Which Probiotics Are Effective in Irritable Bowel Syndrome?

The role of the microbiota in IBS is now well established, and patients frequently take probiotics on their own initiative or on the advice of a physician or pharmacist. However, not all probiotics have equal efficacy, so which ones should be recommended?

While the 2022 recommendations from the American College of Gastroenterology on the diagnosis and management of IBS do not support the use of probiotics for overall symptom relief — a recommendation for which they cite a low level of evidence —"there is nevertheless a rationale for prescribing probiotics in IBS due to the significant role of the microbiota in this condition," said Sabaté.in the small intestine of patients with IBS supports the role of the microbiota.

In addition, colonic gas production is higher in these patients. Those complaining of flatulence have poor tolerance to intestinal gases after a flatulent meal, associated with microbiota instability. Three strains, as well as a combination of several strains, were supported by level 2 evidence, meaning at least two randomized studies with converging results. These areProbiotics belonging to the category of dietary supplements or medical devices are not required to provide evidence for a mechanism of action or even efficacy to be marketed. Thus, for most probiotics sold, there are no human or even animal studies available.

Irritable Bowel Syndrome (IBS) IBS Microbiome Microbiota Probiotics Complementary And Alternative Medicine Alternative Treatment Alternative Medicine Complementary Medicine Alternate Medical Therapy Alternate Medicine Abdominal Pain Pain Management Pain Bloating Abdominal Bloating Quality Of Life QOL Health Related Quality Of Life

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