5 6 7 8 Ease of reception. Suspension 9 10

Probiotics are understood as biologically active preparations, the purpose of which is to restore the intestinal microflora. They are of value to both adults and children.

The most common classification of probiotic preparations is a division based on the composition:

• Monocomponent. The composition of such funds includes only one type of microbes.
• Polycomponent (symbiotics). This group of products contains several types of beneficial bacteria.
• Combined (synbiotics). These probiotic preparations are fortified with prebiotics.
• Metabolic (Metabiotics). Mean the content of waste products of probiotic strains.

Another variation is the division of probiotics into liquid, dry and sorbed, that is, immobilized on some carrier.

There are contraindications. Check with your doctor.

As Dr. E. A. Komarovsky, beloved by many parents, says: “Probiotics are living organisms that, when introduced into the body in sufficient quantities, have a positive effect on health, and prebiotics are food for beneficial microbes.”

You will learn more about the differences between probiotics and their consonant prebiotics from the comparison table:

Properties	Prebiotics	Probiotics
Action	Stimulate the growth of natural intestinal microflora	Colonize the intestines with microflora from the outside
Composition	Substances that are food for beneficial bacteria in the intestines	Living cells of beneficial intestinal microflora
patency	Not digested and reach the target (intestine) in its original form	Only about 5-10% of ingested probiotics reach the intestines in their original form, overcoming the acidic environment of the stomach, bile salts and digestive enzymes.
Efficiency	More stable clinical and bacteriological effect	Temporary effect, not always compatible with endogenous microflora (biocompatibility problem)

Top 10 Best Probiotics for Kids

For children, it is advisable to turn to probiotics in the following cases: infantile colic, dysbacteriosis, diarrhea, constipation, flatulence, etc.

Leading factors provoking a violation of the intestinal microflora:

1. Diseases and malfunctions of the gastrointestinal tract.
2. Malnutrition and poor quality food.
3. Antibiotic therapy.
4. Stress and bad environment.

10 Lactobacterin

The lowest price. Dry probiotic (lyophilisate)
Country Russia
Average price: 160 rubles.
Rating (2019): 4.5

The best price among the nominees of the rating can boast of the dry probiotic "Lactobacterin", which regulates the balance of the intestinal microflora. The lyophilizate for the preparation of a solution for oral administration contains live lactobacilli that can cope with dysbacteriosis of various etiologies, including in children from the first day of life.

The positive point is the high efficiency of the probiotic for constipation, mucus in the feces, infantile colic, abdominal pain, E. coli, etc. Among the shortcomings mentioned in the reviews is the inconvenience when opening a tin cap with a knife and then dividing the powder into two parts to obtain the optimal dosage for the smallest. The taste is tart, not the most pleasant.

9 Bifidum BAG

Sales leader. Lactose and casein free
Country Russia
Average price: 737 rubles.
Rating (2019): 4.5

"Bifidum BAG" is in the top of the most popular and best-selling domestic probiotics. Liquid concentrate of bifidobacteria acts as an excellent prophylactic and therapeutic agent for children (0+), helping to cope with colic, dysbacteriosis, digestive disorders and other negative manifestations of disturbed intestinal microflora.

The composition contains: yeast autolysate (5 strains), bifidumbacteria (3 strains), amino acids and anaerobic microorganisms. The daily dosage for children from birth to one year is: 2 ml to restore microflora; 1 ml - for prevention. For older children - from 2 to 10 ml. The inconvenience, as they say in the reviews, is caused by the process of opening the bottle and the short duration of storage of the opened concentrate (3 days). Of the benefits - the drug is recognized as safe even for allergy sufferers, since it does not contain modified strains, lactose, casein, synthetic additives and GMOs.

8 Bifiform Baby

Ease of reception. Suspension
Country: Romania
Average price: 495 rubles.
Rating (2019): 4.6

In reviews of the probiotic "Bifiform Baby" they often write "Simple. Conveniently. Hygienic”, and it really is. Judge for yourself: a special bottle ensures the viability of beneficial bacteria before opening; the suspension is prepared immediately for the entire course of administration; 1 serving 1 time per day precisely dosed with a measuring pipette.

The composition of the dietary supplement also deserves attention: a combination of strains (bifidobacteria and thermophilic streptococci), the absence of sugars, citric acid, sunflower oil, dyes and fragrances. All this makes it possible to use the remedy for functional disorders of the gastrointestinal tract in children from the first days of life.

7 Maxilak Baby

Synbiotic. Most effective after antibiotics
Country: Poland
Average price: 417 rubles.
Rating (2019): 4.6

The unique and balanced composition of the innovative synbiotic of the latest generation "Maxilac Baby" includes 9 beneficial probiotic microorganisms and a prebiotic. Thanks to the protein shell, the drug can achieve its goal without loss, successfully passing through natural barriers. The reviews write that this remedy has proven to be excellent for children from 4 months old as in a short time restoring the intestinal microflora, disturbed by taking medications, including after antibiotics.

The list of advantages is presented by a convenient form of release (sachets with microscopic granules), frequency of administration (1-2 sachets per day, depending on age), course duration (10 days). The probiotic has no contraindications, with the exception of individual intolerance to the components of the composition.

6 Lactobalance

Multiprobiotic. Suitable for children with allergies
Country: USA
Average price: 340 rubles.
Rating (2019): 4.7

"Laktobalans" is one of the best multiprobiotics for children over 3 years old. The feature of this dietary supplement is bifido- and lactoacteria produced in Japan: 3 billion probiotic cultures in each capsule; 9 beneficial strains. Another secret of success is the ability to take the capsules, for example, on a trip or school, as they remain stable even at room temperature.

Using a probiotic is as easy as shelling pears - just 1 cap. per day during meals. Users in the reviews share that after the course of taking children, the feeling of heaviness in the stomach disappears, constipation and flatulence remain in the past, and constant malaise and fatigue are replaced by a surge of strength and energy. Pediatricians highly appreciate the effectiveness of the remedy in matters of restoring microflora and normalizing bowel function. A big plus is that the multiprobiotic contains no artificial colors, preservatives, sugar, casein and milk derivatives, which means it is suitable for children with lactose intolerance and allergies to dairy products.

5 BioGaia ProTectis

The best probiotic for infantile colic. Drops
Country: Sweden
Average price: 678 rubles.
Rating (2019): 4.7

The probiotic in drops "BioGaia ProTectis", the key component of which is live lactic acid bacteria reuteri, is designed specifically for children from the first days of life. The tool helps with common misfortune for newborns, intestinal colic, reducing their intensity. What is important for parents of children with allergies, there are no milk proteins and lactose in the composition.

Moms note in the reviews that the dietary supplement helps to reduce the frequency of spasms and the duration of crying with colic. Drops are recommended to be diluted with water, milk or other liquid. The main thing is to shake the bottle well before use, and do not add the composition to the hot. Take 5 drops 1 time per day. The cost of the Swedish probiotic, admittedly, is above average, but the effectiveness, according to users, fully justifies the price tag.

4 Enterol

Most effective for diarrhea. Saccharomyces boulardii
Country: France
Average price: 302 rubles.
Rating (2019): 4.7

Probiotic for children older than 12 months "Enterol" is intended for the treatment and prevention of diarrhea of ​​various ethnogenesis. The uniqueness of the product lies in the fact that today it is the only probiotic on the Russian market that contains Saccharomyces boulardii in its composition. The result of its use is the qualitative removal of toxic substances and diarrhea pathogens from the body, and the prompt restoration of the digestive function of the intestine.

This medicine is recommended by international medical associations. The reviews write that a drink obtained by mixing a powder from a bag with water or other liquid does not cause discomfort when swallowed. For children under the age of 3 years, the manufacturer recommends using 1 sachet per day, one hour before meals, for 5-10 days. Based on efficiency and cost, perhaps we have the best ratio.

3 Linex

The best of monocomponent. Sachets
Country: Italy
Average price: 427 rubles.
Rating (2019): 4.8

Linex for Children is a probiotic supplement. The drug is approved for use from birth. A distinctive feature is the content in the composition of only one component, bifidobacteria BB-12, the safety of which is generally recognized by the world medical community (GRAS status). This probiotic is recommended for diarrhea caused by bacterial and viral infections of the gastrointestinal tract, including rotovirus.

Parents positively evaluate the form of the supplement (sachets) and the frequency of administration: convenient, just 1 sachet per day with meals, can be mixed with juice or breast milk. The reviews confirm that at the end of the monthly course, children really experience normalization of the intestinal microflora: colic ceases to bother, excessive gas formation, constipation, etc. Other beneficial effects include prevention of antibiotic-associated diarrhea and a reduction in the risk of colds.

2 Hilak Forte

Metabiotic. Cherry flavored novelty
Country: Germany
Average price: 240 rubles.
Rating (2019): 4.8

The drug-metabolite "Hilak Forte" is suitable for children from birth. A relative novelty of the market is the same beloved probiotic now with a cherry flavor: the child will not even notice that he is drinking the medicine. The peculiarity of the product is the readiness to act immediately, due to the absence of living microorganisms in the composition: the drug consists of the waste products of bacteria, and does not require time for their transition to an active state.

Indications for prescribing this probiotic to a child are: bloating, constipation, diarrhea, allergies, gastrointestinal disorders after antibiotics, etc. One of the main advantages is the ability to add drops to drinks, such as compote or juice. Of the inconveniences mentioned in the reviews - the dosage and frequency of taking drops: 15-30 drops three times a day.

1 Acipol the Kid

Best for newborns (0+). Complex composition
Country: Spain
Average price: 357 rubles.
Rating (2019): 4.9

The best for newborns is the probiotic drug Acipol Malysh. Drops are a source of beneficial microorganisms for the smallest tummies. The remedy is recommended to restore the balance of intestinal microflora, regulate the process of digestion and normalize stool. “Exclusively natural ingredients, only live bacteria. Without GMOs, without dyes and preservatives, without gluten and lactose,” the manufacturer assures.

The peculiarity of this probiotic is a complex composition, including lacto- and bifidobacteria. The product goes on sale in drops, the most optimal form of release for infants and children under 3 years old. Parents give the probiotic dietary supplement 5 stars out of 5: dosing cap, single daily intake (5 caps each), short course (2 weeks). If you believe the reviews, a bonus to a healthy microflora and comfortable digestion are strong immunity and restful sleep. Also, the tool provides prevention of dysbacteriosis, reduces the likelihood of developing atopic reactions and facilitates the course of food allergies.

Microorganisms live in the human intestine, which make up a total mass of up to two kilograms. They form the local flora. The ratio is strictly maintained according to the principle of expediency.

The bacterial content is heterogeneous in function and significance for the host organism: some bacteria in all conditions provide support through the proper functioning of the intestines, therefore they are called beneficial. Others are just waiting for the slightest breakdown in control and weakening of the body in order to turn into a source of infection. They are called opportunistic pathogens.

The introduction of foreign bacteria into the intestines that can cause disease is accompanied by a violation of the optimal balance, even if a person is not sick, but is a carrier of the infection.

Treatment of the disease with medicines, especially antibacterial action, has a detrimental effect not only on the causative agents of the disease, but also on beneficial bacteria. The problem is how to eliminate the consequences of therapy. Therefore, scientists have created a large group of new drugs that supply live bacteria for the intestines.

What bacteria form the intestinal flora?

About half a thousand species of microorganisms live in the human digestive tract. They perform the following functions:

• help with their enzymes to break down the substances that have got with the products to normal absorption, absorption through the intestinal wall into the bloodstream;
• produce the destruction of unnecessary residues of the digestion of food, toxins, toxic substances, gases, in order to prevent the processes of decay;
• produce for the body special enzymes, biologically active substances (biotin), vitamin K and folic acid, which are necessary for life;
• participate in the synthesis of immune components.

Studies have shown that some bacteria (bifidobacteria) protect the body from cancer.

Probiotics gradually crowd out pathogenic microbes, depriving them of nutrition and directing immune cells to them.

The main beneficial microorganisms include: bifidobacteria (make up 95% of the entire flora), lactobacilli (almost 5% by weight), Escherichia. Conditionally pathogenic are:

• staphylococci and enterococci;
• mushrooms of the genus Candida;
• clostridia.

They become dangerous when a person's immunity falls, a change in the acid-base balance in the body. An example of harmful or pathogenic microorganisms are shigella, salmonella - the causative agents of typhoid fever, dysentery.

Beneficial live bacteria for the gut are also called probiotics. So, they began to call specially created substitutes for normal intestinal flora. Another name is eubiotics.
Now they are effectively used to treat digestive pathologies and the consequences of the negative effects of drugs.

Types of Probiotics

Preparations with live bacteria were gradually improved and updated in terms of properties and composition. In pharmacology, they are usually divided into generations. The first generation includes drugs containing only one strain of microorganisms: Lactobacterin, Bifidumbacterin, Colibacterin.

The second generation is formed by antagonist preparations containing an unusual flora that can resist pathogenic bacteria and support digestion: Bactistatin, Sporobacterin, Biosporin.

The third generation includes multicomponent drugs. They contain several strains of bacteria with bioadditives. The group includes: Lineks, Atsilakt, Acipol, Bifiliz, Bifiform. The fourth generation consists only of preparations from bifidobacteria: Florin Forte, Bifidumbacterin Forte, Probifor.

According to the bacterial composition, probiotics can be divided into those containing as the main component:

• bifidobacteria - Bifidumbacterin (forte or powder), Bifiliz, Bifikol, Bifiform, Probifor, Biovestin, Lifepack Probiotics;
• lactobacilli - Linex, Lactobacterin, Atsilact, Acipol, Biobacton, Lebenin, Gastrofarm;
• colibacteria - Colibacterin, Bioflor, Bifikol;
• enterococci - Linex, Bifiform, dietary supplements of domestic production;
• yeast-like fungi - Biosporin, Baktisporin, Enterol, Baktisubtil, Sporobacterin.

What should be considered when buying probiotics?

Under different names, pharmacological firms in Russia and abroad can produce the same drugs-analogues. Imported, of course, much more expensive. Studies have shown that people living in Russia are more adapted to local strains of bacteria.

Still better to buy your own drugs

Another negative - as it turned out, imported probiotics contain only a fifth of the declared volume of living microorganisms and do not settle in the intestines of patients for a long time. Before purchasing, you need to consult a specialist. This is caused by serious complications from the misuse of drugs. Patients reported:

• exacerbation of cholelithiasis and urolithiasis;
• obesity;
• allergic reactions.

Live bacteria should not be confused with prebiotics. These are also medicines, but do not contain microorganisms. Prebiotics contain enzymes, vitamins to improve digestion, stimulate the growth of beneficial microflora. They are often prescribed for constipation in children and adults.

The group includes known to practitioners: Lactulose, pantothenic acid, Hilak forte, Lysozyme, preparations from inulin. Experts believe that it is necessary to combine prebiotics with probiotic preparations for maximum results. For this, combined preparations (synbiotics) have been created.

Characterization of first generation probiotics

Preparations from the group of probiotics of the first generation are prescribed to young children when first-degree dysbacteriosis is detected, and also if prophylaxis is necessary, if the patient is prescribed a course of antibiotics.

Primadophilus is an analogue of drugs with two types of lactobacilli, much more expensive than the others, since it is produced in the USA

The pediatrician chooses Bifidumbacterin, Lactobacterin for babies (include bifido- and lactobacilli). They are diluted in warm boiled water and given 30 minutes before breastfeeding. Older children and adults are suitable drugs in capsules, tablets.

Colibacterin - contains dried bacteria of Escherichia coli, is used for prolonged colitis in adults. A more modern monopreparation Biobacton contains an acidophilus bacillus, indicated from the neonatal period.

Narine, Narine Forte, Narine in milk concentrate - contains an acidophilic form of lactobacilli. Comes from Armenia.

Purpose and Description of Second Generation Probiotics

Unlike the first group, second-generation probiotics do not contain beneficial living bacteria, but include other microorganisms that can suppress and destroy pathogenic microflora - yeast-like fungi and spores of bacilli.

Used mainly for the treatment of children with mild dysbacteriosis and intestinal infections. The duration of the course should be observed for no more than seven days, then switch to live bacteria of the first group. Baktisubtil (a French drug) and Flonivin BS contain bacillus spores with a wide spectrum of antibacterial action.

Inside the stomach, spores are not destroyed by hydrochloric acid and enzymes, they reach the small intestine intact

Bactisporin and Sporobacterin are made from hay bacillus, antagonistic properties to pathogenic pathogens, resistance to the action of the antibiotic Rifampicin are preserved.

Enterol contains yeast-like fungi (saccharomycetes). Comes from France. Used in the treatment of diarrhea associated with antibiotics. Active against clostridia. Biosporin includes two types of saprophyte bacteria.

Features of third generation probiotics

Live bacteria collected in combination or several of their strains act more actively. They are used to treat acute intestinal disorders of moderate severity.

Linex - contains bifidobacteria, lactobacilli and enterococci, is produced in Slovakia in a special powder for children (Linex Baby), capsules, sachets. Bifiform is a Danish drug, several varieties are known (Baby drops, chewable tablets, complex). Bifiliz - contains bifidobacteria and lysozyme. Available in suspension (lyophilizate), rectal suppositories.

As part of the drug bifidobacteria, enterococci, lactulose, vitamins B 1, B 6

How are 4th generation probiotics different?

In the production of preparations with bifidobacteria of this group, the need for additional protection of the digestive tract and the removal of intoxication was taken into account. Means are called "sorbed" because the active bacteria are located on activated carbon particles.

Indicated for respiratory infections, diseases of the stomach and intestines, dysbacteriosis. The most popular drugs in this group. Bifidumbacterin Forte - contains live bifidobacteria sorbed on activated carbon, is available in capsules and powders.

Effectively protects and restores the intestinal flora after respiratory infections, with acute gastroenterological pathology, dysbacteriosis. The drug is contraindicated in people with congenital deficiency of the lactase enzyme, with rotavirus infection.

Probifor - differs from Bifidumbacterin Forte in the number of bifidobacteria, it is 10 times higher than the previous drug. Therefore, the treatment is much more effective. It is prescribed in severe forms of intestinal infection, with diseases of the large intestine, dysbacteriosis.

It has been proven that the effectiveness is equated in diseases caused by shigella to antibiotics of the fluoroquinolone series. Able to replace the combination of Enterol and Bifiliz. Florin Forte - includes a lacto- and bifidobacterium composition sorbed on coal. Available in capsule and powder form.

The use of synbiotics

Synbiotics are a completely new proposal in the treatment of intestinal flora disorders. They provide a double action: on the one hand, they necessarily contain a probiotic, on the other hand, they include a prebiotic that creates favorable conditions for the growth of beneficial bacteria.

The fact is that the action of probiotics is not long-lasting. After the restoration of the intestinal microflora, they can die, which again causes a worsening of the situation. Accompanying prebiotics nourish beneficial bacteria, provide active growth and protection.

Many synbiotics are dietary supplements, not medicinal substances. Only a specialist can make the right choice. It is not recommended to make a decision about treatment on your own. The drugs in this series include the following.

Lb17

Many authors refer to the best drugs to date. It combines the beneficial effect of 17 types of live bacteria with extracts of algae, mushrooms, vegetables, herbs, fruits, cereals (more than 70 components). Recommended for course use, you need to take from 6 to 10 capsules per day.

The production does not involve sublimation and drying, therefore the viability of all bacteria is preserved. The drug is obtained by natural fermentation for three years. Strains of bacteria work in different parts of digestion. Suitable for people with lactose intolerance, does not contain gluten and gelatin. Comes to the pharmacy chain from Canada.

Multidophilus plus

Includes three strains of lactobacilli, one - bifidobacteria, maltodextrin. Produced in the USA. Available in capsules for adults. The Polish remedy Maxilak in its composition contains: as a prebiotic oligofructose, as a probiotic - live cultures of beneficial bacteria (three strains from bifidobacteria, five from lactobacilli, streptococcus). Indicated for diseases of the gastrointestinal tract, respiratory system, impaired immunity.

Assigned to children from the age of three and adults 1 capsule in the evening with meals

Which probiotics have targeted indications?

With an abundance of information about bacterial preparations with live microorganisms, some people rush to extremes: they either do not believe in the expediency of using them, or, conversely, spend money on ineffective products. It is necessary to consult a specialist about the use of probiotics in a particular situation.

Infants with diarrhea during breastfeeding (especially those born prematurely) are given liquid probiotics. They also help with irregular stools, constipation, lagging behind in physical development.

Babies in such situations are shown:

• Bifidumbacterin Forte;
• Linex;
• Acipol;
• Lactobacterin;
• Bifiliz;
• Probifor.

If diarrhea in a child is associated with a past respiratory disease, pneumonia, infectious mononucleosis, false croup, then these drugs are prescribed in a short course for 5 days. With viral hepatitis, treatment lasts from a week to a month. Allergic dermatitis is treated with courses from 7 days (Probifor) to three weeks. A patient with diabetes is recommended to take courses of probiotics of different groups for 6 weeks.

For prophylactic administration, Bifidumbacterin Forte, Bifiliz are most suitable during the season of increased incidence.

What is better to take with dysbacteriosis?

It is necessary to be sure of the violation of the intestinal flora to pass a stool test for dysbacteriosis. The doctor must determine which specific bacteria the body lacks, how severe the violations are.

With an established deficiency of lactobacilli, it is not necessary to use drugs only. containing them. Because it is bifidobacteria that are decisive in the imbalance and form the rest of the microflora.

Monopreparations, in which there are only the same type of bacteria, are recommended by the doctor only with a mild degree of violations.

In severe cases, combined means of the third and fourth generations are needed. The most indicated Probifor (infectious enterocolitis, colitis). For children, it is always necessary to select combinations of drugs with lacto- and bifidobacteria.

Means with colibacilli are prescribed very carefully. When identifying ulcers in the intestines and stomach, acute gastroenteritis, probiotics with lactobacilli are more indicated.

Usually, the doctor determines the duration of treatment by the generation of the probiotic:

• I - a monthly course is required.
• II - from 5 to 10 days.
• III - IV - up to seven days.

In the absence of effectiveness, the specialist changes the treatment regimen, adds antifungal agents, antiseptics. The use of probiotics is a modern approach to the treatment of many diseases. This is especially important for parents of young children. It is necessary to distinguish medicines from biological food supplements. Existing dietary supplements with intestinal bacteria can only be used by a healthy person for the purpose of prevention.

Antibacterial therapy is indispensable for serious infectious diseases. Doctors prescribe probiotics after antibiotic treatment for children all the time. The fact is that various antimicrobial agents kill beneficial bacteria along with pathogenic microorganisms. It is necessary to restore the lost balance of microflora.

Dosage forms of probiotics

Dysbacteriosis is a companion of any antimicrobial therapy. To prevent dysbiosis associated with taking antibiotics, probiotics for children are prescribed in the form of powder or drops. They contain cultures of viable bacteria, mainly lacto- and bifido-groups, capable of populating the intestines and participating in many beneficial processes.

Often, parents are interested in which probiotic would be better for a child if the doctor prescribed antibiotics. Not only the name and composition are important, but also the form of release. Children's probiotics contain basically the same bacteria found in adult capsules or tablets, but in smaller amounts.

"Attention! The preferred forms of release of any drugs for children are drops and powders that can be dissolved in a liquid, added to food.

Probiotics should be taken for at least two months to ensure that the bacteria have "taken root" in the gut. If you maintain the optimal ratio of microorganisms, then the immune system copes with its functions better.

Probiotic Powder

Dry cultures of microorganisms are obtained by lyophilization. Bacteria go into a state of suspended animation. The vital activity of microbes resumes after the powder is mixed with the liquid. Only after dissolution, the agent is taken orally.

Among dry probiotics, there are monocomponent ones that contain only lactobacilli, E. coli or bifidobacilli. Even without reading the composition, you can learn about it by the names of such drugs: Lactobacterin, Colibacterin, Bifidumbacterin. They are produced in sealed ampoules that need to be opened and the powder dissolved.

Monopreparations are the most affordable. The shelf life of dry probiotics in sealed form is 2 years. These are pluses, but there are also minuses. Drying weakens the ability of bacteria to attach to the intestinal mucosa. In addition, the already prepared solution cannot be stored.

Only bifidobacteria are contained in the dietary supplements Bifidum-Multi and Bifiform Baby. Bifidumbacterin is produced for babies from 6 months to 3 years and from 3 to 14 years. There is a variety of this dietary supplement with prunes, chamomile and fennel.

Probiotic Symbiolact Comp contains strains of lacto- and bifidobacteria. The former act in the small intestine, the latter in the large intestine. An effective drug protects against diarrhea that occurs while taking antibiotics. The powder is dissolved in milk before use and taken once a day. Powdered mixes with probiotics and vitamins are available. The cost of such combined drugs is higher than monopreparations.

Liquid probiotics

Small children cannot swallow tablets and capsules. It is preferable for them to have drops or syrup that can be added to cold or warm water, other food liquids. The disadvantage of the liquid form of probiotics is the reduction in the number of live intestinal bacteria during storage.

"Important! The probiotic is given at least 2 hours after the antibiotic. After the end of the course of antibiotic therapy, it is necessary to drink a probiotic for several more weeks.

Based on microbial cultures, dietary supplement Normoflorin-L biocomplex is produced. The solution contains lactobacilli, prebiotic, vitamins and substances of other groups. The prebiotic promotes the reproduction of beneficial microbes. The solution is taken orally with any food liquid or instilled into the nose.

The effectiveness of probiotic preparations

Immune protection is 80% dependent on processes in the intestines. If, after taking antibiotics, the natural balance of microflora is disturbed, then pathogens multiply intensively. To maintain health, it is necessary to populate the intestines with “good” bacteria as quickly as possible. When deciding which probiotics are best given to children after taking antibiotics, a number of factors should be considered:

1. The number of bacteria in the intestine after birth is low, then gradually colonization by lactobacilli occurs.
2. Antibiotics destroy part of the healthy intestinal flora, causing significant damage to the children's body.
3. Dysbacteriosis negatively affects the immune system, increases susceptibility to infections and allergens.
4. Restoring the intestinal microflora of a child is much more difficult than that of an adult.

More recently, American scientists have studied the effect of taking antimicrobial agents on the intestinal flora and the role of probiotics. 3 days after taking antibiotics, the composition of microorganisms in the intestines of children changed dramatically. Further treatment led to the fact that almost 1/3 of all types of probiotic bacteria completely disappeared, and dysbacteriosis developed. Not surprisingly, experts have recommended taking probiotics so that children and adults can avoid the side effects of antibiotics.

"Important! After taking antibiotics, children need probiotic preparations. They reduce the time it takes to restore gut microflora from 6 months to 4-6 weeks.”

The diversity of the composition of intestinal strains of bacteria depends on many factors. The microflora is poorer in children born by caesarean section who do not receive breast milk. Intestinal bacteria are "inherited", so the child will have problems with the intestines if the parents have dysbacteriosis. Unhealthy diet, excess of sweet, starchy foods, refined fats, deficiency of vitamins and fiber negatively affect the microflora.

The mechanism of action of probiotics

Diarrhea is a common side effect of taking antibiotics. Loose stools appear against the background of depletion of the microflora: the displacement of "good" and the reproduction of "bad" microbes. The bacterium Clostridia is actively attached to the walls of the intestine - the cause of diarrhea. The probiotic helps to restore the beneficial microflora that suppresses the pathogenic organism. Discomfort in the intestines does not manifest itself, there is no diarrhea.

Some antibiotics are not completely absorbed by the intestinal mucosa, deposited on its walls, sometimes reaching high concentrations. Many harmless and beneficial bacteria die. During the period of antibiotic treatment, a probiotic is taken in order to increase the number of necessary microorganisms in the intestines. Infants also need to be given such a drug, since mother's milk does not make up for defects in microflora.

The mechanism of action of probiotics develops in two ways: directly and indirectly. In the first case, the beneficial effect develops directly when bacteria enter the intestine. When a probiotic is used after an antibiotic, a healthy intestinal flora is formed within a few weeks. Against this background, the immune system of children is strengthened, digestion improves. Some bacterial strains have anti-inflammatory properties.

What probiotics are better to take after antibiotics

For an adult or child, doctors prescribe medications that are appropriate for the age, stage and severity of the disease. Specialists are guided by antibiotic treatment regimens for bacterial infections, which list first-line and second-line drugs, alternative means.

Most probiotics are dietary supplements. Doctors recommend dietary supplements that have already proven themselves. Full-fledged clinical studies of such drugs are not conducted, therefore, it is not correct to say that some are more effective and others are less effective. The selection criterion may be indications in the instructions, age restrictions, prices and other characteristics of drugs.

The answer to the question of what is the best probiotic to take for children after antibiotics sounds different. Some experts are convinced that synbiotics, which contain probiotics and prebiotics in an ideal ratio, are most useful for restoring the intestinal microflora. For example, Linex dietary supplement for children in the form of powder and drops, Maxilak Baby (powder).

Dried lacto- and bifidobacteria, extracts of fennel and chamomile, inulin are part of the synbiotic Rotabiotic Baby. Inulin is a prebiotic, a polysaccharide that stimulates the growth of a colony of beneficial bacteria in the intestines. Complex probiotics, synbiotics are relatively expensive drugs (from 500 to 1500 rubles per package).

Therapy of dysbacteriosis is faced with such a problem as the destruction of part of the bacteria by hydrochloric acid in the stomach. For children older than 3-6 years, it is recommended to give probiotics in enteric-coated capsules after antibiotics. Names of dietary supplements: Linex, Baktisubtil, Acipol, Baktistatin, Florin forte, Bifiform. Inside the capsule are dried bacteria and other active ingredients, few excipients.

Probiotics for newborns

The digestive system of the fetus is sterile. The intestinal flora begins to form during and after birth, during breastfeeding. Babies under 3 are more susceptible to viral infections. If a bacterial infection is diagnosed, then antibiotic therapy for children under one year of age is necessarily supplemented with probiotics, without clarifying the effect of taking antibiotics on the intestinal microflora of the child.

Ideally, it is necessary to analyze the species composition of microorganisms inhabiting the child's body. Then, when choosing probiotics, preference is given to preparations that contain the necessary strains. This is a complex and expensive analysis, so in most cases, polyvalent probiotics containing various types of microorganisms are prescribed.

Some experts argue that infants are best suited for dietary supplements with lactobacilli acidophilus. Lactobacterin is available in the form of a powder for solution preparation. Each ampoule contains 5 doses, a total of 10 ampoules in a package. The powder is dissolved in boiled water: 5 ml per 1 dose. Give the drug to drink with milk for children under 6 months 3 doses twice a day 1 hour before meals.

Starting from the first days of life, the child can be given the probiotic Symbiolact. The drug in the form of a powder contains lyophilized cultures of bifidobacteria and lactobacilli. Among the indications for taking - intestinal dysbiosis due to antibiotics. The drug is given to the child 1 time per day with milk or water during meals.

Contraindications

There is a very short list of situations where taking probiotics is prohibited or undesirable. First of all, it is an individual intolerance to the components of the drug. For individual probiotics, lactose intolerance will be listed among the contraindications.

Probiotic preparations contribute to the formation and development of a healthy intestinal flora of children from birth. Therefore, the use of probiotics for children when taking antibiotics is mandatory. These two groups of drugs have the opposite effect. It should be remembered that probiotics should be taken from the first days of antibiotic therapy and at least two weeks after the completion of treatment.

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Today, pediatricians are increasingly prescribing probiotics for children to babies both as a means to normalize stools and as a tool to strengthen immunity. Is there really that same panacea that will help to heal sore tummies and prevent frequent colds at the same time? Is it safe to use probiotics in infancy and how to find the best one for your baby among the many pharmaceutical preparations?

In balance with nature

The human intestine is a huge world inhabited by billions of microorganisms, both beneficial and opportunistic. Ideally, lacto- and bifidobacteria, friendly to our body, dominate in it. They literally stand guard over health:

• help digest food and promote the absorption of nutrients from it;
• synthesize some vitamins, organic acids and trace elements, thereby strengthening the immune system;
• fight viruses and other pathogenic flora - they secrete substances that are harmful to them, make the intestinal walls impenetrable.

The baby "receives" the first dose of beneficial bacteria in the birth canal, and after that - with colostrum and mother's milk. In older children and adults, their optimal amount is maintained by eating fermented foods - fermented milk products and naturally fermented (not pickled) vegetables.

What are probiotics and why are they needed?

The WHO defines probiotics for the gut (for both adults and children) as microorganisms that can improve health when taken orally. This large family includes typical representatives of healthy microflora (beneficial bacteria) and some types of spore-forming fungi.

The question arises: if nature has already provided an excellent mechanism for maintaining our health, then why take drugs with probiotics, and even more so “feed” them to children? The fact is that the ideal balance described above is practically unattainable in the modern world.

More and more children are born bypassing the birth canal (by caesarean section), many of the newborns are further on artificial feeding. The last “strokes” in the picture are an unfavorable environmental situation, stressful situations and antibiotic therapy, which is often prescribed even for infants.

When are probiotics indicated for children?

The result is not long in coming. Babies almost from birth suffer from dysbacteriosis, intestinal disorders of various kinds, and their weakened immunity reacts with frequent colds and dermatitis. Children's probiotics will help solve all these problems - pharmacologists and advertising assure. They recommend taking drugs with their content (eubiotics) in such cases:

• to prevent antibiotic-associated diarrhea;
• during the period of damage to the body by gastrointestinal viruses and respiratory diseases;
• during the transition to artificial feeding, with poor weight gain;
• in case of violations of the gastrointestinal tract (including in artificial infants) - constipation, frequent regurgitation and non-infectious diarrhea;
• in the complex therapy of skin diseases.

Important: it will not work to populate the child's intestines with beneficial microflora at one time, a course lasting from one to several weeks is necessary.

Probiotics for children - what are they?

By and large, medicines and dietary supplements with probiotics for adults and for children under 6 years old differ only in the form of release. If the former are most often presented in the form of pills, then the latter are usually produced in the form of suspensions, drops or powders for dissolution in a liquid. As a rule, they are bred in a small amount of warm (not hot) water or simply added to food.

Important: for adults, the liquid form of preparations with probiotics is unacceptable for the reason that bacteria not covered by a special capsule die in the aggressive environment of their stomach. In babies (especially in infants), the acidity of this section of the gastrointestinal tract is neutral, so microorganisms reach the intestines without loss.

All such funds are classified according to generations (from the first to the fifth) and according to the composition:

• single-component - they contain a probiotic (lacto- or bifidobacteria) of only one species;
• multicomponent, or symbiotics - consist of at least two types of beneficial bacteria or yeast fungi;
• combined, or - they contain not only probiotics, but also components for their better "survival" - as well as products of their metabolism.

Important: The “more is not always better” rule applies to probiotics for infants and young children. At different points in life, the intestines of the crumbs are able to help different microorganisms. Which ones and in what combination should be determined by the attending pediatrician or gastroenterologist.

What to pay attention to?

Pharmacologists quickly took stock of the increased interest in probiotics. On the shelves of pharmacies today you can find dozens of medicines and dietary supplements (products that do not have proper certification) with live microorganisms in their composition. Unfortunately, there is no universal among them, and high price and imported production do not always automatically mean greater efficiency.

So, for example, the inexpensive drug Bifidumbacterin from Russian manufacturers in most cases “works” no worse than the widely advertised and more expensive Linex. Therefore, when choosing a probiotic for a baby, first of all, you should pay attention to such nuances:

• expiration date - since we are talking about live microorganisms, this information on the package should be given special attention;
• storage conditions - certain funds must be kept exclusively in the refrigerator, otherwise the bacteria simply die and the drug turns into a "dummy";
• the absence of dyes and flavoring additives - they can cause allergic reactions in babies;
• admissibility of use at a certain age - not all prebiotics can be given to children, especially infants;
• convenience of dosage - in some cases, the manufacturer suggests giving babies only part of the contents of the package, and in this situation the dose is approximate (for example, Lactomun Ecologic panda in a sachet).

Advice: probiotic starter cultures for children "Health" from Bakzdrav and Narine of domestic production enjoy good reviews. Of these, you can prepare natural yoghurts for kids or use without fermentation.

Choosing a probiotic for a newborn

A separate topic is probiotics for newborns, which are not so many on the domestic market. Most of them are not medicines, but dietary supplements, and, as a rule, there is no official information on the safety of their use in relation to children under the age of one month. So in fact, the doctor who prescribes such drugs, and the parents take on a special responsibility for the health of such babies.

Based on the reviews, you can compile a kind of rating of experience-tested products containing probiotics and intended for babies from the first days of life:

• BioGaia drops - produced in Sweden, contain lactobacilli, recommended for restoring microflora, preventing intestinal disorders and complications of antibiotic therapy;
• Bifiform Baby is a two-component Romanian preparation consisting of a powder (dried bifidobacteria and lactic acid streptococcus bacilli) and an oil solution, the suspension is prepared immediately before the course of administration, can be used with lactose intolerance;
• Normoflorin - biocomplexes from a Russian manufacturer that contain lacto- and (or) bifidobacteria, their metabolic products (vitamins, trace elements) and prebiotics;
• Symbiter is an acidophilic sourdough of Ukrainian production (you may not find it in Russia), it is positioned as a “multibiotic”, since it contains a large complex of microorganisms.

Important: before giving a drug or dietary supplement to a child, you need to carefully study the instructions for the drug. Particular attention should be paid to the dosage and the presence of contraindications.

Probiotics for children - good or bad?

There is an endless debate about whether children need probiotics in their preparations. The massive ad attack actually took its toll. More and more parents are inclined to believe that they should be given to children "with or without reason."

At the same time, some pediatricians (for example, the same doctor Komarovsky) are skeptical about the artificial "population" of children's intestines with bacteria. They argue that the benefits of such probiotics are greatly exaggerated, and harmless, at first glance, self-medication can harm the baby if he has serious chronic diseases.

In addition, lactose intolerance and an allergy to cow's milk protein are often observed in infants. These components can be part of dietary supplements and can cause a severe allergic reaction in a baby.

In any case, with the question of which probiotic is best for a child, parents should not turn to acquaintances and friends, but to the attending pediatrician. And he should appoint them only on the basis of the results of the analyzes of the baby.

For a nursing mother, the health of her child is always in the first place. She is ready to do everything to strengthen immunity. Probiotics for newborns are acidic bacteria that are necessary for the normal functioning of the gastrointestinal tract. Thanks to their positive effect, it is possible to prevent the development of the pathological process. The method cannot be considered a panacea, but it helps to cope with a large number of disorders of the digestive system.

The intestinal microflora is of no small importance. Beneficial bacteria inhabit the digestive tract and help the process of digesting food. Among them, lacto- and bifidobacteria are in the first place in importance. They can reproduce normally only if pathogenic microbes do not violate the necessary environment. An imbalance is dangerous, because it can lead to the active spread of dysbacteriosis.

Probiotics for babies - a special drug, which includes microbes necessary for the normal functioning of the body. The product includes bacteriocins, amino acids and vitamins. It is advisable to use this group of drugs if violations in the normal flora of the gastrointestinal tract are recorded in children.

Probiotics help strengthen the body's defenses, eliminate viruses, infections and protect against the negative effects of toxic components. They are recommended to be combined with antibiotics. In this case, it will be possible to minimize the likelihood of their side effects.

Manufacturers for infants offer the drug in liquid form. Parents should not give them to their baby uncontrollably. Before use, it is necessary to consult and prescribe a pediatrician.

Types and main characteristics

The list of products with probiotics contains five generations of products that are used to treat an infant:

• mono - probiotics, which contain a strain of a certain bacterium;
• poly - the drug combines several strains at once (manufacturers include additional additives in the composition to improve the properties of the product);
• self-eliminating antagonists are used if the child has individual lactose intolerance;
• if it is necessary to combine the course of treatment with enterosorbents, the doctor prescribes synbiotics;
• probiotics to improve the metabolic process.

Infants are allowed to give one of the following probiotics, which are classified depending on the nature and quality of the bacteria:

• bifidocomplex;
• lactocomponents;
• colicomponents;
• yeast fungi;
• probiotics with enterococci.

It is most convenient for infants to give the liquid form. However, there are also dry options that are often used to treat adults. Solutions are not subjected to additional drying in pharmaceutical plants. The drug has several advantages because it acts quickly. A positive effect can only be achieved if taken orally. Dry preparations are obtained by drying. The powder can always be diluted to form a suspension. All tablets begin to act only three hours after ingestion.

Hilak Forte - an effective remedy for dysbacteriosis

With disorders of the stomach and intestines, newborns are helped to cope with lactic acid strains. In medical practice, a donor variant or antagonists are also used. The first group of bacteria is used by the body to normalize the production of lactic acid, which is necessary for bowel function. Donor cells help restore the correct intestinal microflora within a short time. Antagonists are a special type of bacteria that can improve the overall functioning of the body.

Probiotics and formula milk

For infants, mother's milk is the best food option. With its help, a sufficient amount of useful components enters the body of the crumbs. When formula-fed, bowel movements can be difficult. The wand disrupts the work and tone of muscle masses, so the risk of developing dangerous diseases increases in infants. To solve the problem, it is allowed to use probiotics. There is also a variant of the mixture, which already includes bifidobacteria necessary for the body.

Bifidum BAG and Trilact are one of the most popular drugs that are used to improve intestinal microbiocenosis. They are the perfect complement to artificial feeding. They do not contain harmful and dangerous modified strains. To create them, manufacturers also do not use milk protein, lactose, dyes and preservatives. With regular use of these drugs, it is possible to create a nutrient medium that almost completely corresponds to mother's milk.

Pediatricians advise using a mixture with probiotics in the first days of a baby's life. Thanks to this, it is possible to achieve a therapeutic effect, which serves as the prevention of serious diseases. In addition, the immune system is strengthened and the digestion process is optimized. When choosing such a mixture, it is necessary to focus on the individual characteristics of the baby's body. The pediatrician will help you choose the option that will strengthen the health of the crumbs. What mixtures are best for your child, only the doctor knows. His opinion must be fully relied upon in this matter.

The main criteria for choosing a drug

In medical practice, probiotics are used to eliminate a large number of diseases of the gastrointestinal tract in infants. However, the treatment will give a result only if the right medication is selected. The pediatrician analyzes the condition of a small patient, the disease and its severity, and only after that proceeds to the choice of a probiotic. At present, the following rules must be followed in this matter:

• Monocomplex preparations help to get rid of dysbacteriosis. They contain the required amount of bifidobacteria.
• A combination of probiotics with sorbents helps to eliminate a severe infection in the intestines.
• If the pediatrician suspects that a bacterial lesion is developing in the intestine, then it is necessary to simultaneously take lacto and bifidobacteria.
• Lactobacilli help in a short time to eliminate the symptoms of an intestinal virus in a child.
• With the help of multicomponent agents, it will be possible to improve the protective functions of the immune system.

If the child is not yet a year old, then it is necessary to use probiotics in a liquid state. They are advisable to use for the treatment of thrush or insufficient weight gain. Pediatricians often prescribe Bifiform baby and Biogay. They contain a large number of useful components, which, together with the hydrochloric acid of the stomach, help it cope with the process of digesting food.

Parents should be careful when choosing probiotics. However, only a doctor can judge the effectiveness. The individual characteristics of the organism and the desired end result are taken into account. Equally important is the age of the crumbs and its features of physical development. To date, universal probiotics have not been invented that would be effective for the treatment of all children without exception.

Probiotic Indications

The drug has proven its effectiveness in restoring the intestinal microflora. Due to this, it is used as an effective medicine and prevention of the development of intestinal diseases.

Regular use significantly strengthens the immune system and prevents the development of serious diseases. Probiotics in liquid form are used as one of the elements of complex therapy.

With their help, it is possible to get rid of the following diseases in a short time:

• With dysbacteriosis, a deterioration in the state of the microflora in the intestine is recorded. Such a clinical picture often haunts infants on artificial feeding. Probiotics should be taken after antibiotic treatment. The situation is also aggravated against the background of the development of an intestinal infection. In this case, the pediatrician may prescribe a drug that contains several beneficial microorganisms. This group should include Linex, Hilak Forte, Probifor.
• Probiotics help in a short period of time to cope with an acute infection in the intestines. To eliminate the disease, antibiotics must be taken. With the help of probiotics, it will be possible to prevent the development of complications. Bifidumbacterin, Acipol, Biovestin helps to eliminate diarrhea.
• In infancy, children often develop allergic reactions to the skin. Probiotics help reduce their intensity. Thanks to them, it is possible to start the mechanism for the production of antibodies in the child's body. In the fight against atopic dermatitis, Trilakt, Lineks, Bifiliz have already proved their effectiveness.
• Probiotics also help eliminate the cause of constipation. They contain a large number of beneficial bacteria that start the process of normalizing digestion. The duration of the course of treatment directly depends on the characteristics of the body of the crumbs.
• All respiratory diseases develop against the background of a decrease in the level of immunity. Probiotics can help prevent infection. The pediatrician will be able to choose the ideal long-term prevention that will allow the child to feel good.
• Probiotics help to noticeably improve well-being in case of hepatic encephalopathy and lactose deficiency.

Intestinal problems make babies irritable

Is it true that probiotics help a newborn cope with colic? Scientific studies have confirmed only partial veracity of this statement. Efficacy has not been found if the child is breastfed and constantly suffers from colic. Even a long course of probiotics in this case will not be effective. For formula-fed babies, the situation is exactly the opposite. That is why probiotics are allowed to be used only as directed by a doctor.

Features of taking probiotics

When buying this drug for an infant, your choice should be on the liquid version. Thanks to them, it is possible to optimize the nutrient medium for microorganisms. The bacteria necessary for the digestion process begin to actively grow and multiply.

At an older age, it is allowed to use a suspension or capsules. Manufacturers make their structure detachable, so the reception is made without unnecessary difficulties.

• During treatment, you should adhere to the dosage prescribed by your doctor.
• The drug can only be used during its expiration date. At the same time, the basic requirements for storage must be observed.
• Probiotics must be stored at a certain temperature.
• In the process of preparing the medicine, it must be diluted exclusively with water at room temperature.
• Only a course of treatment of two to three weeks will help eliminate a chronic disease. In this case, the acute manifestation of the disease lasts for one week.
• Probiotics should be taken half an hour before meals or one hour after. Before use, you must carefully study the instructions, since there are drugs that must be consumed with meals.

It is necessary to give the suspension to the baby with the help of a special spoon.

Parents should be aware that with probiotic treatment, the likelihood of overdose is minimized. Excess bacteria will be excreted from the body of the crumbs along with the stool. This will not have a harmful effect on the stomach and intestines.

Co-administration with antibiotics

Probiotics are often included in a comprehensive approach to treatment. In medical practice, it is allowed to take several drugs at once. Thanks to this, the maximum effect of the treatment is achieved. The combination of antibiotics with probiotics minimizes the likelihood of developing dysbacteriosis or gastritis. In this case, the manifestation of side effects becomes insignificant.

Any drug should be taken exactly as prescribed by the doctor. Probiotics should be drunk at the moment when the intestine contains the minimum amount of antibiotics. In this case, the bacteria will be able to show all their positive properties to the maximum. Probiotics help beneficial bacteria survive, so children don't experience stomach or intestinal pain.

Immediately after birth, the child must face an aggressive environment to which he has not yet had time to develop immunity. The intestinal microflora is of no small importance for the functioning of the baby's body. That is why you need to take probiotics. In this case, the effect of the treatment will be maximum and will last for a long period.