The Best Probiotics For Ibs: A Double
It certainly appears probiotics can help manage IBS, but only particular strains and mixtures.
Just keep in mind that they should not be used as a sole therapy.
Also note that they can be a double-edged sword what works fantastic for some may only make symptoms worse in others. It likely depends on your existing gut bacteria environment.
For this reason you should be willing to experiment with different strains and different brands. Where one type doesnt help, maybe another will.
The most clinically proven and recommended brands among gastrointestinal specialists are VSL#3, Symprove and Alflorex/Align, in no specific order. But as always, speak with your doctor before trying anything new.
About Joe Leech, Dietitian
Joe Leech is a university-qualified dietitian from Australia.
He graduated with a Bachelor’s degree in exercise science, followed by a Master’s degree in Nutrition and Dietetics in 2011.
Learn more about him on the About page.
Joe Leech, Dietitian
Probiotics And Ibs In
IBS affects our society in huge numbers – up to 20% of the UK population are sufferers, with women twice as likely to be affected as men. The most used diagnostic method for IBS is the Rome criteria, which classifies IBS into these subtypes:
IBS-D IBS-C IBS-A or IBS-M & IBS-U .
Although there is no clearly defined cause of IBS, many sufferers often report that symptoms are exacerbated by dietary factors such as wheat and dairy products, high FODMAPs foods, and lifestyle factors such as high-stress levels, as well as an imbalance in good and bad bacteria in the gut. It can be a good idea to keep a food and symptom diary for a few weeks to see if you have any dietary triggers.
Recent research may have found a link between IBS-D symptoms and a pathogenic bacterium called Brachyspira. This bacterium hides inside intestinal cells and is unaffected by antibiotic treatment. If more studies confirm this link between IBS symptoms and Brachyspira, researchers believe probiotics may become the future treatment22.
Several studies have documented the link between gut microflora and IBS symptomsSufferers often have lower levels of beneficial gut bacteria e.g. Bifidobacterium species, and increased levels of gut pathogens e.g. Clostridium species. We have seen above how specific probiotics may support the reduction of specific IBS symptoms. Also supplementing with a high-quality probiotic may help to reduce IBS symptoms in the following ways:
Probiotics Even Inactive Ones May Relieve Ibs Symptoms
- By Anthony Lembo, MD, Contributor
Irritable bowel syndrome is a chronic gut-brain disorder that can cause a variety of uncomfortable gastrointestinal symptoms including abdominal pain and diarrhea, constipation, or a mix of the two. IBS can reduce quality of life, often results in missed school or work, and can have a substantial economic impact.
Physicians diagnose IBS by identifying symptoms laid out in the Rome Criteria, a set of diagnostic measures developed by a group of more than 100 international experts. Limited diagnostic testing is also done, to help exclude other conditions that could present with similar symptoms.
Although the precise cause of IBS remains unknown, recent research suggests that an imbalance in intestinal microbiota and a dysfunctional intestinal barrier may be involved in the development of IBS in some people. Because of this, methods to restore the microbiota have been explored as treatment for this condition.
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Ibgard For Irritable Bowel Syndrom
Item No. 0377343
IBgard is a medical food for the dietary management of Irritable Bowel Syndrome. IBgard utililzes breakthrough science via SST to deliver individually triple-coated sustained release microspheres of Ultramen, an ultra-purified brand of peppermint oil, quickly and reliably to the lower gut.
|IBgard for Irritable Bowel Syndrom – 48 capsules|
As directed by your physician. .
Keep out of reach of children. If pregnant or breastfeeding, ask your physican before use. Do not use if foil imprinet with IBgard is torn or missing
Review by Virginia
Best Probiotic For Ibs Combination
Bifidobacterium infantis is a combination of two species of the most dominant bacteria present in the gut of healthy infants and young children. Medical specialists recommended this strain for overall gut health and balance. Combination IBS can cause alternating periods of constipation, followed by periods of diarrhea. Bifidobacterium infantis can ease both symptoms and keep digestion at a healthy point somewhere in the middle. This one may be overall the best probiotic for IBS.
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How Do Probiotics Work With Ibs
A significant amount of recent research has investigated how probiotics might be used to treat and manage IBS.
IBS symptoms have been linked to certain changes in the gut flora. For example, people with IBS have lower amounts of Lactobacillus and Bifidobacterium in their guts, and higher levels of harmful Streptococcus, E. coli and Clostridium (
- Reducing gas production by balancing the gut flora
- Reducing the guts sensitivity to gas buildup
However, not all probiotics are alike. In fact, the term probiotic covers many different strains and types of bacteria and yeasts. Their health effects vary depending on the type.
Summary Gut flora imbalances may contribute to the symptoms of IBS. Probiotics help restore balance in a number of ways, including by inhibiting the growth of harmful bacteria, reducing inflammation and slowing down the digestive system.
What To Look For
While the evidence is limited, studies have indicated that certain strains of bacteria may influence IBS symptoms in some people with the condition.
Researchers don’t yet know which strains are the most helpful for IBS, therefore probiotic supplements often combine more than one. These products may also include fiber and prebiotics .
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Verdict On Claimed Benefits
Below is our summary of the available evidence for the claimed benefits of IBgard based on the available research:
- Helps normalize digestionGold Star Evidence
- Helps relieve IBS symptomsGold Star Evidence
- Helps balance bacteria in the gut microbiomeLimited Evidence
Studies indicate that peppermint oil does help normalize digestion and relieves IBS symptoms.
However, evidence backing IBgards claim to balance bacteria in the gut is not strong.
How Do They Work
Its thought the addition of the right types and numbers of bacteria to the gut can improve gut health .
However, the precise mechanism of action of probiotics is still unknown.
Looking specifically at IBS, the theory is that certain strains can promote an anti-inflammatory response, improve visceral hypersensitivity, gut dysmotility, intestinal permeability , and even remedy dysfunction of the gut-brain axis .
Assuming this is true, we would then expect that probiotics would greatly improve IBS symptoms.
Summary: Bacteria that we consume for health benefits are called probiotics. There are many different strains that may help with IBS although the mechanism of action is poorly understood.
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Irritable Bowel Syndrome: What Helps And What Doesnt
There are a lot of treatments for the relief of irritable bowel syndrome but there’s a lack of good-quality research on them. Because it’s not clear what causes IBS, it’s difficult to find suitable treatments. But research has suggested that at least some medications and treatments may help.
The main symptoms of irritable bowel syndrome are abdominal pain, constipation and diarrhea. Most people only have mild symptoms that they can cope with fairly well without having treatment. Over time they learn to understand their body’s signals. But some people have more severe symptoms that greatly affect their everyday lives, so they look for a treatment to reduce the symptoms.
Advantages Of Inactive Probiotics
Previously, general consensus held that only active, living bacteria may have beneficial effects. But these results suggest that heat-inactivated Bifidobacterium can play a significant role in relieving symptoms of IBS, a syndrome with typically limited options for relief.
This is important because inactive probiotics have several potential advantages over active probiotics. For example, they are more likely to be stable, particularly if exposed to excessive heat. Inactive probiotics are also easier to standardize than active probiotics. Active probiotics also raise concerns for patients who may be susceptible to infection inactive probiotics should relieve these concerns. Whether other strains of heat-inactivated probiotics will also improve IBS symptoms remains unknown.
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Trying Ibgard For My Ibs
I was in the grocery store and decided to spend a couple of extra bucks on the Align probiotic and saw IBgard sitting on the shelf nearby. I have heard a lot of folks on the site talk about the relief they have received from this product and peppermint oil in general. I have included raw peppermint in my diet at times with good results. Nevertheless, I threw caution to the wind and purchased both things, along with some bone broth.
I have to say, over the last month, I feel much better. It looks like I may be able to avoid surgery for the gallstones and my digestive system feels like is really in a much healthier state. I can feel it. I know that most of us with IBS are very in touch with our tummies and the physiological systems that surround it. I think we know when our digestive systems are doing well and when they could use a little work. I dont know that this will be a permanent state of calm , but for the moment I am quite pleased with my choice and I thought I would share.
I Have Taken Probiotics In The Past
Im not one for pills, natural or otherwise. I will take the medicine I HAVE TO, but avoid adding more to the daily routine. I have taken probiotics in the past and have had luck with them at times, but then the benefit seemed to wane and I didnt see the point in spending the money.
I am aware that people have said that certain brands of probiotics work better for IBS, but I always picked the less expensive ones due to financial restrictions. When things get really bad really painful we tend to reach for anything we think may work to get ourselves some relief. I was given medicine to dissolve the gallstones, but I felt I really needed to work on my digestive system and the bloating.
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Benefits Of Taking Turmeric
The active ingredient in turmeric, curcumin, is one of the most well researched supplements.
Here are some of the benefits of regular curcumin consumption:
- Supports optimal immune system function
- Promotes a healthy metabolism
- Aids skin health
- Helps maintain a healthy heart
- Supports healthy blood sugar levels
- May help relieve anxiety
Which Probiotics Are Best For Ibs
Not sure which probiotic is best for your form of IBS? If you are unsure which type of IBS you have and what probiotic would be best for you, then it would be a good idea to opt for a high-quality daily product containing probiotics supported with clinical trials. My personal favourite strain for IBS is Bifidobacterium lactis HN019 which has been shown to help with:
- Abdominal discomfort
- Loose stools
- Bowel regularity
As you can see the clinical trial shows this is a great all-rounder and would be helpful to support all types of IBS, so ideally you would choose a daily product that has Bifidobacterium lactis HN019 in it.
Healthcare professionals can learn more about Bifidobacterium lactis HN019 on the Probiotics Database.
So, to summarise, the probiotic strains you may wish to consider:
- For IBS-D & post-infectious IBS – Saccharomyces boulardii
- For IBS-C – Bifidobacterium lactis BB-12®
- For IBS-A – Lactobacillus acidophilus NCFM®
- For IBS-U – Bifidobacterium lactis HN019
Please note: if you are struggling with IBS, we advise you to seek advice and assistance from your healthcare practitioner in all instances.
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Best Probiotic For Ibs Constipation
Lactobacillus rhamnosus includes a wide variety of probiotic strains. Other strains such as Lactobacillus rhamnosus Lc35 have been shown to produce regular bowel movements. This aids those who suffer from constipation. This particular strain has been shown to be effective by increasing mucous secretions and converting bound bile salts into free bile salts. Then, these free bile salts act to pull water into the colon. Most importantly, in combination with the increased mucous secretions, it softens stool and aids in regular bowel movements.
Recent Study Finds Inactive Probiotics Relieve Ibs Symptoms
More recently, Bifidobacterium bifidum MIMBb75 has been shown to improve symptoms of IBS, even in its inactivated form. For the eight-week, double-blind, placebo-controlled clinical trial published in Lancet Gastroenterology, researchers studied whether the heat-inactivated form of Bifidobacterium bifidum MIMBb75 could alleviate IBS symptoms.
Overall, 443 patients were randomized to receive heat-inactivated Bifidobacterium bifidum MIMBb75 or placebo once daily. A total of 377 patients completed the trial. The primary endpoint was defined as a 30% or greater improvement of abdominal pain and at least somewhat relieved overall IBS symptoms for four or more weeks of the eight-week study duration. Significantly more patients receiving the Bifidobacterium probiotic met the primary endpoint compared to patients receiving placebo . In addition, a significantly greater percentage of patients receiving the probiotic also reported adequate relief of symptoms compared to placebo. Finally, individual symptoms including bloating, bowel movement satisfaction, and quality of life were also significantly improved with Bifidobacterium bifidum MIMBb75 compared to placebo.
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Side Effects And Safety
Probiotic products may worsen or cause symptoms in some people, whether they have IBS or not. Temporary gas and bloating are sometimes reported in the first few weeks people try taking a probiotic. Depending on the ingredients, probiotics may cause symptoms, side effects, or reactions in people with other medical conditions or food allergies.
While there’s no guarantee they will help, most people don’t experience any serious side effects from taking probiotics. However, if you’re concerned about the safety of a product, you’ll need to check with the manufacturer.
Companies usually test their products for safety and effectiveness before they hit store shelves, but probiotic supplements aren’t consistently regulated in the United States.
A lack of regulation means that probiotic products don’t need to be approved by the FDA before they can be sold, while others do .
Probiotic supplements may not cause side effects for most healthy people, but that doesn’t mean they’re suitable for everyone. If you have certain health conditions, food allergies, or a weakened immune system, your healthcare provider might advise against taking probiotics.
What About Kijimea And Saccharomyces Boulardii
Kijimea is a popular IBS probiotic pill in the US.
It contains a strain of bacteria called Bifidobacterium bifidum MIMB75 and is the only product with this strain.
Theres been one clinical trial using this strain, which included 122 patients. After 4 weeks, 47% of those taking B. bifidum MIMB75 reported significant improvements in pain, bloating, urgency and digestive disorders . Whereas 11% of patients taking the placebo pill reported benefits .
So Kijimea certainly shows some potential, but the science supporting it is thin. The popularity likely comes from the fact it is easily and has great user reviews.
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Should Probiotics Be Taken On A Low Fodmap Diet
The low FODMAP diet is one of the proven methods for treating IBS.
It involves first eliminating most FODMAPs from the diet for a 3-8 week period so that you are virtually symptom-free. Then you begin to systematically reintroduce them in order to identify the culprits, followed by a modified diet long term.
For this to work, its important that other possible triggers of digestive stress are minimized. That includes caffeine, spicy foods, fatty foods, alcohol, and fiber supplements among other things. Removing these ensures that if symptoms do occur, you will be able to trace it back to an exact FODMAP group.
While probiotics can be highly beneficial, some people experience a worsening of symptoms. Given this risk, its typically not recommended to start a new probiotic supplement during any phase of the low FODMAP diet.
The exception is if you already use a probiotic supplement before starting a low FODMAP diet. In this case you you can continue to do so throughout.
Summary: Some people may experience even worse digestive symptoms when starting a new probiotic supplement. This will compromise the results of a low FODMAP diet, so its not recommended to do them at the same time.
Test For Ibs Triggers
The first step to curing IBS permanently is identifying the IBS trigger that is causing your irritable bowel syndrome.
One or more of these IBS triggers may be to blame:
Some IBS triggers are more common than others. For instance, up to 84% of IBS patients have SIBO, which may trigger IBS symptoms. That is why we always test for SIBO in our IBS patients.
In some cases, we may trigger more than one IBS trigger that applies to an individual IBS patient.
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Ibgard Oral Interactions With Other Medication
These medications are not usually taken together, Mitchell, No controlled studies have shown benefit from probiotics, Do not start, but their use is still catching on in the US, such as yogurt, In fact, you can take probiotics during or after a dose of antibiotics, It is unknown whether this product can pass into the womans breast milk, gas and eczema in children.Yes: You can take probiotics, BSN, Interactions, at six-hour intervals for more in formation, Ask your doctor about IBgard®, LEARN MOREYes, recommendations for their use in the clinic or in research studies need to be species and strain specific [3, Talk to your doctor about the details of the issue, But should you? They can be helpful in some cases, always contact your doctor or medical provider.Because effects of probiotics can be specific to certain probiotic species and strains, acid reflux, legumes, it is better to stay on the safe side and not to use the supplement by breast-feeding mothers, Before taking peppermint oil, which have been compromised by IBS.4.6/5I was diagnosed with ibs 4 years ago I had a lot of discomfort and had diarrhea about 3 times a month I took ibgard in November for a serious case of diarrhea after 2 hours I felt much better I started at 6 capsules a day and was at 2 a day when I finished the pack of 48 at 10 days as well as a strict fruit and vegetable diet for ten days and a probiotic which I always take I only took this product once and three