PROBIOTIC THERAPY FOR IBD, IBS and Crohn’s
People with Inflammatory Bowel Diseases (IBD), like Crohn’s, Ulcerative
Colitis and Diverticulitis are very sensitive to many foods, herbs and
therapeutic protocols that work well for people with normal digestive
systems. Many substances like MSM, standard aloe vera and vitamin C
(ascorbic acid form) that are healing for most people can actually
aggravate the digestive systems of people with IBD. When you get into
the arena of probiotics, whose action is almost exclusively in the gut,
reactions are quite pronounced.
When trying to work out why and how probiotics work, the field of
misinformation is vast. I consulted well-known naturopathic physicians,
professors of microbiology, gastroenterologists, and read extensively,
but received conflicting information at every turn. I experimented with
different brands of probiotics off and on for seven years and each time
I tried supplementing, my symptoms (gas, bloating, bleeding) worsened.
Although the science behind probiotics and why they should benefit me
seemed sound, my experience proved contrary. Finally, when I was nearly
ready to give up, a naturopathic physician convinced me to try Natren
probiotics. He insisted they were the best brand and I would see good
results from them. I started with Natren’s Bifido Factor powder and for
the first time, experienced an improvement as a result.
Thus, when I first began recommending Natren probiotics to my readers, I
did so for one reason only; they worked. At that time I knew very little
about the different strains of probiotics. For example, I had no idea
that Lactobacillus Bulgaricus DDS-14 (DDS-14 is the strain) is a potent
strain capable of antibiotic action against numerous harmful bacteria
including E. coli and Staphylococcus aureus, whilst Lactobacillus
Bulgaricus DDS-13 is a weak, ineffectual strain with none of the above
capabilities. As you know, most probiotic manufacturers do not even list
the strain on the bottle so you have no idea as to the effectiveness of
the bacteria you’re consuming. I was also not aware of how the different
probiotic manufacturing and extraction processes greatly affect the
potency, safety, and bioavailability (how much of the substance ingested
the body can actually utilise) of the finished product. Basically, I
knew very little about the technical and scientific reasons why Natren’s
products were so superior. All I knew, from extensive trial and error,
was that Natren’s probiotics worked and other brands of probiotics were
likely to have either no effect, or produce a worsening of symptoms.
A gastroenterologist I know in Toronto has seen some patients with
Colitis achieve remission with acidophilus and others whose Colitis
flared because of it. Unfortunately, she didn’t track which brand or
strain of acidophilus her patients were taking. Dr. Michael McCann, an
MD in Cleveland, Ohio, has found that once his IBD patients have
achieved remission, every one of them who’s continued to take Natren
probiotics, has remained in remission to date. Whether they’ll still be
in remission in 15-20 years remains to be seen, but the evidence is
certainly encouraging. One of my readers was passing a ¼ cup of mucous
with every bowel movement and after only 12 days on Natren probiotics,
the mucous was completely gone. Her story is only one of dozens I’ve
received from readers. I tell my readers they have to use Natren
probiotics in their healing regimen, otherwise their results will vary.
For myself, prior to taking Natren’s B. bifidum, the only thing that had
worked to stem my chronic diarrhea was L-Glutamine (on an empty stomach
only). However, within 3 doses of Natren’s bifidobacteria, my stools
began to firm up and excess water was reabsorbed. I tried Natren’s Mega
Dophilus (lactobacillus acidophilus DDS-1) next but did not tolerate
that as well as the bifidus. In searching for reasons why, I came across
this bit of research that showed that in states of inflammation the
overall tolerance to bacterial flora is greatly reduced:
“It is possible that the products of the commensal flora promote
inflammation in the presence of an impaired mucosal barrier or injury to
the mucosa… These results indicate that, in health, there is tolerance
to autologous [your own] but not allogeneic [foreign source] intestinal
flora, and tolerance is lost during inflammation. Evidence also exists
that animals are tolerant to their own flora in health but not after
colitis develops.” (Inflammatory Bowel Disease: Etiology and
Pathogenesis by Claudio Fiocchi, Gastroenterology 1998, Vol.115, page
185)
Unfortunately, this bit of research doesn’t stipulate which species of
bacteria the body loses tolerance for, and which strains of which
species. Nevertheless, it provided me with a clue by which to proceed,
and as my own program of supplementation was successful, I then
recommended the same conservative course of action to my readers. I know
many people have experienced good results from more aggressive
supplementation and also from beginning supplementation immediately
(with inflammation and bleeding still present). However, I favor the
kinder, gentler approach to healthcare that’s likely to work for the
greatest number of people and not risk triggering adverse reactions.
Feedback from hundreds of readers since has confirmed the effectiveness
of this approach.
My recommendation is this: First, get your inflammation and ulceration,
bleeding, etc. healed. For more information on natural ways to
accomplish this, see either of my books, Listen To Your Gut, or The IBD
Remission Diet. However, I do recommend you try supplementing with
Natren’s Bifido Factor (B. bifidum Malyoth) right away because if you
can tolerate it, it will help speed your healing. Once you’ve
successfully used Natren’s bifidobacteria for a few weeks, next try
adding Mega Dophilus (L. acidophilus DDS-1), if you tolerate that well,
then finally add their Digesta Lac product (L. bulgaricus LB-51) to your
regimen. You ultimately need to ingest the complete spectrum of
probiotics as each is particularly active and healing for different
parts of your intestine: Acidophilus for the esophageal tube, stomach
and small intestine, bifidus for the large intestine, and bulgaricus is
a transient species that travels throughout the intestinal tract and
also assists the action of acidophilus and bifidus. If you suffer from
Irritable Bowel Syndrome (IBS) you can start immediately with all three
(acidophilus, bifidum, bulgaricus) in powder form. Whether you tend
toward diarrhea or constipation or some mixture of both, the Natren
probiotics will normalize your bowel function and you should see
positive results within a month or so.
I recommend people with IBD take the probiotics in powder form so that
(a) you can reap the benefits in your mouth (mouth ulcers), esophagus
and stomach (acidophilus reduces or eliminates heartburn – even while
pregnant) and (b) to ensure effective utilisation as people with IBD
often have very fast transit times through their gastrointestinal tract,
so capsules are not always broken down/absorbed properly.
For an infant with bowel problems, supplement with Natren’s Life Start
(B. infantis bacteria) only – do not give the other probiotic species
directly to an infant (although a nursing mother can and should ingest
other species including B. infantis).
If you’ve already tried probiotics with mixed results, I encourage you
to give them one more try. For full dosage instructions for both adults,
children and infants, see either of my books:
LISTEN TO YOUR IBS
LISTEN TO YOUR GUT (for Crohn’s, colitis, diverticulitis)
HOW CAN PROBIOTICS HELP MY CROHN’S / ULCERATIVE COLITIS / DIVERTICULITIS
OR IBS?
Probiotic therapy benefits people with IBD (Inflammatory Bowel Disease)
and IBS (Irritable Bowel Syndrome) in many ways. If you get too many
‘bad’ bacteria in your gut and not enough ‘good’ bacteria, the bad
bacteria (and other pathogenic microorganisms like yeast, fungi,
parasites, etc.) will degrade the mucosal lining of your intestine and
even penetrate through the intestinal wall. Aside from resulting in an
increase of mucous, inflammation, ulceration and bleeding, this will
also result in undigested particles of food passing directly into your
bloodstream – where they are perceived as allergens and trigger an
immune response. Repopulating your bacterial flora to contain
predominantly good bacteria (via probiotic supplementation), will result
in a drastic reduction – if not elimination – of many harmful pathogens
like yeast, fungus, mold, parasites, viruses and bad bacteria from your
gut environment. The good bacteria will also form a protective coating
of your mucosal cell lining and produce B vitamins and digestive
enzymes. As a result, proper digestion and absorption of nutrients will
gradually be restored. Top quality probiotic supplementation is an
integral part of healing the root cause of IBS or IBD and then
maintaining ongoing health. Symptoms that can be automatically resolved
as a result of this healing include: heartburn, gas, bloating,
constipation, diarrhea, excess mucous, intestinal spasms or cramping,
ulceration, inflammation, and bleeding.
There is MUCH more information about probiotics, how they work, how to
choose the best one for your body, and detailed dosage instructions for
both adults, children and infants, in either of my books:
LISTEN TO YOUR IBS
LISTEN TO YOUR GUT (for Crohn’s, colitis, diverticulitis)
© 2003 Jini Patel Thompson
www.listen2yourgut.com
Jini Patel Thompson was diagnosed with widespread Crohn’s Disease in
1986. For the next three years she adhered to medical treatment
protocols until it became clear they were not helping her. She spent the
next seven years researching and experimenting with alternative healing
methods and therapies as she lived and worked in Canada, Japan and
England. Jini has since remained drug and surgery-free for over 19
years. Her natural healing and treatment methods are described in
“Listen To Your Gut” and “The IBD Remission Diet”.
Her books, products, etc. are available at: www.listen2yourgut.com
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