Patient was educated on precautions to be exercised while taking Psyllium as follows:
- Psyllium absorbs water and swell in the intestines, giving rise to an unpleasant bloating sensation, abdominal discomfort, and flatulence. If these unpleasant symptoms are too bothersome, change in plan could be made by trying other laxatives.
- Psyllium needs large amount of water to be able to form bulk, which stimulates the bowels to move. So, these laxatives are to be taken with a full 8 oz. glass of water. So, extra caution must be exercised while administering bulk laxatives for patients placed on fluid limitations, such as, individuals with congestive heart failure and renal failure. Count this water too towards daily fluid allowance.
- Since Psyllium takes large amount of water to be able to exert their effects, caution must be exercised with regards to rehydration. Noncompliance with rehydration can lead to episodes of intense dehydration. A deliberate effort for rehydration should be made, especially in senior citizens, as they frequently present with diminished sensitivity to thirst and are likely to skip drinking water.
- Psyllium absorbs water and swells, taking lot of space in the intestines. If the space in the intestines is compromised in the first place, such as, in individuals with intestinal strictures or adhesions from previous surgeries, the swollen Psyllium can cause severe intestinal blocks, necessitating an emergency. So, Psyllium for the most part is contraindicated in such individuals. Let your doctor know about any of such surgical history that can put you at risk for an intestinal block.
