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THE IBS DIETITIAN

Kirsten Jackson Consultant BSc Hons PG Cert RD

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What is Metamucil (psyllium husk) and can it help with IBS- diarrhea?

by Bethany Willson Specialist Dietitian BSc Hons Leave a Comment

You may have heard of Metamucil being a popular option to manage diarrhea or constipation.

This article will discuss what Metamucil is, how it works, how it should be taken, possible side effects and alternative stool-bulking agents.

This post is for general information and interest only; it does not provide medical advice. Please seek advice from your doctor. Please note we receive no financial benefit from the brands discussed in the post.

metamucil for diarrhea

Table of Contents

  • What is Metamucil?
  • How does Metamucil work to relieve IBS symptoms?
  • When and how should you take Metamucil?
  • Are there any side effects of Metamucil?
  • Alternative stool bulking agents
  • Summary

What is Metamucil?

Metamucil is a brand of bulk-forming soluble fibre supplement. The main ingredient in Metamucil is psyllium husk (also known as ispaghula husk) which is made from the husks of the Plantago ovata plant (1).

Metamucil is available over-the-counter in capsule, granule, liquid and powdered forms (7).

Alternative brands of psyllium husk include:

  • Fiberall
  • Fybogel
  • Hydrocil
  • Konysl
  • Laxmar
  • Perdiem Fiber

How does Metamucil work to relieve IBS symptoms?

Psyllium husk in Metamucil is able to soak up and retain water. This action happens in your gut, which can make your stools bulkier and more formed. This means Metamucil can ease both constipation and diarrhea. 

This action can also relieve abdominal pain and discomfort in some people with IBS (2). A study has shown that participants receiving 10g of psyllium per day has led to a significant reduction in the severity of IBS symptoms such as abdominal pain. Bowel bowel habits were also improved in just a week (4).

Interestingly, psyllium’s water-retaining and gel-forming effects play a role in improving your blood sugar and cholesterol levels. A study has shown that adding Metamucil to a normal diet significantly improved cholesterol and insulin levels in people who were overweight or obese (5).

When and how should you take Metamucil?

Metamucil typically takes 2-3 days to work and it should not be taken before bed (8). You should always follow the manufacturer’s instructions on how to take it.

According to the British Society of Gastroenterology guidelines, psyllium effectively treats IBS symptoms. They also advise to begin at a small dose (3 – 4 g/day) and gradually increase to the recommended amount to avoid bloating due to its fibre content (6).

You should always take Metamucil or other psyllium husk supplements with a 240ml glass of water. This is because it relies on the action of water to work properly, and without it, it could even result in choking in extreme cases (9).

If using the powdered form, you can sprinkle Metamucil into soups, sauces, yoghurts, smoothies, cereals or even use it in the place of eggs and flour in baked goods.

Psyllium can decrease or delay the absorption of certain medications, possibly making them less effective. This means that you should take it 2 hours apart from your other medications (10, 11). You should always consult with your doctor or pharmacist.

Are there any side effects of Metamucil?

Common side effects of Metamucil (and psyllium husk in general) can include (12):

  • Abdominal pain and cramps
  • Bloating
  • Changes in bowel habits

You can help reduce these side effects by increasing your dosage gradually. Ensuring to drink plenty of fluids while taking Metamucil can also help ease side effects. Speak to your doctor immediately if any side effects persist or worsen.

There are some other less common side effects, which you can get from the manufacturer’s website.

Alternative stool bulking agents

There are other high-fibre stool bulking agents that can be introduced into your diet, such as:

  • Oats
  • Beans
  • Chia seeds
  • Low FODMAP fruits and vegetables

Citrucel (Methylcellulose) is another medication that functions the same as Metamucil due to its psyllium husk content  (16).

An alternative to fibre supplements to manage diarrhea includes antidiarrheal medications. 

You can read more about the management of IBS-D here.

Summary

Metamucil is a fibre supplement containing psyllium husk, which can relieve IBS symptoms, including constipation and diarrhea.

Remember that IBS is multifactorial, so working with a Registered Dietitian can be helpful to figure out which management techniques work for you. 

Written by Leeona Lam MSc, ANutr and reviewed by Beth Willson Specialist Surgical Dietitian BSc Hons RD

Bethany Willson Specialist Dietitian BSc Hons

Beth is UK HCPC Registered Dietitian who specialises in gastrointestinal surgery. Beth graduated from University of Surrey in 2020 with a degree in Nutrition and Dietetics.

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the.ibsdietitian

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I would love to know - how does your work impact y I would love to know - how does your work impact your gut health?πŸ‘‡πŸ‘‡β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹
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πŸ˜₯ We spend a lot our lives at work and if you have IBS, this routine can be quite stressful. You may feel frustrated at the difficulties you face trying to thrive in the workplace and you may lack energy to achieve your absolute best. ​​​​​​​​
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😊  Instead of accepting that work needs be this anxiety triggering thing in your life - adopt the Take Control approach of making small, sustainable changes over time like 10 minutes of meditation per day or going for a walk in your lunch break. Small changes over time add up to = big results!​​​​​​​​
​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​
πŸŽ‰πŸŽ‰Don't forget to download my free guide which will show you how to set up a good IBS friendly morning routine!​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​
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Do you suffer from IBS-C? Comment below πŸ‘‡ ​​​​​​​​​​​​​​​​
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πŸ˜ͺ Constipation is a common symptom of IBS (IBS-C). Some of the symptoms include straining on the toilet, loose or hard stools, and abdominal pain (these are just a few!πŸ˜ͺ) Constipation can leave my clients feeling bloated, fatigued, suffering from lack of appetite and overall totally fed up!! ​​​​​​​​​​​​​​​​
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πŸŽ‰ If you're tired of spending what feels like an eternity on the toilet, help is available. All of these tips are part of The Take Control 2.0 process, and can help you to manage your bloating and fatigue - allowing you to achieve ultimate symptom control!​​​​​​​​
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Fed up of trying everything you can but nothing seems to be working? Download my FREE IBS morning guide! Link in bio.​​​​​​​​​​​​​​​​
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😬 Do you have a food intolerance? Comment below 😬 Do you have a food intolerance? Comment below.

😳 Despite the multiple tests out there claiming to diagnose food intolerances, you can't actually test for an intolerance πŸ˜…. This means many people are wasting πŸ’°πŸ’° and following restrictive diets unnecessarily.

πŸ™ If you have symptoms of an intolerance then 1/ go to your GP to have some routine tests to ensure the symptoms aren't coming from other conditions and then if these all come back negative adopt our Take Control approach of using the scientifically backed low FODMAP diet approach to identify your actual intolerances with a registered dietitian support.

πŸ™‹πŸΌβ€β™€οΈβ“ DM me your questions or comment below!

πŸ€” Also, did you grab my FREE  guide yet? The IBS morning routine - link in the bio.

#lowfodmapdiet #theibsdietitian
Can you relate? Comment below πŸ‘‡ ​​​​​ Can you relate? Comment below πŸ‘‡ ​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​
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πŸ˜“ IBS feels like a continuous emotional rollercoaster. Yes there are physical IBS symptoms, but there are also many unseen struggles of IBS including social anxiety and loneliness. This can leave us feeling exhausted and not knowing where to turn to next. ​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​
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😊️ Instead of going through this alone, adopt the Take Control approach of community..​this could look like taking a step to reach out to a loved one that will you trust or joining an online group of other people with IBS who 'get it'. Doing this will make you feel seen when your IBS takes you for a ride. 
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πŸ₯³ Fed up of trying everything you can but nothing​​​​​​​​​​​​​​​​ seems to be working? Download my FREE IBS morning guide! Link in bio.​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​
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#ibsmanagement #ibssymptomrelief #IBShelp
πŸ‘€ New feature in @insider πŸ₯•πŸ₯—πŸ How to πŸ‘€ New feature in @insider

πŸ₯•πŸ₯—πŸ How to make tweaks to a traditional American diet to make it more Mediterranean.

πŸ™ The Mediterranean diet is the best diet for overall health and wellness. BUT you don't have to make huge changes to your current diet. This is pretty unsustainable and not needed. Instead, just make small swaps.

πŸ”— Please type this link into your search bar for the full post and ideas on what to do https://www.businessinsider.com/mediterranean-diet-favorite-foods-list-tweaks-cheeseburger-fries-pancakes-2023-1?amp

#theibsdietitian #irritablebowelsyndrome #mediterraneandiet
Share this post to raise awareness! πŸ™β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹
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Having IBS can really take a toll on your mental​​​​​​​​​​​​​​​​
health. There is a higher prevalence of mental health related symptoms and disorders in IBS compared to those without IBSπŸ˜”. ​​​​​​​​​​​​​​​​
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The good news is that there are multiple treatments​​​​​​​​​​​​​​​​
including medications, CBT, clinical hypnotherapy and​​​​​​​​ mindfulness that have been shown to be of benefit to​​​​​​​​ those with IBS! The Take Control Approach 2.0  focuses on every aspect of lifestyle - including mindfulness and meditation!​​​​​​​​
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For anyone struggling out there with either gastrointestinal symptoms or psychological symptoms check in with a health professional. Whether it be your regular psychologist, dietitian or doctor, there is support available for you. ​​​​​​​​​​​​​​​​
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#mentalhealth #mentalhealth #ibsandmentalhealth #ibs
😒 The question I often get asked by many of my 😒 The question I often get asked by many of my clients is β€˜where do I start’. Misinformation about IBS is rampant on social media and can often leave us feeling confused and overwhelmed about what is actually best to help manage our IBS and where we should start making changes.​​​​​​​​​​​​​​​​
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πŸ™Œ In the Take Control Approach 2.0 focuses on research proven advice around the 4 pillars of IBS management - sleep, movement, nutrition and diet. By following research based advice that you can trust, you can start to see improvements and feel like you again. ​​​​​​​​
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πŸŽ‰ πŸŽ‰ I am giving away a FREE IBS morning routine guide which you can download via the link in my bio.​​​​​​​​​​​​​​​​
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😬 Anyone relate? πŸ’© Many people I talkt to a 😬 Anyone relate?

πŸ’© Many people I talkt to are trying to manage their IBS through restriction. The irony being that even with avoiding multiple foods, they still have symptoms.

πŸ™ Whilst you may have some food intolerances, it shouldn't be multiple. A restrictive diet will worsen your gut health. Instead of avoiding multiple foods and Still having symptoms adopt the Take Control approach of following the low FODMAP diet to identify specific food triggers and tolerance levels.

❀️ Don't forget to download your free IBS morning routine -  link in bio.

#lowfodmapdiet #theibsdietitian #
πŸ“°Check out my interview contributions in @cosmo πŸ“°Check out my interview contributions in @cosmopolitanuk

πŸ§…πŸΉπŸŽ Whilst this article points out 10 common IBS triggers, it's important to note that everyone will have different tolerance levels and there is no 1 cookie cutter diet for people with IBS.

πŸ™ To find out your intolerances it is important to work through the low FODMAP process which will give you specific answers.

πŸ‘€ Read the full article https://www.cosmopolitan.com/uk/body/diet-nutrition/a13057878/foods-to-avoid-ibs/

#theibsdietitian #irritablebowelsyndrome #takecontrol
Late to the Avatar bandwagon πŸ˜…. Have you tried Late to the Avatar bandwagon πŸ˜….

Have you tried the new Lensa app? What did you think?
CAN YOU RELATE? COMMENT BELOW ⬇️​​​​​​​​
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πŸ‘‰Anyone else feel like they just can't catch a break from IBS for just one minute? IBS is a debilitating condition that can impact so many aspects of your life, the big and the small things - they can all be a struggle when you have IBS!​​​​​​​​
⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀​​​​​​​​
πŸ‘ But what if you could fully understand your IBS so you were able to identify your triggers AND improve your gut health so it was less sensitive? This would allow you to get on with tasks big or small without feeling overwhelmed. The Take Control 2.0 approach allows you to look at all aspects of your life to give you back control of your life!​​​​​​​​
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πŸŽ‰ πŸŽ‰ I am giving away a FREE IBS morning routine guide which you can download via the link in my bio. ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀​​​​​​​​​​​​​​​​​​​​​​​​
#ibsdiet #ibs #guthealth #ibsfood #guthealth #lowfodmapdiet #guthealthy #guthealing #guthealthdiet #guthealthiskey #bloating #gutmicrobes #gutscience #healthylife #bloating #irritablebowelsyndrome #fodmapfree  #healthygut #goodguthealth #gutfood #fermentedfoods #trustyourgut #chronichealth #microbiome #dubaidietitian #londondietitian #dubailife #glutenfree #dairyfree #prebiotics
Can you add anymore? Comment belowπŸ‘‡ ​​​​​​​​​​​​​​​​
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πŸ˜ͺ When following a low FODMAP diet, consuming enough fibre may be challenging as often high fibre foods are restricted. However, eating enough fibre is essential for helping bulk and soften stools! ​​​​​​​​​​​​​​​​
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🀩 Life should not have to be this challenging! ​​​​​​​​Using the Take Control 2.0 approach can allow you to discover foods and drinks which you can tolerate to improve your fibre intake - which is so important for gut health!​​​​​​​​
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πŸ₯³ Fed up of trying everything you can but nothing seems to be working? Download my FREE IBS morning guide! Link in bio.​​​​​​​​​​​​​​​​
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#IBSfibre #ibs #ibsdiet #ibsmanagement​​​​​​​​​​​​​​​​
#guthealth #ibsfood #guthealth #lowfodmapdiet #guthealthy #guthealing #guthealthdiet #guthealthiskey #bloating #gutmicrobes #gutscience​​​​​​​​​​​​​​​​
#healthylife #lowfodmapdiet #bloating​​​​​​​​​​​​​​​​
#irritablebowelsyndrome #fodmapfree #gutinstinct #healthygut #ibsd #ibsmanagement #ibssymptomrelief #IBShelp #lowfodmaphighfibre
πŸ“° Check out my feature in @insider πŸ™‹πŸΌβ€ πŸ“° Check out my feature in @insider

πŸ™‹πŸΌβ€β™€οΈ I am a huge advocate of the Mediterranean diet because it is repeatedly shown to be the best option for our health regardless of what is studied. AND especially in gut health.

πŸ’© Including wholegrain, oily fish, plenty of veggies, fruits, nuts and olive oil is easy with a few tweaks to any diet!

βœ… Swap your white carbs to brown
βœ… Add 2 portions of fish per week - one should be oily like mackerel or salmon
βœ… Eat the rainbow with fruit and veg
βœ… Snack on nuts
βœ… Switch your oil to olive oil

πŸ’©πŸ’© What could you do this week to make your diet more in line with the Mediterranean diet? comment below πŸ‘‡
DO YOU MOVE FOR YOUR GUT HEALTH? Comment below πŸ‘‡β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹
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πŸ₯΅ We get told that the more intense we exercise, the better. But exercising intensely can trigger our IBS, making us feel confused about the best way to stay healthy and control our symptoms. ​​​​​​​​
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πŸ€” In reality, people like to over complicate exercise. This is why we use the term 'movement' in the Take Control method. Avoid the confusion and keep it simple by going for a daily 30 min gentle walk and you will see the benefits!​​​​​​​​
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πŸŽ‰ Fed up of trying everything you can but nothing seems to be working? Download my FREE IBS morning guide! Link in bio.​​​​​​​​​​​​​​​​​​​​​​​​
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#ibs #walking #movement #irritablebowelsyndrome #ibsexpert #ibs diet #ibs #guthealth #ibsfood #guthealth #lowfodmapdiet #guthealthy #guthealthiskey #healthylife #bloating #irritablebowelsyndrome #fodmapfree  #healthygut #goodguthealth #gutfood #fermentedfoods #trustyourgut #chronichealth
πŸ€” Can you relate to any of these comments? Let πŸ€” Can you relate to any of these comments? Let me know below πŸ‘‡ ​​​​​​​​
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πŸ˜” When you have IBS, you may feel that how you come across appears rude at times. IBS impacts every area of your life and you can feel you are constantly having to cover it up. Over time, this style of 'coping' can leave you feeling pretty isolated.​​​​​​​​
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πŸ™ Instead of treading water with your symptoms, use research proven methods such as the low FODMAP diet process and mindfulness (part of the Take Control approach) to move forward with your symptoms and regain confidence in yourself and your social life!​​​​​​​​
⠀⠀⠀⠀⠀⠀⠀⠀⠀​​​​​​​​
πŸŽ‰ πŸŽ‰ I am giving away a FREE IBS morning routine guide which you can download via the link in my bio.​​​​​​​​
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#ibs #ibsdiet #guthealth #ibsfood #guthealth #lowfodmapdiet #guthealthy #guthealing #guthealthdiet #guthealthiskey #bloating #gutmicrobes #gutscience #healthylife #lowfodmapdiet #bloating #irritablebowelsyndrome #fodmapfree  #gutinstinct #healthygut #ibsd #ibd #chronichealth
⏩ Do you suffer from bloating? Comment below πŸ‘‡β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹
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🀰 Bloating is a common symptom for those suffering with uncontrolled IBS. Having bloating which is unpredictable and there everyday will make you feel tired, impact your relationship with your body and give you real anxiety about eating food.​​​​​​​​
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⏩ Instead of suffering with unpredictable bloating try the Take Control 2.0 approach of using the low FODMAP diet to identify your dietary triggers. By doing this, you can avoid foods which cause you bloating and start to feel more confident in your body.​​​​​​​​
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πŸŽ‰ Would you like to start the day in a way which would benefit your gut? Download my FREE IBS morning guide! Link in bio.​​​​​​​​​​​​​​​​
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#ibsbloattips #ibsbloat #ibs #ibsdiet #ibsmanagement #guthealth #ibsfood #guthealth #lowfodmapdiet #guthealthy #guthealing #guthealthdiet #guthealthiskey #bloating #gutmicrobes #gutscience #healthylife #lowfodmapdiet #bloating #irritablebowelsyndrome #fodmapfree #gutinstinct #healthygut #ibsd #ibsmanagement #ibssymptomrelief #ibshelp
WHAT WOULD YOU ADD? Comment below πŸ‘‡ ​​​​​​​​​​​​​​​​
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😣 IBS is a condition that others cannot see. As humans, we struggle to understand or truly believe in things that we can't touch, hold or see. As a result, IBS sufferers often feel quite alone.⠀⠀⠀⠀⠀⠀⠀⠀⠀​​​​​​​​​​​​​​​​
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πŸ˜‡ IBS is estimated to affect 5-10% of the worldwide population - so you really aren’t alone! Follow the Take Control process of finding a community to support you - there are lots of online forums where you can chat and share your worries with other people who completely understand. ​​​​​​​​
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πŸŽ‰ πŸŽ‰ Fed up of trying everything you can but nothing seems to be working? Download my FREE IBS morning routine guide! Link in bio.⠀⠀⠀⠀⠀⠀​​​​​​​​​​​​​​​​
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#ibsdiet #guthealth #ibsfood #guthealth #lowfodmapdiet #guthealthy #guthealing #guthealthdiet #guthealthiskey #bloating #gutmicrobes #gutscience #healthylife #lowfodmapdiet #bloating #irritablebowelsyndrome #fodmapfree  #gutinstinct #healthygut #mumlife #dubaimom #constipation #chronicpain #chronicallyunwell #women'shealth #ibswishes
⁉️ Have you heard of these symptoms before?

😳 Both of these symptoms can be caused by a few things and one of them is bowel cancer. But we don't know based on symptoms alone so please go and get checked.

🩸Blood can appear on a toilet tissue, in the toilet bowl or it can look like part or all of your stool is black.

βš–οΈ Unexplained weight loss means that you have lost weight despite eating adequate calories and not really changing your exercise routine. It can be common in IBS to lose weight but this is due to eating less food and so it is explainable.

πŸ™πŸ™ If you have either of these symptoms please see your doctor to get checked, don't take the chance.

#bowelcancer #cancer #theibsdietitian
😭 Can you relate? Comment belowπŸ‘‡πŸ‘‡β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹β€‹
😫 Suffering from IBS can be difficult and burdensome especially when trying to go about your daily life. IBS is a condition that cannot be seen which makes it even more difficult for others to understand and can often feel very isolating😒. 

πŸ‘‰ Instead of keeping this condition to yourself, adopt the Take Control principle of community and get support from people who also have this condition. You can do this by opening up to friends (1 in 10 people have this!) or joining  online FB groups - this way you won't feel so alone in your fight! 
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πŸŽ‰ πŸŽ‰ Fed up of trying everything you can but nothing seems to be working? Download my FREE IBS morning guide - link in bio.​​​​​​​​

#ibs diet #ibsbehindthescene ibs #guthealth #ibsfood #guthealth #lowfodmapdiet #guthealthy #guthealing #guthealthdiet #guthealthiskey #bloating #gutmicrobes #gutscience #healthylife #bloating #irritablebowelsyndrome #fodmapfree  #healthygut #goodguthealth #gutfood #fermentedfoods #trustyourgut #chronichealth #microbiome #dubaidietitian #londondietitian #dubailife #dairyfree #prebiotics
πŸ€” WHICH ONES DID YOU KNOW? Comment below πŸ‘‡ ​​​​​​​​​​​​​​​​
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😞 IBS is a very complex disorder to navigate by yourself. It’s more than just altering your diet, a lot of factors are at play with your IBS. Trying to work out what triggers your IBS is an absolute mind field.​​​​​​​​​​​​​​​​
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Adopting the Take Control Method, where the 4 pillars of IBS relief are all addressed (diet, movement, mental health and sleep), has helped so many of my clients to achieve that ultimate symptom relief because it considers EVERYTHING, not just what you out in your mouth.​​​​​​​​​​​​​​​​
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πŸŽ‰ πŸŽ‰ Fed up of trying everything you can but nothing seems to be working? Download my FREE IBS morning guide - link in bio.​​​​​​​​​​​​​​​​
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#ibsdiet #guthealth #ibsfood #guthealth #lowfodmapdiet #guthealthy #guthealing #guthealthdiet #guthealthiskey #bloating #gutmicrobes #gutscience #healthylife #lowfodmapdiet #bloating #irritablebowelsyndrome #fodmapfree  #gutinstinct #healthygut #ibsd #ibd #tea #5steps #chronichealth #multifactorial. #chronicallyunwell #endo #ibstype #ibstyping #ibsc
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