Constipation · bloatingOngoingCase study B · early response

Bloating that eased within weeks, and the plan we adjusted as she went

Ananya* came to us with daily bloating and constipation. This is her plan so far, in her own words. Her programme is continuing.

Gender
Woman
Age
72
City
Mumbai
Main concern
Bloating and constipation
Programme
Gut test, food plan, daily synbiotic
Reported through
First 6 weeks, ongoing
The starting point

Daily bloating and slow bowels

On her intake survey Ananya rated bloating after meals 5 out of 5 and acidity 4 out of 5, and she reported severe constipation. She eats a vegetarian, low-FODMAP style diet.

Inside the sachets

What went in, and why

Phase 1 · weeks 1 to 3

Her daily bloating and slow bowels pointed to digestion and motility, so we began with L. rhamnosus GG (5 billion CFU), B. lactis (3 billion) and two L. reuteri strains (3.5 billion in total), which are studied for motility and gas, with digestive enzymes (amylase, protease and lipase) to ease the load on a bloated gut. To support these strains we added acacia fibre, a gentle soluble fibre that lactobacilli feed on. Her dose stepped up slowly, from a quarter sachet to a full one.

What we observed: in the first days she wrote that bowel movements had improved a little, and by week 2 that bloating was slowly coming down, that she had no hard stools, and that the sachets were suiting her with no side effects.

Phase 2 · mornings

Bloating had eased but evacuation was still incomplete, so we moved to a morning blend for slow-moving bowels rather than pushing on. We used B. animalis (6 billion CFU), the strain studied for normalising stools, with L. rhamnosus GR-1 (3 billion), L. reuteri (1 billion) and L. gasseri (2 billion). To support these strains we added a high dose of partially hydrolysed guar gum (1 g), a fibre that feeds them with little gas so a bloated gut is not pushed harder. She again started at a quarter sachet and built up.

What we observed: by the fourth week she wrote that she was not bloating much now, that her stools were softer, and that the morning sachet suited her very well.

Phase 2 · evenings

With dinner we added strains studied for the gut-brain axis (L. helveticus R0052, L. plantarum PS128, B. longum 1714 and B. longum BB536), with magnesium bisglycinate to relax gut muscle and support sleep, and guar gum with galacto-oligosaccharides as the fibre.

Next phase · gut lining

We are working on the gut lining first and will return to a lining-repair blend as the lining thickens. It uses B. infantis 35624, B. longum BB536, L. plantarum and L. rhamnosus GG with sodium butyrate and zinc L-carnosine, supported by guar gum.

What we observed: this phase is still to come.

In their words

What was reported

Week 2

Bloating coming down, no hard stools

“Bloating is slowly coming down”

She added that the medication was suiting her, with no side effects.

Message at week 2
Message at week 2
Week 4

Bloating down, stools softer

“Not bloating much now. Stools are softer”

She added that the morning sachet suited her very well.

Messages at week 4
Messages at week 4
Week 6

Tolerating the new sachets, no weight gain

“So far so good, they agree with me”

She also reported that she had not put on any weight.

Messages at week 6
Messages at week 6
What we saw

The evidence

From the first quarter-sachet days she noted bowel movements improving, by week 2 that bloating was coming down with no hard stools and no side effects, and by the fourth week that she was not bloating much and that her stools were softer. In week 6 she reported the newer sachets agreed with her and that she had not put on any weight. She also changed her diet in the same weeks. Evacuation was still incomplete, so we adjusted the plan and will work on the gut lining next. Her programme is ongoing.

Curious what your gut is doing?

Programmes begin with the same gut test. Your plan is built from your own results.

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* Ananya is a pseudonym, used to protect the participant's privacy.

Results are individual and not guaranteed. BioMeBar products are nutritional supplements and are not intended to diagnose, treat, cure or prevent any disease. This page is not medical advice; speak with your doctor before changing medication or diet, and before giving any supplement to a child.