Randomised trial · Medicine · 2021Conflicts declared

Bacillus coagulans LBSC and irritable bowel syndrome symptoms in people

What it found

In 38 people with irritable bowel syndrome, Bacillus coagulans LBSC reduced bloating, pain, diarrhea, constipation, nausea, vomiting, headache and anxiety compared to a dummy powder.

It also improved stool consistency over 80 days.

What they found

Studies in people

Gut symptom relief

People taking the probiotic reported less bloating, cramping, stomach pain, diarrhea, constipation, stomach rumbling, nausea and vomiting than those on the dummy powder. Headache and anxiety also improved more in the probiotic group.

Symptom severity scores

By the end of the trial, 63.16% of the probiotic group reported having no symptoms at all. In the dummy powder group, only 21.05% reached that point.

Stool consistency

Normal stools were seen in 63.15% of the probiotic group by the end of the study. Only 31.57% of the dummy powder group had normal stools at that time. No one in the probiotic group still had severe constipation at the end.

Safety checks

Vital signs, blood tests and upper gut camera checks showed no meaningful differences between the two groups. No serious unwanted health events were linked to the probiotic.

Daily life improvements

Questionnaires about daily life showed better results for the probiotic group. They reported improvements in pain, gut issues, mental well-being and how much their condition affected everyday activities.

What the authors conclude

  • They conclude that Bacillus coagulans LBSC was well tolerated and eased overall gut symptoms in people with irritable bowel syndrome.
  • Their results suggest the probiotic improved stool consistency and daily quality of life over the 80 day period.
  • The authors advise it could be used as a supplement to help manage this gut condition in adults.

How it was done

Irritable bowel syndrome affects many people worldwide, and current treatments like special diets or antibiotics have drawbacks. The authors wanted to see if this specific probiotic strain could ease gut symptoms and improve daily life.

They enrolled 40 adults aged 18 to 65 who had irritable bowel syndrome. Half took the probiotic at 2 billion spores three times a day, and half took a dummy powder, for 80 days. Two people dropped out, leaving 38 who finished the trial.

What it can’t tell you

  • This trial lasted 80 days, so it cannot show whether the benefits last over months or years.
  • Only 38 people finished the study, which is a small group, so the results might not apply to everyone with irritable bowel syndrome.

The paper

Title
Efficacy and safety of Bacillus coagulans LBSC in irritable bowel syndrome: A prospective, interventional, randomized, double-blind, placebo-controlled clinical study [CONSORT Compliant]
Type
Randomised controlled trial
Evidence
Studies in people
Summarised from
Full text
Cite
Gupta AK, Maity C (2021). Efficacy and safety of Bacillus coagulans LBSC in irritable bowel syndrome: A prospective, interventional, randomized, double-blind, placebo-controlled clinical study [CONSORT Compliant]. Medicine. doi:10.1097/MD.0000000000023641Free full textPubMed 33545934DOI

Summary written 1 Oct 2026. Check it against the paper before it changes what you eat. How we summarise papers · Report an error