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Evid Based Nurs 5:56 doi:10.1136/ebn.5.2.56
  • Treatment

Dietary fibre supplementation with psyllium or gum arabic reduced incontinent stools and improved stool consistency in community living adults


 
 QUESTION: Does dietary fibre supplementation with psyllium or gum arabic improve faecal incontinence in community living adults with incontinence of loose or liquid stools?

Design

Randomised {allocation concealed}*, blinded {participants, clinicians, and data analysts}*, placebo controlled trial with 8 day post-intervention comparison.

Setting

Colorectal surgical practice in Minneapolis, Minnesota, USA.

Participants

42 adults (mean age 61 y) with at least weekly faecal incontinence of loose or liquid stools. Exclusion criteria were rectal prolapse, colon cancer, rectal fistula, ulcerative colitis, or removal of some portion of the gastrointestinal tract. Follow up was 93%.

Intervention

Participants were allocated to receive 31 days of dietary fibre supplementation with psyllium, 7.1 g/day (n=13), or gum arabic, 25 g/day (n=13); or placebo given as pectin, …

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