Bacillus coagulans (spore-forming probiotic) and IBS

What 3 graded rows on bacillus coagulans (spore-forming probiotic) agree on for IBS, and where they differ. Counted side by side, never averaged.

What the rows agree on

Each block and row is one graded row from the Bacillus coagulans (spore-forming probiotic) page, with its PubMed record.

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Bacillus coagulans (spore-forming probiotic) and IBS

3 rows · 325 people

They agree: all 3 rows found an improvement.

No difference
Improved
Each block is one evidence row, sized by how many people it enrolled, with its grade inside.
  • Grade B× 1
  • Grade D× 2
Rows
3
Trials
4
People
325
Pooled reviews may count some twice

What the rows share

From the rows

The best-graded row, grade B, is a meta-analysis of 249 people (2026) and found an improvement.

The rows run from 36 to 249 people, published from 2016 to 2026: 1 pooled review and 2 single studies.

The rows

3 improved
  1. Grade BIBS symptoms (Unique IS2) · Improved

    Meta-analysis, 2 studies · n 249 · 2026 · 2 placebo-controlled trials of Unique IS2 in IBS: adults aged 18–60 (108 in the meta-analysis of 136 randomised) and children aged 4–12 (141)

    2 billion CFU daily in adults; one chewable tablet daily in children · 8 weeks

    Pooled, Unique IS2 reduced abdominal pain, bloating, urgency, incomplete evacuation, straining, flatulence, bowel-habit dissatisfaction and overall IBS symptoms, and normalised stool consistency more often than placebo; adverse effects did not differ.

    Row on the Bacillus coagulans (spore-forming probiotic) page · PubMed 41682832 (opens PubMed)

  2. Grade DIBS symptoms and stool consistency · Improved

    RCT · n 40 · 2021 · Adults aged 18–65 with IBS (Rome IV)

    6 billion CFU daily · 80 days

    Digestive symptom scores (bloating/cramping, pain, diarrhoea, constipation and others) improved significantly versus placebo; 38 completed per protocol; no serious adverse events.

    Row on the Bacillus coagulans (spore-forming probiotic) page · PubMed 33545934 (opens PubMed)

  3. Grade DDiarrhoea-predominant IBS symptoms · Improved

    Pilot RCT · n 36 · 2016 · Newly diagnosed adults with diarrhoea-predominant IBS at three centres, on standard care

    2 billion CFU daily · 90 days

    Bloating, vomiting, diarrhoea, abdominal pain and stool frequency fell significantly more than with placebo (p<0.01), and quality of life improved.

    Row on the Bacillus coagulans (spore-forming probiotic) page · PubMed 26922379 (opens PubMed)

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