Probiotics

What are Probiotics?

Probiotics are good bacteria which have benefits in our digestive system. They can be found in yogurt, 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 antibiotic doses by at least two hours, so that the antibiotics 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)

OTHER ACTIONS

    • Aid digestion
    • Produce several vitamins
    • Support immune function

Probiotic links:

PROBIOTICS AVAILABLE IN NEW ZEALAND

  • BabyBiotic https://www.bioceuticals.com.au/product/preview/BabyBiotic-0yrs “BabyBiotic 0+yrs combines Bifidobacterium breveB. lactis and B. bifidum – three of the most common species of bifidobacteria present in the gastrointestinal tract (GIT) of healthy breastfed newborns and infants.” 1 billion CFU of each per 2g serve plus 500 million CFU Lactobacillus rhamnosus  and 500 million CFU Lactobacillus fermentum. Suitable for from birth to ?. Requires Refrigeration.
    Other ingredients: Inulin.
    Visit http://www.bioceuticals.com.au/wheretobuy/index/B.BABYUK.60 to find out where to purchase.
  • 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 Active ingredients in 1 capsule
    No less than 7 billion CFU consisting of Lactobacillus rhamnosus GG 3.5  billion  CFU and Bifidobacterium animalis BB-12 3.5  billion CFU.  May contain traces of dairy.  “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/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.
    As far as I’m aware, this is no longer available in NZ, but I order it from www.iherb.com where the price varies depending on the quantity ordered and exchange rates.  $50.83 for 180 including p&p (January 2016).

  • Nature’s Way Primadophilus® Children, Powderhttp://www.healthpost.co.nz/supplements-and-natural-health/age-and-gender/childrens-health/childrens-basics/primadophilus-children-nwprc 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® 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 5 ml: 50 mg Proprietary Blend of Bacterial cultures – Bifidobacterium infantis, Bifidobacterium longum, Lactobacillus rhamnosus, Lactobacillus Reuteri & Lactobacillus acidophilus (providing 3 billion CFU), NutraFlora scFOS 1.8 g, 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.

This is not a complete list of the probiotic supplements available. If you have found others that have been beneficial, please let us know. Yogurt also contains some probiotics, but often are not potent enough to have the required effect.

Please note that GRSNNZ does not provide advice on dosages of complementary or conventional medications.  Dosages mentioned in the information above are taken directly from the product information.

References:
http://www.medsafe.govt.nz/profs/Datasheet/l/Loseccap.pdf
Radiance Pro-B Antibiotic Support – www.healthandhertbs.co.nz
http://www.livestrong.com/article/290035-how-to-use-probiotics-with-antibiotics/
http://www.medscape.com/viewarticle/754326 – The Use of Proton Pump Inhibitors and Increased Susceptibility to Enteric Infection
http://www.medscape.com/viewarticle/759169 – Large Study Fails to Link PPI Therapy to Small Intestinal Bacterial Overgrowth
http://www.dms.ufsc.br/mip7013/arquivos/2550_Gut%20flora%20in%20health%20and%20disease.pdf
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3155417/ – Irritable Bowel Syndrome, Gut Microbiota and Probiotics (Link not available March 2015)

 

Disclaimer:
“Herbal and natural remedies for digestion, calming, breast-milk supply, depression etc, can be very effective in some cases, but a possible interaction with mainstream medications is often overlooked and can be harmful. Effectiveness of medications can be reduced or enhanced with unpredictable consequences. Please ensure all medications, natural or mainstream are prescribed/recommended/approved by a registered practitioner and administered using prescribed instructions. When discussing yours or your infant’s needs with your practitioner please ensure to mention all other treatments already being used.”

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 September 2015.  New Probiotic added August 2014.

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.

  • Has anyones bub had a fundoplication surgery? My almost 9 month old is having one as is failing to thrive and no meds or anything helping. Also what are the best solids for her with her oesaphagitis? Thanks

  • hi i have a little girl that will be 4 weeks old on thursday. we have been having abit of trouble with her spilling/bringing up with some of her feeds this can be between 10ml and what seems like a whole feed i am breastfeeding but due to not producing enough i need to top her up with either EBM/doner milk or formula i am currently using nurture gold 1 in her bottles. when bottle feeding i have her more upright almost in a sitting position then let her chill to let milk settle before burping but yet the milk still tends to come up normally she will gag before hand. is there any type of formula that could help or just thinkening agents to put in the formula or would anything like gripewater or inficol to help bring the wind to the top on her tummy to keep the milk down? any advice would be great. thanks in advance.

  • hi my little girl is going to be 4 week old on thursday and we are having trouble with her spilling/bringing up at possibly half of her feed times this can be between 10ml to what seems like a full feed. i am breast feeding but due to not producing enough i am topping her up with either EBM/doner milk or formula i am currently using nurture gold 1 (since thats all my local dairy had at the time. during bottle feeds i have her almost sitting right up then let her chill in that same position for at least a minute then burp for maybe good 5 minutes but still she tends to bring it up normally she will gag then up comes the milk. she is not really bothered by it at all. is there any cant of thicker formula that i can swtich to or are the thickeners thatyou put in the only option? would something like gripewater or inficol work to help get the wind threw the milk so the milk stays down? any advise would be great. thanks in advance. 🙂

  • What you speak often becomes the truth for those who hear, including your self-talk. Be kind to yourself too. Big hugs to everyone out there who are coping with infant and child Gastric Reflux and associated conditions. You are loving caring parents to your wonderful strong children.

  • Thinking of everyone affected by the recent earthquakes. It certainly gave us a good shake here, but we have no damage. Here is a good article published by Treasures.

  • Had peadetrician appt this morning. End result being a formal diagnosis of severe reflux and an another appointment in a week or so with ENT specialist to check his nasal passage and osephagus. Need to use both gavisone and losec. Bad sleep during day is probably due to reflux. But he is also flat lining in his weight gain, so need weekly weigh ins and have a minimum amount to try and get into him, but he's starting to refuse feeds so its getting more difficult. At the end of the appointment she said we're doing all we can and that she wishes there was something she could do to make it better but it's not likely to get better anytime soon. I burst into tears at that

  • Hi just wanting more info!!my daughter is 3 months old and only 4 weeks ago had a virus, which seem to being on reflux. The pediatrician then after going back twice decide that she has slient reflux, they were not helpful just told me to give her gavison, but that made her very constipated . So went back to gp and got losec, which I am very unsure about giving it to her. She seems to have a few good days then bad , tensing up so bad and not sleeping, is that normal?? Also can losec upset her tummy more , can i give it to her with pear at her age?? Im just giving to her by puting them in her mouth in the afternoon. Need help one unsettled baby girl 😫

  • BreastFedNZ App - Short App Survey - Sent by GRSNNZ

  • Does anyone have experience with apnoeas and a baby who has outgrown these? Can you share your experience with someone who has posted? Please see posts to the page.

  • Just a question to those mums and dads with infants who suffer with Apnea. When did your little one grow out of apnea episodes? My little one is 6 months and had one on Friday. It's really scaring me and the paediatrician at the hospital said he would grow out of them but Ive got no idea when this is meant to happen. I know every child is different Im just finding it really hard to cope with the anxiety of when it could happen next. Thanks in advance.

  • Sara wants to get in touch with others that have a child who has had to have a gastrostomy due to reflux. See posts to page if you can help.

  • Has anyone had their babies needing a gastrostomy/peg/mikey button purely for reflux? Would love to get in touch with anyone who has! Thankyou!

  • https://m.facebook.com/starshipfoundation/photos/a.404110593784.167013.124721253784/10154021067883785/?type=3&fs=1

  • Another good article. It talks about tantrums as well and says this: "Young children are still learning how to communicate, and their language abilities aren’t very sophisticated yet." That makes sense as to why our toddlers with ongoing pain from reflux can have tantrums in response to pain. They either don't have the ability to communicate what they are feeling or maybe are so overwhelmed that they can't communicate it. Does anyone else relate to this? PS: I love this picture I found. http://childmind.org/article/how-discipline-toddlers/?utm_medium=email&utm_source=childmind&utm_content=4+-+How+to+Discipline+Toddlers&utm_campaign=Weekly+092716&source=Weekly+092716

  • Emma has asked a question about whether others have a child who's Gastric Reflux has returned. Please see the visitor's posts to page.

  • Has anyone's baby had infant reflux that resolved itself over time, but has then returned months later?

  • I like the message from Emily at the end to other mothers "Dear mother, You are brave. You are strong. It is a sign of your love for your children and your partner that you’re getting help so that you can be the best mother you can be. It will be OK."

  • Please see the visitor posts to the page, and share your experiences with first solids.

  • Hey all. My son has GERD and we have just started introducing solids. I was wondering what solids you introduced that had either had an effect or no effect on your little ones reflux?

  • Have you had luck removing stains? Can you share these with Michaela? See posts to the page and reply there please.

  • Hoping I have a straight forward question, how do you get stains out of your (and your baby's) clothes. I find I can get milk stains out but when my DD spits up pure stomach acid I'm finding I can't get the smell or stains out. Does anyone have any good tips?

  • https://m.facebook.com/purpleclvr/photos/a.375609882543951.1073741828.369508529820753/1557557571015837/?type=3&fs=1

  • This chat with Plunket might be of use to some of you.