August 8th, 2013
Probiotics: Which one, and in whom?
I continue to be intrigued by the burgeoning use of probiotics — by both patients and practitioners, including myself — to treat patients’ symptoms of digestive diseases. The problem I run into when considering their use in patients, or when answering patients’ questions about them, is in determining which patients are good candidates for probiotics, and which of the dozens of probiotics to choose.
So, I am asking for your advice and comments on this subject. Here are my questions:
1. For what conditions do you use probiotics (e.g. IBS, IBD, functional dyspepsia, chronic diarrhea, chronic constipation, abdominal pain, etc.)?
2. Do you use one probiotic in particular, or different ones for different symptoms?
3. How long do you try them out before determining they are ineffective and stopping?
4. If one is ineffective, do you try others? If so, in what order?
I am looking forward to hearing your advice and experiences.