Which Probiotics Are Beneficial For Ibs Diarrhea?

Forbes Health Advisory recommends VSL3 as a potent probiotic for people with IBS, particularly those with IBS-C (IBS with constipation) or IBS-D (IBS with diarrhea). Saccharomyces boulardii is the primary probiotic recommendation for IBS-D. Bifidobacterium likely has a beneficial effect in symptom relief of IBS either as a single agent or in combination with other probiotics. The most effective probiotics for IBS seem to be those containing Bifidobacterium infantis and other strains of bifida bacteria. Most probiotics used in IBS treatment fall under two main groups: Lactobacillus and Bifidobacterium. A trial involving IBS-D patients found that Lactobacillus plantarum may help. People with IBS-D who took a supplement containing Bacillus coagulans strain LBSC (DSM17654) have been shown to be efficacious in alleviating IBS symptoms such as bloating, abdominal pain, and diarrhea. If you tend towards diarrhea and soft motions with your IBS, probiotic supplements containing Saccharomyces boulardii may be beneficial.

What is the best probiotic for gut problems?

Best probiotic for gut healthBifidobacterium bifidum. Lactobacillus acidophilus. Lactobacillus plantarum.

We know that good health starts in the gut. In fact, 40 trillion bacteria are working all the time to keep you well! But how healthy is your gut?

Read on to get started on your journey to good gut health: learn more about the signs of an unhealthy gut, why gut health affects more than just your digestion, and the best probiotic for gut health.

• The gut microbiome
• Why is gut health important?
• Signs of an unhealthy gut
• Best probiotics for gut health
• 10 ways to improve your gut health naturally

What is the best probiotic to reduce gut inflammation?

Why We Recommend It. If you’re struggling with inflammation, Ritual Synbiotic+ is a product you may want to consider. Not only does each capsule contain two highly clinically researched probiotics shown to help reduce the inflammatory response of the gut — Lactobacillus rhamnosus and Bifidobacterium animalis ssp. lactis —but they also contain a prebiotic and postbiotic blend. Prebiotics are essentially non-digestible fibers that serve as food to help probiotics thrive. Conversely, postbiotics are the organisms that are produced when probiotics (the living bacteria) feed on prebiotics (non-digestible components of food) through a fermentation process. Postbiotics can provide energy to the cells in our gut for “good” bacteria to flourish, while other postbiotics can help limit the growth of “bad” bacteria.

Ritual’s Synbiotic+ capsules are “delayed-release capsules,” meaning they won’t release their contents until they reach your colon, as opposed to getting released in your stomach. The stomach is an acidic environment that can kill bacteria, so you want these probiotics to stay alive until they reach your gut, where they are needed. We love that the company holds itself to the highest quality standards. You can trust that what is written on the label is what you are getting, and Ritual is transparent about its supply chain, testing, and sourcing, including sharing the source, supplier, and manufacturer of each ingredient.

Keep In Mind. These capsules contain a minty liquid to avoid any unpleasant flavors, but it may not be everyone’s favorite.

What makes IBS diarrhea worse?

• Food. The role of food allergy or intolerance in IBS isn’t fully understood. A true food allergy rarely causes IBS. But many people have worse IBS symptoms when they eat or drink certain foods or beverages. These include wheat, dairy products, citrus fruits, beans, cabbage, milk and carbonated drinks.
• Stress. Most people with IBS experience worse or more-frequent symptoms during periods of increased stress. But while stress may make symptoms worse, it doesn’t cause them.

Risk factors. Many people have occasional symptoms of IBS. But you’re more likely to have the syndrome if you:

• Are young. IBS occurs more often in people under age 50.
• Are female. In the United States, IBS is more common among women. Estrogen therapy before or after menopause also is a risk factor for IBS.
• Have a family history of IBS. Genes may play a role, as may shared factors in a family’s environment or a combination of genes and environment.
• Have anxiety, depression or other mental health issues. A history of sexual, physical or emotional abuse also might be a risk factor.

Which probiotics may be most useful in treating diarrhea?

Kids and Diarrhea. Some of the best proof that probiotics work comes from studies of diarrhea in children, especially when it’s caused by rotavirus. Probiotics might cut bouts of infectious diarrhea by half a day to about 2 days.

Some research shows that the bacteria strains most likely to help are Lactobacillus reuteri, Lactobacillus rhamnosus, and the probiotic yeast Saccharomyces boulardii, although other strains might be useful. A mix of a few different probiotics may also treat this type of diarrhea.

Diarrhea From Antibiotics. Antibiotics kill the germs in your body that make you sick, but they also kill some of the good bacteria. This can upset the normal balance in your intestines, leading to diarrhea.

Studies of children and adults show that you may cut your chances of having diarrhea if you take probiotics before and during treatment and several days after stopping your antibiotics. Saccharomyces boulardii and some strains of lactobacillus can work.

When is the best time to take probiotics for IBS?

While the time of day is ultimately up to you, probiotics may be most effective if you plan to take them about 30 minutes before a meal — and most effective if you take your supplement before breakfast. Probiotics will have a greater effect within your small intestine (or large intestine) if you take them before you eat: “During a fast or prior to eating, the stomach won’t be as acidic and this will allow the probiotic capsule or tablet to be able to make its way into the intestine,” he explains.

Adding a probiotic into your routine first thing in the A. M., then, will likely keep your stomach from sabotaging your efforts. “Breakfast is usually eaten around the same time daily, and tends to be smaller and more easily digested,” Dr. Asike says.

Taking a probiotic with dinner or a larger lunch may end up being counterintuitive. Acid within the stomach that’s breaking down your meal may also “excessively degrade the probiotic in the stomach before it has a chance to take effect in its intended location,” Dr. Asike adds. Heavier meals, especially dinner, take longer to digest than other meals, as acid works to process food into the small intestine, naturally upping total acid interaction over time.

What is the first line treatment for IBS diarrhea?

First-Line Drugs for IBS. Loperamide may be effective for diarrhea. Peppermint oil and certain antispasmodics may be effective for global symptoms and abdominal pain. Polyethylene glycol may be effective for constipation.

Gut-Brain Neuromodulators. Tricyclic antidepressants (TCAs) used as gut-brain neuromodulators are effective second-line treatment for global symptoms and abdominal pain. Selective serotonin reuptake inhibitors (SSRIs) used as gut-brain neuromodulators may be effective second-line treatment for global symptoms.

Second-Line Drugs in Secondary Care. Eluxadoline, 5-hydroxytryptamine 3 (5-HT3) receptor antagonists, and rifaximin are efficacious second-line drugs for IBS with diarrhea (IBS-D) in secondary care. Linaclotide, lubiprostone, plecanatide, tenapanor, and tegaserod are efficacious second-line agents for IBS with constipation (IBS-C) in secondary care.

Should I take my probiotic if I have diarrhea?

Probiotics can be useful in infectious diarrhea, as the natural gut flora is disrupted after an infection and, in otherwise healthy individuals, the probiotics can be used to repopulate the colon with healthy bacteria. This should be done in conjunction with a physician.

2. What should consumers look for when shopping for a probiotic for diarrhea? Any ingredients/strains to look for or avoid?

For adults and children with infectious diarrhea and are otherwise healthy, there is some evidence that preparations containing Lactobacillus GG and S. boulardii provide the most benefit.

What is the best probiotic for chronic diarrhea?

Probiotics have been shown to be effective in treating acute infectious diarrhea, with LGG being the most effective probiotic reported to date. Studies have shown that probiotics can reduce the severity and duration of diarrhea by about one day, and the American Academy of Pediatrics supports the recommendation of using LGG early in the course of acute infectious diarrhea to reduce symptom duration. Antibiotic use is common in children, and diarrhea develops in about 20% of those taking antibiotics. A 2011 Cochrane Review evaluating 3400 patients from 16 studies concluded that probiotics have a protective effect in preventing antibiotic-associated diarrhea (AAD), with studies using LGG and S. boulardii producing the most convincing results. The American Academy of Pediatrics supports the recommendation of probiotics for prevention, but not treatment of AAD. In the adult population, probiotics also appear effective in limiting AAD, with a meta-analysis evaluating studies on various probiotics and antibiotic regimens published between 1977-2005 finding that both LGG and S. boulardii offered a reduction in the risk of AAD development. Two recent placebo-controlled RCTs evaluated combination probiotic products for the prevention of antibiotic-associated diarrhea.

What is the best thing to take for IBS diarrhea?

Fiber supplements, laxatives, antidiarrheal medicines, anticholinergic medicines, tricyclic antidepressants, SSRI antidepressants, and pain medicines are some of the medications that can help control constipation. Fiber supplements like psyllium husk can be taken with fluids to help control constipation. Nonprescription laxatives like magnesium hydroxide oral or polyethylene glycol may be recommended if fiber doesn’t help. Antidiarrheal medicines like loperamide and bile acid binder can help control diarrhea, but they can cause bloating. Anticholinergic medicines like dicyclomine can relieve painful bowel spasms but can cause constipation, dry mouth, and blurred vision. Tricyclic antidepressants can help relieve depression but also block the activity of neurons controlling the intestines, reducing pain. Selective serotonin reuptake inhibitor (SSRI) antidepressants like fluoxetine or paroxetine may help if depressed and have pain and constipation. Pain medicines like Pregabalin or gabapentin might ease severe pain or bloating.

Medicines specifically for IBS include Alosetron (Lotronex), Eluxadoline (Viberzi), Rifaximin (Xifaxan), Lubiprostone (Amitiza), and Linaclotide (Linzess). Alosetron is designed to relax the colon and slow the movement of waste through the lower bowel, while Eluxadoline can ease diarrhea by reducing muscle contractions and fluid secretion in the intestine. Rifaximin can decrease bacterial overgrowth and diarrhea, while Lubiprostone increases fluid secretion in the small intestine to help with stool passage. Linaclotide can cause diarrhea but can be helpful if taken 30 to 60 minutes before eating.

What is the best probiotic for IBS diarrhea?

Probiotics for IBS-D. If your doctor diagnoses you with IBS and your primary symptom is diarrhea, then you have IBS-D. Saccharomyces boulardii is one of the best probiotics for IBS-D symptoms.

This unique probiotic is in fact a yeast, the only yeast ‘friendly’ enough to be called a probiotic. S. boulardii has over 50 years of research supporting its use, and is recommended in many hospitals worldwide for diarrhoea. You can find this strain in Optibac Probiotics S. boulardii.

A 2021 review of 42 clinical trials confirmed S. boulardii as one of the best probiotic strains for IBS diarrhoea 27. The review showed that S. boulardii offered significant improvements in abdominal pain and frequency of bowel movements for individuals with IBS-D. As well as IBS-D, S. boulardii has also been shown to be beneficial for oocasional diarrhoea associated with Inflammatory Bowel Disease (IBD), antibiotic-associated diarrhoea and traveller’s diarrhoea. Healthcare practitioners can read more about probiotics for IBD on the Probiotic Professionals site.

As S. boulardii is a friendly yeast, it has very different properties to friendly bacteria: it’s a ‘transient’ probiotic which means it does not colonise for long in the gut. Therefore it’s a good idea to take a probiotic containing colonising friendly bacteria alongside S. boulardii as they work together. For this, use one of the probiotic strain recommendations in the IBS-A section.