Suggest Best Probiotic For IBS And Diarrhea

Posted on Thu, 9 Nov 2017

Question: I need to know the best probiotic for IBS with diarrhea

Answered by Dr. Ramesh Kumar (46 minutes later)

Brief Answer:
VSL#3

Detailed Answer:

Hello,
Thanks choosing HealthcareMagic for your query.
I've gone through your details (including the image) and I appreciate your concerns.

VSL#3 twice daily is very effective in IBS with diarrhea.
VSL#3 is a combination of probiotics that contain live bacteria including Bifidobacterium (B. longum, B. infantis, and B. breve); Lactobacillus (L. acidophilus, L. casei, L. delbrueckii ssp. bulgaricus, and L. plantarum); and Streptococcus salivarius.

Let me know if I can assist you further.

Thanks!

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Ramesh Kumar (36 minutes later)

Hi. I am not sure where to buy that and if you can recommend one that's over the counter at a store...I also don't know if VSL #3 is an everyday supplement or one I only take when I have a flare up. An I to understand that the ultimate flora I'm taking isn't helping? Yikes.

Answered by Dr. Ramesh Kumar (13 minutes later)

Brief Answer:
Probiotic alone won't help.

Detailed Answer:
Hi again,
Its OTC otherwise you can get it on any online shopping site.

Take it every day twice daily for 1 month and follow up after that.

It's very difficult to explain that why a particular probiotic is not working in your case.
Secondly, IBS is a functional disorder and loose stools should be controlled by using Antispasmodics and anticholinergics.

Probiotic may help alone, but I don't think it would be very helpful when used without anticholinergics.

Please get a prescription for Cibis (I am mentioning the composition)-
Tab Cibis 8mg thrice daily(contains Chlordiazepoxide, Clidinium Bromide, and Dicyclomine) consult your local pharmacy for this salt combination.

Let me explain why Cibis--

Dicyclomine is an anticholinergic drug. An anticholinergic agent is a substance that blocks the neurotransmitter acetylcholine in the central and the peripheral nervous system. Anticholinergics inhibit parasympathetic nerve impulses by selectively blocking the binding of the neurotransmitter acetylcholine to its receptor in nerve cells.

Clidinium bromide is an anticholinergic (specifically a muscarinic antagonist) drug. It may help symptoms of frequent stools.

Chlordiazepoxide works by increasing the action of GABA, a chemical messenger which suppresses the abnormal and excessive activity of the nerve cells in the brain.

Please discuss with your Gastro about the above-mentioned options.

Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Ramesh Kumar (2 hours later)

Oh, I mislead you with my reply. My question about the Ultimate Flora Probiotic, was a question. I wasn't saying it wasn't working, I was wondering if I had bought the wrong kind for IBS treatment, cause it's what I've always taken. I am just checking if it will do the trick or if I need to buy the more expensive VSL#3? Do you know what stores sell it?

Answered by Dr. Ramesh Kumar (8 hours later)

Brief Answer:
follow up.

Detailed Answer:
Hello dear patient,
Yes you can get it from XXXXXXX uk.
And as suggested above take it with Cibis and you woud feel much better in 10 days.

Thanks!

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Above answer was peer-reviewed by : Dr. Yogesh D