When to consider medicine or seek medical care
Fiber may support stool consistency, but diarrhea can have many causes, including infection, medication effects and food intolerance. Replacing fluids and electrolytes is important. Medicines such as loperamide or bismuth subsalicylate may be appropriate for some adults with short-term diarrhea, but they are not suitable for everyone. Follow the label and ask a pharmacist or clinician, especially if you have other conditions or take other medicines. Do not use loperamide without medical advice if diarrhea is bloody or accompanied by fever.
Seek medical advice if diarrhea is severe, lasts more than a few days, keeps returning, or occurs with blood or black stool, high fever, significant pain, dehydration or inability to keep fluids down. Infants, older adults, pregnant people and people with weakened immune systems may need earlier assessment.
Common questions
#### Can you take Metamucil for diarrhea?
Psyllium products such as Metamucil may help some people achieve more formed stools, but they do not treat the underlying cause. Follow the label and ask a healthcare professional if symptoms are persistent, severe or unexplained.
#### Is psyllium effective for microscopic colitis?
Psyllium may affect stool consistency, but it should not be considered a treatment for microscopic colitis. If you have or suspect this condition, discuss diarrhea management with a healthcare professional.
#### What kind of fiber should you take for constipation?
This page focuses on diarrhea. Fiber choice for constipation depends on the person and the cause; a pharmacist or clinician can advise you, particularly if symptoms are persistent or accompanied by pain.
In brief, gel-forming soluble fiber such as psyllium may help make loose stools more formed for some people. Use supplements as directed, rehydrate, and seek medical advice when symptoms are severe, persistent or accompanied by warning signs.