What are probiotics for the intestines. Best Probiotics

After illnesses, when the treatment was carried out with antibiotics, the child needs to restore the intestinal microflora. This is where probiotics and prebiotics come in. Preparations with useful microflora are prescribed not only for diseases of the gastrointestinal tract: they are indicated in order to strengthen the immune system, to prevent viral diseases, and also in a number of other cases. How effective are they, which ones are considered the best? Consider the mechanism of their work, the main indications, and also learn about the most effective drugs.

Useful intestinal microflora is necessary to prevent viral diseases and dysbacteriosis

How it works?

When a person is healthy, millions of bacteria live in his body - good and not so much, most of which help break down nutrients. Sometimes the balance of microflora is disturbed for some reason, then there are fewer beneficial microorganisms. This can happen as a result of taking a course of therapy with drugs that kill the bacteria that caused the disease, and at the same time cleanse the intestines of all other types of microorganisms. As a result, the work of the digestive tract is disrupted, which in turn leads to a decrease in immunity.

What is the difference between probiotics and prebiotics?

Prebiotics and probiotics have similar names, but they have fundamental differences. At the same time, the former harmoniously complement the latter and enhance their therapeutic effect. Both have a beneficial effect on the body, forcing the intestines to work more efficiently. Due to this, such substances are used in combination, helping to get rid of flatulence, constipation, cramps, and abdominal pain.

Probiotics are live microorganisms that inhabit the intestines of a healthy person. Prebiotics are organic chemicals that help these microbes grow and reproduce more efficiently. On the website of Dr. Komarovsky, such substances are defined as food for beneficial microorganisms.

Probiotics

Probiotics normalize the intestinal microflora, populating it with beneficial microorganisms - most parents know this. However, these drugs have a lot of other useful properties, due to which they are prescribed quite often. Here are the indications for prescribing probiotics:

Along with beneficial microflora, doctors often prescribe prebiotics. These substances work a little differently. They enable beneficial microorganisms to multiply more efficiently, that is, they prepare favorable conditions for probiotics. In this regard, prebiotics are prescribed in advance, and sometimes together with probiotics.

By themselves, prebiotics do not perform a healing function, their task is to help the work of beneficial bacteria. This quality is used by pharmacists, producing preparations that contain both pre- and probiotics. Prebiotics can also be found in foods - they are found in fiber, corn, beans, garlic, onions and cereals. What benefit do they provide? We list the positive effects that these substances have on the body:

• help to eliminate excess mucus from the intestinal walls;
• help to multiply the normal microflora in the body, helping to increase its number tenfold;
• suppress the reproduction of pathogens - salmonella, shigella, cholera vibrios;
• accelerate the healing process of intestinal tissues;
• stimulate peristalsis, increasing the yield of feces, thereby relieving the patient of constipation;
• stimulate local immunity, thereby affecting pathogenic microflora;
• contribute to the normalization of acidity, which creates conditions for the reproduction of beneficial microflora.

The use of prebiotics allows you to normalize peristalsis and save the baby from constipation

In the following, we will mainly talk about probiotics, since prebiotics are only an adjunct. First, let's talk about how to understand the sea of ​​drugs that flooded the pharmaceutical market.

Classification and release form

Today, pharmacies offer a whole list of drugs to improve the intestinal microflora. One way to classify is the percentage of one or another type of bacterial strain. For example, there are monoprobiotics made on the basis of one type of bacteria, polyprobiotics, which include several types of microorganisms. Separately, preparations containing beneficial bacteria and enterosorbents, as well as yeast-like fungi and spore bacilli are isolated.

Another type of classification is based on which specific microorganisms are part of the drug. There are probiotics:

• bifido;
• lacto;
• non-pathogenic types of coli (E. coli);
• containing yeast-like fungi;
• non-pathogenic enterococci;
• lactic acid streptococcus;
• Saccharomyces boulardii (Saccharomyces boulardii) - yeast fungi.

Almost all of the listed microorganisms in one or another combination are part of probiotic preparations. They can also be found in products. For example, products that can improve the functioning of the intestines have been known for a long time - these are kefir, cottage cheese, yogurt, etc. However, we will talk about pharmaceutical products - dietary supplements and other medicines.

Regular natural yogurt or kefir can be a source of beneficial probiotics.

Separately, let's say about the generations of probiotics - there are only five of them. Despite the fact that from generation to generation these drugs have changed, become more and more complex, today they are all used and presented in abundance on the pharmaceutical market. Let's consider them in more detail:

• 1st generation are monoprobiotics containing a single type of bacteria.
• 2 generation - the so-called antagonists. They do not live in the human intestine, but when ingested, they inhibit the growth of pathogens, after which they are completely eliminated.
• 3rd generation - polyprobiotics containing two or more types of microorganisms.
• 4th generation - combi drugs. They contain, in addition to one type of beneficial bacteria, substances that contribute to their reproduction.
• 5th generation - polyprobiotics combined with substances that promote the reproduction of beneficial microflora.

They produce probiotics in the form of a powder, solution, drops. It is believed that liquid preparations are best for children under three years of age, but the powder is also easy to dilute in water or other liquid. The main thing is to observe the dosage so as not to cause an exacerbated reaction to treatment.

Top 7 Best Probiotics for Kids

Probiotics are prescribed by a doctor, so you need to buy them only on his recommendation. At the same time, there are means of the same type of influence that are interchangeable. In this regard, in some cases, it is possible to replace the medicine prescribed by the doctor with another one that works the same way. We have collected in this material the best probiotics for children under one year old, which can be given to older babies. In addition, the composition, dosage and indications were indicated.

This drug is produced in Germany and is one of the most popular for the treatment of dysbacteriosis in children and adults. Hilak Forte is also used in the complex treatment of eczema, urticaria, neurodermatitis. It is indicated for poisoning, salmonellosis, candidiasis.

The drug Hilak Forte is the most popular drug for the treatment of dysbacteriosis (we recommend reading:)

As part of the preparation, germ-free aqueous substrates of the metabolic products of coli and lactobacilli. Hilak Forte contributes to the soft restoration of microflora, successfully preserves the functions of the mucosa. In addition, lactic acid, which is also present in its composition, helps to restore the normal acidity of the stomach.

It comes in the form of drops to be taken three times a day. Infants - 15-30 drops at a time, older children up to 6 years - 20-40 drops.

If probiotics are required for newborns, Rotabiotic Baby is ideal. The drug is produced in Bulgaria, it consists of live lyophilized lactobacteria and bifidobacteria. In addition, the medication contains extracts of fennel and chamomile. The manufacturer claims that this composition is most favorable for children. Lactobacilli help bifidobacteria to multiply, creating ideal conditions for this. Fennel and chamomile extracts improve digestion, help reduce gas formation, and have an antiseptic effect.

Bifiform Baby

This probiotic will help children with dysbacteriosis, even if they suffer from lactose intolerance. It contains only bifidobacteria and lactic acid streptococcus. Bifiform's release form is somewhat unusual - it is a bottle with an oil solution, and there is a powder with bacteria in the lid. Before use, these two components must be combined to get the finished product. Thus, the manufacturer extended the shelf life of dietary supplements. Bifiform belongs to the 5th generation.

Linex for children

The drug is available in the form of capsules, which not only contain two types of bacteria - bifido and lacto, but also substances that contribute to their reproduction. A good composition is complemented by shell components that help ensure the delivery of the drug to the address. Linex can be used together with antibiotics to neutralize their harmful effects on the microflora, which is why it belongs to the 3rd generation. It is indicated for babies from infancy, who have a delay in the formation of normal microflora.

Colibacterin

Powder for oral administration is a specially prepared Escherichia coli. The drug has the ability to counteract pathogenic microflora, which allows you to normalize the work of the intestine. In addition, colibacterin normalizes immunological processes, improves digestion and promotes the synthesis of vitamins. Do not prescribe to children under six months, since there is a high risk of allergies. First generation drug.

Enterol

This French-made drug is a prominent representative of the 4th generation. It contains lyophilized live microorganisms called Saccharomyces boulardii, as well as lactose monohydrate as an excipient. Yeast fungi, having fulfilled their function, are excreted from the body. Enterol is allowed to be given to newborns, but not more than 1 sachet per day.

The drug Enterol is indicated even for newborns, but in limited doses.

Our rating included a drug from a Russian manufacturer - Normoflorin, which belongs to biocomplexes. This dietary supplement is effective for gastritis, duodenitis, pancreatitis, cholecystitis, dysbacteriosis. Babies up to a year old are given half a teaspoon three times a day, those who are older - 1 tsp each. Sufficiently effective and inexpensive Normoflorin is recommended for adults.

Probiotic formulas for babies

We have described drugs, most of which can be given to children from birth. However, if the baby is formula-fed, it is convenient to give him a mixture with probiotics and vitamins. Firstly, it takes into account the dosage necessary for the baby's body. Secondly, the mother gets rid of the need to give medicine to the baby several times a day. So, consider the most popular probiotics for babies, presented in the form of a mixture:

• a mixture of Malyutka containing dietary fiber and nucleatides (we recommend reading:);
• fermented milk NAN from Nestle (we recommend reading:);
• product Nutrilak premium (we recommend reading:);
• a mixture of Similak with probiotics;
• Humana mix with prebiotics.

There are other mixtures on the market for newborns and children from one year old, which include probiotics. Your pediatrician will help you choose the best one.

The use of a mixture with prebiotics can effectively solve the problem of dysbacteriosis

Which probiotic to choose?

Since the list of indications for probiotics is quite large, it is difficult to choose the right one for the treatment of a particular condition. We have compiled in a table the probable diseases that can be treated with dietary supplements. Also in the table you can see which drug is suitable for the treatment of a particular condition. The main thing is to strictly adhere to the dosage, and if improvements do not occur within a week, it is better to consult a doctor.

Patient's condition	Type of bacteria	Possible drugs
Dysbacteriosis	It is recommended to gradually use drugs with lactobacilli, then with bifidobacteria, and only after with colibacilli. It is also possible to use complex preparations	Lactobacterin, Bifidumbacterin, Colibacterin (we recommend reading:)
Viral bowel disease (or suspicion of it)	lactobacilli	Lactobacterin, Narine (we recommend reading:)
If a fungal infection of the intestine is diagnosed	bifidobacteria	Bifidumbacterin, Bifiform
bacterial infection	Lacto and bifidobacteria at the same time	Linex (we recommend reading:)

The drug Bifidumbacterin is indicated for fungal intestinal disease or dysbacteriosis (we recommend reading:)

Method of use

Almost all types of probiotics should be taken with or after meals 3 times a day. The doctor may prescribe a course - a certain number of days, but probiotics can be drunk until a stable improvement occurs. We have put together in one list the advice of specialists that will help you competently organize the administration of the drug:

• If the medicine is in capsules, only the contents can be given to the baby. Usually the capsules are easy to open, and the powder can be poured into a spoon and diluted with water.
• Most of these drugs are not recommended to be diluted with milk.
• If the child takes antibiotics, at the same time it is worth giving him dietary supplements with beneficial microflora, and not waiting until the baby starts diarrhea.
• For the treatment of chronic diseases, drugs of this kind should be taken 30 minutes before meals.
• If a one-year-old baby has diarrhea, probiotics should be given 4-6 times a day, and drink until the stool returns to normal. Usually the condition steadily improves already on the 2nd day.
• These drugs are allowed to drink mineral water. If the child has gastritis with high acidity, you can drink the capsule with alkaline mineral water.
• Do not dilute the powder or solution with live bacteria in water with a temperature above 37 ° C, otherwise its effectiveness will decrease.

Capsules are suitable for older children, and babies can simply break them open and give the contents

Komarovsky's opinion

Not all pediatricians believe that treatment with probiotics is a necessary element of recovery after taking potent drugs. The website of Dr. Komarovsky states that “alien” microorganisms, even after passing through the barrier from gastric juice and entering the intestines, do not take root there, but are excreted by the body. The benefits of probiotics have been proven, but they are much more modest than advertised. So, when preparations with microflora can be useful:

• Only some drugs can be a salvation from acute diarrhea that occurs in a child due to rotavirus infection.
• Useful microflora from dietary supplements helps to reduce diarrhea in children caused by taking antibiotics.
• Milk formulas with probiotics and vitamins for newborns also reduce the symptoms of diarrhea.
• Yogurt bacteria are indicated for people whose body does not break down milk sugar. This condition usually occurs in older people.
• The reproduction of the microflora that has entered the body along with dietary supplements lasts about 3 weeks. It is during this period that the activity of phagocytes is recorded in the blood. Theoretically, this phenomenon suggests that local immunity, as well as general immunity, become stronger, but this has not been proven in practice. Probiotic advertising is a bit misleading, as there is no certainty that their consumption leads to good health. In addition, any competent specialist will agree that their own microflora affects immunity by an order of magnitude higher than the introduced one.

There is also a theory that taking probiotics can prevent colon cancer. This claim has not yet been proven. In this regard, Dr. Komarovsky does not recommend placing special hopes on such drugs.

Alternative to dietary supplements

Buying drugs with live microflora does not always make sense. As a rule, they do not belong to budget medicines, with the exception of only a few. If the child does not have serious problems with the abdomen that require the intervention of a specialist, you can offer him yogurts. "Yogurtotherapy" is the prevention of dysbacteriosis, it will help to establish daily stool, improve appetite, especially if it is carried out according to the rules.

The funds of this group are among the most resonant drugs, causing great interest from consumers and doctors. On the one hand, there is a lot of information about probiotics and their capabilities today: they are actively advertised, fortunately, they all belong to over-the-counter drugs or even to dietary supplements, many articles are published about them in the media and on Internet resources. The popularity of probiotics, of course, is also due to the positive feedback from those who have taken and are taking them, while the list of diseases for which they are drunk is not at all limited to the legendary.

But on the other hand, the voices of those who do not believe in the power of probiotics are heard more and more loudly. Moreover, quite solid arguments are often cited, indicating that the glory of the drugs of this group in no way reflects their real benefits. Representatives of evidence-based medicine shrug their shoulders in disappointment and repeat once again that the effectiveness of the vast majority of probiotics hardly exceeds zero.

So what are probiotics - really effective and safe drugs that can help with a variety of diseases, or a placebo? What components can and should be included in their composition, what is the role of each of them, and how effective is it? And in the end, what probiotics can be purchased today in pharmacies and specialized sites offering natural dietary supplements? The answers to all these questions - in our review on probiotics.

Microflora in our body

It is no secret that a huge number of microorganisms live in the human body - according to some sources, their number reaches 10 14, that is, one hundred thousand billion. This is almost ten times more than the number of own cells. Bacteria live everywhere. There are especially many of them on the skin, oral mucosa, and urinary organs, but the leadership in microbial “population” certainly belongs to the large intestine. It should be noted that in the higher parts of the digestive tract there is a microbiota. A small number of bacteria live in the esophagus and also in the small intestine. The stomach is sterile due to the aggressive acidic environment - only bacteria can support life in it. But the large intestine is populated with flora so densely and densely that the numbers reflecting this fact are amazing.

More than 500 different types of bacteria live in the human large intestine, covering an area of ​​more than 200 m2. The number of microorganisms reaches 10 12, and their weight is several kilograms. In addition, along with bacteria, the intestinal microflora includes fungi, viruses, and some others, but their proportion is incomparably lower than the number of microorganisms.

The intestinal microflora can be divided into three groups:

• The main microflora is represented by constantly living beneficial bacteria
• Facultative, or conditionally pathogenic microflora. It includes microorganisms that usually do not manifest themselves, but under certain conditions can act to the detriment of the body. A typical example of opportunistic bacteria is clostridia.
• Random, or transient - microflora, which is in the intestine only for a while.

The subject of our interest is the main, useful microflora.

Properties of the intestinal microflora

The good bacteria in your gut perform many extremely important tasks, but here are five of them.

1. Protection against pathogens

Beneficial bacteria guard health - when pathogenic microorganisms enter the intestines, they create a special protective film on the mucous membrane that prevents them from attaching to the intestinal wall. In addition, beneficial microflora produces several substances that have an antibacterial effect, including lactic acid, acetic acid and bacteriocins that destroy pathogenic microorganisms.

2. Breakdown of nutrients

The microflora of the large intestine is an important participant in digestion. It is thanks to its work that the body breaks down dietary fiber (fiber), which is found in fruits and vegetables. Dietary fibers are so strong that the enzymes of the small intestine are unable to break their bonds, and only after entering the large intestine, under the action of the waste products of beneficial bacteria, can they be broken down into simple components - sugars, amino acids, minerals. In addition, due to beneficial bacteria in the large intestine, certain vitamins and minerals are absorbed, in particular, calcium, iron, and vitamin D.

3. Synthesis of vital vitamins

With the direct participation of beneficial flora in the intestines, a number of essential, that is, vital vitamins are produced, including:

• Vitamin B1
• Vitamin B2
• Vitamin B6
• Vitamin B12
• Vitamin PP
• Biotin
• Folic acid
• Vitamin K.

4. Participation in immune defense

Intestinal microflora is able to activate various links of immunity, thus participating in the body's immune defense.

Due to such multidirectional effects, the microflora controls a number of vital processes in the body, so its violation can have a negative impact on the functioning of the whole organism.

What are you, microflora?

Before we dive deeper into the world of probiotics, one more theoretical aspect needs to be cleared up - the composition of the intestinal microflora. It is at this stage that the first and most serious disagreements appear between opponents and fans of probiotics.

So, the main violin in the orchestra called intestinal microflora is played by bifidobacteria (Bifidobacterium) - they make up at least 95% of the entire intestinal microbiota. It is bifidobacteria that produce bacteriocins that do not allow pathogenic and opportunistic flora to multiply. In addition, these microorganisms are involved in the production of lactic and acetic acids, certain amino acids, vitamins, as well as in the absorption of calcium, iron and vitamin D.

Equally important are lactobacilli (Lactobacillus). About 40 species of these microorganisms are known today. Lactobacilli, as well as bifidobacteria, resist the reproduction of pathogenic microorganisms due to the production of lactic acid and other substances. In addition, lactobacilli stimulate the production of interferons, which provide protection against viruses. The beneficial microflora also includes enterococci (Enterococcus) and E. coli (Escherichia).

Thus, the qualitative composition of microflora is a quite definite and clear category. But with the quantitative, everything is not so simple.

Pro et contra

Behind

The opinion of the advocates of probiotics is based on the fact that the composition of the microflora is strictly defined. Only under the condition of a hypothetical norm, those five processes that we talked about are carried out in full. In cases where, for any reason, the composition of the microbiota shifts, there are disorders in digestion, immune defense, vitamin production, and so on. Then there is a need to take probiotics that restore the disturbed imbalance.

Against

At the same time, opponents of probiotics are sure: there is no concept of a norm in relation to the intestinal microflora. Each person has his own, individual composition of the microbiota, and the body itself knows how to regulate it. He does not need outside help, therefore, taking probiotics is a waste of time, effort, and material resources. This theory is also supported by the fact that there are no norms for the composition of microflora in medicine, at least not yet. There has not been a single study that even tried to establish these norms and, most likely, the reason for this is the lack of sense in such works. For it is impossible to find an absent black cat in a dark room.

And yet, despite serious disagreements between supporters and opponents of the use of probiotics as such, these drugs are among the most popular drugs, and their sales are breaking records. It's time to get to know them better.

Probiotics: Definition and Requirements

According to the definition given by the World Health Organization, probiotics are live microorganisms, the use of which in certain doses has a beneficial effect on health. Beneficial bacteria can be included both in medicines and biologically active additives, as well as various food products, and above all - lactic acid (yogurt, kefir).

The term “probiotics”, which means “for life”, was coined in 1965.

For the first time, Ilya Mechnikov took up a thorough study of the properties of beneficial bacteria. At the beginning of the last century, exploring the possibilities of restoring microflora with the help of lactobacilli, the scientist proved that these microorganisms are active fighters against pathogenic microbes. Mechnikov called them Bulgarian sticks, because it was the life expectancy in the Balkans that made him carefully study the diet of local residents. The scientist concluded that Bulgarians owe their longevity to the popular national product - curdled milk, which contains a large number of lactic acid bacteria.

The composition of modern probiotics, unlike the Bulgarian curdled milk, can include not only lactobacilli, but also a number of other beneficial bacteria. All of them must meet several requirements:

• Be non-toxic and certainly non-disease-causing
• Include in the composition of the drug in sufficient quantity to manifest a positive effect
• Differ in resistance to the acidic environment of the stomach. To do this, either acid-resistant bacterial strains are used, or a special capsule that does not collapse under the action of hydrochloric acid, in which they are placed.
• Maintain viability during storage for a long time (as a rule, the shelf life of modern probiotics reaches several years).

Probiotics registered as medicinal products satisfy these conditions. But it is impossible to say the same about biologically active additives, since their composition and properties are categories that cannot be unambiguously refuted or confirmed. Unlike medicines, dietary supplements are not subject to analytical control. No one, other than supplement manufacturers, knows exactly what ingredients are included in their composition and in what dosages. Starting to describe specific means, we will proceed from the text of instructions for the use of probiotics, taking them as truth.

Modern probiotic preparations

Today, in pharmacies, various eco-shops and online stores, you can buy a lot of products positioned as probiotics. Let's try to structure them a little and present the most popular ones.

First of all, we note that the classification of probiotics does not exist today. The "classifications" published on various Internet sites are nothing more than a figment of the imagination of the authors of the articles. The lack of classification is primarily due to the fact that the pharmacological group of probiotics itself is a rather controversial concept. Its characteristics remain vague, and this is an important argument in favor of those who consider probiotics to be a not fully established class of drugs. By the way, in the West, the pharmacological group of probiotics does not exist at all: products containing beneficial bacteria, as a rule, belong to dietary supplements.

Nevertheless, conditionally probiotics can be divided into two groups: monocomponent and combined.

Mono Component Probiotics

The composition of monocomponent products includes one type of beneficial bacteria.

Representatives of monocomponent probiotics:

1. Bifid-containing preparations, which include bifidobacteria bifidum

• Bifidumbacterin
• Bifidumbacterin forte and Probiofor (bifidobacteria bifidum sorbed on activated carbon) - this form should theoretically be more active than the usual one, but there is no clinical evidence for this. It should be noted that the number of bacteria in Probiofor is 10 times higher than in Bifidumbacterin forte.
• Bifinorm

Probiofor contains 500 million CFU
Bifidumbacterin forte contains 50 million CFU

Probiotics of this group are available in the form of dry powder, capsules and even suppositories. The difference between these forms lies solely in the ease of use.

Indications for use

They are used for digestive disorders, immune response, diarrhea while taking antibiotics and other conditions caused by an imbalance of microflora (dysbiosis).

2. Lacto-containing preparations. They contain lactobacilli acidophilus

• Acylact, vaginal suppositories, tablets
• Lactobacterin - lyophilisate for solution preparation
• Laktonorm
• Ecofemin
• Biobacton - lyophilisate for solution preparation (BAA)
• Narine - capsules, oral powder, tablets, sourdough (BAA)

Preparations of this group are available in the form of tablets, powder, as well as vaginal suppositories.

Indications for use

Since lactobacilli are an important component of the vaginal flora, they are prescribed for bacterial vaginosis, a condition in which the balance of microflora is disturbed with the development of opportunistic and pathogenic microorganisms. In addition, lacto-containing probiotics are also used for classic symptoms of intestinal microflora disorders (constipation, diarrhea, and so on).

Among the lactic-containing monocomponent probiotics, the Narine supplement in the form of a starter culture stands out. It is very popular because it can be used to prepare a tasty and healthy fermented milk product. Narine sourdough is used for violations of the composition of the microflora of various etiologies, inflammatory diseases of the digestive tract, and also as a medical food product for a variety of diseases.

3. Other probiotics

A typical representative of this category of probiotics is Colibacterin, a domestic preparation containing Escherichia coli. It is available in the form of a lyophilisate for oral solution.

The agents of this subgroup include the drug Sporobacterin, which contains the biomass of live bacilli of Bacillus subtilis strain 534. They produce antibacterial substances that inhibit the growth of pathogenic and opportunistic bacteria, while the growth of normal flora is not inhibited. The drug is produced in the form of a ready-made suspension for oral administration and a lyophilizate for preparing a solution for internal and local use.

Indications for use

The probiotic Sporobacterin is used for acute bacterial intestinal infections, disorders of the microflora composition in children older than six months and adults, as well as externally after surgical interventions to prevent the development of an infectious process.

Colibacterin is prescribed as an antidiarrheal agent for adults and children older than 6 months, as well as in violation of the composition of the microflora and as part of a complex treatment of chronic diseases of the digestive system.

Saccharomyces boulardii - a strong word in favor of probiotics

A separate chapter in the monocomponent probiotics section should be devoted to one of its most prominent representatives - a preparation containing live microorganisms Saccharomyces boulardii, Enterol. Unlike the vast majority of other probiotic preparations, the effectiveness of this remedy has been proven in large studies conducted in accordance with the requirements of evidence-based medicine.

Saccharomyces boulardii has antimicrobial activity against a variety of pathogenic and opportunistic microorganisms, including:

• Clostridia - the causative agent of antibiotic-associated diarrhea
• Yeast fungi of the genus Candida
• Klebsiel
• Pseudomonas aeruginosa
• Salmonella
• yersinium
• coli
• Shigella - the causative agent of dysentery
• Staphylococcus aureus.

In addition, Enterol is effective against amoebae and Giardia. Such a wide spectrum of action determines the ability of Enterol to provide a sufficiently powerful antidiarrheal effect. The drug is indicated for the treatment of bacterial diarrhea in adults and children over the age of 1 year. It has been proven that its appointment can reduce the severity of diarrhea and speed up recovery. In addition, Enterol is used for irritable bowel syndrome, travelers' diarrhea, intestinal inflammation and other gastrointestinal diseases.

A distinctive feature of the drug is its safety. It is well tolerated and can be used to treat pregnant and lactating women. Enterol is available in capsules and powder for oral solution. Both forms are equally powerful.

Multi Ingredient Probiotics

Along with monopreparations, there are also combined probiotics containing two or more types of beneficial bacteria. Often, other components, such as mushrooms, are also introduced into the preparations.

It is impossible to say unequivocally that complex probiotics are better than monocomponent ones. The effectiveness of most probiotics can only be judged by personal experience, since clinical studies have been conducted on only a few of them.

The modern range of combined probiotics is quite wide. We will mention the most popular drugs.

• Baktisubtil is a combination of strains of Bacillus cereus bacilli, as well as calcium carbonate and kaolin. The drug is used to treat diarrhea, intestinal dysbacteriosis, including against the background of antibiotic treatment in adults and children over 3 years old.
• Biosporin is a Russian probiotic whose name is known to several generations of our compatriots. Contains microbial cells of Bacillus subtilis and licheniformis. The main indication is the treatment of acute intestinal infections. Less commonly used for bacterial vaginosis, dysbacteriosis and other conditions accompanied by a shift in the balance of microflora.
• Bifiform is represented by several drugs at once. The composition of the capsules (drug) includes bifidobacteria and enterococci, and the composition of the Bifiform Malysh powder and chewable tablets (dietary supplements) contains lactobacilli Lactobacillus GG, bifidobacteria Bifidobacterium lactis BB-12 and vitamins B1 and B6. It should be noted that, along with Saccharomyces boulardii (Enterol preparation), Lactobacillus GG has proven to be effective for the treatment of diarrhea. It has been studied in more than 400 studies, confirming its ability to reduce the risk of diarrhea in intestinal infections. Both Bifiform and Bifiform Baby are used to normalize the intestinal microflora and treat various digestive disorders in children and adults.
• Bificol contains strains of Escherichia coli and bifidobacteria and is used to treat intestinal infections, intestinal inflammation, and microflora disorders.
• Bifiliz contains a combination of bifidobacteria and lysozyme, which exhibits additional immunomodulatory, anti-inflammatory, antiseptic effects. The drug is used to treat intestinal infections and dysbiosis in adults and children from birth.
• Linex is a popular probiotic for the treatment of various intestinal diseases. It consists of lactobacilli, bifidobacteria, enterococcus. The line of Linex also includes bioadditives Linex Forte, characterized by a high concentration of bacteria, Linex for children and Linex for children drops. Linex preparations are manufactured using lyophilization technology, which, according to the manufacturer, preserves both the structure and viability of bacteria, and also allows them to be stored at room temperature, and not in the refrigerator, like most probiotics.
• Pro-symbioflor is a dietary supplement containing enterococci and E. coli. The main indication is an increase in the immune response. It is used as part of the complex therapy of allergies, chronic inflammatory diseases. The line also includes Symbioflor1, Symbioflor 2, which are also used for disorders of the immune response. And the addition of Symbiolact Pur (lactobacteria + bifidobacteria) is indicated for correcting violations of the composition of the microflora.

Of course, we have not listed all the multicomponent probiotics that exist on the domestic market. We did not set ourselves such a task - the list of drugs in this group is very large, and there is no point in giving the names of all existing probiotics. The reader, armed with our article, will be able to draw a conclusion about its indications based on the composition of the drug. And we move on to the description of the next subgroup of probiotics.

Synbiotics - drugs "with support"

Synbiotics are a category of drugs that, along with beneficial bacteria (probiotics), contain ingredients that stimulate the growth and activity of normal intestinal microflora (prebiotics). Oligofructose, inulin, galacto-oligosaccharides, lactulose and some other substances act as prebiotics. In fact, prebiotics become a nutrient medium, an energy resource and, moreover, a means of protection against adverse environmental factors for beneficial bacteria, probiotics.

Some experts consider synbiotics to be the last generation of probiotics, but this statement can be disputed, since, as we said above, there is practically no division of probiotics into generations.

Synbiotics are inherent in the whole range of positive effects that probiotics also exhibit. They are helping:

• Normalize microbial balance
• Improve digestion
• Prevent constipation
• Strengthen immune defenses
• Improve skin condition
• Fight pathogens.

A prominent representative of synbiotics is the domestic bioadditive Maxilak, which includes 9 cultures of probiotic bacteria and probiotic oligofructose.

Another popular synbiotic - Normobact L (BAA), contains one of the most studied probiotic strains Lactobacillus rhamnosus GG (LGG) in combination with prebiotic fructooligosaccharides. The drug also strengthens the immune system and reduces the incidence of viral and bacterial infections.

The use of probiotics of different groups for the treatment of various diseases

The range of probiotics is really very large. To navigate it to a person far from medicine, it does not hurt to know the generally accepted criteria for their appointment.

The main indications for the use of probiotics:

• Prevention and treatment of acute infectious diarrhea (intestinal infection).
  Assign agents containing strains of LGG, L. reuteri, bacilli lactis BB12, acidophilic lactobacilli. We emphasize that, in accordance with the recommendations of international communities, only two drugs have proven efficacy in diarrhea in children: based on the bacteria Lactobacillus rhamnosus GG and Saccharomyces boulardii.
• Prevention of diarrhea while taking antibiotics.
  In such cases, probiotics containing strains of Lactobacillus GG, Saccharomyces boulardii, bifidobacteria, B. lactis BB12 (Bifiform) are used.
• Functional digestive disorders.
  With irritable bowel syndrome and functional dyspepsia, which are manifested by a number of digestive disorders in the absence of organic lesions of the digestive tract, drugs based on Lactobacillus GG, bifidobacteria are used.
• Infantile intestinal colic.
  Another indication for prescribing probiotics in children. In such situations, a variety of drugs approved for use from birth can be used, including those containing strains of L. Reuteri, B. lactis BB12 (Bifiform Malysh) and others.

Summary

In conclusion of the article, I would like to emphasize that there is no exact and unambiguous answer to the question - which probiotic is the best for an adult or a child - does not exist. Saccharomycetes boulardii and Lactobacillus GG remain the only strains that have proven their effectiveness and are recommended for use by international organizations. All other means are used on the basis of either the consumer's own positive experience or the doctor's experience. Given that these drugs are very safe, this approach has the right to life.

Probiotics are live bacteria - microorganisms that live in the human body and positively affect its vital activity. Probiotic preparations contain various strains of bacteria.

There are bifid-containing, coli-containing, lacto-containing preparations. Also, the composition may contain yeast-like fungi, enterococci, aerococci, depending on the manufacturer and purpose. Probiotics are available in liquid and dry form.

Probiotics not only allow you to populate the intestines with the right microorganisms and overcome the pathogenic flora that causes various unpleasant symptoms, but also make it possible to increase immunity and effectively fight ailments. In this article, we look at inexpensive yet effective probiotics for the gut. Reviews, as well as a list of drugs with prices, you will find below.

When are probiotics given?

According to the American Gastroenterological Association, probiotics are currently most commonly prescribed in the treatment of the following diseases and conditions:

1. infectious diarrhea caused by rotavirus infection, including in infants and young children - strains of lactobacilli species Lactobacillus rhamnosus and Lactobacillus casei.
2. - probiotic strains of lactic acid bacteria Bifidobacterium infantis and Lactobacillus plantarum and fungi Sacchromyces boulardii, as well as a combination of probiotics can help with bowel movements.
3. Antibiotic-associated diarrhea- Saccharomyces boulardii can prevent recurrence of the most dangerous and most common antibiotic-associated diarrhea caused by Clostridium difficile.

In addition, a gastroenterologist can prescribe probiotics for patient complaints of stool disorders, colic and frequent bloating and flatulence, a feeling of heaviness in the stomach, as well as other conditions.

How to take it right?

It is very important to choose the right probiotic for the treatment of a particular condition. To select a probiotic, you can use the following simple rules:

1. If you suspect a bacterial infection of the intestine(acute or chronic) it is recommended to take complex preparations containing lactobacilli and bifidobacteria at the same time (for example, Bacteriobalance, Bifidin, Linex, etc.).
2. If you suspect a viral infection of the intestine(acute or chronic), it is recommended to take drugs containing lactobacilli (for example, Lactobacterin, Narine, Biobacton, Primadophilus, etc.).
3. If you suspect a fungal infection of the intestine and genital organs (candidiasis of the intestine and vagina), it is recommended to take preparations containing bifidobacteria (for example, Probiform, Biovestin, Bifidumbacterin, etc.).

During therapy, it is recommended to first drink preparations with lactobacilli, then with bifidobacteria, and only after that with colibacteria (for example, Colibacterin). You can start taking immediately complex preparations that simultaneously contain bifidobacteria and lactobacilli.

Probiotics vs Prebiotics: What's the Difference?

The names of these two groups of drugs are very similar, so they are often confused.

• Probiotics are live microorganisms that belong to the normal intestinal microflora.
• Prebiotics are organic chemicals that have the ability to create excellent conditions for the reproduction of normal intestinal microflora.

It should be noted that the action of both prebiotics and probiotics is similar, because each of the groups of these agents normalizes the intestinal microflora.

Beneficial features

Most probiotic bacteria belong to two genera: lactobacilli (lat. Lactobacillus) and bifidobacteria (lat. Bifidobacterium), although you need to know that there are many other types of probiotic bacteria.

These drugs are capable of:

1. Produce substances that prevent various infections.
2. Prevent bacteria harmful to humans from attaching to the intestinal wall and inhibit their growth.
3. Inhibit the secretion or destroy toxins produced by some “bad” bacteria for the human body.
4. Stimulate the strengthening of the mucous layer in the intestines as a barrier against infections.
5. Increase the efficiency of the immune system by secreting antibodies to certain viruses.
6. Produce B vitamins necessary for food metabolism, preventing anemia that occurs when there is a lack of vitamins
7. B6 and B12, as well as maintaining the health of the skin and nervous system.

The described effects are more or less characteristic of all microorganisms related to probiotics. However, the mechanisms of these effects have not yet been fully elucidated.

Probiotics for the intestines: list and prices

To maintain intestinal health, the following drugs may be prescribed:

• Linex is one of the most famous probiotics that are common in Russia. It contains three components of the microflora, which are located in different parts of the intestine. Price 350-500 rubles.
• . It is often used in pediatrics for conditions characteristic of a violation of the colonization of the intestine by flora, in combination with antibiotics and other drugs. It contains Bifidobacterium bifidum N1 in dry powder form. Price 350-400 rubles.
• More concentrated bifidobacteria are contained in Probifor - one sachet contains about 10 servings of bacteria that are in Bifidumbacterin. Price 500-600 rubles.
• . In addition to probiotic strains of lacto- and bifidobacteria, it contains Escherichia coli. Combined with antibiotic therapy, thanks to the protective capsule, it easily overcomes the acidic environment of the stomach. It is one of the best encapsulated probiotics for adults. Price 350-400 rubles.
• Florin forte. It is a powder containing lacto- and bifidobacteria. It is prescribed for both adults and children and newborns. Due to the combination of bacteria, it has a complex effect, but it does not combine well with some antibiotics. Price 500-550 rubles.

Depending on the time of creation and improvement, several generations of probiotics are distinguished:

• I generation - classic monocomponent preparations, consisting of one strain of microorganisms - typical inhabitants of the intestine (bifidumbacterin, lactobacterin, etc.);
• II generation - self-eliminating antagonists (bactisubtil, enterol, biosporin, etc.);
• III generation - multicomponent preparations (symbiotics), consisting of several (from 2 to 30) bacterial strains (bifilong, etc.) or several types of bacteria (linex, bifikol, etc.);
• IV generation - combined preparations (synbiotics), consisting of a strain of bacteria and ingredients that promote their growth, reproduction and metabolic activity (bifilis, kipacid, etc.);
• V generation - multicomponent combined preparations (synbiotics), consisting of several types of bacteria and ingredients that promote their growth, reproduction and metabolic activity (floristin, bifiform, etc.).

In addition, the form of the probiotic must be considered. All of them are divided into:

• Dry Probiotics(lactobacterin, bifidumbacterin, colibacterin, etc.);
• Liquid forms (biovestin, biovestin-lacto, floristin, trilact, bifidum No. 791 BAG, liquid bifido- and lactobacterins, lactoflor, etc.);
• Sorption forms s (ecoflor, probifor, bifidobacterin forte, bifikol forte, etc.);
• Enteric coated capsules(linex, bifiform).

And if earlier liquid probiotics for the intestines were considered the best, today capsule preparations are increasingly common. Modern technologies allow you to effectively store all the necessary bacteria in the capsule. Those who take probiotics unanimously declare that it is much more convenient to drink drugs in capsules, like a vitamin: I took it out of the package, washed it down with water and forgot ...

Probiotics in foods

Sources of prebiotics are: dairy products, bread, cereals, peas, corn flakes, garlic, bananas, onions, beans and some other types of foods. One of the most popular foods that provide probiotic intake is yogurt.

In addition, their sources are: most dairy products, such as cheese, kefir, cottage cheese, buttermilk. There are several other examples of probiotics: sauerkraut, kimchi, pickles, bread, wine, soy sauce.

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The list of probiotics for the gut is essential for both adults and children. The article tells what are prebiotics and probiotics, what is the difference? When are drugs prescribed and which probiotics are better to choose. You will also learn the basic rules for their admission.

Intestinal microflora

It is difficult to imagine, but the number of microorganisms in the intestine exceeds the total number of cells in the entire human body by more than 10 times. The composition is represented by both aerobes and anaerobes.

There are also normally non-pathogenic and conditionally pathogenic microflora., the quantitative and qualitative composition of which is in equilibrium.

Due to certain reasons: frequent infectious diseases, taking antibiotics, severe stressful situations, lead to a violation of this balance, and conditionally pathogenic microorganisms become pathogenic, causing harm to the body.

Pharmacists have developed probiotics to restore intestinal microflora.

In other words, probiotics for the intestines - live non-pathogenic microorganisms.

Do not forget about fermented milk products, which also have a beneficial effect on the condition and functioning of the digestive tract. Parents often ask, “Which probiotics are best for a child?”

The safest and at the same time effective remedy is traditional kefir, yogurt.

Why probiotics are good: 10 positive qualities

Let's take a closer look at the question, probiotics, what they are and consider what are the main functions of non-pathogenic microorganisms.

10 positive qualities of probiotics - living non-pathogenic microorganisms

1. Normalization of microflora.
2. Digestion of food.
3. The breakdown of fatty acid salts, which leads to a decrease in cholesterol levels.
4. Activation of intestinal peristalsis.
5. Neutralization of toxins, harmful substances.
6. Stimulation of local immunity (Peyer's patches).
7. Maintenance of interferon synthesis.
8. Reducing the risk of developing allergic reactions.
9. Neutralization of Helicobacter pylori - bacteria that provokes the onset of peptic ulcer.
10. Synthesis of amino acids, vitamin K and vitamins B1, B2, B3, B5, B6, B9.

Probiotics are also very effective because they enhance absorption, as well as calcium and iron.

Diseases for which these drugs are prescribed

As mentioned above, the imbalance of the intestinal microflora causes diseases of the digestive system. Appear, flatulence, diarrhea, followed by persistent constipation, there are signs of gastritis, peptic ulcer, enterocolitis.

The immune system also suffers, cases of allergic reactions, respiratory viral infections are becoming more frequent.

Preparations of the list of probiotics are prescribed for the following diseases.

Infectious diarrhea

To restore the microflora, taking probiotics for children after antibiotics is mandatory.

Also, if the mother needs to undergo a course of antibiotic therapy, the baby is prescribed these drugs. Prema Kids, Bifidumbacterin, Linex are considered effective probiotics for children under one year old.

Taking probiotics during antibiotic treatment is mandatory in complex therapy

Probiotics are an important component of complex treatment, primarily of gastrointestinal diseases..

Also, do not forget about the need to take probiotics after antibiotics.

This will help restore the qualitative and quantitative composition of the intestinal microflora.

But patients with immunodeficiency, with blood diseases, the use of drugs of this group should be approached with extreme caution, used only as directed by a doctor.

8 Important Admission Rules

1. Probiotics are taken 30-60 minutes before meals.
2. In acute infections, the frequency of administration is up to 6 times a day. The course of treatment lasts until the clinical picture returns to normal.
3. The chronic course of the disease requires the use of drugs up to 4 times a day. The course of therapy is from 2 to 3 weeks.
4. Powders are diluted with water. Tablets and capsules are washed down with a small amount of liquid.
5. With a viral infection, the best probiotic for the intestines will be a drug based on lactobacilli (Narine, Lactobacterin).
6. In case of bacterial damage, it is recommended to take lactobacilli plus bifidobacteria (Linex, Bifidim).
7. With a fungal infection, drugs are prescribed, the basis of which is represented by bifidobacteria (Bifidumbacterin).
8. Dysbacteriosis is treated in stages: first use drugs with lactobacilli, then go bifidobacteria, and end up taking colibacilli.

If someone somewhere told you that probiotics should be taken by everyone and always - check if this person is not a seller of probiotics :) I have seen a lot of opinions on this matter and observe the following pattern: stakeholders tend to recommend and praise probiotics to absolutely everyone : both sick and healthy, considering them almost a panacea. Independent experts, whose well-being does not depend on the sale of dietary supplements, on the contrary, declare that probiotics are not indicated for everyone and can not always help. And some doctors do not use probiotics in their practice at all, considering them to be absolutely useless and in vain advertised means.

In search of information, I turned to the book Life of the Gut by Robin Chatkan, a gastroenterologist who practices a holistic approach to health. Dr. Chatkan has extensive experience in the use of probiotics for various diseases of the gastrointestinal tract, chronic intestinal inflammation, urinary tract infections, acne and rosacea, and more.

Frequently asked Questions

Who is probiotics indicated for?

The list below lists the disorders for which probiotics are effective. scientifically proven. Even lower are those for which there is not yet enough clinical data, but the available information suggests that they may be just as effective.

Conditions where probiotics have been shown to be effective

• Antibiotic-associated diarrhea
• Bacterial vaginosis
• Clostridium difficile infection
• Dysbacteriosis
• infectious diarrhea
• Inflammatory Bowel Disease
• irritable bowel syndrome
• leaky gut syndrome
• Infectious sinusitis
• Traveler's diarrhea
• Urinary tract infections
• Fungal infections

Conditions where probiotics are likely to be effective

• allergies
• Anxiety/depression
• Autism
• Autoimmune diseases
• chronic fatigue syndrome
• Heart disease
• Obesity

How to choose probiotics?

When choosing a probiotic, you need to understand whether a particular product contains enough live bacteria and whether it is suitable for treating your specific disorder (and not your neighbor or acquaintance, because these people could have completely different problems from yours).

If someone in your circle has already taken a product and received positive results, this is a good sign, but it is not yet a 100% guarantee that these probiotics will work on you in a similar way.

While there are no one size fits all probiotics, here are a few general tips:

• The probiotics featured on iHerb can contain anywhere from one to 200 billion colony-forming units. The required dosage is selected by a specialist, usually a doctor of naturopathy or functional medicine, who practices a holistic approach.
• If you don't have such a doctor nearby, or your doctor isn't knowledgeable about probiotics, I recommend that you choose a trustworthy guide in book form for yourself - many eminent doctors now produce such guides. For example, it could be Robin Chatkan's book Life of the Intestine. As recommended by these experts, you should choose products containing at least 50 billion CFU*. The composition of the dietary supplement should include acidophilic lactobacilli, as well as other bacterial strains, such as bifidobacteria, Lactobacillus rhamnosus, Bifidobacterium bifidum.

* Note from Marina

I think the 50 billion CFU recommendation is pretty general, as I like to say it's "hospital average temperature". Probiotics from Healthy Origins containing 30 billion CFU have worked well for me and many of my relatives, and in another book by Alejandro Junger I met a recommendation to choose probiotics of at least 15 billion CFU. So if you are already taking a probiotic containing less than 50 billion CFU, it's okay, it's much more important in my opinion to learn how to take probiotics correctly.

• Make sure the probiotic contains different strains of bacteria that are tested for interaction with each other, as they all have different functions and no single bacterial strain can replace the rest and contain their full potential.
• Check the shelf life of the product, note whether refrigeration is required and how stable the product is at room temperature.
• The manufacturer must ensure that the product has passed all clinical trials, is certified and contains the number of live bacteria indicated on the label. Look for information either on the package itself or in the instructions for use inside.
• Some companies claim to conduct tests and research on their products, but these studies may be "sponsored" by the product manufacturers themselves and may not be reliable. Try to focus on test data from independent companies such as ConsumerLab, for example.

Most Common Probiotic Strains

Many advanced users of dietary supplements when choosing probiotics pay attention to the names of probiotic strains in the Supplement Facts plate. But do you know what these little bacteria with complicated names do inside your body? Each of these tiny workers has their own specialization, so iHerb has various formulations for dysbacteriosis, candidiasis, immunity, urinary tract infections, etc.

lactobacillus acidophilus- ferment sugar, convert it into lactic acid and release amylase, which helps with the absorption of carbohydrates. It is one of the most popular probiotics and is used in many dairy products. Bacilli are particularly resistant to the aggressive environment of the stomach, effectively attach to the walls of the intestine, preventing the spread of alternative types of bacteria. Especially useful for restoring the natural microflora in bacterial vaginosis.

Lactobacillus casei- live in the mouth and intestines, as well as in fermented vegetables, milk and meat. There is evidence that they inhibit the growth of Helicobacter pylori. In addition, they have shown to be effective in combination with other strains when it is required to relieve the symptoms of certain gastroenterological disorders (antibiotic-associated and infectious diarrhea). Lactobacillus casei can supplement and promote the spread of Lactobacillus acidophilus, as well as assist in the fermentation of beans and peas, reducing the concentration of gas-producing, poorly digestible carbohydrates.

Lactobacillus rhamnosus- very "hardy" bacteria, resistant to the effects of gastric juice and bile. They live in the mouth and intestines, as well as in the vagina and urinary tract, where they prevent the spread of pathogens. Lactobacillus rhamnosus has been successfully used to treat diarrhea caused by rotavirus and some forms of atopic dermatitis. Despite their probiotic effect, in immunocompromised people, these microbes are indicative of an infection.

Lactobacillus salivarius suppress pathogenic bacteria and help reduce gas formation in people with irritable bowel syndrome. They can be helpful in pancreatitis as they also suppress harmful gastrointestinal bacteria that threaten the pancreas.

Streptococcus thermophilus are found in fermented dairy products like yogurt and aid in the absorption of lactose in the intestines.

Bifidobacterium bifidum- an integral part of the microflora of the large intestine and, like Lactobacillus acidophilus, one of the most popular probiotics. They promote the breakdown and absorption of simple sugars. Bifidobacteria have been shown to boost immunity and relieve cold symptoms while shortening the duration of the illness. They are also present in the vagina and help treat candidiasis and other forms of yeast overgrowth.

Bifidobacterium longum very important for the baby. These microorganisms thrive in the colon when the oxygen concentration is low. They prevent the reproduction of pathogens by releasing lactic acid, in addition, they increase lactose tolerance, prevent diarrhea and are useful for allergies. Bifidobacterium longum can prevent the development of cancer by changing the acid-base balance of the colon, and also reduce the risk of atherosclerosis and strokes by binding free radicals. Bifidobacterium longum is often added to foods.

Bifidobacterium lactis(B. animals) help with abdominal discomfort, bloating in people with irritable bowel syndrome, the nature of which is associated with constipation. They have been shown in clinical trials to protect the intestinal cells of celiac patients from the damaging effects of gluten. Bifidobacterium lactis is widely used in dairy products.

Which probiotics to order on iHerb

When I was choosing probiotics on iHerb for the first time, I didn't have all this information yet. But I was lucky - the first product I came across turned out to be of high quality and effective. In addition, it is very economical in price. It meets all quality criteria, is tested by an independent laboratory, and is stable at room temperature.

Probiotics from Healthy Origins

Here it is, my favorite probiotic - Healthy Origins, Probiotics, 30 Billion Microorganisms.

This product contains 8 probiotic strains - 5 lactobacilli and 3 bifidobacteria, 30 billion colony forming units.

If you need more strains, or more CFUs, then check out the following products:

1. Renew Life, Ultimate Flora, Critical Care - 10 Probiotic Strains, 50 Billion CFU
2. Garden of Life, Doctor-Developed Probiotics, Once Daily Women's - 16 Probiotic Strains, 50 Billion CFU
3. Jarrow Formulas, Saccharomyces Boulardii + MOS - contains probiotic yeast that survives by passing through stomach acid and delivers its beneficial properties to the gastrointestinal tract. These microorganisms help maintain and maintain normal intestinal microflora. And also normalize the intestinal microflora after possible violations as a result of taking medications or during travel. MOS (mannanoligosaccharides) is an oligosaccharide from baker's yeast cell walls that prevents bacteria from adhering to epithelial cells and reduces their reproduction.

You can also find probiotics for yourself and your family members on the following page:

What is the correct way to take probiotics?

Probiotics are living microorganisms. It is not enough just to drink the capsule with water for them to start working. You also need to create a favorable environment for them so that they can successfully attach and settle in your intestines for a long time. What should you do to get the most benefit from probiotics?

Feed the "good" bacteria and let the "bad" ones starve to death!

The good news is that the beneficial and harmful bacteria that inhabit our body love different foods. The bad news is that most people don't eat enough healthy foods, but overuse foods that make the bad bacteria happy. So it turns out - we seem to be drinking an expensive and high-quality probiotic product, but we don’t see any benefit. In most cases, beneficial bacteria die of starvation, not finding suitable food in your intestines. And pathogens at this time feast and overeat.

Choose your carbs carefully

Simple carbohydrates ("bad") found in pastries made from wheat flour, bakery products and all kinds of sweets. They are rapidly digested in the small intestine and absorbed as glucose. The result is a spike in insulin. These carbohydrates are associated with weight gain, diabetes, and inflammation, as well as causing changes in the composition of the microbiome and promoting the spread of yeast spores.

Sugar This is the favorite food of bad bacteria. The constant consumption of sugar leads to the accelerated growth of yeast cells and some pathogens. Sugar often begins to rule your habits by increasing the population of gut microbes that feed on it. This causes sugar cravings - you need more and more sugar. But in terms of nutritional value, sugar is an absolutely useless product that contains nothing but empty calories.

Alcohol- I hope that it is unnecessary for you, my readers, to talk about the dangers of alcohol. But just in case, let me remind you: the restoration of microflora and the intake of alcohol are incompatible things.

If you want to get the most out of probiotics, you will have to give up sugar and pastries, no matter how sad it may sound to you. At least for the first time. Whether you reduce your sugar intake gradually or stop it abruptly, the result is the same: there will come a time when the number of microbes that feed on sugar in the intestines will be reduced enough that cravings for sweets will weaken - and you will no longer want it so much.

If we don't provide our new microscopic lodgers with proper nutrition and continue to eat anything, they won't live long and won't be able to breed to support their population.

Complex carbohydrates ("good") are generally high in fiber and are found in fruits, vegetables, some grains, beans, and brown rice. Due to their high fiber content, these products do not cause an increase in insulin production, and from the point of view of the microflora, they should be the most important components of our diet, ensuring that our bacteria are properly and adequately nourished.

Consider examples of "good" carbohydrates that are beneficial to the intestinal microflora.

Resistant (hard to digest) starches are specific complex carbohydrates that are not absorbed in the small intestine, but move on in an almost unchanged form until they reach the large intestine, where they are fermented by bacteria and converted into short chain fatty acids (SCFA). SCFAs are critical for maintaining colon health: they are the main source of energy for its cells, they have anti-inflammatory and anti-carcinogenic properties, and resistant starches have also been proven to promote the absorption of various minerals in the colon.

potato flour

Foods rich in resistant starches

• Beans
• Cashew
• Barley
• Lentils
• Peas
• Pearl barley
• Brown rice
• Unripe (green) banana
• Oatmeal

Resistant starches act in the digestive tract more like dietary fiber (fiber) than regular starch. They promote the growth of beneficial microbes in the colon by acting as prebiotics (food components of intestinal bacteria).

If the above foods do not in any way cause your appetite, you can enrich your diet with resistant starches from potato flour. Potato flour is dried and ground potatoes. 80% of this flour consists of starch, and 97.6% of this starch is resistant. It is an ideal choice for thickening sauces, soups and gravies, and for gluten-free pastries. If you can’t get your child to eat brown rice or barley, be sure to try potato flour in your recipes!

Potato Flour at iHerb- Bob's Red Mill, Finely ground potato flour.

Inulin

Inulin is another type of complex carbohydrate, fructans. Like resistant starches, inulin also has prebiotic properties. By adding inulin-containing foods like leeks to soups or stews, ripened bananas to green smoothies, and onions and garlic to all kinds of stews, you increase your inulin content in your diet. And instead of harmful coffee, you can drink a drink from chicory root, which is also rich in inulin.

Eat more plant foods

Dietary plant fibers, a fiber that is not digested in the intestinal tract, are all the main raw materials for bacterial fermentation, the production of microbial nutrients and healthy SCFAs. The variety and quantity of plant foods affects the number and variety of beneficial bacteria in your body, so eat plenty of plant foods every day.

Lack of sufficient amounts of indigestible dietary fiber (the main breeding ground for intestinal bacteria) in the diet is the main reason why, after switching to a low-carbohydrate diet, patients with dysbacteriosis do not feel much improvement even when taking probiotics.

The hard parts of plants (stems, shoot bases) are especially rich in non-digestible fiber, so eat vegetables whole.

If we don't get enough fiber in our food, we starve the gut bacteria we try to cultivate. According to researcher Jeff Leach, founder of the Human Food Project, when we don't get enough fiber to feed our gut bacteria, they start to gnaw at us - eating away at our gut lining. Conversely, well-fed gut bacteria produce beneficial nutrients such as SCFAs, which have a positive effect on intestinal cells.

How long should probiotics be taken?

It all depends on the disease, on the degree of damage to your microbiome, on your diet, on the effectiveness of the probiotics taken, on the general state of your health.

Most patients with dysbacteriosis experience improvement in about in ninety days, although it happens that the period is reduced to several weeks or extended to several months.

As a general rule, the longer you have been taking antibiotics, the longer you have to take probiotics before you see a positive effect. Some patients with the effects of years of antibiotic courses may need to whole year to feel noticeable improvements. Since the bacteria in probiotics do not necessarily settle in the intestines and form their colonies there, but can transit and be excreted from the body, it may be necessary to take probiotics indefinitely until improvements appear.

Side effects when taking probiotics

It is no news to anyone that antibiotics destroy the natural microflora of the intestine. You should try your best to avoid taking antibiotics. Nowadays it is difficult - doctors prescribe antibiotics right and left. Therefore, you may find it useful.

If in your case the doctor has assured you that a course of antibiotics is fully justified (for example, when an infection threatens your life), then there is nothing left but to follow the advice of a specialist. In doing so, your microbiome will be severely damaged.

A five-day course of some broad-spectrum antibiotics can reduce the population of intestinal bacteria by a third, and without any hope of further recovery.

However, you can soften the blow if you take measures to support the intestines and microflora during and after antibiotic therapy. The tips below will help you minimize losses and ensure a quick recovery of microflora.

1. Take probiotics during and after antibiotic therapy. Probiotics reduce side effects (antibiotic-associated diarrhea and the development of Clostridium (C. diff)), as well as restore the intestinal microflora. Probiotics are started in parallel with antibiotics, but at different times of the day (if you take an antibiotic twice a day - at 8 am and 8 pm, take the probiotic at 2 pm). After finishing the course of antibiotics, take probiotics for at least another month. Probiotics containing a variety of lactobacilli and bifidobacteria are most beneficial, as are those containing the beneficial yeast Saccharomyces boulardii (500 mg daily) - they are particularly important in preventing the spread of C. diff, and they are not as susceptible to antibiotics.
2. Eat prebiotic foods to support the microbiome. Food rich in fiber and resistant starches is especially important during a course of antibiotics. It not only provides intestinal bacteria with nutrients, but also positively affects the diversity of bacterial species.
3. Avoid foods rich in sugar and simple carbohydrates, is the most important measure to restore the microbiome. Sweets, sugary drinks, and foods rich in starch promote the explosive growth of fungal cells, exacerbating the imbalance of microflora. If you are prone to yeast infections, follow a strict anti-fungal diet, avoid sweets while taking antibiotics and for another month after treatment is over.
4. Eat more antifungal foods(onion, garlic, pumpkin seeds, coconut oil). Antibiotics are the main cause of yeast overgrowth, which can lead to vaginal infections and other problems.
5. Drink ginger tea. Ginger has a calming effect on the digestive system and reduces gas and bloating. For best results, peel a three-centimeter fresh ginger root, finely chop and pour two cups of boiling water over it. Insist 20-30 minutes. Strain before use.
6. Use bentonite. Bentonite helps to fix stools in antibiotic-associated diarrhea, in addition, it has antibacterial (against E. coli and Staphylococcus aureus) and antifungal (Candida albicans) properties. Take one tablespoon of bentonite once or twice a day until diarrhea symptoms subside. Be sure to space your intake of bentonite clay, antibiotics, and probiotics as they can cancel each other out. In case of constipation, stop taking bentonite.
7. Take care of your liver. Like most drugs, antibiotics are broken down in the liver, so it is important to keep the liver healthy during therapy. This will help us green vegetables - collards, spinach, broccoli, beets and artichokes, which contribute to the production of bile. It is critically important not to drink alcohol, as it puts additional stress on the liver.

I will share with you my bitter experience, maybe my story will save someone a precious part of the microbiome. From a young age, I often got sick - I was registered with a pediatrician with pyelonephritis, then with cystitis, then the inflammation passed to the female organs. At different times, I was prescribed a lot of antibiotics, among which ciprofloxacin is the most dangerous enemy for the microbiome. I have suffered from many inflammatory diseases that were chronic.

Despite constant treatment, I could not fully recover from anything. The end point was an ectopic pregnancy, after which the last course of antibiotics wrecked intestinal health to zero. Then I swore off taking more antibiotics and turned my attention to holistic medicine. As I found out, instead of killing courses of dangerous ciprofloxacin for cystitis, I could take and cure the infection without damage to my microflora.

I have found that there is an alternative approach to most diseases that doctors are accustomed to "heal" with antibiotics. My advice to all women is to weigh the pros and cons well before starting a course of antibiotics.

Summarizing

• Taking probiotics “just like that” and “for prevention” is useless.
• In order for probiotics to bring maximum benefit, they must be well fed with resistant starches, inulin, and plant fiber. Without food, they will not be able to gain a foothold in the intestines and form a colony.