Page last updated: 2024-10-16

methane and Constipation

methane has been researched along with Constipation in 40 studies

Methane: The simplest saturated hydrocarbon. It is a colorless, flammable gas, slightly soluble in water. It is one of the chief constituents of natural gas and is formed in the decomposition of organic matter. (Grant & Hackh's Chemical Dictionary, 5th ed)
methane : A one-carbon compound in which the carbon is attached by single bonds to four hydrogen atoms. It is a colourless, odourless, non-toxic but flammable gas (b.p. -161degreeC).

Constipation: Infrequent or difficult evacuation of FECES. These symptoms are associated with a variety of causes, including low DIETARY FIBER intake, emotional or nervous disturbances, systemic and structural disorders, drug-induced aggravation, and infections.

Research Excerpts

ExcerptRelevanceReference
"Bristol stool form, frequency, colon transit time (CTT), and breath methane were evaluated in 23 patients with CC (10 patients with constipation-predominant irritable bowel syndrome [IBS-C], 13 functional constipation, Rome III) and m-ethane production compared with 68 non-constipating IBS."9.27A randomized double-blind placebo-controlled trial showing rifaximin to improve constipation by reducing methane production and accelerating colon transit: A pilot study. ( Ghoshal, UC; Misra, A; Srivastava, D, 2018)
"Adjuvant 5-fluorouracil chemotherapy reduces recurrences in colorectal cancer, but causes severe gastrointestinal toxicity, partly related to disturbed intestinal microbiota."9.17Colonic methane production modifies gastrointestinal toxicity associated with adjuvant 5-fluorouracil chemotherapy for colorectal cancer. ( Blom, M; Holma, R; Korpela, R; Osterlund, P; Poussa, T; Rautio, M; Sairanen, U; Saxelin, M, 2013)
"Recent work has demonstrated that among irritable bowel syndrome (IBS) subjects, methane on lactulose breath test (LBT) is nearly universally associated with constipation predominance."9.12The degree of breath methane production in IBS correlates with the severity of constipation. ( Chatterjee, S; Kong, Y; Low, K; Park, S; Pimentel, M, 2007)
" This subanalysis was done on the constipation-predominant IBS subgroup of patients (C-IBS) to test the ability of neomycin to improve constipation and its correlation with the elimination of methane on breath test."9.12Neomycin improves constipation-predominant irritable bowel syndrome in a fashion that is dependent on the presence of methane gas: subanalysis of a double-blind randomized controlled study. ( Chatterjee, S; Chow, EJ; Kong, Y; Park, S; Pimentel, M, 2006)
"A growing body of literature suggests an association between methane and constipation."8.87Methane on breath testing is associated with constipation: a systematic review and meta-analysis. ( Basseri, RJ; Chang, C; Chong, K; Kunkel, D; Makhani, MD; Pimentel, M, 2011)
"We found that constipation and bloating severity did not correlate with methane levels on GBT."7.96Breath Methane Does Not Correlate With Constipation Severity or Bloating in Patients With Constipation. ( Ballou, S; Duehren, S; Iturrino, J; Katon, J; Lembo, A; Nee, J; Patel, R; Rangan, V; Singh, P, 2020)
"There is growing evidence that methane production, predominantly by Methanobrevibacter smithii, in the intestines is a cause of constipation, pain, and bloating in irritable bowel syndrome with constipation (IBS-C)."7.88Development of a Modified-Release Formulation of Lovastatin Targeted to Intestinal Methanogens Implicated in Irritable Bowel Syndrome With Constipation. ( Bristol, A; Chadwick, A; Coughlin, O; Hubert, S; Kokai-Kun, J; Wacher, V, 2018)
"Differences in the gut microbiota and breath methane production have been observed in chronic constipation, but the relationship between colonic microbiota, transit, and breath tests remains unclear."7.85Assessing the colonic microbiome, hydrogenogenic and hydrogenotrophic genes, transit and breath methane in constipation. ( Bharucha, AE; Chen, J; Chia, N; Gaskins, HR; O'Connor, HM; Parthasarathy, G; Wolf, PG, 2017)
"Methane (CH4)-producing intestinal bacteria might be related to constipation."7.79Breath methane positivity is more common and higher in patients with objectively proven delayed transit constipation. ( Choi, MG; Chung, WC; Lee, KM; Paik, CN; Yang, JM, 2013)
"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)
"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-producing IBS patients have a unique cluster of symptoms related to constipation."7.77Factor analysis demonstrates a symptom cluster related to methane and non-methane production in irritable bowel syndrome. ( Low, K; Makhani, M; Mirocha, J; Pimentel, M; Yang, J, 2011)
" Among these findings, methane production is more commonly associated with constipation-predominant symptoms."7.76Evaluating breath methane as a diagnostic test for constipation-predominant IBS. ( Hwang, L; Khoshini, R; Low, K; Makhani, M; Melmed, G; Pimentel, M; Pokkunuri, V; Sahakian, A, 2010)
"The presence of breath methane in children with chronic constipation may suggest the possibility of prolonged colonic transit time."7.73Breath methane associated with slow colonic transit time in children with chronic constipation. ( de Morais, MB; Fagundes-Neto, U; Lederman, HM; Soares, AC, 2005)
"4% and specificity of 100% for diagnosing IMO on the glucose and lactulose breath tests and was associated with constipation (5."5.51A Single Fasting Exhaled Methane Level Correlates With Fecal Methanogen Load, Clinical Symptoms and Accurately Detects Intestinal Methanogen Overgrowth. ( Chang, C; Hosseini, A; Kowalewski, E; Leite, G; Mathur, R; Morales, W; Pimentel, M; Rao, S; Rashid, M; Rezaie, A; Sanchez, M; Takakura, W; Torosyan, J; Villanueva-Millan, MJ; Wang, J, 2022)
"Constipation is a common symptom affecting up to 30% of the Western population and is strongly associated with the presence of intestinal methanogens, which may directly inhibit motor activity."5.46Effect of Lactobacillus reuteri (DSM 17938) on methane production in patients affected by functional constipation: a retrospective study. ( Franceschi, F; Gasbarrini, A; Gnarra, M; Migneco, A; Ojetti, V; Petruzziello, C, 2017)
"Methane production was associated with the composition of the fecal microbiota, but not with constipation or colonic transit."5.43Relationship Between Microbiota of the Colonic Mucosa vs Feces and Symptoms, Colonic Transit, and Methane Production in Female Patients With Chronic Constipation. ( Bharucha, AE; Chen, J; Chen, X; Chia, N; Gaskins, HR; O'Connor, HM; Parthasarathy, G; Wolf, PG, 2016)
"Methane production has been associated with chronic constipation (CC) and with changes in gut motility."5.42Breath methane in functional constipation: response to treatment with Ispaghula husk. ( Abad, A; Andreu, V; Barenys, M; García Bayo, I; García, M; Martos, L; Perelló, A; Vega, AB, 2015)
"Methane excretion was present in 26 of 40 (65%) encopretic patients versus 6 of 40 (15%) control patients (P less than 0."5.28Breath methane production in children with constipation and encopresis. ( Casteel, HB; Fiedorek, SC; Pumphrey, CL, 1990)
"Bristol stool form, frequency, colon transit time (CTT), and breath methane were evaluated in 23 patients with CC (10 patients with constipation-predominant irritable bowel syndrome [IBS-C], 13 functional constipation, Rome III) and m-ethane production compared with 68 non-constipating IBS."5.27A randomized double-blind placebo-controlled trial showing rifaximin to improve constipation by reducing methane production and accelerating colon transit: A pilot study. ( Ghoshal, UC; Misra, A; Srivastava, D, 2018)
" Methane production is associated with constipation and its severity in constipation-predominant IBS (C-IBS)."5.19Antibiotic treatment of constipation-predominant irritable bowel syndrome. ( Amichai, M; Chang, C; Chua, KS; DiBaise, J; Mirocha, J; Pimentel, M; Rao, S, 2014)
"Adjuvant 5-fluorouracil chemotherapy reduces recurrences in colorectal cancer, but causes severe gastrointestinal toxicity, partly related to disturbed intestinal microbiota."5.17Colonic methane production modifies gastrointestinal toxicity associated with adjuvant 5-fluorouracil chemotherapy for colorectal cancer. ( Blom, M; Holma, R; Korpela, R; Osterlund, P; Poussa, T; Rautio, M; Sairanen, U; Saxelin, M, 2013)
"Recent work has demonstrated that among irritable bowel syndrome (IBS) subjects, methane on lactulose breath test (LBT) is nearly universally associated with constipation predominance."5.12The degree of breath methane production in IBS correlates with the severity of constipation. ( Chatterjee, S; Kong, Y; Low, K; Park, S; Pimentel, M, 2007)
" This subanalysis was done on the constipation-predominant IBS subgroup of patients (C-IBS) to test the ability of neomycin to improve constipation and its correlation with the elimination of methane on breath test."5.12Neomycin improves constipation-predominant irritable bowel syndrome in a fashion that is dependent on the presence of methane gas: subanalysis of a double-blind randomized controlled study. ( Chatterjee, S; Chow, EJ; Kong, Y; Park, S; Pimentel, M, 2006)
"A growing body of literature suggests an association between methane and constipation."4.87Methane on breath testing is associated with constipation: a systematic review and meta-analysis. ( Basseri, RJ; Chang, C; Chong, K; Kunkel, D; Makhani, MD; Pimentel, M, 2011)
" 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)
"Consecutive Asian adults with Rome III diagnosed common FGIDs (functional dyspepsia/FD, IBS and functional constipation/FC) and non-FGID controls were subjected to glucose breath testing, with hydrogen (H2) and methane (CH4) levels determined."4.12Small Intestinal Bacterial Overgrowth In Various Functional Gastrointestinal Disorders: A Case-Control Study. ( Beh, KH; Chong, SCS; Chuah, KH; Lee, YY; Lim, SZ; Mahadeva, S; Tan, PO; Thalha, AM; Wong, MS; Zulkifli, KK, 2022)
"We found that constipation and bloating severity did not correlate with methane levels on GBT."3.96Breath Methane Does Not Correlate With Constipation Severity or Bloating in Patients With Constipation. ( Ballou, S; Duehren, S; Iturrino, J; Katon, J; Lembo, A; Nee, J; Patel, R; Rangan, V; Singh, P, 2020)
"Rectocele with constipation might be related to methane (CH4) producing intestinal bacteria."3.88The association between a positive lactulose methane breath test and rectocele in constipated patients. ( Chung, WC; Kim, DB; Kim, YJ; Lee, JM; Lee, KM; Paik, CN; Yang, JM, 2018)
"There is growing evidence that methane production, predominantly by Methanobrevibacter smithii, in the intestines is a cause of constipation, pain, and bloating in irritable bowel syndrome with constipation (IBS-C)."3.88Development of a Modified-Release Formulation of Lovastatin Targeted to Intestinal Methanogens Implicated in Irritable Bowel Syndrome With Constipation. ( Bristol, A; Chadwick, A; Coughlin, O; Hubert, S; Kokai-Kun, J; Wacher, V, 2018)
"Differences in the gut microbiota and breath methane production have been observed in chronic constipation, but the relationship between colonic microbiota, transit, and breath tests remains unclear."3.85Assessing the colonic microbiome, hydrogenogenic and hydrogenotrophic genes, transit and breath methane in constipation. ( Bharucha, AE; Chen, J; Chia, N; Gaskins, HR; O'Connor, HM; Parthasarathy, G; Wolf, PG, 2017)
"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)
"Methane (CH4)-producing intestinal bacteria might be related to constipation."3.79Breath methane positivity is more common and higher in patients with objectively proven delayed transit constipation. ( Choi, MG; Chung, WC; Lee, KM; Paik, CN; Yang, JM, 2013)
"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)
"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-producing IBS patients have a unique cluster of symptoms related to constipation."3.77Factor analysis demonstrates a symptom cluster related to methane and non-methane production in irritable bowel syndrome. ( Low, K; Makhani, M; Mirocha, J; Pimentel, M; Yang, J, 2011)
" Among these findings, methane production is more commonly associated with constipation-predominant symptoms."3.76Evaluating breath methane as a diagnostic test for constipation-predominant IBS. ( Hwang, L; Khoshini, R; Low, K; Makhani, M; Melmed, G; Pimentel, M; Pokkunuri, V; Sahakian, A, 2010)
"The presence of breath methane in children with chronic constipation may suggest the possibility of prolonged colonic transit time."3.73Breath methane associated with slow colonic transit time in children with chronic constipation. ( de Morais, MB; Fagundes-Neto, U; Lederman, HM; Soares, AC, 2005)
" Since there are two gases (hydrogen and methane) measured on lactulose breath testing, we evaluated whether the different gas patterns on lactulose breath testing coincide with diarrhea and constipation symptoms in IBS and IBD."3.72Methane production during lactulose breath test is associated with gastrointestinal disease presentation. ( Chow, EJ; Hasan, A; Kong, Y; Mayer, AG; Park, S; Pimentel, M, 2003)
"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)
"Constipation is very pervasive all over the world."2.82Gut microbiota: a new avenue to reveal pathological mechanisms of constipation. ( Duan, J; Jiang, S; Li, W; Qian, D; Wang, Y; Yang, L; Zhang, Y, 2022)
"Constipation is a common symptom affecting up to 30% of the Western population and is strongly associated with the presence of intestinal methanogens, which may directly inhibit motor activity."1.46Effect of Lactobacillus reuteri (DSM 17938) on methane production in patients affected by functional constipation: a retrospective study. ( Franceschi, F; Gasbarrini, A; Gnarra, M; Migneco, A; Ojetti, V; Petruzziello, C, 2017)
"Methane production was associated with the composition of the fecal microbiota, but not with constipation or colonic transit."1.43Relationship Between Microbiota of the Colonic Mucosa vs Feces and Symptoms, Colonic Transit, and Methane Production in Female Patients With Chronic Constipation. ( Bharucha, AE; Chen, J; Chen, X; Chia, N; Gaskins, HR; O'Connor, HM; Parthasarathy, G; Wolf, PG, 2016)
"Methane production has been associated with chronic constipation (CC) and with changes in gut motility."1.42Breath methane in functional constipation: response to treatment with Ispaghula husk. ( Abad, A; Andreu, V; Barenys, M; García Bayo, I; García, M; Martos, L; Perelló, A; Vega, AB, 2015)
"Methane excretion was present in 26 of 40 (65%) encopretic patients versus 6 of 40 (15%) control patients (P less than 0."1.28Breath methane production in children with constipation and encopresis. ( Casteel, HB; Fiedorek, SC; Pumphrey, CL, 1990)

Research

Studies (40)

TimeframeStudies, this research(%)All Research%
pre-19903 (7.50)18.7374
1990's1 (2.50)18.2507
2000's5 (12.50)29.6817
2010's26 (65.00)24.3611
2020's5 (12.50)2.80

Authors

AuthorsStudies
Takakura, W1
Pimentel, M11
Rao, S2
Villanueva-Millan, MJ1
Chang, C4
Morales, W2
Sanchez, M1
Torosyan, J1
Rashid, M1
Hosseini, A1
Wang, J1
Leite, G1
Kowalewski, E1
Mathur, R1
Rezaie, A1
Yang, L1
Wang, Y1
Zhang, Y1
Li, W1
Jiang, S1
Qian, D1
Duan, J1
Hao, Y1
Xu, Y1
Ban, Y1
Li, J1
Wu, B1
Ouyang, Q1
Sun, Z1
Zhang, M1
Cai, Y1
Wang, M1
Wang, W1
Chuah, KH1
Wong, MS1
Tan, PO1
Lim, SZ1
Beh, KH1
Chong, SCS1
Zulkifli, KK1
Thalha, AM1
Mahadeva, S1
Lee, YY1
Ojetti, V2
Petruzziello, C1
Migneco, A1
Gnarra, M1
Gasbarrini, A2
Franceschi, F1
Hubert, S1
Chadwick, A1
Wacher, V2
Coughlin, O1
Kokai-Kun, J1
Bristol, A1
Pennisi, E1
Lee, JM1
Paik, CN2
Kim, YJ1
Kim, DB1
Chung, WC2
Lee, KM2
Yang, JM2
Shah, A1
Morrison, M1
Holtmann, G1
Ghoshal, UC2
Srivastava, D2
Misra, A1
Singh, P1
Duehren, S1
Katon, J1
Rangan, V1
Ballou, S1
Patel, R1
Iturrino, J1
Lembo, A1
Nee, J1
Bruno, G1
Paolucci, V1
Triarico, S1
D'aversa, F1
Ausili, E1
Rendeli, C1
Chua, KS1
Mirocha, J2
DiBaise, J1
Amichai, M1
Vega, AB1
Perelló, A1
Martos, L1
García Bayo, I1
García, M1
Andreu, V1
Abad, A1
Barenys, M1
Kasir, R1
Zakko, S1
Zakko, P1
Adler, M1
Lee, A1
Dhingra, S1
Guttermuth, C1
Parthasarathy, G2
Chen, J2
Chen, X1
Chia, N2
O'Connor, HM2
Wolf, PG2
Gaskins, HR2
Bharucha, AE2
Gottlieb, K1
Sliman, J1
Quigley, EM1
Spiller, RC1
Yazici, C1
Arslan, DC1
Abraham, R1
Cushing, K1
Keshavarzian, A1
Mutlu, EA1
Ghoshal, U1
Shukla, R1
Hwang, L2
Low, K3
Khoshini, R1
Melmed, G1
Sahakian, A1
Makhani, M2
Pokkunuri, V1
Attaluri, A1
Jackson, M1
Valestin, J1
Rao, SS1
Yang, J1
Di Stefano, M1
Corazza, GR1
Kunkel, D1
Basseri, RJ1
Makhani, MD1
Chong, K1
de Morais, MB2
Soares, AC2
Tahan, S1
Kim, G1
Deepinder, F1
Weitsman, S1
Gunsalus, R1
Furnari, M1
Savarino, E1
Bruzzone, L1
Moscatelli, A1
Gemignani, L1
Giannini, EG1
Zentilin, P1
Dulbecco, P1
Savarino, V1
Holma, R1
Korpela, R1
Sairanen, U1
Blom, M1
Rautio, M1
Poussa, T1
Saxelin, M1
Osterlund, P1
Choi, MG1
Mayer, AG1
Park, S4
Chow, EJ2
Hasan, A1
Kong, Y4
BRASSINNE, A1
TRINDADE, MD1
Lederman, HM1
Fagundes-Neto, U1
Chatterjee, S2
Fiedorek, SC1
Pumphrey, CL1
Casteel, HB1
Jurgeit, H1

Clinical Trials (7)

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)
A Randomized Open Label Trial Evaluating the Efficacy of AEMCOLO (Rifamycin SV MMX) in the Treatment of Small Intestinal Bacterial Overgrowth (SIBO)[NCT04501380]Phase 230 participants (Anticipated)Interventional2020-06-30Enrolling by invitation
A Randomized Controlled Trial of the Safety and Efficacy of Fecal Microbiota Transplantation in a Population With Bipolar Disorder[NCT03279224]Phase 2/Phase 335 participants (Actual)Interventional2018-01-01Active, not recruiting
Efficacy of the Supplementation With a Symbiotic, a Prebiotic and a Probiotic to Produce a Beneficial Effect on the Intestinal Microbiota and on the Characteristics of Feces in Children With Cerebral Palsy (CP) and Chronic Constipation[NCT03117322]Phase 440 participants (Actual)Interventional2017-06-05Completed
Evaluation of the Efficacy and Safety of Rifaximin in Combination With N-acetylcysteine (NAC) in Adult Patients With Irritable Bowel Syndrome With Diarrhea[NCT04557215]Phase 1/Phase 245 participants (Actual)Interventional2020-11-13Completed
Effects of Rifaximin on Visceral Hypersensitivity in Irritable Bowel Syndrome[NCT03462966]Phase 24 participants (Actual)Interventional2018-07-01Terminated (stopped due to recruitment challenges)
Double-blind, Placebo Controlled Trial Comparing Neomycin to Rifaximin Plus Neomycin in the Treatment of Methane Positive Subjects With Constipation-predominant Irritable Bowel Syndrome[NCT00945334]37 participants (Actual)Interventional2009-08-31Completed
[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

Change in Abdominal Pain

"Change in severity of abdominal pain from baseline, as determined from weekly average visual analog scale (VAS) scores, relative to Rifaximin alone. VAS scores allows subject to choose 0 for no pain to 100 pain as bad as it could possibly be.~The Visual Analogue Scale (VAS) measures pain intensity. The VAS consists of a 10cm line, with two end points representing 0 no pain and 100 pain as bad as it could possibly be~The change between two time points is reported baseline and 4 weeks after cessation of treatment (at 6 weeks)" (NCT04557215)
Timeframe: value at 6 weeks minus value at baseline

Interventionunits on a scale (Mean)
Rifaximin 550 mg-5.43
Rifaximin 200 mg + Placebo-8.90
Rifaximin 200 mg Plus N-acetylcysteine (NAC) 600 mg Days-5.59

Change in Stool Form

"Change in stool form from baseline, as determined from stool diary data comparing Rifaximin alone vs rifaximin and NAC~The Bristol Stool Chart, the minimum value is 1 (means constipation) and maximum value is 7 (means diarrhea).~The change between two time points is reported baseline and 4 weeks after cessation of treatment (at 6 weeks)" (NCT04557215)
Timeframe: value at 6 weeks minus value at baseline

Interventionscore on a scale (Mean)
Rifaximin 550 mg-0.26
Rifaximin 200 mg + Placebo-0.45
Rifaximin 200 mg Plus N-acetylcysteine (NAC) 600 mg Days-0.49

Change in Stool Frequency

"Change in stool frequency from baseline, as determined from diary data comparing Rifaximin alone vs Rifaximin and NAC~determined from daily stool diary data~The change in bowel movements/day between two time points is reported baseline and 4 weeks after cessation of treatment (at 6 weeks)" (NCT04557215)
Timeframe: value at 6 weeks minus value at baseline

Interventionnumber of bowel movements (Mean)
Rifaximin 550 mg-0.04
Rifaximin 200 mg + Placebo-0.50
Rifaximin 200 mg Plus N-acetylcysteine (NAC) 600 mg Days-0.24

Association of Urgency Symptom and Rectal Sensitivity Testing.

Association of urgency symptom and rectal sensitivity will be evaluated by the mean change in the balloon pressure (measured in mmHg) that leads to first urge sensation to defecate, evaluated based on the visual analogue scale defined in the primary outcome measure. (NCT03462966)
Timeframe: After completing 14-day course of rifaximin.

InterventionMillimetre of mercury (Mean)
Therapeutic106

Mean Change in the Balloon Volume (Measured in Cubic Centimeter) That Leads to First Urge to Defecate.

A 100-cubic centimeter visual analogue scale with verbal descriptors (0=no sensation, 20=first sensation, 40=first sense of urge, 60=normal urge to defecate, 80=severe urge to defecate, and 100=discomfort/pain) will be used to score evoked sensations. (NCT03462966)
Timeframe: After completing 14-day course of rifaximin.

Interventionvolume cubic centimeter (Mean)
Therapeutic37.5

Number of Participants With a Rise of Hydrogen <20 Parts Per Million Within 90 Minutes of Lactulose Ingestion.(Which is Considered Normal )

"Normalization of lactulose breath test as a potential predictor of improvement of rectal hypersensitivity will be evaluated by comparing lactulose breath test results pre- and post-treatment.~Normalization of lactulose breath test defined as rise of hydrogen <20 Parts per million within 90 minutes of lactulose ingestion.~patients with positive" (NCT03462966)
Timeframe: After completing 14-day course of rifaximin

InterventionParticipants (Count of Participants)
Therapeutic2

Change in Methane From Baseline

"Methane output was reported as methane in parts per million (ppm) on breath test:~Subjects fast for 12 h prior to a breath sample. Breath samples were collected via a Quintron dual bag collecting system and analyzed using a BreathTracker SC. Output was reported as methane in parts per million (ppm) after correction for alveolar sample quality using breath CO2 concentration." (NCT00945334)
Timeframe: Baseline (Day 0) and Final Visit (Day 44)

Interventionparts per million (Median)
Group 17.5
Group 215

Severity of Constipation in Each Arm at Week 1 After Completion of Therapy

"Visual analog scale (VAS) score for constipation:~Severity was rated using a VAS from 0 to 100 units (with 0 = no symptom and 100 = severe symptoms)." (NCT00945334)
Timeframe: 1 year

Interventionunits on a scale (Mean)
Group 161.2
Group 228.6

Reviews

3 reviews available for methane and Constipation

ArticleYear
Gut microbiota: a new avenue to reveal pathological mechanisms of constipation.
    Applied microbiology and biotechnology, 2022, Volume: 106, Issue:21

    Topics: Bile Acids and Salts; Constipation; Fatty Acids, Volatile; Gastrointestinal Microbiome; Humans; Meth

2022
Review article: inhibition of methanogenic archaea by statins as a targeted management strategy for constipation and related disorders.
    Alimentary pharmacology & therapeutics, 2016, Volume: 43, Issue:2

    Topics: Archaea; Constipation; Humans; Hydroxymethylglutaryl-CoA Reductase Inhibitors; Irritable Bowel Syndr

2016
Methane on breath testing is associated with constipation: a systematic review and meta-analysis.
    Digestive diseases and sciences, 2011, Volume: 56, Issue:6

    Topics: Breath Tests; Constipation; Humans; Methane

2011

Trials

7 trials available for methane and Constipation

ArticleYear
A Single Fasting Exhaled Methane Level Correlates With Fecal Methanogen Load, Clinical Symptoms and Accurately Detects Intestinal Methanogen Overgrowth.
    The American journal of gastroenterology, 2022, 03-01, Volume: 117, Issue:3

    Topics: Anti-Bacterial Agents; Breath Tests; Constipation; Fasting; Glucose; Humans; Irritable Bowel Syndrom

2022
A randomized double-blind placebo-controlled trial showing rifaximin to improve constipation by reducing methane production and accelerating colon transit: A pilot study.
    Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology, 2018, Volume: 37, Issue:5

    Topics: Adolescent; Adult; Aged; Breath Tests; Colon; Constipation; Double-Blind Method; Feces; Female; Gast

2018
Antibiotic treatment of constipation-predominant irritable bowel syndrome.
    Digestive diseases and sciences, 2014, Volume: 59, Issue:6

    Topics: Adult; Anti-Infective Agents; Breath Tests; Constipation; Female; Gastrointestinal Agents; Humans; I

2014
Colonic methane production modifies gastrointestinal toxicity associated with adjuvant 5-fluorouracil chemotherapy for colorectal cancer.
    Journal of clinical gastroenterology, 2013, Volume: 47, Issue:1

    Topics: Adolescent; Adult; Aged; Antimetabolites, Antineoplastic; Breath Tests; Carcinoma; Chemotherapy, Adj

2013
Neomycin improves constipation-predominant irritable bowel syndrome in a fashion that is dependent on the presence of methane gas: subanalysis of a double-blind randomized controlled study.
    Digestive diseases and sciences, 2006, Volume: 51, Issue:8

    Topics: Adult; Anti-Bacterial Agents; Breath Tests; Constipation; Double-Blind Method; Female; Follow-Up Stu

2006
Neomycin improves constipation-predominant irritable bowel syndrome in a fashion that is dependent on the presence of methane gas: subanalysis of a double-blind randomized controlled study.
    Digestive diseases and sciences, 2006, Volume: 51, Issue:8

    Topics: Adult; Anti-Bacterial Agents; Breath Tests; Constipation; Double-Blind Method; Female; Follow-Up Stu

2006
Neomycin improves constipation-predominant irritable bowel syndrome in a fashion that is dependent on the presence of methane gas: subanalysis of a double-blind randomized controlled study.
    Digestive diseases and sciences, 2006, Volume: 51, Issue:8

    Topics: Adult; Anti-Bacterial Agents; Breath Tests; Constipation; Double-Blind Method; Female; Follow-Up Stu

2006
Neomycin improves constipation-predominant irritable bowel syndrome in a fashion that is dependent on the presence of methane gas: subanalysis of a double-blind randomized controlled study.
    Digestive diseases and sciences, 2006, Volume: 51, Issue:8

    Topics: Adult; Anti-Bacterial Agents; Breath Tests; Constipation; Double-Blind Method; Female; Follow-Up Stu

2006
Neomycin improves constipation-predominant irritable bowel syndrome in a fashion that is dependent on the presence of methane gas: subanalysis of a double-blind randomized controlled study.
    Digestive diseases and sciences, 2006, Volume: 51, Issue:8

    Topics: Adult; Anti-Bacterial Agents; Breath Tests; Constipation; Double-Blind Method; Female; Follow-Up Stu

2006
Neomycin improves constipation-predominant irritable bowel syndrome in a fashion that is dependent on the presence of methane gas: subanalysis of a double-blind randomized controlled study.
    Digestive diseases and sciences, 2006, Volume: 51, Issue:8

    Topics: Adult; Anti-Bacterial Agents; Breath Tests; Constipation; Double-Blind Method; Female; Follow-Up Stu

2006
Neomycin improves constipation-predominant irritable bowel syndrome in a fashion that is dependent on the presence of methane gas: subanalysis of a double-blind randomized controlled study.
    Digestive diseases and sciences, 2006, Volume: 51, Issue:8

    Topics: Adult; Anti-Bacterial Agents; Breath Tests; Constipation; Double-Blind Method; Female; Follow-Up Stu

2006
Neomycin improves constipation-predominant irritable bowel syndrome in a fashion that is dependent on the presence of methane gas: subanalysis of a double-blind randomized controlled study.
    Digestive diseases and sciences, 2006, Volume: 51, Issue:8

    Topics: Adult; Anti-Bacterial Agents; Breath Tests; Constipation; Double-Blind Method; Female; Follow-Up Stu

2006
Neomycin improves constipation-predominant irritable bowel syndrome in a fashion that is dependent on the presence of methane gas: subanalysis of a double-blind randomized controlled study.
    Digestive diseases and sciences, 2006, Volume: 51, Issue:8

    Topics: Adult; Anti-Bacterial Agents; Breath Tests; Constipation; Double-Blind Method; Female; Follow-Up Stu

2006
The degree of breath methane production in IBS correlates with the severity of constipation.
    The American journal of gastroenterology, 2007, Volume: 102, Issue:4

    Topics: Adolescent; Adult; Aged; Analysis of Variance; Breath Tests; Case-Control Studies; Constipation; Dou

2007
[Trial of a rapid-acting laxative (Laxagetten--suppositories)].
    Munchener medizinische Wochenschrift (1950), 1971, Sep-17, Volume: 113, Issue:28

    Topics: Acetates; Cathartics; Clinical Trials as Topic; Constipation; Cresols; Defecation; Humans; Indoles;

1971

Other Studies

30 other studies available for methane and Constipation

ArticleYear
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
Small Intestinal Bacterial Overgrowth In Various Functional Gastrointestinal Disorders: A Case-Control Study.
    Digestive diseases and sciences, 2022, Volume: 67, Issue:8

    Topics: Adult; Breath Tests; Case-Control Studies; Constipation; Humans; Intestine, Small; Irritable Bowel S

2022
Effect of Lactobacillus reuteri (DSM 17938) on methane production in patients affected by functional constipation: a retrospective study.
    European review for medical and pharmacological sciences, 2017, Volume: 21, Issue:7

    Topics: Adult; Constipation; Female; Humans; Lactulose; Limosilactobacillus reuteri; Methane; Probiotics; Re

2017
Development of a Modified-Release Formulation of Lovastatin Targeted to Intestinal Methanogens Implicated in Irritable Bowel Syndrome With Constipation.
    Journal of pharmaceutical sciences, 2018, Volume: 107, Issue:2

    Topics: Animals; Anticholesteremic Agents; Chemistry, Pharmaceutical; Constipation; Dogs; Drug Delivery Syst

2018
Survey of archaea in the body reveals other microbial guests.
    Science (New York, N.Y.), 2017, Nov-24, Volume: 358, Issue:6366

    Topics: Constipation; Digestion; Gastrointestinal Microbiome; Gastrointestinal Tract; Humans; Lung; Methane;

2017
The association between a positive lactulose methane breath test and rectocele in constipated patients.
    Revista espanola de enfermedades digestivas, 2018, Volume: 110, Issue:2

    Topics: Adult; Aged; Breath Tests; Colon; Constipation; Female; Humans; Lactulose; Male; Methane; Middle Age

2018
A novel treatment for patients with constipation: Dawn of a new age for translational microbiome research?
    Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology, 2018, Volume: 37, Issue:5

    Topics: Colon; Constipation; Double-Blind Method; Humans; Methane; Microbiota; Pilot Projects; Rifaximin

2018
Breath Methane Does Not Correlate With Constipation Severity or Bloating in Patients With Constipation.
    Journal of clinical gastroenterology, 2020, Volume: 54, Issue:4

    Topics: Breath Tests; Constipation; Diarrhea; Humans; Irritable Bowel Syndrome; Methane

2020
The prevalence of small intestinal bacterial overgrowth and methane production in patients with myelomeningocele and constipation.
    Spinal cord, 2014, Volume: 52, Issue:1

    Topics: Adolescent; Breath Tests; Constipation; Female; Flatulence; Gastrointestinal Transit; Humans; Intest

2014
Breath methane in functional constipation: response to treatment with Ispaghula husk.
    Neurogastroenterology and motility, 2015, Volume: 27, Issue:7

    Topics: Adult; Breath Tests; Cathartics; Colon; Constipation; Female; Gastrointestinal Transit; Humans; Male

2015
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
Relationship Between Microbiota of the Colonic Mucosa vs Feces and Symptoms, Colonic Transit, and Methane Production in Female Patients With Chronic Constipation.
    Gastroenterology, 2016, Volume: 150, Issue:2

    Topics: Adult; Algorithms; Bacteria; Breath Tests; Case-Control Studies; Chronic Disease; Colon; Constipatio

2016
Constipation and the Microbiome: Lumen Versus Mucosa!
    Gastroenterology, 2016, Volume: 150, Issue:2

    Topics: Bacteria; Colon; Constipation; Feces; Female; Gastrointestinal Microbiome; Gastrointestinal Transit;

2016
Breath Methane Levels Are Increased Among Patients with Diverticulosis.
    Digestive diseases and sciences, 2016, Volume: 61, Issue:9

    Topics: Age Factors; Antihypertensive Agents; Breath Tests; Case-Control Studies; Celiac Disease; Colonoscop

2016
Irritable Bowel Syndrome, Particularly the Constipation-Predominant Form, Involves an Increase in
    Gut and liver, 2016, Nov-15, Volume: 10, Issue:6

    Topics: Adult; Aged; Area Under Curve; Breath Tests; Case-Control Studies; Constipation; Diarrhea; Feces; Fe

2016
Assessing the colonic microbiome, hydrogenogenic and hydrogenotrophic genes, transit and breath methane in constipation.
    Neurogastroenterology and motility, 2017, Volume: 29, Issue:10

    Topics: Adult; Breath Tests; Constipation; DNA, Bacterial; Female; Gastrointestinal Microbiome; Gastrointest

2017
Evaluating breath methane as a diagnostic test for constipation-predominant IBS.
    Digestive diseases and sciences, 2010, Volume: 55, Issue:2

    Topics: Adult; Breath Tests; Constipation; Diagnosis, Differential; Female; Follow-Up Studies; Humans; Irrit

2010
Methanogenic flora is associated with altered colonic transit but not stool characteristics in constipation without IBS.
    The American journal of gastroenterology, 2010, Volume: 105, Issue:6

    Topics: Adult; Aged; Colon; Constipation; Feces; Gastrointestinal Transit; Humans; Irritable Bowel Syndrome;

2010
Factor analysis demonstrates a symptom cluster related to methane and non-methane production in irritable bowel syndrome.
    Journal of clinical gastroenterology, 2011, Volume: 45, Issue:1

    Topics: Breath Tests; Constipation; Diarrhea; Factor Analysis, Statistical; Humans; Irritable Bowel Syndrome

2011
Methanogenic flora and constipation: many doubts for a pathogenetic link.
    The American journal of gastroenterology, 2010, Volume: 105, Issue:10

    Topics: Colon; Constipation; Gastrointestinal Transit; Humans; Methane

2010
Constipation, breath methane, and orocecal transit time for a bean meal test.
    The Journal of pediatrics, 2011, Volume: 159, Issue:1

    Topics: Breath Tests; Child; Constipation; Gastrointestinal Transit; Humans; Intestine, Small; Methane

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
Breath methane positivity is more common and higher in patients with objectively proven delayed transit constipation.
    European journal of gastroenterology & hepatology, 2013, Volume: 25, Issue:6

    Topics: Adult; Aged; Aged, 80 and over; Anal Canal; Breath Tests; Constipation; Female; Gastrointestinal Tra

2013
Methane production during lactulose breath test is associated with gastrointestinal disease presentation.
    Digestive diseases and sciences, 2003, Volume: 48, Issue:1

    Topics: Breath Tests; Colitis, Ulcerative; Constipation; Crohn Disease; Databases, Factual; Gastrointestinal

2003
[Clinical study of a new laxative: (4-4, diacetoxy-diphenyl)-(pyridyl 2)-methane].
    Revue medicale de Liege, 1958, Oct-15, Volume: 13, Issue:20

    Topics: Biomedical Research; Biphenyl Compounds; Cathartics; Constipation; Humans; Laxatives; Methane

1958
[USE OF A SUPPOSITORY OF 4,4-DIACETOXY-DIPHENYL-PYRIDYL-2-METHANE IN HOSPITAL CLINICAL PRACTICE].
    Hospital (Rio de Janeiro, Brazil), 1964, Volume: 66

    Topics: Biphenyl Compounds; Cathartics; Constipation; Diphenhydramine; Hospitals; Humans; Methane; Supposito

1964
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
Breath methane associated with slow colonic transit time in children with chronic constipation.
    Journal of clinical gastroenterology, 2005, Volume: 39, Issue:6

    Topics: Adolescent; Breath Tests; Chi-Square Distribution; Child; Child, Preschool; Chronic Disease; Constip

2005
Breath methane production in children with constipation and encopresis.
    Journal of pediatric gastroenterology and nutrition, 1990, Volume: 10, Issue:4

    Topics: Age Factors; Breath Tests; Cathartics; Child; Constipation; Dietary Fiber; Encopresis; Female; Human

1990