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/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.
    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.  $42.34 for 180 including p&p (January 2015) which is still cheaper than one NZ price of $38.95 for 90 in January 2009 I had noted here.

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

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 July 2014.  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.

  • Gastric Reflux Support Network NZ shared Interstitial Cystitis Association's photo.

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    #sleep

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  • Hi there, my daughter has been on omeprozole granules (5mg, twice daily) since 6 weeks old. I've talked to our GP about how and when to wean, his advice was to go cold turkey "whenever we felt like it"..!

    I'm looking for some advice from other families on how they went about weaning - Would like to take a gentle path.
    Are there signs of readiness?
    What age did you start?
    Did you drop one dose and see if there was any effect before fully weaning?
    Or is cold turkey the right thing to do, after all?

    Thanks.

  • Hi all,
    Does anyone know if its okay to mix kiwiherb stuff with losec to mask the taste if you stick to the correct dosages? Eg .5ml each of kids calm, echinature, and chest syrup mixed with 3.8ml of losec?

  • 10 day old baby showing signs of reflux already. Similar to his brother (who is now 22months).
    He has the "breath that smells like stomach acid", looks like he's got a bad taste in his mouth, the "cottage cheese" spit up at times and obviously a very sore tummy after feeds.
    I am babywearing to keep him upright which is helping.

    I suppose what I'm asking is at what point do I go to gp and ask for a paed referral? My husband says don't go looking for trouble until it becomes a much more obvious issue.

  • Can anyone in the Wellington area recommend a good doctor with an understanding of allergies/ intolerances? I'm convinced our doctor doesn't get it! My poor bubba needs a formula top up and is intolerant to diary protein and soy. The doctor wants to start solids but he is only 4 months, I want to leave it until 6 as there is a family history of food intolerances.

  • Gastric Reflux Support Network NZ shared Plunket New Zealand's event.

    Join our PlunketLine Nurse Carla, PlunketLine Advisor Elaine & National SKIP Advisor Regan to chat about Baby Sleep (12 months and under). Post any questions you have below or private message us and we'll be sure to answer these during our chat. If we missed your question or didn't get to it we'll come back to you in the next 24/48 hours. You can check the chat out here: https://www.facebook.com/PlunketNZ/photos/a.367839658272.194714.176947128272/10153679203903273/?type=1&theater if you need any urgent support or advice you can call PlunketLine anytime - 0800 933 922

  • New Membership Form for the Gastric Reflux Support Network NZ - but same address and similar details required: http://www.reflux.cryingoverspiltmilk.co.nz/grsnnz-membership-confidentiality-agreement-form/

    Please let me know if there are any problems, but I have tested it - and besides the WordPress Plugin insisting on US format for DOB...it was all good. :-)

    Gastric Reflux Support Network NZ for Parents of Infants & Children Charitable Trust Membership & Confidentiality Agreement Form First Name: Last Name: Email Address: Street Address: City/Town: Area: Auckland Canterbury Gisborne Hawkes Bay Marlborough Nelson Northland Otago Southland Taranaki...

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  • I have a 11 month old who will be 1 in a weeks times who has silent reflux. Gaviscon seems to work for him at them moment however I am looking at reducing the number of bottles he has a day. I was therefore wondering if anyone had any ideas on how to get the gaviscon in to as he current has four doses a day?

  • I have an 18 month old with silent reflux. It seems to flare up dramatically when she is teething. She can wake up to 10 times in a night! I am still breastfeeding and although this is good for her as it helps to comfort her I get very little sleep. I co-sleep so I at least can doze while she's latched. When the reflux is at its worst she gets very angry and lashes out, often banging her head on the ground. It's heartbreaking to watch and when she is in that state she doesn't want to be cuddled. I'm finding it so emotionally challenging as she is generally a happy, giggly, cheeky little girl in between times.
    She was so bad last week I was in full meltdown mode.
    She has had this since birth, I've always had a dairy free diet and from about 6 weeks old I took out dairy,soy, added probiotics and started her at the osteopath also. This helped heaps and at one point she was sleeping 6 hour stints at night. Then at 12weeks old it came back and has never left and I would say the last couple of months is the worst it's ever been. I've upped the probiotics and added other probiotic foods and am taking out acidic foods as much as possible. She has been a little better the last 3 days so hoping she'll keep improving.
    Has anyone had good results with osteo or similar at this age? I'm wondering if it's worth trying that again.
    I also want to know if people have had success with medications because I read forums online and it seems like only approximately(total estimation)
    2/10 people will write that it really helped them so I don't want to pump her full of things if there's not a good chance of it even working. What are your experiences?
    Help! And thanks in advance 😊

  • There are two new posts to the page if anyone would like to help by sharing their experiences.

  • Hi There I am looking for support for a toddler with reflux. She had terrible silent reflux as a baby and then we thought she had grown out of it by 1ish. Then she has been rediagnosed with it age 2 years one month - after countless ENT problems (She has grommets and has had her tonsils and adenoids removed) and constant constipation. The medication is starting to kick in but she is so upset and so angry all the time (also partly because she is a toddler). Any tips people have to soothe her and help her not be afraid of sleeping/ lying down much appreciated, We are also considering reintroducing her dummy as it worked so well last time, but are conflicted about wether it is a terrible idea or not.Thanks

  • For those dealing with a silent refluxer, what are the symptoms you've noticed? We've been treating my 9 month old for this but never had much success which makes me second guess if that's what the problem is :/ she wakes within an hour of going down at night (if we get her down!), won't settle until around midnight, sleep during the day is never guaranteed and now since starting solids she wakes very frequently dumb the night with what looks like either sore tummy or wind pain. Sound like anyone else's baby?

  • Gastric Reflux Support Network NZ shared their note.

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    Please do not give advice on dosages, advise families to give medications in two dosages when they were told to give them once daily by the prescriber or vice versa, or give direct advice on medications, formulas etc.

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  • Hi Team. My now 3month old has been on Losec for quite sometime now and we had a different chemist make up the liquid and it looked different to out usual dose. Well he now seems like he is back to that child he was before we started on it. I have been back to the old chemist to get it better batch...how long will it take to kick back in,if it has gone out of his system? Cheers. Very exhausted mum

  • Emma has asked a question.

  • Can anyone help us? We have an almost 8 month old she's on Pepti jr, omeprazole and gaviscon. The last 2 weeks have been not very fun for us. She goes off to sleep nicely at 6.30-7 then ban at 9.30-10 inconsolable crying. Her reflux through the day is also much worse. We give losec in the morning and gaviscon with her bottle before bed but not at other feeds because it made her constipated. She's not interested in crawling and rolling anymore because she gets a lot of acid coming up and just wants to stand all the time. She is on a variety of solids is there anything I shouldn't give her because it makes reflux worse? We thought about taking out citrus peaches and apricots?? Too make everything so much more fun she is teething just got her first tooth yesterday ... Any advice much appreciated we would just like some sleep :-(

  • We have a question from Sara now too.

  • Hi there! Im just wondering if anyone has gone down the line of bubs having to have an endoscopy and pH probe study because of reflux lasting too long? My bubs is 15 months and still on high doses of reflux meds and she gets so bad when we try to wean them down. Her Paediatrician has referred us for an Endoscopy +/- pH probe. Has anyone had this? If so, what was the outcome and did it even change their management? Thanks!

  • Hi everyone, Brylee has asked a question. Have a look at the posts to the page. Thanks for sharing your experiences in advance.

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