Benefits
Bowel regularity
Soluble fiber of the kind Consolax contains supports regular, comfortable bowel movements and can ease occasional constipation. In a review of four small soluble fiber trials, more people reported overall improvement on fiber than on placebo, 86.5 percent against 47.4 percent, and weekly stools rose from 2.9 before treatment to 3.8 after, a little under one extra movement a week. The reviewers judged the trials too weak to pool formally and found the evidence for insoluble fiber conflicting. Consolax itself has not been tested.
Microbiome support
Inulin, the fiber in chicory extract, raised Bifidobacterium counts fairly consistently across nine human studies at 5 g to 20 g a day. Those studies counted which bacteria were present rather than measuring how people felt, and the same review reported the bacterial shift was not matched by a rise in short-chain fatty acids. A change in the mix of gut bacteria is not by itself a health benefit.
Digestive comfort
In a four week trial of a mixed soluble and insoluble fiber, which was not Consolax, straining and bloating scores fell on both that fiber and the psyllium it was compared against, and more people on the mixed fiber said their flatulence improved, 53 percent against 25 percent. There was no placebo group, so part of the improvement in both arms may not be down to the fiber at all. Adding fiber also commonly causes gas and bloating at first, so comfort can get worse before it gets better.
Mechanism of action
Stool bulking and softening
Insoluble fiber adds bulk while soluble fiber holds water, together easing passage and supporting regularity.
Prebiotic fermentation
Fermentable soluble fiber is converted by gut bacteria into short-chain fatty acids that nourish the colon. Fiber of this kind also encourages Bifidobacteria. In the human inulin studies behind this page the rise in Bifidobacterium did show up, but the expected rise in short-chain fatty acids did not.