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Drugs for Treatment of Diarrhea-Predominant IBS01:17

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Diarrhea-predominant irritable bowel syndrome (IBS-D) is a subtype of IBS characterized primarily by frequent, loose, or watery stools, abdominal pain, and abdominal discomfort. Therapeutic approaches to managing IBS-D include dietary changes, stress management techniques, and pharmaceutical interventions.
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
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Probiotics significantly reduced the time to full enteral feeds in extremely low-birth-weight infants. These beneficial bacteria also improved tolerance to cow

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Area of Science:

  • Neonatal Medicine
  • Microbiome Research
  • Gastroenterology

Background:

  • The impact of probiotics on the intestinal microbiota and feeding tolerance in extremely low-birth-weight (ELBW) infants is not well understood.
  • Establishing optimal feeding practices and gut health is critical for the survival and development of ELBW infants.

Purpose of the Study:

  • To investigate the effects of probiotics on intestinal microbiota composition in ELBW infants.
  • To assess the impact of probiotics on feeding tolerance and clinical outcomes in ELBW infants.

Main Methods:

  • A randomized controlled trial involving ELBW infants assigned to receive probiotics or no intervention.
  • Stool sample analysis to evaluate changes in intestinal microbiota.
  • Monitoring of feeding progression, incidence of hematochezia, and need for specialized formulas.

Main Results:

  • Infants receiving probiotics achieved full enteral feeds significantly sooner (MD -1.8 days).
  • Probiotic use was associated with a trend towards lower incidence of hematochezia and reduced need for extensively hydrolyzed or amino acid-based formulas.
  • Multi-strain probiotics increased fecal Bifidobacterium and Lactobacillus while reducing Candida abundance.

Conclusions:

  • Probiotics can sustain beneficial intestinal bacteria like Bifidobacterium and Lactobacillus in extremely preterm infants.
  • Probiotic supplementation may improve feeding tolerance and reduce the time to achieve full enteral feeds in ELBW infants.
  • Probiotics show potential in improving tolerance to cow's milk protein supplements in this vulnerable population.