Are Probiotics Really Helpful For Most Digestive Diseases?

Over the last few years, probiotics have become immensely popular and are being used by millions of health-conscious people all over the world. Probiotics are specific live microorganisms (such as bacteria and yeasts) that are supposed to be good for our bodies when eaten, especially for our digestive system. The health benefits of probiotics are presumably many: weight loss, digestive health, healthier skin, immune function betterment, and even improvement of some mental health conditions.
As more and more studies have cropped up about the numerous health benefits of probiotics, people have begun taking it regularly in pill form, or by eating more fermented foods like yogurt, and other food products. 
However, before being completely smitten with the idea of the health benefits of probiotics, we should be a little cautious. According to new guidelines released by the American Gastroenterological Association (AGA), there isn’t sufficient evidence to support the recommendation of using probiotics for treating most digestive diseases.
“While our guideline does highlight a few use cases for probiotics, it, more importantly, underscores that the public’s assumptions about the benefits of probiotics are not well-founded, and there is also a major variation in results based on the formulation of the probiotic product,” said guideline panel chair Dr. Grace L. Su, a gastroenterologist at the University of Michigan, in a press release recently.

New guidelines say that probiotics are beneficial for only particular conditions

Probiotics pills
You might be aware that probiotic pills are available by prescription in certain places and are also available over the counter in many countries. As the popularity of probiotics has surged, many companies are marketing them as dietary supplements. In countries like the USA, these companies don’t even need preapproval from the Food and Drug Administration (FDA) to market them. However, they cannot make any health claims about these products.

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It is true that probiotics can indeed be pretty helpful. When we think of bacteria, we instantly imagine harmful germs. However, the stomach and intestines are comprised of millions of helpful bacteria and yeasts. The human gut consists of about 300 to 500 different bacterial species that engage in intricate ways with the body and with each other.
gut infographic
Now, the latest review by the AGA has claimed that probiotics may be helpful with some gut-related issues. For instance, some probiotics may be beneficial for preterm, low-birthweight infants. The review states that they can help shorten the number of days infants will have to stay at the hospital. Furthermore, certain probiotics can lower the risk of Clostridium difficile (a bacteria that causes inflammation of the colon) infection in adults and children who take antibiotics. The review further stated that some probiotics can be useful in helping manage pouchitis – a swelling of the ileal pouch in patients who have undergone a colectomy as a result of ulcerative colitis.
Despite these benefits, however, it would be unwise to treat probiotics as some wonder cure for many of our digestive health issues. The AGA has observed that there is a clear lack of evidence to support the use of probiotics for other health conditions. 
“Patients taking probiotics for Crohn’s, ulcerative colitis or [irritable bowel syndrome (IBS)] should consider stopping,” said Su in the news release. “The supplements can be costly and there isn’t enough evidence to prove a benefit or confirm lack of harm.” The review also found that probiotics aren’t useful for children with infectious diarrhea.

The effectiveness of probiotics may vary from patient to patient

Probiotics, health advice
According to a study that was published in the Journal of Family Practice, the benefits of probiotics depend on the strain, dosage, and condition being treated. The paper was written by Dr. Daniel J. Merenstein, a professor of family medicine at Georgetown University, and his colleagues. 
“Just as we know that not all antibiotics are equally effective for all infections, so, too, effectiveness among probiotics can — and often does — vary for any given condition,” they wrote. They also state that the effectiveness of the probiotics may vary from patient to patient. 
Merenstein and his colleagues advise that physicians recommending probiotics for their patients should first look for scientific evidence for which one to use. According to them, simply advising that patients take probiotics isn’t really helpful when that person might be looking for a product that may help them with a specific condition.
Probiotics are mostly safe. However, they can cause harm to live bacteria in some cases. This can be particularly true for people with an unsettled immune system. Many people also use probiotics for improving the health of their gut. However, such a diet can alter the structure of the gut microbe at times. In fact, anyone with any health condition should first consult a doctor before blindly taking probiotics. 
Thus, be careful and prudent while taking probiotics. In general, health experts recommend following a low-fat and high-fiber diet to always keep your digestive system healthy.
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