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Are probiotics good for digestive and gut health?

Probiotics from supplements, yogurt and fermented foods have gained popularity to improve digestive and gut health.

Graphic of probiotics traveling through the intestines for gut health

Some people swear by them, taking them daily.

“How probiotics work isn’t entirely understood,” said Jenell Bushong, Marshfield Clinic Health System gastroenterology nurse practitioner. “However, there is evidence they can improve symptoms of some gastrointestinal illnesses and help maintain a healthy balance of beneficial gut bacteria.”

What do probiotics do?

Probiotics are “good” bacteria for gut health found naturally in the body, in yogurt, fermented foods and dietary supplements.

RELATED ARTICLE: Best fermented foods for gut health, plus a sauerkraut recipe

They have three main digestive health benefits:

  1. Add billions of bacteria to the gut to restore balance between “good” and “bad” bacteria. This helps the digestive system work like it should.
  2. Strengthen the digestive tract’s lining, which prevents bacteria from sticking to the gut.
  3. Provide a barrier to shield the body from “bad” bacteria.

Probiotics for medical conditions

Research-based evidence shows probiotics help prevent pouchitis. Pouchitis is swelling of an artificial pouch for surgical patients who have the large intestine and rectum removed. It usually affects people who have ulcerative colitis.

Digestive probiotics can generally improve symptoms of some other gastrointestinal illnesses, including:

  • Infectious diarrhea
  • Inflammatory bowel disease (Crohn’s disease and ulcerative colitis)
  • Irritable bowel syndrome

More research is necessary to prove probiotics offer any help to healthy individuals.

“Most studies are small, use a highly variable probiotic preparation, and have several important limitations,” said Bushong. “Therefore, it is difficult to make conclusions on efficacy on probiotic use.”

Daily usage likely won’t harm you

Bushong says enthusiasm for use of probiotics has outpaced the scientific evidence.  More well-controlled clinical trials would help researchers better understand them.

“Despite this, probiotics are popular because most people tolerate them well and they pose little risk,” Bushong said.

The decision to take a daily probiotic is up to you.

Bushong points out that exercise, hydration, balanced diet and curbing tobacco use are other options to improve digestive health.

For questions about probiotics, talk to a Marshfield Clinic Health System provider.

Schedule appointment Message your provider

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14 responses to “Are probiotics good for digestive and gut health?”

  1. Kathleen Hill

    What is the best probiotic out there for a 59 yr old female who suffers from intermittent IBS?

    1. Kirsten Shakal

      Hi, Kathleen. We can't provide individualized medical advice on this forum. However, one of our team members (John) talked to Jenell about probiotics in general, and she said overall "We prefer refrigerated probiotics. They have more active 'live cultures.'"

      I would suggest talking to your doctor or a gastroenterologist about your specific concerns to address your age and intermittent IBS. Online appointments can be requested here: https://www.marshfieldclinic.org/appointments

      Thanks for reading. -Kirstie

  2. Deetje Wildes

    I was encouraged by a nurse to drink kefir. I drink some once a day. Does anyone know what is a recommended amount? Also, I've had trouble with diarrhea recently, and am wondering whether it could be caused by the flax seed in some cereals. Anyone out there have a similar issue? Finally – this might help someone: I know I have to avoid canola oil since it does indeed cause diarrhea for me. I have to read labels a lot, because it is everywhere – soups, baked goods, brand-name cereals.

  3. John Tracy

    Lot's of good discussion here. I forwarded your comments to Jenell. She adds, "We prefer refrigerated probiotics and they have more active “live cultures.”".

  4. RM

    UP4 Probiotics are the best and are made in Wausau, Wisconsin! You can buy them at Target, at health food stores, or online!

    http://up4probiotics.com

  5. Roberta E.

    I am wondering which probiotic would be good to take, I'm 57.

  6. Judy Knoll

    If one already has irritable bowel with diarrhea, has tried some probiotics that made the symptoms worse, is there a probiotic that might work to improve bowel function without gut pain? Currently I am using Alosetron which mostly works, but it seems to be helping less and less especially with gut pain.

  7. Cindy K

    I started taking probiotics daily to help with my acid reflex and stomach issues. Wow did a wonderful job it did for me! It also helped me with my stomach bloating and keeping my stools more regular. Last winter was the first winter I didn't get any colds or my annual respiratory infection and wondering why???

  8. Karen Haymann

    Is there a recommended brand for a 36 year old female who has a stressful job?

    1. Cindy K

      Check out Probiotics American

    2. Linda Graham

      There is a very reliable brand called Florijen distributed by a company in Madison, WI. The company name is American Lifeline.

  9. Karen Turner

    which probiotics should I buy—brand etc.?

    1. Karen Turner

      wondering which probiotics are the best?

      1. Kirsten Shakal

        Hi, Karen. There seems to be a lot of recommendations from our readers in the above comments.

        We can't provide individualized medical advice on this forum. However, one of our team members (John) talked to Jenell about probiotics in general, and she said overall "We prefer refrigerated probiotics. They have more active 'live cultures.'" -Kirstie

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