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Bran and irritable bowel syndrome: time for reappraisal.

Abstract

Whilst following up large numbers of patients with irritable bowel syndrome we got the impression that wholemeal wheat and bran products made people with the condition worse rather than better. One hundred consecutive new referrals, all of whom had tried bran, were questioned to resolve this issue. 55% of patients were made worse by bran whereas only 10% had found it helpful. With the exception of fruit, other forms of dietary fibre were not as detrimental and proprietary supplements were found to be beneficial. All symptoms of irritable bowel syndrome were exacerbated by bran, with bowel disturbance most often adversely affected, followed by abdominal distension and pain. The results of this study suggest that the use of bran in irritable bowel syndrome should be reconsidered. The study also raises the possibility that excessive consumption of bran in the community may actually be creating patients with irritable bowel syndrome by exacerbating mild, non-complaining cases.

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  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Department of Medicine, University Hospital of South Manchester, UK.

    Source

    Lancet (London, England) 344:8914 1994 Jul 02 pg 39-40

    MeSH

    Colonic Diseases, Functional
    Dietary Fiber
    Humans

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    7912305

    Citation

    Francis, C Y., and P J. Whorwell. "Bran and Irritable Bowel Syndrome: Time for Reappraisal." Lancet (London, England), vol. 344, no. 8914, 1994, pp. 39-40.
    Francis CY, Whorwell PJ. Bran and irritable bowel syndrome: time for reappraisal. Lancet. 1994;344(8914):39-40.
    Francis, C. Y., & Whorwell, P. J. (1994). Bran and irritable bowel syndrome: time for reappraisal. Lancet (London, England), 344(8914), pp. 39-40.
    Francis CY, Whorwell PJ. Bran and Irritable Bowel Syndrome: Time for Reappraisal. Lancet. 1994 Jul 2;344(8914):39-40. PubMed PMID: 7912305.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Bran and irritable bowel syndrome: time for reappraisal. AU - Francis,C Y, AU - Whorwell,P J, PY - 1994/7/2/pubmed PY - 1994/7/2/medline PY - 1994/7/2/entrez SP - 39 EP - 40 JF - Lancet (London, England) JO - Lancet VL - 344 IS - 8914 N2 - Whilst following up large numbers of patients with irritable bowel syndrome we got the impression that wholemeal wheat and bran products made people with the condition worse rather than better. One hundred consecutive new referrals, all of whom had tried bran, were questioned to resolve this issue. 55% of patients were made worse by bran whereas only 10% had found it helpful. With the exception of fruit, other forms of dietary fibre were not as detrimental and proprietary supplements were found to be beneficial. All symptoms of irritable bowel syndrome were exacerbated by bran, with bowel disturbance most often adversely affected, followed by abdominal distension and pain. The results of this study suggest that the use of bran in irritable bowel syndrome should be reconsidered. The study also raises the possibility that excessive consumption of bran in the community may actually be creating patients with irritable bowel syndrome by exacerbating mild, non-complaining cases. SN - 0140-6736 UR - https://www.unboundmedicine.com/medline/citation/7912305/full_citation L2 - https://linkinghub.elsevier.com/retrieve/pii/S0140-6736(94)91055-3 DB - PRIME DP - Unbound Medicine ER -