Registered Nurses' Association of Ontario

Practice Considerations for Psyllium Fiber intake for Fecal Incontinence

• Prior to giving psyllium fibre supplements, health providers should complete an assessment to identify the cause of fecal incontinence for persons living in the community.
• Encourage intake of food fibre sources prior to considering the option of using psyllium fibre supplements.
• There should be a graduated dosing of psyllium (e.g., start with a teaspoon and increase if tolerated).
• Do not offer psyllium fibre supplementation for persons who are bed bound or for the older adult population in long-term care settings; psyllium fibre is only indicated for persons living in the community.

Older Adults
A Proactive Approach to Bowel & Bladder Management in Adults
Point of Care Resources