Probiotics for Allergic Children: Addressing Eczema and Gut Health

Probiotics for Allergic Children Issues

Hello, doctor.
I have some questions to ask.
My eldest child is currently over 3 years old and has been diagnosed with a milk protein allergy.
Although we have switched to hydrolyzed formula, he frequently develops allergic eczema on his skin.
My second child had a Salmonella infection last year, and this bacteria is still present in his intestines.
Currently, both children are using different probiotics.
My eldest is taking Kangmin, which hasn't shown significant effects, while my second child has had noticeable improvement in his bowel movements after taking Anbifera.
However, the Salmonella remains in his intestines.
I previously read a study stating that the LGG strain, when used in combination with other bacteria, can modulate the immune system and inhibit the growth of harmful bacteria in the intestines.

1.
Can you confirm if the LGG strain indeed has these beneficial effects?
2.
If it does have such effects, could you recommend probiotics that contain this strain?

KRIS, 30~39 year old female. Ask Date: 2009/11/16

Dr. Xiao Kaiwen reply Pediatrics

Theoretically, adding probiotics is intended to adjust the intestinal environment to achieve better digestibility and enhance the gut's defense functions.
However, there is no consensus on whether adding probiotics will yield the desired effects, how much should be added, or which specific strains are effective and safe.
Physicians may recommend certain probiotics for infants with diarrhea, growth issues, or gastrointestinal disorders.
As for children with allergic predispositions, the effectiveness of probiotics is subjective (some studies suggest that Lactobacillus rhamnosus GG may be beneficial), but there is no definitive medical evidence.
It is widely accepted in the medical community that probiotics seem to be more effective for atopic dermatitis, while their efficacy for respiratory and nasal allergies appears to be less significant.

Reply Date: 2009/11/16

More Info

Probiotics have gained significant attention in recent years for their potential benefits in managing various health conditions, including allergies and skin conditions like eczema. Your inquiry about the use of probiotics, particularly in the context of your children's allergic reactions and gut health, is quite relevant given the increasing prevalence of allergic diseases in children.

Firstly, it is important to understand that probiotics are live microorganisms that, when administered in adequate amounts, confer a health benefit on the host. They are often referred to as "good" bacteria and are believed to help maintain a healthy balance of gut flora, which can be disrupted by factors such as antibiotic use, poor diet, and infections.

In your case, your older child has a known allergy to cow's milk protein, which can lead to skin manifestations such as eczema. Research has shown that certain strains of probiotics, including Lactobacillus rhamnosus GG (LGG), may help in managing eczema and other allergic conditions. LGG has been studied for its ability to modulate the immune system, enhance gut barrier function, and potentially reduce the severity of allergic reactions. Some studies suggest that early introduction of probiotics in infants at risk of allergies may reduce the incidence of eczema and other allergic conditions.

Regarding your second child, who has a history of Salmonella infection, it is important to note that while probiotics can help restore gut flora, they may not directly eliminate pathogenic bacteria like Salmonella. However, certain probiotic strains can help inhibit the growth of harmful bacteria and support overall gut health. The use of probiotics in conjunction with a balanced diet and proper medical treatment can be beneficial.

To address your specific questions:
1. Effectiveness of LGG: Yes, LGG has shown promise in various studies for its ability to improve gut health and modulate immune responses. It may help in reducing the severity of eczema and other allergic conditions, particularly in children with a predisposition to allergies.

2. Probiotic Recommendations: When looking for probiotics that contain LGG, you can consider products that specifically list this strain on their labels. Some well-known brands that offer probiotics with LGG include Culturelle and Align. However, it is essential to consult with a pediatrician or a healthcare provider before starting any new probiotic regimen, especially considering your children's specific health conditions.

In addition to probiotics, it is crucial to maintain a comprehensive approach to managing allergies and eczema. This includes:
- Dietary Management: Continue using hydrolyzed formulas for your older child and ensure that any potential allergens are avoided in their diet.

- Skin Care: Regularly moisturize the skin to prevent dryness and irritation, which can exacerbate eczema.

- Medical Follow-up: Regular consultations with a pediatric allergist or dermatologist can help monitor your children's conditions and adjust treatment plans as necessary.

In conclusion, probiotics, particularly LGG, may offer benefits for children with allergies and eczema, but they should be part of a broader management strategy. Always consult with healthcare professionals to tailor the approach to your children's specific needs and conditions.

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