Probiotics and IBS: Do They Help or Worsen Symptoms?

Q: Probiotics and IBS: Do They Help or Worsen Symptoms?

Hello： Irritable bowel syndrome (IBS) is characterized by cyclical changes, sometimes presenting with normal bowel function, sometimes with increased motility, and at other times with decreased motility. <br>Treatment is usually adjusted based on the current symptoms, and most of

Probiotics and IBS (Irritable Bowel Syndrome)

Hello, doctor! I suspect a recurrence of IBS, with bowel movements sometimes occurring 3-4 times a day.
There are no symptoms of watery stools or blood in the stool, but the shape is often loose and unformed.
I have tried taking some pharmaceutical-grade probiotics, such as Adbi, but I feel there has been no improvement, and it seems to worsen the diarrhea.
I would like to ask if some IBS or chronic enteritis patients find that taking probiotics can speed up gastrointestinal motility, leading to more severe diarrhea? Recently, I have been taking a medication recommended by a pharmacist called Shulianping, which has slightly improved the frequency of my bowel movements.
If I seek medical attention, are there any recommended medications that effectively control IBS that a doctor could prescribe? I appreciate your guidance on these questions.
Thank you!

A-Hong, 30~39 year old female. Ask Date: 2016/09/21

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: Irritable bowel syndrome (IBS) is characterized by cyclical changes, sometimes presenting with normal bowel function, sometimes with increased motility, and at other times with decreased motility.
Treatment is usually adjusted based on the current symptoms, and most of the time, no medication is necessary.
It is advisable to consult a gastroenterologist and not to self-medicate.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.

Reply Date: 2016/09/21

More Info

Probiotics have gained popularity as a potential treatment for Irritable Bowel Syndrome (IBS), but their effectiveness can vary significantly among individuals. IBS is a complex gastrointestinal disorder characterized by symptoms such as abdominal pain, bloating, and altered bowel habits, including diarrhea and constipation. The underlying mechanisms of IBS are not fully understood, and they can be influenced by factors such as diet, stress, and gut microbiota.

In your case, it seems that you have experienced an increase in bowel frequency and loose stools, which can be distressing. You mentioned trying a pharmaceutical-grade probiotic, such as Adbi, but did not notice any improvement; in fact, it seemed to exacerbate your diarrhea. This is not uncommon, as some individuals with IBS may react negatively to certain probiotics. The gut microbiome is highly individualized, and what works for one person may not work for another. Some probiotics can stimulate gut motility, which might lead to increased bowel movements and worsen diarrhea in sensitive individuals.

Research on probiotics for IBS has shown mixed results. Some studies suggest that specific strains of probiotics can help alleviate symptoms, particularly those related to bloating and abdominal discomfort. However, other studies indicate that probiotics may not provide significant benefits and can sometimes lead to adverse effects, such as increased gas or diarrhea. The effectiveness of probiotics can depend on the strain used, the dosage, and the individual's unique gut microbiota composition.

Regarding your current medication, you mentioned taking a medication recommended by a pharmacist called "舒攣平" (likely an antispasmodic), which has provided some relief in terms of bowel frequency. Antispasmodics can be effective for managing IBS symptoms, particularly when abdominal cramping and urgency are present. If you are considering seeing a doctor, it would be beneficial to discuss your symptoms in detail, including your experience with probiotics and any other treatments you have tried. A healthcare provider can recommend appropriate medications tailored to your specific symptoms. Options may include antispasmodics, laxatives for constipation-predominant IBS, or medications like rifaximin or eluxadoline for diarrhea-predominant IBS.

In addition to medication, lifestyle modifications can also play a crucial role in managing IBS. Dietary changes, such as following a low-FODMAP diet, can help identify food triggers that exacerbate symptoms. Regular physical activity and stress management techniques, such as mindfulness or cognitive-behavioral therapy, can also be beneficial in reducing IBS symptoms.

In summary, while probiotics may help some individuals with IBS, they can also worsen symptoms in others. It is essential to approach treatment on a case-by-case basis, considering individual responses to different therapies. Consulting with a healthcare provider who specializes in gastrointestinal disorders can provide you with a comprehensive treatment plan tailored to your needs.

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