Evidence supporting the use of: Psyllium (not specified)
For the health condition: Anal Fistula or Fissure

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Synopsis

Source of validity: Scientific
Rating (out of 5): 3

Psyllium is used to support the management of anal fissures and, to a lesser extent, anal fistulae, primarily due to its well-documented role as a bulk-forming laxative. The central rationale is that psyllium increases stool bulk and moisture content, thereby producing softer, easier-to-pass stools. This can reduce straining and minimize trauma to the anal canal during defecation, which is particularly important in conditions like anal fissures where minimizing further injury can promote healing. Several clinical guidelines and studies recommend the use of fiber supplementation, including psyllium, as first-line conservative management for anal fissures. For example, randomized controlled trials and systematic reviews (e.g., Nelson RL et al., Cochrane Database Syst Rev. 2012) have demonstrated that increased fiber intake can improve healing rates and reduce pain in patients with anal fissure. For anal fistula, evidence is less robust, but fiber is sometimes recommended to ensure soft stools and reduce irritation. However, psyllium is not a treatment for the underlying fistula tract; its role is supportive to prevent complications related to hard or constipated stools. Overall, the use of psyllium in these contexts is justified by scientific studies and clinical recommendations, though it is not a cure for the underlying condition.

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Products containing Psyllium (not specified)

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