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.


  • 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)


    • Aid digestion
    • Produce several vitamins
    • Support immune function

Probiotic links:


  • BabyBiotic “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 to find out where to purchase.
  • Blackmores 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 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 – 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 – 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) January 2009. Available from Health Stores.
  • Kyo-Dophilus – 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 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, Powder 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. $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. $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 $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.

Radiance Pro-B Antibiotic Support – – The Use of Proton Pump Inhibitors and Increased Susceptibility to Enteric Infection – Large Study Fails to Link PPI Therapy to Small Intestinal Bacterial Overgrowth – Irritable Bowel Syndrome, Gut Microbiota and Probiotics (Link not available March 2015)


“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.

  • We hit 3000 Facebook Page likes yesterday, but I'm not sure if Susannah Taylor or Kelly Dunlea was the 3000th like. We would like to send you both a little something when our supplies arrive in a couple of weeks. Kellly, I already have your address. Susannah, can you please message me yours? If someone knows Susannah can you please let her know? Wahoo, what a milestone!

  • There is also some recent medical research out along the same lines. I'll post the review article in the comments. Skip to the last page and the take home messages to decide if you want to read it. <a href="; rel="nofollow"></a&gt;

    Bath time is a lovely, splashy affair for little ones and a comforting signal to parents that bedtime is not too far away, and now research shows just how

  • And another one from Postnatal Depression Awareness Week. Sorry, that I'm a few weeks behind on my emails, but at least the information is still relevant: <a href="; rel="nofollow"></a&gt;">

  • <a href="; rel="nofollow"></a&gt;. - htm - sorry, I think I may have missed the week.

    The most risky time to become mentally unwell is after having a baby. Thirteen per cent of women in New Zealand suffer from Postnatal Depression with 20% suffering from anxiety during and after pregnancy*. Postnatal Depression Awareness Week is ...

  • Sorry for the long post but in desperate need of advice from people with experience. My baby girl is 10wks old today and from 1.5weeks old been medicated for reflux, first just Gaviscon, then added Rhanitadine. Doc upped the dose until we were on the max dose and it still didnt make a difference so doc switched to Omeprazole liquid, upping the dose every couple of weeks and still doing Gaviscon. Baby is still super uncomfortable, spilling (more like vomiting out of nose and mouth and it keeps going like she is vomiting not a 'normal' spill, freaks her out big time) after almost every feed (before we started meds it was after every feed, so have seen some improvement) and i can smell the acidity. She has diarrhea quite often and have had blood in her stools 3-4 times. Doc said today that shes out of ideas :-( She did prescribed us Pepti Junior to try and dropped Omeprazole to once a day. My baby is so tired, she wants to sleep but keeps wriggling and grizzling, just cant get comfortable so would really appreciate advice. We do all the usual stuff like having her elevated etc. *Reposting as had to delete other post to edit :-)

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

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

    Thank you to all those strong parents out there who help out in this page!

    Inspiring and Positive Quotes <3

  • My baby is 7 weeks . she has low weight gain and doesn't feed well and has &quot;silent&quot; reflux. She is very gassy as She is currently on karicare gold + and lady from peads has suggested I try normal karicare infant and see how she goes till she sees us. But I've done some research and reviews are saying aptamil gold HA . any advice suggestions? I'm going to use gaviscon in the mean time .

  • can i post a question, why does nobody seem to answer reflux questions. Why can't the doctors help the mothers? my baby is 5 months old, we have run every possible test, gone through a lot. He does not sleep at night, wakes up 5 times. on the best most expensive milk. He is eating. Still wakes up. I don't understand, i cant go on like this, i look like a Zombie. make mistakes because i am so tired. gone to a Chiro, tested kidneys, the list is just never ending, seen several Peads. no luck. Surely in this day and age somebody out there knows what to do with reflux babies, seems every second mom i meet, has a reflux baby with no answers. And dont tell me it will get better, when, i need sleep.

  • Hey ladies. How do i know if my baby has reflux??? What are the signs?? My little girl (4weeks) spills quite often but not too often..? She just doesn't sleep in the day? Literally all day... Unless being held and up right.. Doesn't sleep well at night either unless up right on my chest? Hellllp. Shes breastfed.

  • For anyone who was confused by the information given on the news last night, this came through in my emails today: <a href="; rel="nofollow"></a&gt; so direct from the Ministry of Health rather than the media's interpretation.

  • There is a new question about sleep by Stephanie to the page. Does anyone want to share their experiences and help her out? Have a look at her question.

  • Hi :) can anyone please tell me their experiences with sleep training a reflux baby/teaching bub to self soothe?

  • The Gastric Reflux Support Network NZ's newsletter was out yesterday. There is some information in it about the BreastFedNZ app and also about how to join your Support Networks. If you are not a member and would like to receive the newsletter or have access to a Local Support Network or a Network for support on Feeding issues, Laryngomalacia or EGID / EoE, please complete a membership form: <a href="; rel="nofollow"></a&gt;

    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...

  • Gastric Reflux Support Network NZ shared Judy Arnold - Infant and child Consultant's photo.

    Judy is having a question and answer session today?? Head over to her page.

    It must be time for another question and answer time. Tomorrow afternoon 1 pm-2.30 pm. This is your opportunity to ask me questions. Spread the word,,,

  • Vikky Wintersgill-Taylor I used this page hundreds of times for help ya might get some tips x

  • Questions, questions...more people have posted questions on our page. Help me out and share your experiences. :-)

  • Does anyone with a baby with silent reflux use infacol as well as rhuger? I used rhuger for my first child but doesn't seem to be helping as much woth number 2 I just like that was its natural, rhuger has helped a bit but he's spilling up more now for some reason (10weeks old) advise appreciated ☺

  • Hi guys how do you feed your reflux babies? Do you find it best to let the baby drink the milk in 2-3 goes or do you find it best to have larger 20 minutes breaks?

  • Gastric Reflux Support Network NZ looking for answers.

    Hi everyone - there are more questions to the page that you might be able to share your experience around.

  • Hi. Have a question for any parents who have used zantac to control silent reflux. Baby is responding really well to it but almost 3 weeks in it seems to be causing a bit if constipation. Have just started using coloxyl drops for that but I suspect it is making the reflux worse , has anyone noticed this with these two medications ? And are there any alternatives that you have found work well for constipation ? Baby is 8 weeks old . Thanks in advance 😊

  • Hi all. My lil(literally) 9 weeks old bubba born 2.1kgs at 37 weeks *iugr baby* has been diagnosed with GORD and has cyanotic/apnea episodes from it. He is on omeprazole, gaviscon and pepti junior but all these doesnt seem to help much and he still has these cyanotic episodes randomly (awake or asleep). He was admitted to the kids ward at waitakere hospital when he was 2 weeks old. Hubs and i resorted in taking turns in staying up taking care of him at night as he needs constant supervision. These episodes happen very silently and randomly so we dont know when it will happen or when it happens.. We also have 2 older toddlers.. anyway anyone else went through/going through the same thing? Should we bring bubs back to his gp? how do you get seen by a specialist?

  • ... And more posts to the page. :-)

  • Hi there, does anyone have experience/success with getting their baby allergy tested? I went to a herbalist on recommendation of a friend. He tested me for intolerances and as a result I am now on a strict dairy/gluten/yeast/egg/soy and corn free diet ($430 poorer and starving...the herbs have done nothing). I've been dairy and gluten free since miss 3 months was diagnosed with GERD at 3 weeks but I'm sure there is more to it as her poos are full of mucous and she is still in pain dispite being medicated. Any suggestions? :)

  • What is someone called who specialises in GERD? What kind of specialist are they? I think it's time for us to delve further into this issue that my 3.5 year old is dealing with. Recommendations appreciated. We are CHCH based. :) Will obviously go through my GP but nice to know if there is anyone in particular who is great? Thanks in advance!