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|Stuck in that poop loop? Again?
Diarrhea- exhausting, infectious, and always showing up at the worst time. Perhaps it was the street food, possibly those antibiotics, or maybe just your bad luck.
Whatever the cause, one thing is for sure.
Your gut is out of balance.
And here, you just can't miss probiotics. Those "good bacteria" are supposed to balance the gut environment.
We hear so much about probiotics helping digestion, but can they actually stop the frequent runs?
Do probiotics help with diarrhea? If yes, how fast?
Let's see what the science and experts say on this.
What is Diarrhea (And Why It Happens)
Diarrhea, often caused by bacteria or viruses, is a common problem both in adults and children.
Loose, watery, and more frequent stools, that's what diarrhea looks like.
Sometimes, it can be a symptom of severe underlying conditions. In others, it can be related to other symptoms, such as nausea, weight loss, and vomiting.
The Common Causes of Diarrhea
There can be one or more factors causing diarrhea, including low potassium levels, and:
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Bacterial imbalance: When the harmful microbes in your gut are more than beneficial ones, they interrupt the functions (aka microbiome imbalance). It affects nutrient absorption and incomplete digestion, resulting in diarrhea.
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Antibiotics: Antibiotics often wipe out good gut bacteria, causing inflammation and, thus, diarrhea. The fact might surprise you, but about 1 in 5 people who take antibiotics develop antibiotic-associated diarrhea.
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Infection: Pathogens, such as viruses, bacteria, and parasites, enter the digestive tract, often causing diarrhea. For example, Giardia, Salmonella, and Escherichia coli are common pathogens behind acute diarrhea.
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Food poisoning/sensitivity: If your body reacts to food (either poisoning or sensitivity), it will send signals through symptoms like diarrhea or an upset stomach.
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Travel: Also known as traveler's diarrhea, it is the passage of inconsistent and frequent stools during traveling. It often occurs when your body fails to adapt to new food, places, or water.
Read More: 10 Highly Inflammatory Foods to Avoid & 10 Anti-Inflammatory Foods to Include in Your Diet
So, Can Probiotics Actually Help with Diarrhea?
Yes!
But it largely depends on the cause of diarrhea and the probiotic strain. Let's break down the science.
Probiotics are not the same as Imodium or other medications that stop diarrhea on the spot. But, in cases where the cause is a gut imbalance (like after antibiotics or infections), they can be really beneficial.
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Science backs it up, too. One major clinical study found that probiotics reduce antibiotic-associated diarrhea (AAD) by ~50%.
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Certain strains like Lactobacillus rhamnosus GG and Saccharomyces boulardii are more effective compared to other probiotics.
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In children with colon-induced diarrhea, probiotics helped lower the risk by 60%.
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Pairing probiotics with standard treatments can reduce recurrence and speed up recovery.
Interpretation: Probiotics can help alleviate diarrhea, but only in certain cases.
How do Probiotics Work for Diarrhea?
Probiotics follow their standard mechanism to combat diarrhea and its recurrence by restoring gut balance.
When your gut is off-balance, say, after antibiotics or food poisoning, it's often because the population of "good" bacteria takes a hit. And that's the specialization of probiotics.
Probiotics are live microorganisms (mostly bacteria and yeasts).
Their job? To repopulate your gut with friendly bacteria and control the growth of bad ones, like pathogens.
And that's how probiotics help in diarrhea-related cases:
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Restore microbiome balance: Increase the balance of good bacteria after antibiotic use or gut infections.
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Rebuild gut barrier integrity: By increasing the production of proteins, probiotics strengthen the gut barrier. This prevents further water loss and inflammation.
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Reduce pathogen numbers: Probiotics like Saccharomyces boulardii and Lactobacillus acidophilus release natural antimicrobials that kill harmful bacteria and fungi.
How Fast Do Probiotics Work for Diarrhea?
Probiotics do work for certain types of diarrhea. And that raises another important question: how fast?
Don't expect overnight magic.
Probiotics aren't the standard treatment for diarrhea that shows instant results as soon as you take the pills. They are more like adjuvant therapies. Studies show that when used in combination with rehydration therapy, probiotics can reduce the duration and frequency of infectious diarrhea by 1 day. Means? There’s high chance that your will recover better and quicker.
However, in cases of IBS-related diarrhea or chronic infection, it may take a few days to a week to notice improvements. Here is a quick summary:
|
Type of Diarrhea |
Expected Relief |
|
Antibiotic-Associated |
2-3 days |
|
Traveler's Diarrhea |
3-5 days |
|
Severe Infection-related |
5-7 days |
|
IBS or chronic issues |
2-4 weeks of consistent intake |
Again, remember that results often vary among individuals, depending on the cause and severity. Moreover, not all probiotics are effective against diarrhea.
Which Probiotic Strains Work Best for Diarrhea?
When it comes to diarrhea, the following probiotics work the best (based on clinical studies and research):
|
Type of Diarrhea |
Best Probiotic Strains |
|
Diarrhea in children (particularly when caused by rotavirus) |
Lactobacillus reuteri Lactobacillus rhamnosus Saccharomyces boulardii |
|
Antibiotic-associated diarrhea |
Lactobacillus rhamnosus GG Saccharomyces boulardii |
|
Traveler's diarrhea |
Bifidobacterium bifidum Lactobacillus acidophilus Saccharomyces boulardii |
|
Diarrhea Caused by C. difficile (a harmful colon bacterium, often life-threatening) |
Saccharomyces boulardii |
How to Take Probiotics for Diarrhea?
To get the most out of your probiotics, combine them with your regular hydration and electrolyte routine.
- Start Early: Especially if you are using antibiotics, consider taking probiotics alongside them.
- Ideal Dosage: For diarrhea, studies suggest higher doses of probiotics, typically above 10 billion CFUs per day. However, always consult your physician for the right dose.
- Choose the Right Strains: Quality is as important as quantity. Choose either Lactobacillus/Bifidobacterium strains or Saccharomyces boulardii yeast.
- Take Them Daily: When it comes to probiotics, consistency is the key. Take probiotics daily and follow the course for at least 7–14 days to see visible improvements.
- Timing: Timings matter the least. Still, for optimal benefits, it is recommended to take probiotics on an empty stomach or with meals.
Final Takeaway: Should You Trust Probiotics for Diarrhea?
Yes, probiotics are worth trying for diarrhea when the culprit is a gut imbalance. However, don't rush the results, and consult a doctor in case of a serious infection or chronic disease.
Probiotics aren't drugs or pills; they can't treat the disorder but rather target the underlying cause. Give probiotics time and consistency. They rebuild, not just cure.
Disclaimer: This content is for informational purposes only and is not intended as medical advice. These statements have not been evaluated by the FDA. Products mentioned are not intended to diagnose, treat, cure, or prevent any disease.
Frequently Asked Questions (FAQs)
Q1. Do probiotics help with diarrhea?
Yes, probiotics can help reduce the frequency and recurrence of infectious diarrhea by restoring good bacteria in the gut.
Q2. Which are the best probiotics for diarrhea?
For diarrhea, look for strains like L. rhamnosus GG or S. boulardii.
Q3. How quickly do probiotics work for diarrhea?
It totally depends on the type and severity. However, in most cases, it typically takes 1-2 days to reduce the symptoms of diarrhea.
Q4. Are probiotics safe for diarrhea?
Yes, probiotics are generally safe and effective for diarrhea. However, some people may experience symptoms like digestive discomfort, gas, or bloating at the start, which resolve as soon as their body adapts.
Resources
1. Collinson, S., et al. (2020). Probiotics for treating acute infectious diarrhoea. December 2020. Available: https://pmc.ncbi.nlm.nih.gov/articles/PMC8166250/
2. McFarland, L. V., et al. (2010). Probiotics and Diarrhea. September 2010. Available: https://karger.com/anm/article-pdf/57/Suppl.%201/10/2225124/000309016.pdf
3. Kopacz, K., et al. (2022). Probiotics for the Prevention of Antibiotic-Associated Diarrhea. August 2022. Available: https://pubmed.ncbi.nlm.nih.gov/36011108/
4. Li, Z., et al. (2021). Which Probiotic Is the Most Effective for Treating Acute Diarrhea in Children? A Bayesian Network Meta-Analysis of Randomized Controlled Trials. November 2021. Available: https://pmc.ncbi.nlm.nih.gov/articles/PMC8706888/
5. Collinson S, Deans A, Padua-Zamora A, et al. Probiotics for treating acute infectious diarrhoea. Cochrane Database Syst Rev. Nov 30, 2020;11:CD003048. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC8166250/


















