Getting the right balance

Father and son watching the sea

Over the last few years the word probiotics has gone from being something that only those in the know talked about to something everyone is talking about.

The word probiotic simply means ‘for life’ but now when we talk about probiotics we mean foods, drinks or supplements that contain friendly live bacteria that can benefit health. Hearing the word bandied around may be relatively new, but the idea that supplementing our gut bacteria might have health benefits is not. At the beginning of the last century Nobel laureate Elie Metchnikoff proposed the reason why so many Bulgarians lived for so long was because they drank fermented milk.

Our gut is full of bacteria, around one kilogram in fact, that’s composed of more than 400 different types. Although we usually think of bacteria as harmful, not all are bad; there are helpful and friendly ones too, the common strains being lactobacilli and bifidobacteria. These friendly bacteria are needed to keep the gut functioning properly. As part of our immune system, around 70% of which is located in the gut, they help protect the gut from invading marauders. They are also involved in producing some vital nutrients such as vitamins and they help to neutralise some of the toxic products created as a result of digestion.

Good health is about getting the right balance and the gut is no exception. Keep the balance in favour of good gut bacteria and things sail on nicely, like a well-tended garden with lots of flowers and only one or two weeds. If as a result of poor diet, stress, infection or foreign travel for example, the balance tips the other way, leaving the gut with insufficient beneficial bacteria, then poor immune and intestinal health may result in a wide range of symptoms and illnesses such as diarrhoea, bloating, wind, constipation, bad breath, candida yeast infections, skin problems (eg eczema) and frequent coughs and colds. Sound familiar? Well, in the hectic life we find ourselves living, it’s hardly surprising that our digestive system gets upset. Some medications can upset the gut’s balance of bacteria too. Antibiotics, for example, wipe out bad and good types. This is why when taking a course of antibiotics to treat an infection someone may suffer with an upset stomach or diarrhoea.

Vitamin C, zinc and echinacea are all recognised as good immune boosters. The role of probiotics on the other hand is believed to be in supporting the immune system. Although it still isn’t entirely clear precisely how probiotics work it’s thought that by creating a healthy gut environment they help to stop bad disease-causing bacteria getting hold, that they may kill invading bad bacteria, and that they help to produce substances that enhance the immune system. The possible health benefits of probiotics are now becoming widely accepted. Irritable bowel syndrome, thrush, eczema, even Crohn’s disease may benefit from the gut being repopulated with friendly bacteria. Research has found that supplementing with probiotics can reduce the chances of suffering antibiotic-related and travellers’ diarrhoea, for example. Some scientific research suggests that supplementing with particular lactobacillus casei strain can reduce the frequency and severity of diarrhoea in young children. Other research has shown that supplementing with bifidobacteria can improve bowel habits in adults and the elderly.

Whatever they do, and however they do it, one thing is certain: for life, probiotics can help to make it a healthy one.

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Dr Rob Hicks

Dr Rob Hicks 

Dr Rob Hicks is a part time GP and clinical assistant in sexual health medicine. He is the Classic FM radio doctor and columnist for the Metro newspaper. He believes that prevention is better than cure and keeping healthy should be fun, not hard work.  

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