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.

  • 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?

  • A reminder please when you are replying to messages.

    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.

    It is perfectly fine to share your experiences as long as you do not discuss dosages of medications or mention health professionals etc.

    We love you chatting and supporting each other so please continue to do this, but keep it safe and non-medical.

  • Gastric Reflux Support Network NZ wrote a new note: POPULAR PAGES.

  • Gastric Reflux Support Network NZ wrote a new note: GASTRIC REFLUX SUPPORT NETWORK NZ - FACEBOOK PAGE GUIDELINES.

  • 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.

  • i keep getting an error message when trying to register?

  • Has anyone else had a major setback with reflux after their little one starts moving? I am feeling so emotionally drained and thought it was supposed to get better, he's now nearly one and we are back to square one

  • I've just hit SEND on the newsletter so if you are a member, you should receive it over the next 24 hours. I'm using MailChimp for the first time, so it will look a little different.
    If you aren't a member and would like to receive newsletters or join our local support groups, please complete a membership form: http://www.reflux.cryingoverspiltmilk.co.nz/grsnnz-membership-confidentiality-agreement-form/
    Membership is free. It has been great to see two to three new members every day since I fixed the form! :-)

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

  • I've just discovered our membership form hasn't been working due to some unknown glitch and I've spent the last few hours getting it working again. I suspect this has been like this for a fortnight. So sorry anyone who has been trying to join. Remember membership is free and you can join in confidential chats with those in your local area.
    http://www.reflux.cryingoverspiltmilk.co.nz/grsnnz-membership-confidentiality-agreement-form/

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

  • Another Post created on our website from the Tips on Coping thread from National Infant and Child Gastric Reflux Awareness Week. Thank you so much to those who contributed. I might just try and add this into the Help! Menu as well.

    The following is created from a thread during National Infant and Child Gastric Reflux Awareness Week on our Facebook Page https://www.facebook.com/hashtag/nationalinfantandchildgastricrefluxawarenessweek There were 38 comments with advice or tips on how parents coped with infants or children...

  • Story 2 from National Infant and Child Gastric Reflux Awareness Week transferred to our website for safekeeping. :-)

    Daughter number 3 was born in 2000, weighed 8lb, 6oz and fed well, but we escaped the maternity home earlier than with number 2 as she just wouldn’t settle at night easily. At eight days old, my husband found her grey and limp, but breathing. She went on to have prolonged apnoeas (cessation of...

  • National Infant and Child Gastric Reflux Awareness Week logo profile photos - The week finished 6th June. There are still a few people we've noticed with the logo as their profile picture. Can you please remove this now?

    Many thanks, for your support.

  • Thank you everyone who contributed to this. I think it will help others know that they are not alone in what they feel and experience. I also think it might be a great resource for health professionals.

    The following is created from a thread during National Infant and Child Gastric Reflux Awareness Week on our Facebook Page https://www.facebook.com/hashtag/nationalinfantandchildgastricrefluxawarenessweek It included words or short phrases that had something to do with what gastric reflux meant...

  • Who has seen National Infant and Child Gastric Reflux Awareness Week Posters in waiting rooms, reception areas, play centres, consult rooms or anywhere else?

    There was quite a number posted or delivered around NZ so we would love to hear if you spotted one.

    This is the printed A4 glossy poster that has our phone number and website address at the bottom - not the digital graphic. Draft preview here:

  • Gastric Reflux Support Network NZ shared their photo.

    Thank you so much to everyone that supported the Gastric Reflux Support Network NZ and promoted National Infant and Child Gastric Reflux Awareness Week by taking up the Challenge and using the logo as your PROFILE PICTURE on your PERSONAL PAGE.

    It was wonderful to see so many people doing this and I did lots of double-takes when visiting some pages as there were so many orange PROFILE PICTURES.

    I don't know about you, but I'm looking forward to next year and am already making plans. Hopefully, many of you will no longer be dealing with Infant Gastric Reflux, but feel free to come back between 31st May to 6th June and give others some hope that they will get through this difficult time. Put it in your diaries. :-)

    Best wishes for the year ahead,
    Roslyn Ballantyne, National Coordinator, Gastric Reflux Support Network NZ, National Infant and Child Gastric Reflux Awareness Week 2015!

    (Please note the National Infant and Child Gastric Reflux Awareness Week logo is copyright and may only be used with permission from GRSNNZ. It may be shared using the Facebook Share Function.)

    A Challenge to you ALL except we ask that you only do this on your Personal Profiles i.e. NO PAGES or GROUPS. National Infant and Child Gastric Reflux Awareness Week starts tomorrow and continues until 6th June. During this time GRSNNZ would love you to create Awareness by using this logo as your profile picture. Once you have set it as a profile picture please add a comment to the picture on your page and put the link to this Facebook Page and our Website: https://www.facebook.com/cryingoverspiltmilk and www.cryingoverspiltmilk.co.nz so others can find out more. (Please note the National Infant and Child Gastric Reflux Awareness Week logo is copyright and may only be used with permission from GRSNNZ. Permission is granted as above for the use of Personal Profile Pictures only. It may also be shared using the Facebook Share Function.) Example in the comment soon. Many thanks. GRSNNZ Committee.

  • I'm slowly copying over the Awareness Week happenings to the Crying Over Spilt Milk website so we don't lose them. You will also find some of last year's publicity and stories there. Here is Day 1.

    My first child definitely had very few, if no signs of gastric reflux. I can’t even remember her spilling much – mind you, she is 22 years old. Three years later we had another daughter, born 13 days late, who decided she should then enter the world in a rush. She became unsettled at about two...

  • Hi.

    Just wondering people's opinion or feedback on how they get their baby to sleep?
    My GP wants me to let my 5 month old 'cry it out' but I just don't think it's the best idea for him. At Present we feed him to sleep.

    Thanks

  • Gastric Reflux Support Network NZ shared Mum 2 Mum's photo.

    Just sharing this back to our timeline again as this was a perfect way to promote National Infant and Child Gastric Reflux Awareness Week.

    The logo and Awareness Week is not used to sell a product or promote the business.

    It links back to our website and Facebook page so that users can identify that the logo belongs to the Gastric Reflux Support Network NZ ,and seek support and information.

    Top points Mum 2 Mum.

    Today marks the first day of "National Infant and Child Gastric Reflux Awareness Week" - here at Mum 2 Mum we are not strangers to refluxy and spilly babies and we we know how hard it can be as parents some times. If you have any concerns about your infant or child's health or think they may be suffering from Gastric Reflux, please contact a healthcare professional - if you wish to learn more (from symptoms to real experiences), please take a look at the national gastric reflux support website: www.cryingoverspiltmilk.co.nz or check out Gastric Reflux Support Network NZ :)

  • Copyright: The National Infant and Child Gastric Reflux Awareness Week logo/graphic is copyright to Gastric Reflux Support Network New Zealand and may only be used with permission from GRSNNZ.

    During National Infant and Child Gastric Reflux Awareness Week 2015 the logo has been used without permission and in some cases to promote businesses.

    Crying Over Spilt Milk and Gastric Reflux Support Network New Zealand for Parents of Infants and Children Charitable Trust does NOT endorse any product, business, health professional or treatment as there is no one correct way to treat or parent our infants and children with gastric reflux.

  • Gastric Reflux Support Network NZ updated their cover photo.