Hi just wondering if anyone has suggestions on good probiotics and/or yogurts which are good for IBS-D. I think Activia is more for IBS-C, so wondering if there are good alternatives for D-predominant folks.
hIHi Here is some info on probiotics that you may find helpful.the following strains have teh most research behind them in IBS studies with good positive outcomes in studies.L. bulgaricus, L. reuteri, L. plantarum, L. casei, B. bifidus, Lactobacillus Plantrum 299V, S. salivarius, and S. thermophilus and the yeast Saccharomyces boulardii. Bifidobacterium infantis 35624, Biffidobacterium Bb12, Acidophilus La5, THERE ARE MANY MANY OTHERS though!here is some general info on taking them, if you dont already know it!They are best taken in the morning on an empty stomach, 30 minutes before food. ideally they should be taken for at least 3 weeks as it may take that long to see any results. although some people have a very good reaction in days. after 2 to 3 months they should be stopped for a while. if after a few days you start to notice that you can feel a physical difference or a worsening of your symptoms, start taking them again. other wise, there is no need to continue taking them untill you feel that you do need them. there isnt any harm in taking them as a permanant suppliment if they are taken is small numbers like in actimel or activia yoghurt, but if you are taking 10 billion cultures a day, it is good to give the body a break every now and then.also If at all possible, replace the FOS prebiotic with natural fruit and veg if you can tollerate it. FOS can play hell with the tummy in some people while it dosent bother others.After you start to take the probiotics, you may feel initially worse for a day to a week or so. this is called the herx reaction and unfortunately is perfectly normal. (Google it to get more detailed info). some people are not affected by herx and some are.if it gets too much though, just stopp teh probiotics for a few days and re start them at a half dose for a two weeks, then a three quarter dose for two weeks and then the full dose, and see how you get on with that.The Bifidobacterium infantis 35624 are showing very good results consistently for IBS and there is also emerging studies that may show it does good things for SIBO as well, teh Lactobacillus Plantrum 299V seems to get on very well with women for reasons as yet unknown (although i am hatching a theory or two!)if you can, try and avoid supermarket own brand probiotics and get them from a good healthfood store. if they are astronomically expensive, your probably paying for the name of the brand rather than anything else, so check the strains and ingredients against other brands so you dont spend more than you have to. personally i think all probiotucs should be free for all.Here is a list of probiotics and OTC products that containthem by strain.http://en.wikipedia.org/wiki/ProbioticYou should not take probiotics if you are seriously ill or have Serious panctriatic illness or if you are suffering from any illness which impares your imune system without taking advice from your doctor. CHeersIan
I am not aware of any specific guidelines about when or how to take probiotics. Perhaps it is suggested to take them with food so that the acid in your stomach doesn't damage them too badly if taken on an empty stomach. That's just a hunch and not terribly scientific.Jeff
Generally you should follow the manufacturers instructions, i only reccomend taking them on an empty stomsch because they leave the stomach much quicker when its empty than if they are taken with foods. this is especially true for powdered probiotics that pass through the stomach at the same time as the water that they are taken with. the manufacturer may have found that the type that you are taking work better with with food. cheersIan
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