Gastroenterologist Offers Tips For Choosing A Probiotic
Is this something new? Thanks for any comments for those of us who suffer with extreme bloating! Anon. Answer The low-FODMAP diet is designed to be a treatment for irritable bowel syndrome, for symptoms of nausea, bloating and bowel changes. FODMAP stands for fermentable oligo-, di- and monosaccharides and polyols. The theory is that these foods are poorly absorbed, tend to have laxative effects and are fermented by bacteria, causing gas and distention. Its a very compelling theory and makes sense with what I have seen in clinical practice, as well as the many letter writers who have asked me to warn others of the dangers of polyols, such as mannitol, sorbitol, xylitol and others. Recent studies on this diet shows that up to two-thirds of people are helped by reducing the overall content of foods high in FODMAPs. Examples of these foods, and suggestions for alternatives, can be found at bit.ly/aTYrxp. However, the author states and I quite agree that a licensed nutritionist can be essential in making sure the dietary changes are right for you. I am a little surprised your gastroenterologist did not suggest this. Dr. Roach Writes In May, I wrote about A.M.s hand tremors. A reader wrote to tell me that her tremors improved dramatically after stopping the prescription medication bupropion. A.M. discussed this with her doctor, tried going off her bupropion, and her tremor is much improved.
– Look for scientific research. As more U.S. physicians are starting to accept probiotics as a legitimate therapy, more studies are being done with them. “For example, Saccharomyces boulardii , a yeast-based probiotic strain commonly sold under the brand name Florastor , has been shown in studies to provide significant benefits in managing even severe illnesses such as C. diff-associated disease, Crohn’s disease and Ulcerative Colitis,” says Dr. Raymond. Talk to your doctor to find out about the available science that supports the use of probiotics. – Consider your lifestyle. The form in which a probiotics is packaged may be integral in how successfully you take it. “If you are a frequent traveler looking to combat issues like traveler’s diarrhea , a probiotic that needs refrigeration may not be appropriate for you,” suggests Dr. Raymond.
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