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.

  • Gastric Reflux Support Network NZ shared Dance Of The Spirit's photo.

    ;-) does this make you feel any better?

  • Hoping that a few of you can help...any other mums with toddlers with ongoing GERD/Reflux? My son is 16 months old and unfortunately is back on losec 3x a day due to chronic wheezing after eating & ulcers (due to acid) on the throat. Did your toddler just eventually grow out of it? Or was it a physical problem like a hiatus hernia? Any tips on managing it? He's a pretty happy little kid despite everything apart from a pretty low immunity at the moment and choking night episodes that have been going on for 9ish months , they basically present like mini seizures (which they are not) or an extreme night terror where he screams, burps, swallows, passes winds and arches his back for a good 10 minutes they scare the crap out of us. We are on waiting lists to see public/private gastric specialist as reflux specialist can't really do anything more than medicate. He has zero allergies and we still purée his main meals to help with digestion. Just hoping someone has been in similar situation because I feel like I'm going around in circles and feel quite alone in all of this.

  • Gastric Reflux Support Network NZ feeling frustrated.

    Has anyone else had problems getting the membership form to go through recently and giving up? http://www.reflux.cryingoverspiltmilk.co.nz/grsnnz-membership-confidentiality-agreement-form/ Please let me know if you have and I'll switch it back to the old version.

  • http://www.reflux.cryingoverspiltmilk.co.nz/grsnnz-membership-confidentiality-agreement-form/ Our Newsletter is due out tomorrow so please subscribe today or tomorrow morning to find out more. If there are any problems subscribing please let me know. You will be redirected to a welcome page if successful.

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

    https://www.facebook.com/events/490653441123606/ Just sharing this in case any of you have something you want to chat to Plunket about. Check out their event for further information.

  • Newsletter is due out soon so now is a great time to join http://www.reflux.cryingoverspiltmilk.co.nz/grsnnz-membership-confidentiality-agreement-form/ #gastricreflux #gor #gord #infant #baby #gastricrefluxsupportnetworknz #cryingoverspiltmilk #child #family #reflux

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

    Do you have those days where not much gets done?

  • My 7.5 month old had reflux and whilst he still spilled a little, we took him off Losec a month ago. In the last week or so we (and daycare) have noticed he is spilling a bit more frequently and it is acidic and a little curdled. Any ideas?

  • With all the news items coming up about the dangers of swaddling, here is an article linked from a NZ health website healthinfo.org.NZ on how to swaddle. http://hipdysplasia.org/developmental-dysplasia-of-the-hip/hip-healthy-swaddling/ Remember that any nursery item that puts baby into a position they can't achieve developmentally or restricts their leg movement (abduction) should only be used for short periods (or not at all). Roslyn Ballantyne, RN, National Coordinator, Gastric Reflux Support Network NZ

  • Gastric Reflux Support Network NZ shared a post.

  • Can anyone recommend or know of where I get tongue/lip tie released with LASER in the south island??

  • If you want to join the Gastric Reflux Support Network NZ or update your details, or have had trouble signing up before, I have just updated our membership form so that the process should be easier. http://www.reflux.cryingoverspiltmilk.co.nz/grsnnz-membership-confidentiality-agreement-form/

  • Never posted before but followed this site for a year now. What a roller coaster is has been dealing with a child with reflux. I've learned so much about it yet still feel like I have no answers. For any mommas out there looking for advice from those who have been through it: 1. Get earplugs and a video monitor so you can put them down, walk away, and not listen to the screaming for the millionth hour 2. Push your health care providers! You know what is normal for your baby and what is not! 3. Try everything! Use every tip, trick, medication, bottle, breast, diet, homeopathic remedy, physiotherapy, chiropractor. That way....when nothing is working, you know you've done your best. (In my case....nothing worked. But I got through knowing Id tried it all) 4. When nothing works, tell yourself every day: Your baby loves you Your baby needs you You are the best mother in the world You know what is best for you baby Your baby will one day grow out of this BECAUSE IT'S THE TRUTH!!!! 5. Surround yourself with people who love and support you. And tell the others to $@"& off 😉😘

  • There is a new visitor post about a four month old. Can anyone help out? (Please remember no medical advice or medication recommendations.)

  • I have a 4mo who I suspect has had reflux flare up over the last 10 days. He's waking every 1-2 hours now which is the biggest hassle about it. He's not as bad as a lot of babies but during and after BFing he will come off and cry in pain. I used to think it was wind struggling to come up but the pain would continue even after a good burp. He can fall asleep on me but when I go to lie him down in bed he often wakes straight away, arching his back in pain and kicking his legs around. I could go on but I'm going to docs in the morning. If anyone has any advice for me please share. Also wondering if I should try any homeopathic remedies? I haven't tried the dairy free diet yet, mainly because I'm hoping this is just a phase and he goes back to being a happy baby that would only wake twice a night for a feed!

  • Who has breakfast ideas for a six month old? Someone has posted a question to the page. Can you help out?

  • Mummies of reflux babies, what are or were your go-to solids for breakfast & dinner? Miss 6 months has been on solids for a little while, has veggies (which I make myself) for lunch & then porridge & pears for breakfast & dinner but I think she's a bit over the porridge/will only eat it if distracted by toys... Any suggestions of reflux friendly options so that I can mix it up a bit for her? Thanks x

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

  • There is a new question to the page. Please look at the visitors posts and see if you can help with ideas for introducing solids.

  • Some info here about screen time for littlies. http://childmind.org/article/media-guidelines-for-kids-of-all-ages/?&utm_medium=email&utm_source=childmind&utm_content=7+-+Media+Guidelines+for+Kids+of+All+Ages&utm_campaign=weekly&source=weekly With our irritable children or siblings that need entertaining whilst we attend to our infants, screens sometimes get used so this information may be useful. I'm not posting it to say not to use them, but as a reminder of safe use. You are in control and can choose when to use them, and choose other activities at other times. E.G screens are for when mummy is feeding baby only. Its time to play outside now. Who has other tips for siblings when feeding baby or putting baby to bed? (Remember it is important to have some special time with siblings after you have attended to baby.) We would love to hear your ideas.

  • Hi I have a 6 month old who was diagnosed with silent reflux at 6 weeks we have struggled through breast feeding as he has quiet a bad feed aversion but I have been trying the last month to get him on to solids and he is just not interested in not sure if it is Age thing and just needs time or feed aversion putting him off a bit any advice?

  • http://www.plunket.org.nz/your-child/facebook-chats/top-tips-from-our-facebook-chats/toddler-sleep-and-settling/

  • Gastric Reflux Support Network NZ shared Inspiring and Positive Quotes's photo.

    We just aren't going to promise a time frame as we know how frustrating that is... When they sit, walk, 6 months, 12 months, 18 months... Enjoy your Sunday everyone.

  • http://www.newshub.co.nz/nznews/8yo-lucky-to-be-alive-after-medicine-dosage-error-2016030617#axzz42GCkEoBP Thank you to Ollie Ritchie our reporter

  • http://www.medscape.com/features/slideshow/safe-sleep-principles?nlid=100491_453&src=WNL_mdplsfeat_160223_mscpedit_peds&uac=76049AV&spon=9&impID=1000340&faf=1#page=7 Click on the link above for a great diagram of why sleeping flat and and on the back is recommended.