Comments on: IBS & Probiotics: Should I Take Them?

By: Dédé Wilson

Dédé Wilson — Mon, 03 Oct 2022 16:06:00 +0000

In reply to Syl. Please see our other response, which is also based upon clinical experience by Monash and King's College trained dietitians.

By: Dédé Wilson

Dédé Wilson — Mon, 03 Oct 2022 16:05:16 +0000

In reply to Syl. Certain strains of probiotics have been shown useful in certain cases. As always, it’s best to discuss your specific situation with your healthcare team in order to identify the treatment strategy that works best for you.

By: Syl

Syl — Mon, 03 Oct 2022 14:48:28 +0000

And Monash follows up with a similar comment “What recommendations can be made about the use of probiotics for IBS? A guideline published by the American Gastroenterological Association in 2020 concluded that there is currently insufficient high-quality evidence to make recommendations about the use of probiotics to treat IBS. ”

https://www.monashfodmap.com/blog/probiotics-ibs-update/

By: Syl

Syl — Mon, 03 Oct 2022 14:31:03 +0000

As a science based individual it is strange you don’t allow a more recent review of the probiotic RCT’s by the AGC released in June 2020 – it more recent that any of the studies referenced on this web page. The details of the complete technical review are provided in this article. The one I posted earlier was an overview

See the answer to the question “Question 6: In Symptomatic Children and Adults With Irritable Bowel Syndrome, Should Probiotics Be Used to Improve Global Response or Abdominal Pain Severity?”

“Given the numerous individual probiotic strains that demonstrated benefit in the context of a single trial, one cannot exclude a potential benefit of probiotics for children and adults with IBS. However, the Technical Review Panel also identified numerous registered protocols that had neither peer-reviewed publications nor raw data available for review, highlighting the potential for publication bias. Although the breadth of data regarding probiotic use for IBS is substantial, no single strain or combination has been studied in a sufficiently rigorous manner.”

https://www.gastrojournal.org/article/S0016-5085(20)34732-6/fulltext

By: Syl

Syl — Mon, 03 Oct 2022 12:07:58 +0000

June 9, 2020

American Gastroenterological Association (AGA) does not recommend the use of probiotics for most digestive conditions

“There was insufficient evidence for AGA to make recommendations regarding the use of probiotics to treat C. difficile infection, Crohn’s disease, ulcerative colitis or 𝐈𝐁𝐒. For these conditions, 𝐀𝐆𝐀 𝐬𝐮𝐠𝐠𝐞𝐬𝐭𝐬 𝐭𝐡𝐚𝐭 𝐩𝐚𝐭𝐢𝐞𝐧𝐭𝐬 𝐜𝐨𝐧𝐬𝐢𝐝𝐞𝐫 𝐬𝐭𝐨𝐩𝐩𝐢𝐧𝐠 𝐩𝐫𝐨𝐛𝐢𝐨𝐭𝐢𝐜𝐬, as there are associated costs and not enough evidence to suggest lack of harm.”

https://gastro.org/news/aga-does-not-recommend-the-use-of-probiotics-for-most-digestive-conditions-2/