From the Guidelines
Psyllium husk is safe to use during pregnancy, as it is not systemically absorbed and can help promote regular bowel movements. According to a recent clinical practice update on pregnancy-related gastrointestinal and liver disease, published in Gastroenterology in 2024 1, bulk-forming agents like psyllium husk can be safely administered during pregnancy. The study highlights that soluble fiber, such as psyllium husk, improves stool viscosity and transit time, making it an effective solution for constipation, which affects 20-40% of pregnant individuals.
Some key points to consider when using psyllium husk during pregnancy include:
- Starting with a lower dose and gradually increasing to avoid bloating and gas
- Taking psyllium with plenty of water to prevent it from swelling before reaching the stomach
- Consulting with a healthcare provider before starting any supplement during pregnancy, especially if you have other health conditions or are taking medications
- Being aware that excessive fiber and osmotic laxatives like lactulose can cause maternal bloating, and stimulant laxatives should be avoided due to conflicting safety data 1.
It's essential to follow the recommended daily intake of dietary fiber, approximately 30 g/d, and consume an adequate amount of fluids, particularly water, to help soften stools and ease bowel movements 1. By incorporating psyllium husk into their diet, pregnant individuals can help manage constipation and promote regular bowel movements, which can also help prevent hemorrhoids, a common issue during pregnancy.
From the Research
Psyllium Husk Safety During Pregnancy
- There is limited research on the safety of psyllium husk during pregnancy, and most studies focus on the general safety of herbal medicines during this period 2, 3, 4.
- A study published in 2005 advises against the use of herbal medicines during pregnancy due to the lack of rigorous scientific studies on their safety 2.
- Another study from 2012 suggests that herbal products, including psyllium husk, should be viewed with caution during pregnancy and lactation, especially during the first trimester 3.
- A narrative review published in 2018 highlights the potential risks of using herbal medicines during pregnancy and emphasizes the importance of caution when prescribing them to pregnant women 4.
- While psyllium husk is generally considered safe for treating constipation, a case report from 2018 notes that it can cause intestinal obstruction if not taken with adequate fluids 5.
- A study from 2021 found that psyllium husk can alter the composition of gut microbiota and alleviate symptoms of constipation in women of reproductive age, but it does not specifically address safety during pregnancy 6.