Article --> Probiotics Significantly Reduce Symptoms of IBS & UC

Discussion in 'Fibromyalgia Main Forum' started by MemoryLane, May 29, 2003.

  1. MemoryLane

    MemoryLane Member

    Probiotics Significantly Reduce Symptoms of IBS, Ulcerative Colitis

    Medscape Medical News 2003. © 2003 Medscape

    Martha Kerr

    May 21, 2003 (Orlando) — Probiotic therapy, primarily in the form of Lactobacillus acidophilus and Bifidobacteria infantis, significantly improves symptoms and quality of life in patients with irritable bowel syndrome (IBS) and other bowel disorders, researchers reported in a number of presentations here at Digestive Disease Week 2003.

    In a study designed to assess the efficacy of probiotics alone or in combination with antibiotics in patients with IBS, Stephen M. Faber, MD, from Albemarle Gastroenterology Associates, PC, in Elizabeth City, North Carolina, evaluated treatment in 44 patients with IBS. Twenty patients received probiotics alone and 24 received ciprofloxacin 500 mg twice daily for one week and two probiotic formulations, Lactobacillus (NCFM) 10 billion/g and Bifidobacteia infantis (Bifdo), 10 billion/g for four weeks.

    Patients completed the IBS-Quality of Life (IBS-QOL) questionnaire and the Symptom Frequency Index (SFI) before and after treatment. For the study group as a whole, IBS-QOL scores averaged 66.2 before treatment and 84.6 after treatment. SFI scores before treatment averaged 38, decreasing to 18 after treatment.

    In patients who received both probiotics and antibiotics, IBS-QOL scores averaged 67.6 before and 87.8 after treatment. SFI scores averaged 35 at baseline, decreasing to 18 after treatment.

    In the probiotic-only group, baseline IBS-QOL scores were 69.3, increasing to 86.4 after treatment. SFI scores were 39 at baseline and 17 after treatment.

    <bold>Differences in IBS-QOL and SFI scores between probiotic plus antibiotic treatment and probiotic-only treatment were statistically insignificant, Dr. Faber reported.</bold>

    A retrospective look at IBS patients treated with probiotics indicates that there is a deficiency of Lactobacillus in the gut flora in patients with IBS, Dr. Faber noted, "but we're not ready to call IBS an infectious disease."

    Probiotic therapy also improved symptoms of ulcerative colitis (UC) in a separate study presented by Richard N. Fedorak, MD, professor of medicine and director of the division of gastroenterology at the University of Alberta in Edmonton, Canada.

    In a safety and efficacy study of the probiotic formulation VSL3 (VSL Pharmaceuticals, Inc., Ft. Lauderdale, FL), which contains eight lactic acid bacterial species, Dr. Fedorak and colleagues evaluated 30 patients with active mild-to-moderate UC with recent flares. Patients continued with previous treatment that included mesalamine, corticosteroids, and/or azathiaprine, as long as the treatment regimen was stable prior to the study.

    Patients took two VSL3 sachets twice a day for six weeks. Ulcerative Colitis Clinical Scores were measured and sigmoidoscopy performed at baseline and after the six-week treatment period.

    Dr. Fedorak reported that remission occurred in 63% (19 patients) and there was a clinical response in an additional 23% (seven patients). There was no response in 13% (four patients). Worsening of symptoms occurred in one patient.

    Dr. Fedorak said that probiotic therapy was not associated with any adverse clinical or biochemical events.

    "I haven't heard of getting into trouble with probiotics," Dr. Faber told Medscape. "These are organisms that are supposed to be in the gut. The body knows how to control them, so it doesn't seem that you can overtreat."

    While probiotics have been recognized as beneficial components of food, Dr. Fedorak pointed out that "we don't use it as a food product anymore but as a treatment.

    "Infantile diarrhea can be shortened by about a day from the usual three- to four-day course. That is very important in infants. Probiotics are effective with rotavirus symptoms, with antibiotic-induced diarrhea, in pseudomembranous colitis, and perhaps in radiation-induced diarrhea," he said.

    But Dr. Fedorak cautioned that "we don't know how they work. They appear to strengthen the mucosal barrier of the bowel and improve immune function. And we don't know which probiotics to use or in what combination."

    DDW 2003: Abstract M1582, presented May 19, 20003; Abstract W1523, presented May 21, 2003.

    Reviewed by Gary D. Vogin, MD
  2. klutzo

    klutzo New Member

    I started taking Probiotics about 3 yrs. before being dx'd with Fibro, because moving to Florida had caused me to start getting yeast infections all the time. (According to my GYN doctor, there are more yeast infections in Florida between the months of April and October than there are in the entire rest of the country all year long!). Probiotics has kept me from ever having another vag. yeast infection again. Now I keep taking them for fibro. They are cheap, safe and a great thing for everyone.
  3. tansy

    tansy New Member

    Thanks for posting this. Found this info somewhere else and have been passing on the info to everyone with ibs etc.

    Only 2 GPs I have seen over the last 22 years recognised the value of probiotics, none of the specialists did. Now lets hope it's not too long before mainstream medicine takes this on board.


    [This Message was Edited on 05/29/2003]
  4. Plantscaper

    Plantscaper New Member

    I have heard that some don't have good potency...I am using Jarro-Dophilus, now...Is that the best brand?
  5. Mikie

    Mikie Moderator

    I've been touting the benefits of probiotics and digestive enzymes forever. Everyone should be taking these in order to have a healthy gut and avoid leaky gut syndrome.

    Love, Mikie
  6. Applyn59

    Applyn59 New Member

    I have been taking it for years on and off.
    I wasn't taking any and went back on it because
    I am nauseated around the clock.
    I originally stopped because I have a lot of
    diarrhea and very high amounts of acid causes
    very soft stools. The acidoph.
    helped greatly with the nausea.
    I use the 6 strain kind with FOS. However, I have
    heard that Cheney (or someone like him) is against
    the FOS part for us. I always read that the FOS was
    good. I think the regular acid helps give us good
    bacteria and restores intestinal health, but the FOS causes the good bacteria that we
    already have to multiply. It is
    best kept in the refridgerator and bought
    freeze dried. Mine isn't freeze dried though and it does
    work for me and I keep it refridged.

    PS Cheny recommends Primal Defense which
    has really high amounts. I think I would
    be in big trouble on that amount.
  7. Princessraye

    Princessraye New Member

    After years of painful IBS , getting rid of a yeast overgrowth that went from colon to throat and now using acidophilus,thus getting rid of my IBS..... I beleive !
    I plan to try pro biotics also
  8. tansy

    tansy New Member

    Didn't years back but this time I really had to do all I could to improve GI tract environment. Wasn't sure about effect on candida but so far no obvious problems.

    Find FOS improves motility too. My probiotics cover three strains and I've added extra bifidum bacterium since it was the best years back.

    Adding colustrum helped me too. My sons experiencing even more marked benefits from probiotics and colustrum.



  9. Notonline

    Notonline New Member

    Thanks MemoryLane! I'm bumping this up....