Probiotic products come in many different forms, doses and variable combinations of bacterial strains.
People suffering from IBS often consider trying probiotics to improve their symptoms but it is crucially important to check the label of the chosen product for a number of potential issues. Some products contain other ingredients that can make IBS symptoms worse such as FODMAPs: prebiotics including FOS and inulin, the dairy sugar lactose, fructose, or low calorie sweeteners including sorbitol and xylitol.
Many patients want recommendations for specific probiotic products but these are difficult to give with in an evidence based framework as there is inconsistency in the results that look at the benefit of probiotics in all conditions, including IBS. For instance, some probiotics only have one small study to support them whilst others have none. What evidence there is often only pertains to one condition or very specific bacterial strains.
There is currently not enough evidence to make blanket recommendations for probiotic products although some do have better evidence profiles than others.
If you want specific recommendations for you, your Dietitian or Gastroenterologist should be able to interpret the evidence and let you know if there is a product that would have a better chance of benefit for you.
Disclaimer: The information provided in this article is for informational purposes only and should not replace professional medical advice.
Bryony Campion
Bryony is an HCPC registered dietitian with over 14 years experience providing specialist gastroenterology dietetic care and works with patients to manage dietary changes for a range of conditions. As well as her dietetics qualification she has a degree in Biology and a masters in Nutrition with a specialist interest in the concept of sustainable diets and One Health.