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Article updated on:

September 26, 2023

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Probiotics Causing Constipation? Uncover Why and How to Fix It

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Probiotics Causing Constipation? Uncover Why and How to Fix It

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Constipation is a distressing condition that affects millions of people worldwide, causing discomfort, pain, and inconvenience. While probiotics have gained popularity for their potential to enhance gut health, it is essential to recognize that they may not always have the desired effect.

In situations where probiotics cause constipation rather than promote regular bowel movements, individuals may need to consider alternative strategies to alleviate their symptoms and optimize their digestive health.

This article explores various approaches one can take when faced with the issue of probiotics-induced constipation, providing valuable insights and practical advice for individuals seeking relief.

What To Do If Probiotics Cause Constipation

If probiotics cause constipation, you can try the following steps to alleviate the issue:

  1. Discontinue or reduce the dosage of the probiotic: If you suspect that the probiotic is causing constipation, stop taking it or reduce the dosage to see if the symptoms improve.
  2. Increase fluid intake: Drinking more water can help soften stools and promote bowel movements[1].
  3. Increase fiber intake: Consuming a diet rich in fiber can help improve bowel movements and alleviate constipation[1].
  4. Exercise regularly: Physical activity can help stimulate bowel movements and prevent constipation[4].
  5. Try a different probiotic strain: Different strains of probiotics may have different effects on the gut. If one strain is causing constipation, consider trying another strain or a different product[2].
  6. Consult a healthcare professional: If constipation persists or worsens, consult a healthcare professional for further evaluation and guidance.
It is important to note that the effects of probiotics on constipation can vary among individuals, and some studies have shown that certain probiotics can actually help improve constipation. However, if you experience constipation after taking a probiotic, it is essential to consider the steps mentioned above and consult a healthcare professional if necessary.

Factors Contributing to Constipation

Probiotics might cause constipation in some individuals due to various reasons. One possible reason is that different strains of probiotics may have different effects on the gut, and some strains might slow down gut motility, leading to constipation.

Another reason could be related to the individual's unique gut microbiota composition, which might respond differently to specific probiotic strains. Additionally, some people might experience constipation as a temporary side effect when they first start taking probiotics, as their gut microbiota adjusts to the new balance of bacteria.

Probiotics on constipation can vary among individuals, and some studies have shown that certain probiotics can actually help improve constipation. However, if you experience constipation after taking a probiotic, it is essential to consider the steps mentioned in the previous answer and consult a healthcare professional if necessary.

Understanding Probiotics and Their Role

Probiotics are live microorganisms that provide health benefits when consumed in adequate amounts. They are often referred to as "friendly" bacteria because they can help maintain a healthy balance in the gut microbiome. The gut microbiome is a collection of trillions of microorganisms that reside in the digestive tract and play a crucial role in digestion, nutrient absorption, immune function, and overall health.

Definition of Probiotics

According to the World Health Organization (WHO) and the International Scientific Association for Probiotics and Prebiotics (ISAPP), probiotics are defined as "live microorganisms that, when administered in adequate amounts, confer a health benefit on the host." These microorganisms can be bacteria, such as Lactobacillus and Bifidobacterium, or yeast, such as Saccharomyces boulardii.

Different Types of Probiotics

Probiotics can be classified into different types based on their genus, species, and strain. Some of the commonly used probiotic strains include Lactobacillus acidophilus, Bifidobacterium bifidum, Lactobacillus rhamnosus, and Saccharomyces boulardii. Each strain of probiotic may have different health benefits and mechanisms of action within the body.

Importance of Probiotics in the Body

Probiotics play a vital role in maintaining gut health and supporting overall well-being. They help break down and digest food, produce essential vitamins, regulate the immune system, and protect against harmful bacteria and pathogens. Probiotics also help maintain a balanced gut microbiome, which is crucial for optimal digestion and nutrient absorption. Imbalances in the gut microbiome can lead to various health issues, including constipation.

Ideal Probiotic Strains for Digestion

When it comes to choosing probiotic strains for digestion, it is important to consider their specific benefits. For individuals experiencing constipation, certain strains may be more beneficial. Lactobacillus acidophilus and Bifidobacterium lactis have been shown to promote regular bowel movements and alleviate constipation symptoms. These strains help maintain a healthy gut environment, enhance intestinal motility, and support the production of soft and well-formed stools.

Correlation between Probiotics and Constipation

While probiotics are generally considered beneficial for gut health, there have been cases where they have been associated with constipation. This correlation between probiotics and constipation has raised concerns among healthcare professionals and individuals who rely on probiotics for digestive health.

How probiotics should typically affect bowel movements

In a healthy individual, probiotics should promote regular bowel movements. They can improve digestion, soften stools, and enhance intestinal motility, making it easier to pass stools. This is because probiotics help break down food, produce essential enzymes, and maintain a balanced gut microbiome. Under normal circumstances, probiotics should not cause constipation but rather contribute to regularity.

Possible reasons why probiotics may cause constipation

Despite their potential benefits, probiotics may sometimes cause constipation in certain individuals. Several factors could contribute to this undesirable effect. One possible reason is an imbalance in the gut microbiome. Different strains of probiotics have varying effects on gut health, and an imbalance may occur if the wrong strains are consumed or if there is an overgrowth of certain bacteria. Additionally, individual variations in gut sensitivity and response to probiotics could also play a role in constipation development.

Scientific research showing the link between probiotics and constipation

While the link between probiotics and constipation is not yet fully understood, scientific research has shed some light on this phenomenon. A study published in the Journal of Gastroenterology and Hepatology found that certain probiotic strains, such as Streptococcus thermophilus and Lactobacillus delbrueckii, can cause constipation in some individuals. The study suggested that the presence of these strains may alter the gut microbiome, leading to slower intestinal transit time and constipation symptoms. However, it is important to note that individual responses to probiotics can vary, and further research is needed to elucidate the mechanisms behind this correlation.

Signs and Symptoms of Constipation Caused by Probiotics

If probiotics are causing constipation, it is essential to recognize the signs and symptoms in order to take appropriate action.

Immediate signs of constipation

Constipation caused by probiotics may present with some common signs that indicate impaired bowel movements. These can include infrequent or difficult bowel movements, a feeling of incomplete evacuation, and the need to strain excessively during defecation. Individuals experiencing constipation may also notice abdominal discomfort or bloating.

Worsening symptoms of constipation

If left unaddressed, constipation caused by probiotics can worsen over time. Symptoms may progress to more severe abdominal pain, distention, and even rectal bleeding. Prolonged constipation can also lead to complications such as hemorrhoids and fecal impaction. It is crucial to recognize when constipation symptoms become more severe and seek appropriate medical attention.

Identifying constipation caused by probiotics as opposed to other factors

Determining whether constipation is specifically caused by probiotics can be challenging as there are several other factors that can contribute to constipation. These factors may include dietary changes, dehydration, lack of physical activity, medication side effects, and underlying medical conditions. It is important to consider the timing of probiotic consumption in relation to the onset of constipation symptoms and to rule out other potential causes before attributing constipation solely to probiotics.

Immediate Remedies for Constipation

If probiotics are causing constipation, there are several immediate remedies that can help alleviate symptoms and improve bowel movements.

Increasing fluid intake

Proper hydration is essential for maintaining regular bowel movements. Increasing water intake can help soften stools and promote easier passage. It is recommended to drink at least eight cups of water per day or more if experiencing constipation.

Adding more fiber-rich food to your diet

Dietary fiber plays a crucial role in promoting bowel regularity. Consuming fiber-rich foods, such as fruits, vegetables, whole grains, and legumes, can help add bulk to stools and stimulate bowel movements. Aim for a daily fiber intake of 25 to 30 grams for women and 38 grams for men.

Over-the-counter remedies

Over-the-counter remedies, such as stool softeners or gentle laxatives, can be used to provide temporary relief from constipation caused by probiotics. However, it is important to consult a healthcare professional or pharmacist before using these remedies, especially if you have any underlying health conditions or are taking medication.

When to see a doctor

If constipation persists or worsens despite the aforementioned remedies, it may be necessary to consult a healthcare professional. They can help evaluate the underlying cause of constipation, determine if probiotics are indeed the culprit, and provide appropriate treatment or guidance to alleviate symptoms.

How to Adjust Probiotic Dosage and Timing

If probiotics are causing constipation, adjusting the dosage and timing of probiotic intake can be effective in managing symptoms.

Signs that your probiotics dosage may be too high

Consuming excessive amounts of probiotics may overwhelm the gut microbiome and lead to constipation. Signs that your probiotic dosage may be too high include an increase in constipation symptoms, bloating, and gastrointestinal discomfort. If you suspect that your probiotic dosage is too high, reducing the dosage or frequency of consumption may be necessary.

Adjusting the time of day you take your probiotics

The timing of probiotic consumption can also influence their effects on bowel movements. Some individuals find that taking probiotics before bed can lead to improved bowel movements in the morning. Experimenting with different times of the day and observing how your body responds may help identify the best time for you to take probiotics.

When to reduce your probiotic dosage

If constipation persists despite adjusting the timing, reducing the probiotic dosage may be necessary. Gradually decreasing the amount of probiotics consumed allows the gut microbiome to adjust without sudden changes that may disrupt regular bowel movements. However, it is crucial to consult a healthcare professional before adjusting the dosage or discontinuing probiotics, especially if you have underlying health conditions or are taking medications.

Choosing the Right Probiotic Strains

Choosing the right probiotic strains can be crucial in promoting digestive health and minimizing the risk of constipation.

Identifying the best probiotic strains for your gut health

Every individual's gut microbiome is unique, and certain strains may work better for some individuals than others. When selecting probiotics, it is important to consider strains that have been associated with promoting regular bowel movements and alleviating constipation symptoms. Lactobacillus acidophilus, Bifidobacterium lactis, and Saccharomyces boulardii are examples of strains that have been shown to have positive effects on gut health and regularity.

Knowing which probiotic strains are more likely to cause constipation

While probiotics are generally safe, it is important to be aware that certain strains may be more likely to cause constipation in some individuals. Probiotic strains such as Streptococcus thermophilus and Lactobacillus delbrueckii have been associated with constipation symptoms in some studies. Understanding which strains have the potential to cause constipation can help individuals avoid or switch to alternatives when necessary.

Switching to a different probiotic if necessary

If constipation persists despite trying various remedies and adjusting dosage or timing, it may be necessary to switch to a different probiotic strain. Consulting with a healthcare professional or a registered dietitian who specializes in gut health can provide valuable guidance and recommendations based on individual needs and health status.

Probiotic Foods vs. Supplements

Probiotics can be consumed through both food and dietary supplements. Understanding the benefits and drawbacks of each can help individuals make informed decisions regarding their probiotic intake.

Benefits and drawbacks of probiotic foods

Probiotic-rich foods, such as yogurt, kefir, sauerkraut, and kimchi, provide live beneficial bacteria that can support gut health. These foods are often rich in additional nutrients and can be easily incorporated into a well-balanced diet. However, the specific strains and amounts of probiotics in food products may vary, making it challenging to control the dosage and ensure consistent intake.

Benefits and drawbacks of probiotic supplements

Probiotic supplements offer the advantage of containing specific strains and standardized dosages of probiotics. This allows for more precise control over the types and amounts of probiotics consumed. However, it is important to note that not all probiotic supplements are created equal. Quality, potency, and strain selection vary among brands, so it is essential to choose reputable brands and consult healthcare professionals for recommendations.

How to choose between food and supplements

Deciding between probiotic foods and supplements depends on individual preferences and needs. If individuals prefer to obtain probiotics from natural food sources, incorporating probiotic-rich foods into their diet can be a suitable option. However, if specific strains or higher dosages are desired, or if dietary restrictions limit the consumption of certain probiotic-rich foods, supplements may be a more practical choice. It is important to consider personal preferences, dietary restrictions, and individual health goals when choosing between probiotic foods and supplements.

Benefits of a Balanced Gut Microbiome

Maintaining a balanced gut microbiome is essential for overall health and well-being. A healthy and diverse gut microbiome offers several benefits.

Signs of a healthy gut microbiome

A healthy gut microbiome is characterized by a diverse community of beneficial bacteria and a harmonious balance of microorganisms. Signs of a healthy gut microbiome include regular bowel movements, minimal digestive discomfort, proper nutrient absorption, and a strong immune system. Individuals with a healthy gut microbiome often experience improved overall well-being and reduced risk of various health conditions.

Health problems associated with an unbalanced gut microbiome

An unbalanced gut microbiome, also known as dysbiosis, can have negative effects on health. Without a diverse and balanced gut microbiome, individuals may experience digestive issues, such as constipation, diarrhea, and bloating. Dysbiosis has also been linked to various health problems, including inflammatory bowel diseases, irritable bowel syndrome, obesity, autoimmune diseases, and even mental health disorders such as anxiety and depression.

Ways to maintain a balanced gut microbiome

To maintain a balanced gut microbiome, it is important to adopt healthy lifestyle habits. These include incorporating a diverse range of fiber-rich foods into the diet, reducing the consumption of processed and sugary foods, managing stress levels, getting regular physical activity, and avoiding unnecessary use of antibiotics unless necessary. Additionally, incorporating probiotic-rich foods or supplements can also contribute to a healthy gut microbiome.

Considering Other Underlying Health Issues

While probiotics can contribute to constipation, it is essential to consider other underlying health issues that may be causing or exacerbating the problem.

How other health conditions can lead to constipation

Several health conditions can contribute to constipation or worsen existing constipation symptoms. Conditions such as hypothyroidism, diabetes, irritable bowel syndrome (IBS), and certain neurological disorders can impact gut motility and lead to constipation. It is important to identify and address these underlying conditions to effectively manage constipation.

Addressing these conditions to improve bowel movements

Addressing underlying health conditions often requires the guidance of healthcare professionals. For example, individuals with hypothyroidism may need thyroid hormone replacement therapy, while those with IBS may benefit from dietary modifications and stress management techniques. By effectively treating or managing these conditions, bowel movements can improve, reducing the impact of constipation.

When to consult a healthcare professional

If constipation persists or is accompanied by other concerning symptoms, it is essential to consult a healthcare professional. They can perform a thorough evaluation, order any necessary tests, and provide appropriate guidance or treatment based on the underlying cause of constipation.

Preventing Constipation in the Future

Taking proactive measures to prevent constipation is crucial for maintaining optimal gut health in the long term.

Long-term lifestyle changes to improve gut health

Adopting a healthy lifestyle can significantly contribute to preventing constipation and promoting a balanced gut microbiome. This includes consuming a diet rich in fiber, staying hydrated, engaging in regular physical activity, managing stress levels, and getting sufficient sleep. These long-term lifestyle changes can help improve gut health and reduce the risk of constipation caused by probiotics or other factors.

Regular monitoring of bowel habits

Paying attention to changes in bowel habits is essential for preventing and managing constipation. Regular monitoring allows individuals to identify potential triggers, such as specific foods or medication, and make necessary adjustments. Additionally, it helps to recognize early signs of constipation and take immediate action to address the issue.

Maintaining a healthy balance of probiotics to avoid constipation

When considering probiotic use, it is important to maintain a healthy balance of strains that support regular bowel movements. Regularly assessing the type, dosage, and timing of probiotics allows individuals to optimize their gut health and minimize the risk of constipation. If constipation occurs as a result of probiotic use, adjusting these factors or seeking guidance from a healthcare professional is crucial to finding the right balance.

Citations

  1. https://www.semanticscholar.org/paper/d2058a05dab8c704052dabd695822567d0887530
  2. https://www.semanticscholar.org/paper/50498d86a4b374f3e6bbdd2a56648b684ee70a7e
  3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9224909/
  4. https://www.semanticscholar.org/paper/41c854591f69245e401f39fe1dae5b140e53f93a
  5. https://www.semanticscholar.org/paper/ac16ec58f457535d2caae1aad1468296272444ba

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