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Participants with constipation will take enzyme-rich malt extract for 4 weeks whilst completing a daily bowel habit diary before and during intervention.
This pilot study is an open label, pre-post interventional study to evaluate the use of ERME in the treatment of people with chronic constipation.
This study involves eligible participants that have a diagnosis constipation according to the Knowles-Eccersley-Scott Score (KESS). Participants will receive intervention with a food supplement enzyme-rich malt extract (ERME) at a dose of 15ml twice daily with food.
Before intervention commences, participants will complete baseline breath samples and a 7 day stool diary to assess stool frequency and consistency.
Participants will then receive the ERME as instructed and continue to complete a bowel diary. Then at 4 weeks since starting the intervention, participants will provide another breath sample and complete another set of breath samples.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Enzyme-rich malt extract | Experimental | Enzyme-rich malt extract (15 ml b.i.d with food) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Enzyme-rich malt extract | Dietary Supplement | Enzyme-rich malt extract (ERME) is a by-product of the malting process in which the cereal grain barley is dried. The ingredients are 100% barley malt extract. It smells and tastes sweet, with a runny jam-like texture. Malt extract has been used as a food stuff in baking and cookery for many years, but ERME is extracted by means which retains more active enzymes, such as amylase. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in constipation score | according to Knowels-Eccersley-Scott Symptom (KESS) score (likert scale of 0-3/4 with maximum score 39). Higher score = more severe | 35 days |
| Measure | Description | Time Frame |
|---|---|---|
| Change in stool frequency | according to number of weekly bowel movements | 35 days |
| Change in breath methane levels | fasting breath methane levels (ppm) |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Functional Gut Clinic | Manchester | Greater Manchester | M2 4NG | United Kingdom |
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| Label | URL |
|---|---|
| Related Info | View source |
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| ID | Term |
|---|---|
| D003248 | Constipation |
| ID | Term |
|---|---|
| D012817 | Signs and Symptoms, Digestive |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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Prospective Cohort
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Open label, single arm
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|
| 35 days |
| Change in bloating | according to daily visual analog scale | 35 days |
| Change in abdominal pain | according to daily visual analog scale | 35 days |
| Change in flatulence | according to daily visual analog scale | 35 days |