What are Probiotics?
Probiotics are good bacteria which have benefits in our digestive system. They can be found in yoghurts but are present in higher doses in Probiotic supplements.
REASONS WHY PROBIOTICS MAY IMPROVE HEALTH IN PEOPLE WITH REFLUX
- Medications that alter the acidity of the gut may allow the overgrowth of bad bacteria. (4) These include Ranitidine and Omeprazole. If this results in an upset stomach (wind, diarrhoea, constipation, nausea etc), replenishing good bacteria may help with these symptoms. However, more recent studies have not found the same associations. (5)
- Good bacteria in the gut also helps protect against gastrointestinal infection. (6)
- Antibiotics destroy all bacteria – not just the ones that were causing an infection. This can also lead to an increase in reflux symptoms as well as diarrhoea. Adding a probiotic may decrease side-effects and speed recovery. Make sure that you separate probiotic and antiboitic doses by at least two hours, so that the antiobiotics don’t kill the probiotic organisms. (2), (3)
- Thrush (an overgrowth of an organism called Candida albicans) may occur with antibiotics, diarrhoea or allergy. A probiotic should help this to clear more quickly along with an appropriate treatment.
- Gut motility issues are common in those with gastric reflux and may even be the cause of reflux. The stomach may not empty fast enough and so is full for longer allowing reflux to continue. This problem may be present throughout the gut and also present as constipation. Probiotics promote good motility. (7)
- Aid digestion
- Produce several vitamins
- Support immune function
www.medscape.com/viewarticle/529406?src=mp (membership is required to review this)
- http://www.medscape.com/viewarticle/804455_2 (membership is required to review this)- Probiotics and Prebiotics in Preventing Food Allergy and Eczema
PROBIOTICS AVAILABLE IN NEW ZEALAND
- Blackmores Acidophilus Bifidus http://www.blackmores.com.au/products/acidophilus-bifidus “A minimum of 1 billion organisms made up of Lactobacillus acidophilus and Bifidobacterium animalis” per capsule. Suitable for 2 year olds to adults. Children under 2 years, Only as professionally prescribed. Refrigerate after opening.
Other ingredients: Hard gelatin capsule containing an off-white powder
90 capsules for $31.25 (plus p&p) on www.pharmacydirect.co.nz May 2013.
Should be available around New Zealand in Health Stores, Pharmacies or Supermarkets. Use the link above to find a store near you.
- Clinicians MultiFlora - http://www.clinicians.co.nz/index.cfm/PageID/101/ProductID/1154/ViewProduct/MultiFlora “New improved formula. Now contains two of the most studied and scientifically researched probiotics in the world (Lactobacillus rhamnosus GG and Bifidobacterium animalis BB-12).Doesn’t require refrigeration. You don’t need to keep it in the fridge because the specialised manufacturing and the new blister pack format allows the probiotics to be stable in room temperature environments. Survives stomach and bile acids. The probiotics can safely reach the small intestine and bowel where they are most effective. Vegetable capsules. The specialised capsule enhances stability of the probiotics and is also suitable for vegetarians. Ideal for infants, children and adults. Special new strains are suited to all age groups.”
- Inner Health for Kids -http://www.ethicalnutrients.com.au/content/products/inner-health-kids Each 1.7 g (1/3 metric teaspoon) dose contains: 6 billion Lactobacillus rhamnosus (GG) organisms (LGG®) 3.75 billion Lactobacillus acidophilus (NCFM) organisms 3.75 billion Bifidobacterium lactis (Bi-07) organisms.
Other ingredients: Glutamine, Zinc Sulfate monohydrate. Free from wheat, gluten, cereals, milk, eggs, starches, yeast and salt. Dairy free, Gluten free! Probiotic powder suitable for 3 month olds to 12 years. Requires refrigeration.
$29.99 $26.50 (plus $4.95 p&p) www.pharmacydirect.co.nz January 2009. Available from Health Stores.
Kyo-Dophilus - http://www.kyolic.com/product/product/probiotics/capsules/kyo-dophilus-capsules/ Contains 1.5 billion Live Cells (L. acidophilus, B. bifidum, and B. longum) per capsule. 1/2 capsule twice daily for under four year olds. Contains a powder similar to the Primadophilus and can be sprinkled on food or mixed into drinks. Does not require refrigeration.
Other ingredients: Gelatin, Potato Starch, Silica.
Free of: Preservatives, Sugar, Sodium, Milk, Yeast, Gluten, Artificial Colours or Flavours.
www.healthpost.co.nz $19.50 for 45 capsules and $36 for 45×2 (plus $3 p&p) January 2009. (Limited stock)
www.pharmacydirect.co.nz $25.95 (plus $4.95 p&p) for 45 capsules and $38.95 for 90 January 2009.
Available in Pharmacies and Health Food Stores.
- Lactobac® Powder - http://www.nutritioncare.com.au/ Probiotic by Nutrition Care recommended as maybe more appropriate for children than Polybac 8. “A high potency blend of dairy free Lactobacillus rhamanosus and Bifidobacteria powder containing no less than 5 billion organisms per gram.” I’m not sure where this is available.
Metagenics Flora Care for Kids - Metagenics Flora Care for Kids contains Lactobacillus rhamnosus GG (LGG®), Lactobacillus acidophilus NCFM and Bifidobacterium lactis Bi-07.
I’m think this is only available through practitioners and don’t know the cost, dosage or which age group it is suitable for. I have emailed to ask if it is dairy and gluten free August 2009.
Nature’s Way Primadophilus® Children, Powder -http://www.naturesway.com/Products/Probiotics/6881-Primadophilus-Children.aspx Nature’s Way Primadophilus® for children contains 3 billion microorganisms per teaspoon (Lactobacillus rhamnosus, Lactobacillus casei, Lactobacillus acidophilus, Bifidobacterium infantis, Bifidobacterium bifidum, Bifidobacterium breve, Bifidobacterium longum, NutraFlora® scFOS (short-chain frutooligosaccharides), Rice maltodextrin, Silica, Vitamin C). May contain a minimal residual amount of dairy or soy protein.
Suitable for children of all ages. Dissolves in food or drink. Requires refrigeration.
Dosage is 1 teaspoon per day. www.healthpost.co.nz $36.50 (plus $3 p&p) at time of Listing.
Available from pharmacies and health stores.
- Nature’s Way Primadophilus® Junior -http://www.naturesway.com/Products/Probiotics/6870-Primadophilus-Junior.aspx Contains 3 billion CFUs. Ingredients: Lactobacillus rhamnosus, Bifidobacterium longum, Bifidobacterium breve, Bifidobacterium infantis, Lactobacillus acidophilus, Potato Starch, Plant derived capsule, Aqueous enteric-coating, Magnesium stearate, Ascorbic acid. May contain a minimal residual amount of dairy or soy protein.
Suitable for children aged 6 to 12 years. Requires refrigeration.
Dosage is one capsule daily. www.pharmacydirect.co.nz $36.95 for 90 January 2009.
Available in pharmacies and health stores.
- Nature’s Way Primadophilus® Kids Orange, 30 Chewable Tablets - Contains 3 billion CFUs. Ingredients: Lactobacillus rhamnosus, Bifodobacterium longum, Lactobacillus acidophilus, Sorbitol, Cellulose, Rice maltodextrin, Citric acid, Magnesium stearate, Turmeric, Natural orange flavour, Vanilla flavour, Ascorbic acid. May contain a minimal residual amount of dairy or soy protein.
Suitable for children aged 2 to 12. Requires refrigeration.
Dosage is one tablet daily. www.healthpost.co.nz $21.50 (plus $3 p&p) at time of Listing. Should be available in health stores and pharmacies.
- Nature’s Way Primadophilus Reuteri Powder - Ingredients per 5ml: 50mg Proprietary Blend of Bacterial cultures – Bifidobacterium infantis, Bifidobacterium longum, Lactobacillus rhamnosus, Lactobacillus Reuteri & Lactobacillus acidophilus (providing 3 billion CFU), NutraFlora scFOS 1.8g, Vitamin C (ascorbic acid) 4mg. Other ingredients: potato starch, silica. May contain a minimal residual amount of dairy or soy protein.
Dosage: Children under 2 years of age, give 1/2 teaspoon (1.5 grams) daily between meals. Children 2 years of age and older give 1 teaspoon (3 grams) daily between meals.www.pharmacydirect.co.nz $33.95 (plus $4.95 p&p) January 2009. Should be available in health stores.
- Polybac 8™ Powder - http://www.nutritioncare.com.au/index.php/products don’t have a lot of details on this probiotic or where it is available other than to patients of Dr Rodney Ford. Ingredients: probiotic microorganisms, microcrystalline cellulose, vitamin C. hypoallergenic
This may not be a complete list of the probiotic supplements available. If you have found others that have been beneficial, please let me know. Yogurts also contain some probiotics but often are not potent enough to have the required effect.
2 Radiance Pro-B Antibiotic Support - www.healthandhertbs.co.nz
4 http://www.medscape.com/viewarticle/754326 - The Use of Proton Pump Inhibitors and Increased Susceptibility to Enteric Infection
5 http://www.medscape.com/viewarticle/759169 - Large Study Fails to Link PPI Therapy to Small Intestinal Bacterial Overgrowth
7 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3155417/ - Irritable Bowel Syndrome, Gut Microbiota and Probiotics
Written by Roslyn Ballantyne (RN), National Coordinator for © Crying Over Spilt Milk Gastric Reflux Support Network New Zealand for Parents of Infants and Children Charitable Trust May 2007. Last updated July 2013.
Page may be printed or reproduced for personal use of families, as long as copyright and Crying Over Spilt Milk’s URL are included. It may not be copied to other websites or publications without permission and acknowledgement.
Hi there, just wanted to say that this page and your website has been a huge help! It has provided ideas, helping me and my 8 week old son cope with his reflux. He was diagnosed @ 4 weeks old, and has been on gaviscon since. I have also gone dairy free, not sure if it's helping but he's definitely settled over the weeks. Hopefully he 'grows out of it' as the Dr says, grateful for all tips and advice from other parents experiencing the same...'I'm not alone'....this is a photo of our son in his Happy Place, where he goes from crying to smiling straight away!
Hi, Just wondering if you could help me with a question please. I got given Losec Suspension today. Since it's in suspension form and not the granules how long before a feeding should I give it to my baby or can it be given at the same time?
My baby has been diagnosed with reflux, her dr prescribed her ranitidine 150 mg/10 ml. It says 1 ml 3x a day, shes 5.7 kgs, does this sound right? That seems alot to me...
Hi there. I've been reading your website and Facebook page with interest over the past few months and it's been really helpful. My daughter is coming up 4 months old and her reflux seems to be improving. We tried gaviscon but it didn't make much difference. Main thing for us has been that I cut dairy out of my diet. I now have food with dairy in it but just don't do the core basics like cheese, yoghurt, milk etc and although she still spills often, the associated pain seems to be almost gone. Am hoping she's growing out of it but the dairy still seems to have a bit of an effect. Anyway, in two months time I have to go back to part-time work and will need to start using a formula on those days. I usually used karicare gold with my kids but have no idea what options would be best for my reflux baby. Can you make some suggestions? I'd like to try some out to see how she reacts etc before I go back to work but don't know what brands to try. Thanks.
Hi, I have a wee girl Matilda, 3.5 months, who has been diagnosed with gerd and is currently on Ranitidine and Domperidone. We have tried Losec and gaviscon infant too, and after trying pepti jnr and neocate we are now on elecare formula. Also have done the usual, raise cot, chiro, upright after feeds etc. We don't seem to be making much progress and its really heart-breaking to try all these medications on such a wee person! We do seem to have 3-4 great days when she is happy and contented but then have 3-4 terrible days with constant crying, not much drinking, so much vomit and terribly unsettled, not much sleeping etc; my question is, is this 'normal' ?! Is gerd cyclonic? Thanks, Amanda :)
My four month old son has recently been diagnosed with reflux after his feeding has become worse and worse over the last month. He will cry before and during a feed and constantly turns his head from side to side. It takes alot of coaxing to get him to drink. He has also started waking almost hourly through the night. We have tried gaviscon which gave him terrible constipation and now ranitidine. After reading the dosages on the spilt milk site we realized the dose we were given was far too low so have now been on a high ish dose for a week with little change. How long should it take to see a change? We also have a script for omeprazole so can try that next. Anyone else with a reflux baby also had these sleeping issues? Any tips welcome, we have raised the bed and keep him upright after feeds. Thanks in advance
Anyone recommend a good paediatrician in Auckland, son has reflux and looking to get some help!
How can I give my omeprazole granules to a 5 month old? I have been putting in pear puree but now want to introduce food and think this is putting her off wanting to eat!
Our membership form is now working again. Sorry for the delay. We are looking forward to meeting some new members. http://www.reflux.cryingoverspiltmilk.co.nz/grsnnz.../ Joining Gastric Reflux Support Network NZ for Parents of Infants and Children Charitable Trust gives access to our Newsletters and Private Local and National Support Networks. Membership is free, and this gives you opportunities to discuss gastric reflux related issues with others in a safe and confidential setting.
hi i have a nearly 8 month old girl, she is on ''Kari-care anti reflux AR'' now they say by six months the reflux or spewing up heaps of milk should be fine now. but im scared to put her on normal kari care cause she use to vomit like crazy, what formula should i be going on? thanks :)
Advice sought please. My bf 11mo has reflux which is basically under control with restricted diet (no dairy, no soy and query gluten intolerance too, so no gluten) for us both and 10mg omeprazole daily. Gaviscon as required. Acid symptoms generally improved. However still no sleep due to wind/tummy pain etc. and we are exhausted (waking hourly to 2-hourly in discomfort/wanting to feed). Found this remarkable thread re windy toddlers (err see first comment for link) which totally resonated. Wondered if any GERD families on here had wind issues and perhaps tried low FODMAP diet? Or had other tips to share re calming the entire GI tract, top to bottom? Thanks.