of such laxatives.
Picco, M.D. There's no evidence that daily use of fiber supplements — such as psyllium (Metamucil, Konsyl, others) or methylcellulose (Citrucel) — is harmful. Fiber has a number of health benefits, including normalizing bowel function and preventing constipation.
This medication is used to treat constipation. It increases the bulk in your stool, an effect that helps to cause movement of the intestines. It also works by increasing the amount of water in the stool, making the stool softer and easier to pass.
Mix one dose of Metamucil powder with at least 8 ounces of water. It should produce a bowel movement between 12 to 72 hours. If your constipation persists beyond seven days, consult your healthcare provider because it may be a sign of a more serious condition.
Bloating is a common side-effect of Metamucil. For new users, start by taking a small amount of Metamucil and then gradually increase to the recommended dosage to allow your system to adjust and to minimize gas and bloating. If you have tried this and you still experience bloating, talk to your doctor.
Some popular brands include bisacodyl (Correctol, Dulcolax, Feen-a-Mint), and sennosides (Ex-Lax, Senokot). Prunes (dried plums) are also an effective colonic stimulant and taste good, too. Note: Don't use stimulant laxatives daily or regularly.
Psyllium fiber—most commonly found in supplements like Metamucil—may be the best fiber for reducing chronic constipation. Taking at least two tablespoons of psyllium daily, over a period of time four weeks or longer, led to the best results.
Conclusion: Psyllium can worsen the constipation if not taken appropriately. It is important to instruct patients who are receiving psyllium ingredients to drink a good amount of fluids to avoid the development of bowel obstruction especially in long-term use of such laxatives.
"You should aim to drink between eight and 10 glasses of water or non-caffeinated drinks each day. And if you already are, two to four extra glasses of water a day may help ease constipation," says Dr. Johal.
Insoluble fiber is the most beneficial for softening stools. It does not dissolve in water and helps food pass more quickly from the stomach to the intestines. Wholewheat flour, nuts, beans, and vegetables, such as cauliflower, green beans, and potatoes all contain insoluble fiber.
Any time of day is appropriate to take Metamucil as long as an adequate intake of fluids (at least 240 mL of water or liquid per serving) is consumed. We recommend taking Metamucil three times per day at mealtimes as a convenient way to get the benefits of Metamucil.
Too much fiber all at once might cause gas, which can trigger your symptoms. If fiber is helping, you may add some fiber supplements such as Metamucil or Citrucel. However occasionally fiber can make your symptoms worse. Then you should try to avoid fiber as much as possible.
Perform stimulation with your finger every day until you start to have a regular pattern of bowel movements. You can also stimulate bowel movements by using a suppository (glycerin or bisacodyl) or a small enema. Some people find it helpful to drink warm prune juice or fruit nectar.
Digestive distress: Psyllium fiber can create bloating, gas, abdominal discomfort, cramping (and even diarrhea) due to the fact that it bulks the stool. That's why it's incredibly important to drink plenty of water with it.
If stool softeners aren't providing enough help, the osmotic laxative polyethylene glycol (MiraLAX or a generic version) is good next step. These products hold water in stool to soften it and increase bowel movements.
You may think that cutting back on food will help “clear out” your colon. That's not the case. Do this: Eating, especially healthy whole foods that contain fiber, helps your body move stool.
For most people constipation rarely causes complications, but people with long-term constipation can develop: haemorrhoids (piles) faecal impaction (where dry, hard stools collect in the rectum) bowel incontinence (the leakage of liquid stools)
Treatment of slow transit constipation
Treatment options include: Laxatives to enhance gut motility. Enemas to flush the rectum of faeces. Interferential electrical stimulation therapy which is found to increase peristalsis decreasing the need for medical or surgical interventions.
Bulk-forming fiber supplements include calcium polycarbophil (Equilactin, Fibercon), methylcellulose fiber (Citrucel), and psyllium (Fiber-Lax, Konsyl, Metamucil), and wheat dextrin (Benefiber). Unlike other laxatives, you can take these every day. They make the stool bigger and softer.