Related Experiment Video
Updated: Jun 4, 2026

The Use of an Automated System (GreenFeed) to Monitor Enteric Methane and Carbon Dioxide Emissions from Ruminant Animals
Published on: September 7, 2015
Methane on breath testing is associated with constipation: a systematic review and meta-analysis
David Kunkel1, Robert J Basseri, Marc D Makhani
1GI Motility Program, Cedars-Sinai Medical Center, 8730 Alden Drive, Thalians Building, 2nd Floor East, Los Angeles, CA, 90048, USA.
Methane detected via breath test is significantly linked to constipation, including in cases of Irritable Bowel Syndrome (IBS). This finding suggests breath testing and methane detection could aid in diagnosing and treating constipation.
Area of Science:
- Gastroenterology
- Microbiome Research
- Digestive Health
Background:
- Growing evidence links methane production to constipation severity.
- Antibiotic treatment has shown efficacy in improving constipation.
Purpose of the Study:
- To systematically review and meta-analyze the evidence on the association between methane and constipation.
- To assess the diagnostic utility of breath testing for methane in constipation.
Main Methods:
- Systematic literature search of MEDLINE and Embase databases.
- Meta-analysis of nine studies (1,277 subjects) assessing methane via breath test in constipated individuals.
- Systematic review of eight additional studies on intestinal transit in methane-producing versus non-methane-producing subjects.
Main Results:
- A significant association was found between methane on breath test and constipation (OR = 3.51).
- This association remained significant in adults and in subjects with Irritable Bowel Syndrome (IBS).
- All reviewed studies demonstrated a link between methane and delayed intestinal transit.
Conclusions:
- Methane detected by breath testing is significantly associated with constipation in both IBS and functional constipation.
- Breath testing may be a valuable tool for evaluating constipation.
- Methane detection could help identify patients who may benefit from antibiotic therapy for constipation.
Related Concept Videos
Assessment of the Rectum and Anus
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Serum Laboratory Studies, Stool Test, Breath Test
Drugs for Treatment of Constipation-Predominant IBS
Intestinal Obstruction II: Pathophysiology
Microbes and Methanogenesis
Drugs Affecting GI Tract Motility: Bulk-Forming and Stimulant Laxatives
Bulk-forming laxatives, such as psyllium, methylcellulose, and polycarbophil, absorb water in the intestine, increasing stool bulk and promoting bowel movement. This makes...
![Assessment of Gastric Emptying in Non-obese Diabetic Mice Using a [13C]-octanoic Acid Breath Test](/_next/image?url=https%3A%2F%2Fcloudfront.jove.com%2FCDNSource%2Fteasers%2F50301.jpg&w=3840&q=50)