Tag Archives: gastrointestinal health

Probiotics for that colicky baby

Escherichia coli: Scanning electron micrograph...

Image via Wikipedia

Below is a short article from the NY Times.  It summarizes some of the studies that have been done regarding probiotics (healthy bacteria) and colic in babies.  See my comments at the end.

NY Times Article

Colic is one of the most prevalent conditions of infancy: about 20 percent of all babies suffer the inconsolable bouts of crying that characterize it.

Yet no one really understands what makes a baby colicky. Scientists have investigated a number of causes — allergies, hormones in milk, even stress in the womb. But some now think it may stem from inflammation in the gut, perhaps a result of too many harmful bacteria and not enough beneficial ones.

A 2009 study, for example, found that colicky babies had gastrointestinal inflammation and traces of a bacterium in their guts that may have prompted it. Babies without colic had no inflammation and a greater diversity of beneficial bacteria.

So could higher levels of gut-friendly bacteria make a difference?

In a 2007 study, Italian researchers looked into this by examining 83 colicky babies who were breast-fed. Over 28 days, some of the infants were given simethicone, a medication that reduces gas; the others were given a supplement containing L. reuteri, one of the beneficial bacteria known as probiotics and often found in yogurt. At the end of the study, the babies who received the probiotic cried an average of 51 minutes a day, compared with about two and a half hours in the other group. A 2010 study had similar results.

Gut microbiota changes induced by the probiotic could be involved in the observed clinical improvement,” the researchers wrote. Still, experts say they would like to see more studies.

Dr. Court’s Comments

Our gastrointestinal system is extremely complex.  A huge part of that complexity is the trillions and trillions of microorganisms that exist in your gut in the form of bacteria.  It is the balance of these bacteria that determines, to a large extent, the health of your gut and therefore, you.

Babies are no different.  An imbalance of bacteria can lead to many problems including allergies, maldigestion and malabsorption and now possibly colic.

It is not a surprise that research points to gut inflammation as a source of colic.  It makes perfect sense.  I see many patients in my office who have gastrointestinal complaints.  Through stool testing we are often able to determine that there is significant inflammation present in their GI system.  This inflammation is often helped by using potent probiotics to restore the balance of good and bad bacteria.

Taking a probiotic is very simple.  They are available in pill or powder form.  Many companies even make infant formulas that are specifically designed to be gentle on developing systems.

So if you have a young child who just won’t stop crying, consider trying a probiotic.  It’s a safe and effective tool to reduce colic and give your baby some much needed relief.

3 Comments

Filed under Diet, Public Health

Quick! Get that kid some bacteria!

I recently came across an article that got my interest for a couple of reasons.  The article was about allergies and how many health practitioners are reporting an increase in the number of children they are seeing with allergies.  I agree.  In my office I see several children whose parent’s only complaint is their child’s allergies.  The second reason for my interest was one of the proposed reasons for this – an unhealthy balance of bacteria in the gut.

The number of kids with food allergies went up 18 percent from 1997 to 2007, according to the U.S. Centers for Disease Control and Prevention. About 3 million children younger than 18 had a food or digestive allergy in 2007, the CDC said.  These numbers are high and seem to be rising rapidly in rich, industrialized countries like the U.S. and Britain.  In fact, a recent study in the Journal of Allergy and Clinical Immunology found that visits to the emergency room at Children’s Hospital Boston for allergic reactions more than doubled from 2001 to 2006.

In my practice I have always contended that the Western diet and lifestyle plays a major role in the development of allergies in our children.  Now a small Italian study seems to confirm what I have postulated.

My theory has always been that the combination of being overly clean and eating diets high in refined carbohydrates and other allergenic foods has caused a massive immune imbalance.  This imbalance leads to over activation of the entire immune system resulting in reactions that range from minor annoyances to life threatening.

A study in Proceedings of the National Academy of Sciences compared the gut bacteria from 15 children in Florence, Italy, with gut bacteria in 14 children in a rural African village in Burkina Faso. They found that the variety of flora in these two groups was substantially different.

The children in the African village live in a community that produces its own food. The study authors say this is closer to how humans ate 10,000 years ago. Their diet is mostly vegetarian. By contrast, the local diet of European children contains more sugar, animal fat and calorie-dense foods. The study authors posit that these factors result in less biodiversity in the organisms found inside the gut of European children.

Now, in my opinion, it has very little to do with the fact that this African culture eats very little meat and simply with the fact that they consume a more natural, raw diet.  This leads to a more favorable balance of bacteria in the gut because of exposure.

Why are these bacteria important?

The bacteria in our gut work symbiotically with our systems in order to help us survive.  It is a true symbiotic relationship in that neither one of us (the bacteria or the person) would survive without the other.  They are important because they help digest certain proteins, help up absorb certain vitamins and minerals and perhaps most importantly with regards to allergies, maintains gut wall integrity or permeability.

Gut wall integrity is crucially important in not only preventing allergies but maintaining the health of the entire immune system.  So what happens when the balance of good bacteria changes in the gut?  Good question.

As the balance begins to be altered, the permeability of the gut begins to increase. Our digestive systems are designed to absorb a lot of things, but these things must be fully digested and of the appropriate size to be absorbed.  When our system becomes overly permeable, proteins that are undigested or are partially digested may get absorbed into our blood stream.  This is problematic.

Proteins are simply chains of amino acids linked together.  A small chain of amino acids is called a peptide.  A larger chain of amino acids or several peptides linked together is called a protein.  When we consume a hamburger, for example, the proteins are large and may be thousands of amino acids long.  It is the job of our intestinal tract to break down each and every one of those proteins into its individual components or amino acids.  If this does not happen, then peptides are what remain.  This is not problematic unless you have high gut permeability or a leaky gut. This leaky gut, from abnormal bacterial balance, now absorbs these peptides into the blood stream.

Why are these peptides a problem?  Because your body doesn’t recognize them as useful.  Your body recognizes amino acids as helpful.  Amino acids are often referred to as building blocks because they are used for so many things in the body.  That is precisely the reason the digestive system is designed to break down proteins into these components.  Peptides are not recognized and therefore the body sees them as foreign invaders and generates an immune response, or allergy, to them.  For some people this response is minor (itchy eyes, runny nose, hives, etc.) and for others it is life threatening (anaphylaxis).

Gluten, the protein from wheat, rye, oats and barley and casein, the protein from milk are notorious for being broken down incompletely in the gut and causing allergic reactions.  They are the most common simply because they are two of the most commonly consumed foods in the world (wheat and milk products).

What can I do to help myself or my child?

There are many things you can do.  First and foremost eliminate any food that you know causes you an issue. Secondly, you may consider having an allergy test.  This is important because many people are allergic to things they aren’t aware of.  An allergy test should also include food sensitivities. These are reactions to foods that don’t necessarily generate a full immune response in your body but do initiate a response on a lower level.  These are important to know because reducing your total allergic load is critical for helping you overcome your major allergies.

Also, take a digestive enzyme that is high in protease.  A protease in an enzyme that breakdown protein.  If you take this with a meal it will help insure that all proteins are properly digested.

Last, but certainly not least, take a probiotic.  A probiotic will help restore the healthy balance of bacteria in your gut and help you maintain the integrity of you gut wall.  This will insure that the permeability is appropriate and you are not absorbing micronutrients that your immune system views as dangerous.

Leave a comment

Filed under Diet, Public Health