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    Michael Picco, M.D.

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Question

IBS diet: Can yogurt ease symptoms?

Are yogurts that claim to aid digestion, such as Dannon's Activia, good for an IBS diet?

Answer

from Michael Picco, M.D.

Adding certain kinds of yogurt to your diet may help ease symptoms of irritable bowel syndrome (IBS), according to some research. Yogurts containing the bacteria lactobacilli and bifidobacteria, the bacteria found in Activia, show the most promise.

Yogurt is made by adding cultures of certain bacteria to milk. These microorganisms convert the lactose in the milk to lactic acid. The lactic acid gives yogurt its characteristic tart taste and causes the milk to form a soft curd.

A variety of cultures can be used in making yogurt — some of which may have health benefits. These beneficial, or "good," bacteria (probiotics) are normally found in your large intestine. Lactobacilli and bifidobacteria are two of the "good bacteria" used in some yogurts.

Some research has shown that probiotics can decrease gas, pain and bloating associated with IBS. Certain probiotics can also decrease the time it takes for food to move through the intestine, which may be helpful in people with constipation. In people with IBS who have diarrhea, probiotics may decrease the frequency of loose stools.

Probiotic therapy is an area of active medical research. Although probiotics are generally considered safe, more research is needed to determine what role, if any, probiotics may play in the treatment of IBS. Before adding probiotic therapy to an IBS diet, talk to your doctor.

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May 21, 2008

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