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. 1984 Feb;25(2):168–173. doi: 10.1136/gut.25.2.168

What is the benefit of coarse wheat bran in patients with irritable bowel syndrome?

P A Cann, N W Read, C D Holdsworth
PMCID: PMC1432266  PMID: 6319244

Abstract

The effect of open treatment with coarse wheat bran was compared with response to placebo, given in the form of a double blind, cross over drug trial, in patients with irritable bowel syndrome. Both bran and placebo significantly reduced the severity of most of the symptoms. Constipation was the only symptom that improved significantly with bran, but not with placebo, and was the only symptom that predicted a successful outcome with bran. Diarrhoea did not improve with bran. In fact, stools became less formed in patients presenting with this symptom. The incidence of pain and urgency was significantly more frequent on bran compared with placebo. Compared with a baseline period, bran treatment resulted in an acceleration of whole gut transit time (p less than 0.05) increases in daily stool weight (p less than 0.01) and the proportion of unformed stools (p less than 0.01) but no change in stool frequency. Coarse wheat bran was no better than placebo for most symptoms in irritable bowel syndrome, although its efficacy in constipation was confirmed.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Brodribb A. J. Treatment of symptomatic diverticular disease with a high-fibre diet. Lancet. 1977 Mar 26;1(8013):664–666. doi: 10.1016/s0140-6736(77)92112-2. [DOI] [PubMed] [Google Scholar]
  2. Harvey R. F., Pomare E. W., Heaton K. W. Effects of increased dietary fibre on intestinal transit. Lancet. 1973 Jun 9;1(7815):1278–1280. doi: 10.1016/s0140-6736(73)91294-4. [DOI] [PubMed] [Google Scholar]
  3. Hinton J. M., Lennard-Jones J. E., Young A. C. A ne method for studying gut transit times using radioopaque markers. Gut. 1969 Oct;10(10):842–847. doi: 10.1136/gut.10.10.842. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Kirwan W. O., Smith A. N., McConnell A. A., Mitchell W. D., Eastwood M. A. Action of different bran preparations on colonic function. Br Med J. 1974 Oct 26;4(5938):187–189. doi: 10.1136/bmj.4.5938.187. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Manning A. P., Heaton K. W., Harvey R. F. Wheat fibre and irritable bowel syndrome. A controlled trial. Lancet. 1977 Aug 27;2(8035):417–418. doi: 10.1016/s0140-6736(77)90605-5. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Manning A. P., Heaton K. W. Letter: Bran and the irritable bowel. Lancet. 1976 Mar 13;1(7959):588–588. doi: 10.1016/s0140-6736(76)90384-6. [DOI] [PubMed] [Google Scholar]
  7. Ritchie J. A., Truelove S. C. Comparison of various treatments for irritable bowel syndrome. Br Med J. 1980 Nov 15;281(6251):1317–1319. doi: 10.1136/bmj.281.6251.1317. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Ritchie J. A., Truelove S. C. Treatment of irritable bowel syndrome with lorazepam, hyoscine butylbromide, and ispaghula husk. Br Med J. 1979 Feb 10;1(6160):376–378. doi: 10.1136/bmj.1.6160.376. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Ritchie J. The irritable bowel syndrome. Practitioner. 1982 Apr;226(1366):633-4, 638-41. [PubMed] [Google Scholar]
  10. Soltoft J., Krag B., Gudmand-Hoyer E., Kristensen E., Wulff H. R. A double-blind trial of the effect of wheat bran on symptoms of irritable bowel syndrome. Lancet. 1976 Feb 7;1(7954):270–272. doi: 10.1016/s0140-6736(76)91402-1. [DOI] [PubMed] [Google Scholar]

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