Page last updated: 2024-10-18

hydrogen and Colonic Inertia

hydrogen has been researched along with Colonic Inertia in 22 studies

Hydrogen: The first chemical element in the periodic table with atomic symbol H, and atomic number 1. Protium (atomic weight 1) is by far the most common hydrogen isotope. Hydrogen also exists as the stable isotope DEUTERIUM (atomic weight 2) and the radioactive isotope TRITIUM (atomic weight 3). Hydrogen forms into a diatomic molecule at room temperature and appears as a highly flammable colorless and odorless gas.
dihydrogen : An elemental molecule consisting of two hydrogens joined by a single bond.

Colonic Inertia: Symptom characterized by the passage of stool once a week or less.

Research Excerpts

ExcerptRelevanceReference
"Among irritable bowel syndrome (IBS) patients, breath methane producers overwhelmingly have constipation predominance (C-IBS)."7.78Methanobrevibacter smithii is the predominant methanogen in patients with constipation-predominant IBS and methane on breath. ( Chang, C; Deepinder, F; Gunsalus, R; Hwang, L; Kim, G; Morales, W; Pimentel, M; Weitsman, S, 2012)
"Methane excretion is clearly associated with alterations in intestinal motility, particularly favouring those with constipation."7.78Reassessment of the role of methane production between irritable bowel syndrome and functional constipation. ( Bruzzone, L; Dulbecco, P; Furnari, M; Gemignani, L; Giannini, EG; Moscatelli, A; Savarino, E; Savarino, V; Zentilin, P, 2012)
"Hydrogen excretion in breath after a bean test meal showed delayed oro-cecal transit time in children with chronic constipation with abnormal total colonic transit time."7.73Breath hydrogen test after a bean meal demonstrates delayed oro-cecal transit time in children with chronic constipation. ( de Morais, MB; Fagundes-Neto, U; Lederman, HM; Soares, AC, 2005)
"Two female patients aged 88 and 82 who were being treated for constipation with lactulose, developed life-threatening dilatation of the bowel."7.72[Megacolon during treatment with lactulose]. ( van Bodegraven, AA; van der Vliet, HJ, 2004)
"To establish normal values and assess the reproducibility of the lactulose hydrogen breath test in measuring orocaecal transit time in control subjects, and to report results in a group of patients with chronic constipation as a result of colonic inertia."5.07The lactulose hydrogen breath test as a measure of orocaecal transit time. ( Ehrenpreis, ED; Jorge, JM; Wexner, SD, 1994)
" A total of 231 patients with clinical hypothyroidism during the second trimester of pregnancy and 210 normal pregnant women were enrolled in the lactulose methane-hydrogen breath test."4.12Efficacy evaluation of probiotics combined with prebiotics in patients with clinical hypothyroidism complicated with small intestinal bacterial overgrowth during the second trimester of pregnancy. ( Ban, Y; Cai, Y; Hao, Y; Li, J; Ouyang, Q; Sun, Z; Wang, M; Wang, W; Wu, B; Xu, Y; Zhang, M, 2022)
"Lactulose breath test graphs of 561 patients of all irritable bowel syndrome subtypes were grouped into categories based on their hydrogen + methane levels with respect to time."3.83Predicting a Response to Antibiotics in Patients with the Irritable Bowel Syndrome. ( Adler, M; Dhingra, S; Guttermuth, C; Kasir, R; Lee, A; Zakko, P; Zakko, S, 2016)
"Among irritable bowel syndrome (IBS) patients, breath methane producers overwhelmingly have constipation predominance (C-IBS)."3.78Methanobrevibacter smithii is the predominant methanogen in patients with constipation-predominant IBS and methane on breath. ( Chang, C; Deepinder, F; Gunsalus, R; Hwang, L; Kim, G; Morales, W; Pimentel, M; Weitsman, S, 2012)
"Methane excretion is clearly associated with alterations in intestinal motility, particularly favouring those with constipation."3.78Reassessment of the role of methane production between irritable bowel syndrome and functional constipation. ( Bruzzone, L; Dulbecco, P; Furnari, M; Gemignani, L; Giannini, EG; Moscatelli, A; Savarino, E; Savarino, V; Zentilin, P, 2012)
"Lactulose, which cannot be digested and absorbed by body, is clinically widely used to treat constipation and hepatic encephalopathy."3.77Lactulose: an indirect antioxidant ameliorating inflammatory bowel disease by increasing hydrogen production. ( Chen, X; Hai, Y; Sun, XJ; Zuo, Q, 2011)
"Hydrogen excretion in breath after a bean test meal showed delayed oro-cecal transit time in children with chronic constipation with abnormal total colonic transit time."3.73Breath hydrogen test after a bean meal demonstrates delayed oro-cecal transit time in children with chronic constipation. ( de Morais, MB; Fagundes-Neto, U; Lederman, HM; Soares, AC, 2005)
"We have previously shown that methane on lactulose breath test (LBT) is highly associated with constipation in IBS and that methane gas itself slows small bowel transit in dogs."3.72IBS subjects with methane on lactulose breath test have lower postprandial serotonin levels than subjects with hydrogen. ( Kong, Y; Park, S; Pimentel, M, 2004)
"Two female patients aged 88 and 82 who were being treated for constipation with lactulose, developed life-threatening dilatation of the bowel."3.72[Megacolon during treatment with lactulose]. ( van Bodegraven, AA; van der Vliet, HJ, 2004)
"It is well accepted that long-term administration of opioids results in a dose-related constipation."2.70Dose-related effects of controlled release dihydrocodeine on oro-cecal transit and pupillary light reflex. A study in human volunteers. ( Baranowski, J; Freye, E; Latasch, L, 2001)

Research

Studies (22)

TimeframeStudies, this research(%)All Research%
pre-19902 (9.09)18.7374
1990's4 (18.18)18.2507
2000's5 (22.73)29.6817
2010's8 (36.36)24.3611
2020's3 (13.64)2.80

Authors

AuthorsStudies
Nalyotov, AV1
Svistunova, NA1
Hao, Y1
Xu, Y1
Ban, Y1
Li, J1
Wu, B1
Ouyang, Q1
Sun, Z1
Zhang, M1
Cai, Y1
Wang, M1
Wang, W1
Sikander, A1
Rana, SV1
Sinha, SK1
Prasad, KK1
Arora, SK1
Konrad, P1
Błońska, A2
Chojnacki, J1
Mikulska, P1
Mędrek-Socha, M1
Chojnacki, C1
Łokieć, K1
Klupińska, G1
Walecka-Kapica, E1
Di Stefano, M1
Mengoli, C1
Bergonzi, M1
Miceli, E1
Pagani, E1
Corazza, GR1
Kasir, R1
Zakko, S1
Zakko, P1
Adler, M1
Lee, A1
Dhingra, S1
Guttermuth, C1
Chen, X1
Zuo, Q1
Hai, Y1
Sun, XJ1
Kim, G1
Deepinder, F1
Morales, W1
Hwang, L1
Weitsman, S1
Chang, C1
Gunsalus, R1
Pimentel, M2
Furnari, M1
Savarino, E1
Bruzzone, L1
Moscatelli, A1
Gemignani, L1
Giannini, EG1
Zentilin, P1
Dulbecco, P1
Savarino, V1
Dima, G2
Peralta, D2
Novillo, A1
Lasa, J1
Besasso, H2
Soifer, L1
Kong, Y1
Park, S1
van der Vliet, HJ1
van Bodegraven, AA1
Soares, AC1
Lederman, HM1
Fagundes-Neto, U1
de Morais, MB1
Soifer, LO1
Iantorno, G1
Bustos Fernández, LM1
Soifer, G1
Jorge, JM1
Wexner, SD1
Ehrenpreis, ED1
Turberg, Y1
Dederding, JP1
Yuan, CS1
Foss, JF1
O'Connor, M1
Moss, J1
Roizen, MF1
Freye, E1
Baranowski, J1
Latasch, L1
Wegener, M1
Schaffstein, J1
Dilger, U1
Coenen, C1
Wedmann, B1
Schmidt, G1
Camboni, G1
Basilisco, G1
Bozzani, A1
Bianchi, PA1
Vajro, P1
Silano, G1
Longo, D1
Staiano, A1
Fontanella, A1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Evaluation of the Efficacy and Safety of Single, Daily Oral Doses of SYN-010 Compared to Placebo in Adult Patients With Irritable Bowel Syndrome With Constipation (EASE-DO)[NCT03763175]Phase 259 participants (Actual)Interventional2018-12-24Terminated (stopped due to Interim Futility Analysis)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change From Baseline in Breath Methane Production Based on a Single-point Breath Methane Test

Change in exhaled methane level as a potential predictor of constipation improvement will be evaluated by comparing single-point breath tests pre- and post-treatment. (NCT03763175)
Timeframe: After completing course of SYN-010

Interventionparticles per million (Mean)
SYN-010 21 mg-22.623
SYN-010 42 mg-4.785
Placebo-10.081

Change From Baseline in the Weekly Average Number of Completely Spontaneous Bowel Movements (CSBM) Compared to the 12-week Treatment Period

Subjects will record their daily bowel movements throughout the duration of the study. Change in weekly average number of CSBMs will be evaluated by comparing reported values pre- and post-treatment. (NCT03763175)
Timeframe: After completing 12-week course of SYN-010

InterventionWeekly average CSBMs (Least Squares Mean)
SYN-010 21 mg1.53
SYN-010 42 mg0.32
Placebo0.51

Mean Change From Baseline in the Area-under-the-curve (AUC) of Breath Methane Production, Based on the 120-minute Lactulose Breath Test.

Change in exhaled methane level as a potential predictor of constipation improvement will be evaluated by comparing lactulose breath tests pre- and post-treatment. (NCT03763175)
Timeframe: After completing 12-week course of SYN-010

Interventionparticles per million * min (Mean)
SYN-010 21 mg-18.678
SYN-010 42 mg-20.137
Placebo-39.199

Proportion of Overall Abdominal Pain Intensity Responders During the 12-week Treatment Period

An overall abdominal pain intensity responder is defined as a patient with a weekly abdominal pain intensity response in at least 50% of the weeks of treatment (6 of 12 weeks). A weekly response abdominal pain intensity response is defined as a decrease in the patient's weekly average score for worst abdominal pain in the past 24 hours of at least 30% compared to baseline, with stool frequency unchanged or improved compared with baseline. (NCT03763175)
Timeframe: After completing 12-week course of SYN-010

InterventionParticipants (Count of Participants)
SYN-010 21 mg4
SYN-010 42 mg4
Placebo7

Proportion of Overall Bloating Responders During the 12-week Treatment Period

An overall bloating responder is defined as a patient with a weekly bloating response in at least 50% of the weeks of treatment (6 of 12 weeks). A weekly bloating response is defined as a weekly average bloating score of at least 30% improvement compared to baseline, with stool frequency unchanged or improved compared with baseline. (NCT03763175)
Timeframe: After completing 12-week course of SYN-010

InterventionParticipants (Count of Participants)
SYN-010 21 mg3
SYN-010 42 mg3
Placebo1

Proportion of Overall Responders During the 12-week Treatment Period

An overall 12-week responder is defined as a patient with a weekly response in at least 50% of the weeks of treatment (6 of 12 weeks). A weekly response is defined as a decrease in the patient's weekly average score for worst abdominal pain in the past 24 hours of at least 30% compared to baseline and a stool frequency increase of 1 or more CSBMs per week compared with baseline. (NCT03763175)
Timeframe: After completing 12-week course of SYN-010

InterventionParticipants (Count of Participants)
SYN-010 21 mg1
SYN-010 42 mg2
Placebo6

Proportion of Overall Stool Frequency Responders During the 12-week Treatment Period

An overall stool frequency responder is defined as a patient with a weekly stool frequency response in at least 50% of the weeks of treatment (6 of 12 weeks). A weekly stool frequency response is defined as a stool frequency increase of 1 or more CSBMs per week compared with baseline, with abdominal pain unchanged or improved compared with baseline. (NCT03763175)
Timeframe: After completing 12-week course of SYN-010

InterventionParticipants (Count of Participants)
SYN-010 21 mg4
SYN-010 42 mg6
Placebo9

Proportion of Patients Using Rescue Medication

Subjects will record their use of rescue medication throughout the study period. Proportion of patients using rescue medication after completing the 12-week course of treatment will be compared to those reporting usage at baseline screening period. (NCT03763175)
Timeframe: After completing 12-week course of SYN-010

InterventionParticipants (Count of Participants)
SYN-010 21 mg9
SYN-010 42 mg11
Placebo8

Proportion of Patients With Adequate Relief

Outcome will be assessed by evaluating proportion of patients reporting adequate relief pre- and post-treatment on validated questionnaire. (NCT03763175)
Timeframe: After completing 12-week course of SYN-010

InterventionParticipants (Count of Participants)
SYN-010 21 mg1
SYN-010 42 mg2
Placebo6

Trials

2 trials available for hydrogen and Colonic Inertia

ArticleYear
The lactulose hydrogen breath test as a measure of orocaecal transit time.
    The European journal of surgery = Acta chirurgica, 1994, Volume: 160, Issue:8

    Topics: Adult; Aged; Breath Tests; Chronic Disease; Constipation; Diagnosis, Differential; Female; Gastroint

1994
Dose-related effects of controlled release dihydrocodeine on oro-cecal transit and pupillary light reflex. A study in human volunteers.
    Arzneimittel-Forschung, 2001, Volume: 51, Issue:1

    Topics: Administration, Oral; Adult; Analgesics, Opioid; Cecum; Codeine; Constipation; Cross-Over Studies; D

2001

Other Studies

20 other studies available for hydrogen and Colonic Inertia

ArticleYear
[Assessment of the state of the small intestine microbiota in children on a long-term dairy-free diet].
    Voprosy pitaniia, 2022, Volume: 91, Issue:2

    Topics: Abdominal Pain; Blind Loop Syndrome; Child; Constipation; Diarrhea; Diet; Humans; Hydrogen; Intestin

2022
Efficacy evaluation of probiotics combined with prebiotics in patients with clinical hypothyroidism complicated with small intestinal bacterial overgrowth during the second trimester of pregnancy.
    Frontiers in cellular and infection microbiology, 2022, Volume: 12

    Topics: Apolipoproteins; Apolipoproteins B; C-Reactive Protein; Cholesterol; Constipation; Fatty Acids, None

2022
Association of serotonin transporter promoter polymorphism (5-HTTLPR) with orocecal transit time in irritable bowel syndrome.
    Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology, 2022, Volume: 41, Issue:6

    Topics: Case-Control Studies; Constipation; Diarrhea; Humans; Hydrogen; Irritable Bowel Syndrome; Lactulose;

2022
[Zaburzenia czynnościowe przewodu pokarmowego u osób z przerostem bakteryjnym jelita cienkiego].
    Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego, 2019, Jun-28, Volume: 46, Issue:276

    Topics: Adult; Aged; Breath Tests; Constipation; Female; Gastrointestinal Microbiome; Humans; Hydrogen; Inte

2019
[Estimation of small intestinal bacterial overgrowth in patients with constipation and diarrhea irritable bowel syndrome].
    Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego, 2014, Volume: 36, Issue:215

    Topics: Adolescent; Adult; Blind Loop Syndrome; Breath Tests; Causality; Comorbidity; Constipation; Diarrhea

2014
Hydrogen breath test in patients with severe constipation: the interference of the mixing of intestinal content.
    Neurogastroenterology and motility, 2014, Volume: 26, Issue:12

    Topics: Adult; Breath Tests; Constipation; False Positive Reactions; Female; Humans; Hydrogen; Male; Young A

2014
Predicting a Response to Antibiotics in Patients with the Irritable Bowel Syndrome.
    Digestive diseases and sciences, 2016, Volume: 61, Issue:3

    Topics: Adult; Aged; Anti-Bacterial Agents; Bacterial Infections; Breath Tests; Constipation; Diarrhea; Fema

2016
Lactulose: an indirect antioxidant ameliorating inflammatory bowel disease by increasing hydrogen production.
    Medical hypotheses, 2011, Volume: 76, Issue:3

    Topics: Animals; Antioxidants; Constipation; Gastrointestinal Tract; Humans; Hydrogen; Inflammatory Bowel Di

2011
Methanobrevibacter smithii is the predominant methanogen in patients with constipation-predominant IBS and methane on breath.
    Digestive diseases and sciences, 2012, Volume: 57, Issue:12

    Topics: Adult; Breath Tests; Constipation; DNA, Bacterial; Feces; Female; Humans; Hydrogen; Irritable Bowel

2012
Reassessment of the role of methane production between irritable bowel syndrome and functional constipation.
    Journal of gastrointestinal and liver diseases : JGLD, 2012, Volume: 21, Issue:2

    Topics: Adolescent; Adult; Age Factors; Aged; Aged, 80 and over; Bacteria; Breath Tests; Constipation; Defec

2012
[Predominance of constipation in subjects with hydrogen-consuming intestinal flora].
    Acta gastroenterologica Latinoamericana, 2012, Volume: 42, Issue:3

    Topics: Adult; Aged; Bacteria; Breath Tests; Case-Control Studies; Constipation; Female; Humans; Hydrogen; I

2012
IBS subjects with methane on lactulose breath test have lower postprandial serotonin levels than subjects with hydrogen.
    Digestive diseases and sciences, 2004, Volume: 49, Issue:1

    Topics: Adolescent; Adult; Aged; Breath Tests; Chromatography, High Pressure Liquid; Constipation; Diarrhea;

2004
[Megacolon during treatment with lactulose].
    Nederlands tijdschrift voor geneeskunde, 2004, May-15, Volume: 148, Issue:20

    Topics: Aged; Aged, 80 and over; Carbon Dioxide; Colon; Colonic Neoplasms; Constipation; Fatal Outcome; Fatt

2004
Breath hydrogen test after a bean meal demonstrates delayed oro-cecal transit time in children with chronic constipation.
    Journal of pediatric gastroenterology and nutrition, 2005, Volume: 41, Issue:2

    Topics: Adolescent; Breath Tests; Case-Control Studies; Child; Child, Preschool; Chronic Disease; Colon; Con

2005
[Breath hydrogen levels do not predict fiber intolerance in irritable bowel syndrome with constipation].
    Acta gastroenterologica Latinoamericana, 2007, Volume: 37, Issue:1

    Topics: Aged; Breath Tests; Constipation; Dietary Fiber; Female; Fermentation; Humans; Hydrogen; Irritable B

2007
[Evaluation of small intestinal motility].
    Schweizerische medizinische Wochenschrift. Supplementum, 1993, Volume: 54

    Topics: Breath Tests; Constipation; Diarrhea; Gastrointestinal Motility; Gastrointestinal Transit; Humans; H

1993
Gut motility and transit changes in patients receiving long-term methadone maintenance.
    Journal of clinical pharmacology, 1998, Volume: 38, Issue:10

    Topics: Adult; Breath Tests; Chromatography, Gas; Constipation; Female; Gastrointestinal Motility; Gastroint

1998
Gastrointestinal transit of solid-liquid meal in chronic alcoholics.
    Digestive diseases and sciences, 1991, Volume: 36, Issue:7

    Topics: Adult; Aged; Alcoholism; Autonomic Nervous System Diseases; Breath Tests; Constipation; Diarrhea; Fe

1991
Repeatability of lactulose hydrogen breath test in subjects with normal or prolonged orocecal transit.
    Digestive diseases and sciences, 1988, Volume: 33, Issue:12

    Topics: Adult; Breath Tests; Constipation; Disaccharides; Female; Gastrointestinal Transit; Humans; Hydrogen

1988
Orocoecal transit time in healthy and constipated children.
    Acta paediatrica Scandinavica, 1988, Volume: 77, Issue:4

    Topics: Breath Tests; Child; Child, Preschool; Chronic Disease; Constipation; Female; Food; Gastrointestinal

1988