Patient was educated on contraindications for using Psyllium as follows:

  1. Esophageal strictures
  • Psyllium can absorb water and swell, while it is in the throat during swallowing, which can result in choking and difficulty breathing.
  1. Intestinal strictures
  • Psyllium swells in the intestines and can cause severe intestinal blocks in individuals with intestinal strictures or adhesions from previous surgeries.
  • So, Psyllium for the most part is contraindicated in individuals with history of intestinal strictures and adhesions.
  1. Individuals on fluid limitations
  • Psyllium is to be taken with a full 8 oz. glass of water.
  • So, extra caution must be exercised, while administering Psyllium for patients placed on fluid limitations, such as, individuals with congestive heart failure and renal failure.
  • Count this water too towards daily fluid allowance.