Bacillus coagulans Unique IS2 in Constipation: A Double-Blind, Placebo-Controlled Study
Abstract
Functional constipation has a high prevalence in both adults and children affecting quality of life. Evidence suggests that probiotics can reduce the symptoms of constipation. As the effects of probiotics are strain specific, the efficacy of Bacillus coagulans Unique IS2 in the treatment of functional constipation in adults was evaluated. Subjects (n = 100) diagnosed with functional constipation were supplemented with either B. coagulans Unique IS2 (2 billion CFU) or placebo capsules once daily for 4 weeks. Subjects were evaluated for treatment success (defined as three or more spontaneous stools per week), stool consistency, difficulty of defecation, defecation and abdominal pain. By the end of the fourth week, there was a statistically significant (p < 0.001) increase in number of bowel movements in the probiotic treated group as compared to placebo. Ninety eight percent of subjects in the probiotic group achieved normal stool consistency as compared to placebo (74%). Moreover, there was relief from symptoms of incomplete evacuation, painful defecation and abdominal pain associated with constipation in probiotic treated group as compared to placebo. In conclusion, B. coagulans Unique IS2 significantly decreased the symptoms of constipation indicating effectiveness of the strain in the treatment of constipation.Trial registration: CTRI/2017/11/010539.
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The systematic review included 17 randomised controlled trials comprising 1256 adult patients with functional constipation.
“17 studies, comprising 1256 participants, were included with perfect agreements between two researchers (kappa statistic=0.797).”
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- Authors
- Madempudi, R. S., Neelamraju, J., Ahire, J. J., Gupta, S. K., & Shukla, V. K.
- Affiliations
- M.V. Hospital and Research Centre (IN)
- Corresponding author
- Madempudi, Ratna Sudha
- Venue
- Probiotics and Antimicrobial Proteins
- Published
- 2019-03-25
- Volume
- 12
- Issue
- 2
- Pages
- 335-342
- ISSN
- 1867-1306 (ISSN-L)
- 1867-1314
- OpenAlex
- W2923073373
- Cited by
- 60
- References
- 40
- Citations by year
- 2026: 6 · 2025: 13 · 2024: 10 · 2023: 6 · 2022: 12 · 2021: 4 · 2020: 4 · 2019: 4
- FWCI
- 5.31
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Probiotics and Antimicrobial Proteins (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Life Sciences › Agricultural and Biological Sciences › Food Science › Probiotics and Fermented Foods
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Keywords
- functional constipation, probiotics, stool frequency, stool consistency, defecation pain, abdominal pain, incomplete evacuation, adults
- MeSH terms
- Bacillus coagulans, Adolescent, Adult, Constipation, Defecation, Double-Blind Method, Feces, Female, Humans, Male, Middle Aged, Quality of Life, Abdominal Pain, Treatment Outcome, Probiotics, Young Adult
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