Lactobacillus Reuteri
Lactobacillus reuteri, now named Limosilactobacillus reuteri, is a lactic acid bacterium that lives in the gut of humans and animals and also occurs in breast milk.
Also listed as ATCC PTA 6475, ATCC 55730, DSM 17938, NCIMB 30242
Can it reduce crying with infant colic?
ESPGHAN says clinicians may consider DSM 17938 for colic in breastfed infants, a weak recommendation based on moderate-certainty evidence. It gives no recommendation for formula-fed infants because evidence is insufficient. The feeding distinction matters when choosing whether to try it. 1
Why the results still need perspective
In a small 2017 trial, 20 infants were randomized to DSM 17938 or placebo. Crying time did not differ significantly, and no severe adverse events occurred. This small study cannot settle effectiveness or detect uncommon harms, even though the wider guideline assessment is more favorable for breastfed infants. 1 2
What about recurring abdominal pain?
ESPGHAN allows consideration of DSM 17938 for functional abdominal pain disorders in children, with a weak recommendation and moderate certainty. Functional pain describes symptoms without an identified structural explanation; the guideline focuses on reduced pain intensity, not a cure for every cause of stomach pain. 1
Diarrhea treatment and prevention are different
For childhood acute gastroenteritis, ESPGHAN offers only a weak recommendation with very-low-certainty evidence. It recommends against DSM 17938 to prevent hospital-acquired diarrhea because trials did not show efficacy. IQWiG also concludes that probiotics overall probably do not shorten acute diarrhea. 1 3
Is it an established constipation treatment?
ESPGHAN does not recommend probiotics for childhood functional constipation, either alone or added to usual treatment, because efficacy has not been shown. That conclusion concerns constipation and should not be blurred with the separate evidence on infant colic. 1
Probiotics are not recommended for childhood functional constipation because efficacy has not been demonstrated. 1
Effects by health goal
Open an effect to see the studies behind its rating. Bars show the size of the effect; the letter grades the evidence.
Gut Health4 effects
No study is linked to this rating.
No study is linked to this rating.
Immune Support1 effect
Hair & Skin1 effect
No study is linked to this rating.
Longevity1 effect
No study is linked to this rating.
Other effects3 effects
No study is linked to this rating.
All studies
12 publications are linked to Lactobacillus Reuteri, newest first.
Sources
- Durchfall IQWiG