The Mail on Sunday

Vibrating pill to get sluggish systems moving

- By Barney Calman

RELIEF from chronic constipati­on could soon come from an easyto-swallow vibrating capsule.

The gadget, called Vibrant and about the size of a fish-oil supplement, sends out pulses that, the designers claim, stimulate natural movements in the gut.

While Vibrant is still under developmen­t by its Israeli manufactur­er, the latest data from its largest trial so far, involving more than 300 patients, suggests it can double the number of weekly bowel movements in constipati­on sufferers.

Constipati­on affects about six million people in the UK – threequart­ers of sufferers are women and the prevalence increases with age. Common causes include not eating enough fibre, found in fruit and vegetables, or drinking enough water. Lack of exercise, stress and a side effect of some medication­s can also be to blame.

Treatment usually involves laxatives – drugs which work either by stimulatin­g muscles in the gut or increasing the amount of water in the bowel to soften stools and aid the digestive process. However, these are not designed for longterm use.

Fibre supplement­s, which add bulk to stools and make them easier to pass, are also recommende­d by

‘It is designed to mimic what happens normally’

doctors, but these can cause pain from excess gas and bloating.

Dr Satish Rao, professor of medicine at Medical College of Georgia, Augusta, who led the Vibrant trial and presented the results at the American College of Gastroente­rology conference, said: ‘The pill is designed to induce local contractio­ns of the colon to mimic what happens normally.’

Before the Vibrant capsule is swallowed, it is inserted into a base unit which programs it to activate at a set time the following day. In the study it was instructed to run for two cycles – one starting at 6am and another at noon. A cycle lasts two hours, during which the capsule vibrates for three seconds followed by 16 seconds of rest.

The capsule is tracked in the patient’s body via a smartphone app, which records its progress and the number of bowel movements, among other things. Each one lasts a day and is later passed out naturally.

The trial results showed that the treatment lessened the amount participan­ts had to strain and improved stool consistenc­y. Some users said they could feel the capsule’s vibrations during the cycles, but no side effects were reported.

Dr Rao added: ‘The lack of side effects is really a huge plus. I think it will benefit people with both occasional or chronic constipati­on.

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