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Hello, Boris. I found this on the University of Maryland Medical Center. Read below. Throughout the day, drink lots of water to give the pysillium enough water to keep it moving out. If you drink too little it might swell too much. See below:


Available Forms

Standard preparations of psyllium are available in dry seed or husk form, to be mixed with water as needed. Psyllium is an ingredient ign some commercially-prepared laxatives. It also comes in capsules, tablets, and wafers.

How to Take It


Children should get fiber from their diet. Give a child psyllium supplements only under a doctor's supervision.


If you use a commercial product that contains psyllium, follow the package directions.

If you are not used to taking psyllium, it is best to begin with a low dose (such as 1/2 tsp. in an 8 oz. glass of water once a day), then gradually increase the dose as needed.

Your health care provider may recommend higher doses of psyllium to treat certain conditions. You can take psyllium first thing in the morning or before bedtime.


Because supplements may have side effects or interact with medications, you should take them only under the supervision of a knowledgeable health care provider.

Psyllium supplements may reduce or delay the absorption of certain medications (See Possible Interactions). As a rule, you should not take psyllium supplements at the same time as other medications. Take psyllium at least 1 hour before or 2 to 4 hours after taking other medications.

You should always take psyllium with a full 8 oz. glass of water, and you should drink at least 6 to 8 full glasses of water throughout the day to avoid constipation. Taking psyllium supplements without adequate liquids may cause it to swell, and, in extreme cases, cause choking.

DO NOT take this product if you have bowel obstructions or spasms, or if you have difficulty swallowing. People with esophageal stricture (narrowing of the esophagus) or any other narrowing or obstruction of the gastrointestinal tract should not take psyllium.

A potential side effect from any fiber product is gas and bloating.

People with kidney disease should talk to their doctor before taking psyllium.

Possible Interactions

If you are being treated with any of the following medications, you should not use psyllium supplements without first talking to your health care provider.

Antidepressant medications, Tricyclics

Dietary fiber has been shown to lower the blood levels and effectiveness of tricyclic antidepressant medications in some people. If you take tricyclic antidepressants, talk to your doctor before taking psyllium. Tricyclic antidepressants include:

Amitriptyline (Elavil)
Doxepin (Sinequan)
Imipramine (Tofranil)
Carbemazepine (Tegretol)

Taking psyllium with carbamazepine, a medication used to treat seizures, may decrease the absorption and effectiveness of carbamazepine.

Cholesterol-lowering medications (bile acid sequestrants)

Taking psyllium with cholesterol-lowering medications called bile acid sequestrants may help further lower cholesterol levels and may reduce side effects of colestipol. Talk to your doctor about whether this may be an option for you. Bile acid sequestrants include:

Cholestyramine (Questram)
Colestipol (Colestid)
Diabetes medications

Fiber supplements may reduce levels of blood sugar, making the possibility of hypoglycemia (low blood sugar) more likely. Talk to your doctor before taking fiber supplements, as your dose of diabetes medications may need to be adjusted.

To be clear I wasnt saying not to drink water.  Everyone needs to get at least 2 litres a day, and this should be spread out throughout the day.

The point of taking psyllium is to thicken output. With that in mind you take enough psyllium to thicken output with minimum extra water.  If you take extra water you would then need to take extra psyllium to soak it.


Most of the advice on the net for psyllium is for people with normal bowels who want to keep stuff moving, which is different to how we need to take it

Hi, Borislav. Do you have pain when your stomach makes sounds? If you do not have pain and only the sounds bother you, you should know that a lot of members say their stomach makes loud sound that other people can hear. When you eat, your intestines become active, they wake up, your stomach is getting ready to accept more food that you eat. Do the sounds bother you (pain) or are you asking why you have sounds? Everyone has sounds, some very loud that can be heard across the room, some not so loud. I worked with someone who had sounds that could be heard several feet away -- and he had his colon and was healthy. This happened when he was hungry, and after he ate.

no have pain but when wake up and go eat is have sounds and is bother me disturb me is every time this is because of operation? and its will disappear this sound when eat after wake up? when i has colon i dont have this sounds but after operation is very often when wake up i have its? and it is not stopped if i go to bathroom after that no have problem but if not going its dont want to stop yes disturb me and i cannot hold when i wake up and eat i cannot hold(only when wake up and eat i cannot hold only at breakfast cannot hold)  like make leakege after eat

Hello, Borislav.

The sounds from your intestines could be because of the operation because you didn't have them before the operation. Or, maybe you did have sounds before your operation but not so loud and you did not notice the sounds as much, but since your operation you are paying very close attention to everything that happens. You don't have a colon anymore so food and gas are moving through you in a shorter time,mould be the reason for loud noises. The adult colon is approximately 5 feet long, so that is a lot of space before to hold food, gas, and now you don't have the colon space anymore. I don't know if it will stop after more time. You are still new with the pouch. Give it some more time for your intestines to adjust. If there is no pain, blood, fever, discomfort, blockage, and you are eating and pooping regularly, can you wait and ask your doctor when you have your appointment in a few months? If it is causing you trouble or upsetting, try to reschedule your appointment sooner to get answers. My stomach (or intestines, not sure which) makes gurgling and whooshing sounds after I've eaten, or even when it has been hours since I ate. All the time, but not too loud for me.

Some J-pouchers definitely develop spectacularly loud bowel sounds. It doesn't seem to be hunger related, for the most part. I had them for a number of years after my surgery, but they seem to have disappeared. I remember a job interview during which my gut tried to answer a question for me. The interviewer and I both paused for a moment, and then just moved on.

Hi, Borislav.

Some specialists and surgeons are very booked with appointments so maybe it is hard to find room or move you sooner. I'm sorry about that. It is hard to wait for answers. 

For now, write a list of your questions and concerns. Have them ready to ask your surgeon in September, or give your list of questions to your surgeon before they put you to sleep and ask them to write down their answers. Read their answers when you wake up. If they say your pouch problems are all normal and don't worry, tell them specific things that have been disturbing you and please give you a definite answer.

Your pouch is still new. Try not to worry. Intestines and pouches do not like stress, and you can't digest food properly if your intestines are tight with worry. As long as you are not in pain, bleeding, blocked, or fever.  My pouch took 9 months before it stopped giving me problems. At 10th month I could eat food and go out without too many problems. I hope sooner for you.

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