See information below on IBS and this treatment. To create a Treatment Checklist, go to the bottom of the screen and enter your information in the four sections: 1) past or present use, 2) frequency and duration, 3) did this treatment work?, and 4) significant side effects. To see the next treatment either click on the treatment list at the bottom of the screen or click ‘Save and Continue to Next Treatment.’ Click ‘Submit (Done)’ to generate a list to print or email, to discuss with your physician.

Probiotics (e.g. Align, VSL#3, Florastor)

How it works:
We are not exactly sure how probiotics work in IBS. They could act by reducing gas production, decreasing inflammation or modifying gut motility and/or sensation.
Which symptoms it helps:
Overall IBS symptoms, especially flatulence, bloating, pain.
How long it takes to see a benefit:
Within 4 weeks.
Who may benefit:
All IBS subgroups.
FDA approved:
Not regulated by the FDA as drugs.
Dosage:
Many different doses and formulations.
Special considerations or risks:
Discuss with your doctor if you have a suppressed or deficient immune system.
Most common side effects:
Initially there may be some bloating and discomfort as your intestines “adjust” to the new bacteria but that should be short-lived. Generally safe.

Recommendation:
ACG does not recommend routinely using probiotics to treat IBS, because data from clinical studies have been inconsistent.

Recommendation:
WEAK
Quality of Evidence:
LOW
Level of Evidence:
√-
Past and Present Use Frequency and Duration Did this treatment work? Significant Side Effects
Past Use   Present Use   Yes   No   N/A