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.

  • Try to relax and enjoy the little things this Sunday. #gastricreflux #gor #gord #infant #baby #gastricrefluxsupportnetworknz #cryingoverspiltmilk #child #family #reflux

  • I have an 18 month old son who had silent reflux. we weaned of gaviscon about four weeks ago. His symptoms for reflux were aconstant runny nose, cough and wheezing. For the last week he has had the above symptoms again. I have had him to the Drs and they have said just to give him his inhaler as he is wheezy. I have always had to fight to get the diagnosis of reflux. I was just wondering if anyone has weaned there child off gaviscon and if so how long would it take to symptoms to possibly reappear?

  • Spilt Milk (Canterbury) February / March 2016

  • Gastric Reflux Support Network NZ shared Spilt Milk's event.

  • We have been weaning off omeprazole and the most recent drop didn't work so we have increased again. How long until she's feeling herself and not in pain again?

  • My 10 week daughter I think is suffering from reflux. She doesn't spill alot however I notice she swallows back quite often. Latley she has been gaging. She has been in a lot of discomfort from about 2 weeks. I've been taking her to a chiropractor which I thought was heping but this last week seems to be back to her old symtoms. I'm just wondering about the medications people use. Do they work? She is gaining good weight. So I'm wondering do I just go another month and hope she grows out of it? or do I try the medications? I'm just worried they might cause trouble Down the track? I don't have a very good GP so no help there. Any suggestions would be great thanks ☺

  • Gastric Reflux Support Network NZ shared Motivational and Inspirational Quotes's photo.

    Definitely borrowing this one... #cryingoverspiltmilk

  • #gastricreflux #gor #gord #infant #baby #gastricrefluxsupportnetworknz #cryingoverspiltmilk #child #family #reflux

  • Gastric Reflux Support Network NZ shared Patient's photo.

  • Had you noticed that this page for the Gastric Reflux Support Network NZ is a Verified Page by Facebook confirming that it is an authentic page for the Gastric Reflux Support Network New Zealand for Parents of Infants and Children Charitable Trust? http://www.cryingoverspiltmilk.co.nz

  • Gastric Reflux Support Network NZ shared Above Rubies's photo.

    Thank you to our previous National Coordinator for sharing this one. And in the words of Kelly from SmileDial our children might be a different kind of perfect.

  • Thanks Margot Kristensen for adding me to here we have a silent refulx baby we've been in and outa hospital for help and suport she's 8 weeks old crys frm the moment she wakes till any were frm 11pm or later I've tryed everything she has this day of screaming all day and then she's exausted the next day the pediatrician says there is nothing he can do and she is in pain were Goin to be admitted to mother craft in Hamilton as I can't rock her all day every day I'm exausted 2 any tips or advice pls

  • I have a 4 month old (5 at end of month) he's on omeprazol for silent reflux. He's started spitting his medication and I can't get him to swallow all of it. He gets distressed and this morning he vomited it all back up after gagging on it. He's had a flare up I'm sure cause he's not getting enough. I've asked GP for capsules w. Baby pear, but been denied cause hex too young. Anyone had luck mixing liquid with anything to get him to take it?

  • Hi We were prescribed gaviscon infant and told that it acts Like a plug keeping the acid down, b However I noticed on the crying over spilt milk site that there are two gaviscons used and that it is the other one that acts like a plug. My son is on ranitidine for silent reflux, which has helped but he still wakes up all the time from it and during the day will only sleep for about ten minutes before waking. Can anyone explain the difference between the two gaviscons? Also, is there any reason why my son sleeps better at night? Or is he just exhausted from not sleeping during the day? Thanks in advance for any advice

  • Please check the posts to the page and help out on a recent question if you have ideas for helping keep a young baby upright.

  • Hi there, I have a little 3 week old baby girl who we have just been told has reflux. It causes her a lot of pain and because of the reflux her windpipe gets closed off for an extended period of time with the milk/acid going up and down causing her to go bluey or purple which is very scary. She needs to be held 99% of the time because when lying her down it causes a lot of pain and also causes her to be sick out her nose and mouth. She has been started on gaviscon at every feed which seems to be helping with the "choking" episodes but I still need to hold her all the time. I am wondering if anyone has had any good slings or has any ideas that may help to keep her upright and comfortable to sleep etc. for both me and her. :)

  • Gastric Reflux Support Network NZ shared Patient's photo.

    #understanding #havebeenthere

  • Our daughter has had reflux since about 5 weeks & she is now 7 and a half months old. She will sleep 12 hours and wake to have 30 mls. She has small amounts often throughout the day and cannot handle anymore than 80 mls which is few and far between. She also has solids 2 - 3 times a day. She is also still on newborn teats and we try all the time to go up but she cannot handle the flow and wont drink at all. She is now a good size and looks healthy but only because I am constantly feeding her and also have a 4 year old who has gone backwards in her behaviour and toileting because Miss 7 1/2 months is so time consuming. She is under a pediatrician, on Ranitidine 3 x a day and is booked in for a barium swallow on the 18th of this month. Has anyone else had/have this issue?

  • #gastricreflux #gor #gord #infant #baby #gastricrefluxsupportnetworknz #cryingoverspiltmilk #child #family #reflux

  • Our seven week old baby can sleep for hours vertically in our arms, but wakes when in his back. When he is sleeping on his back he often makes a sound which sounds like someone clearing their throat, it goes on and on and eventually he wakes up. He doesn't spit up, but often has white on his tongue. He also grimaces a lot in his sleep. Does this sound like silent reflux? I'm especially keen to know if anyone has experienced the same type of noises in their baby. We have a doctors appointment on Tuesday.

  • There is a post to the page about settling babies with Gastric Reflux to sleep.

  • #gastricreflux #gor #gord #infant #baby #gastricrefluxsupportnetworknz #cryingoverspiltmilk #child #family #reflux

  • Hi all, I've successfully moved to a feed, play, sleep routine during the day with my 4 month old who is on omeprazole (although we battle the sleep but at times!) - however we still feed to sleep at night, and I keep him upright for 30 mins afterwards (asleep). I've been reading up on trying to stop feeding to sleep for 5 month olds to try and stop this sleep association and it suggests keeping baby awake for 10 mins after a feed then putting down awake/drowsy. How do people manage to get their reflux babies down at night without feeding to sleep? I'm confused on how to make this work whilst needing baby to stay upright after a feed for 30mins. Thanks!

  • Hey all, our baby's doctor is currently on holiday and the replacement is unwilling to try any medications for our 5 week year old reflux baby. Our regular doctor prescribed gaviscon, which has helped a little.. but still have a lot of problems and our midwife has suggested omeprazole. Any advice? Could we go back and demand a referral to a paediatrician? How long does it usually take to see a specialist? Thanks for any help :)

  • Ok this might seem a bit of an odd, specific question but I was just wanting to know if when your bubs reflux, do you get any warning that it's coming? Can you hear it bubbling up? I ask because I think my poor girl has 2 separate conditions: 1. Reflux, which seems like there's no warning it's just BAM all over your shoulder. 2. Forceful vomiting (of unknown cause), which you get warning with - her stomach starts to spasm and she shudders and jerks and it comes up out of her nose and mouth, other times it is like a fountain. It also appears a bit random when it happens. Does this sound correct ?