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Shekhar Challa

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Beschreibung

Discover the pros of probiotics

Probiotics are beneficial, live microorganisms (in most cases, bacteria) that are similar to those found naturally in the human intestine. Also known as "friendly" or "good" bacteria, probiotics are the cornerstone of any successful health program because they restore a healthy balance between friendly and bad bacteria in the intestinal tract, a balance that is critical for the health of the entire body. Probiotics are associated with treating everything from IBS to certain forms of cancer, allergies, eczema, and even the effects of aging.

Probiotics For Dummies reveals how taking the right probiotics—in the form of food and supplements— as part of a total health program benefits one's overall health, as well as improving specific conditions. This hands-on, essential guide features 20 probiotic recipes and gives you a step-by-step plan for infusing probiotics into your diet to improve the health of the GI tract, alleviate allergies and asthma, restore reproductive and urinary tracts, bolster the immune system against disease, enhance weight loss, and more.

  • Advice on how to ingest the right probiotics
  • 20 probiotic recipes from breakfast to dessert
  • Information on naturally occurring probiotic compounds as well as the effectiveness of supplements

Probiotics For Dummies gives you everything you need to make informed decisions about adding probiotics to your daily diet.

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Seitenzahl: 219

Veröffentlichungsjahr: 2012

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Probiotics For Dummies®

Visit www.dummies.com/cheatsheet/probiotics to view this book's cheat sheet.

Table of Contents

Introduction
About This Book
Conventions Used in This Book
What You’re Not to Read
Foolish Assumptions
How This Book Is Organized
Part I: Living in the Microbial World
Part II: Preserving and Improving Health with Probiotics
Part III: Adding Probiotics to Your Lifestyle
Part IV: The Part of Tens
Icons Used in This Book
Where to Go from Here
Part I: Living in the Microbial World
Chapter 1: Getting a Handle on the True Nature of Bacteria
Exploring the History of Bacteria Theories and Practices
Understanding germ theory
Discovering probiotics’ benefits
Looking at Bacteria and the Brain
Controlling Mood and Anxiety
Stressing out your immune system
Exploring the brain-bacteria link
Changing behavior by changing gut bacteria
Chapter 2: Looking at Bacterial Behavior in Your Body
Exploring Your Digestive System
Understanding Good and Bad Bacteria
Keeping the proper bacterial balance
Seeing how good bacteria work
Beating back bad bacteria
Considering the Digestive System’s Immune Functions
Controlling inflammation
Gut barrier: Excluding and eliminating harmful elements
Discovering How Things Can Go Wrong
Pointing fingers at environmental factors
Age and gut microbiota
Chapter 3: Discovering Prebiotics and Probiotics
Defining the Terms: What Prebiotics and Probiotics Are
Looking at the Role of Prebiotics
Understanding what prebiotics are
How prebiotics work
Understanding the Functions of Probiotics
Boosting the immune system
Protecting the gut’s lining
Improving digestive health
Promoting general health and wellbeing
Seeing How Prebiotics and Probiotics Work Together
Understanding why your body needs fiber
Looking at synbiotics
Exploring the Ideal Probiotic
Considering genus, species, and strain
Combating gastric acidity
Sticking to it: Adherence and persistence
Manufacturing processes and storage methods
Looking at labeling standards
What to Expect When You Start Taking Probiotics
Part II: Preserving and Improving Health with Probiotics
Chapter 4: Starting with the Obvious: Digestive Health
Considering the Use of Antibiotics
Understanding how antibiotics work
Doing the Potty Dance: Probiotics and Diarrhea
Fighting an epidemic: C. difficile diarrhea
Looking at other types of diarrhea
Understanding Inflammatory Bowel Disease (IBD)
Ulcerative colitis and Crohn’s disease
Exploring symptoms, signs, diagnosis, and treatment
Seeing how probiotics can help
Discovering the Mechanisms of Irritable Bowel Syndrome
Defining IBS
Diagnosing IBS
Looking at bacterial overgrowth in the small intestine
Adding probiotics to the IBS mix
Looking at Other Gastrointestinal Disorders
Celiac disease
Peptic ulcers
Colon cancer
Lactose intolerance
Chapter 5: Exploring Allergies and Probiotics
Understanding the Causes of Allergic Reactions
Looking at Asthma and Respiratory Allergies
Seeing what happens with asthma
Nothing to sneeze at: Hay fever
Using probiotics to promote respiratory health
Tackling Eczema
Chewing on Food Allergies
Chapter 6: Getting to the Bottom of Urinary Infections
Understanding Your Urinary System
Looking at infections
Treating UTIs
Bringing Probiotics to the Fight
Chapter 7: Using Probiotics in Women’s Health
Probiotics and Pregnancy
Rebalancing mom’s digestive system
Gaining weight after birth
Giving baby’s health a boost
Using Probiotics in Urogenital Infections
Battling bacterial vaginosis
Tamping down yeast infections
Squelching urinary tract infections
Chapter 8: Understanding Children’s Health and Probiotics
Looking at Infants’ Special Needs
Battling Acute Pediatric Diarrhea
Keeping Children Well
Breathing easy: Asthma and probiotics
Autism and probiotics
Childhood obesity
Chapter 9: Applying Probiotics to Other Health Issues
Exploring Cancer Prevention
Understanding current cancer theory
Seeing how probiotics may prevent cancer
Treating Heart Disease
Lowering blood pressure
Keeping cholesterol in balance
Using Probiotics in Fighting Kidney and Liver Disease
Breaking down kidney stones
Improving liver function
Promoting Immune Function
Managing Weight
Chapter 10: Exploring the Promise of Probiotics
Exploring More Gastrointestinal Uses for Probiotics
Routine use with antibiotics
Probiotics, prebiotics, and vitamins
Foreign travel
Suppositories
Infant formulas
Checking out Other Uses for Probiotics
Tampons and douches
Oral health: Lozenges, mints, gum, and toothpaste
Skin care
Straws and bottle caps
Treating anxiety
Weight management
Aging and wellbeing
Part III: Adding Probiotics to Your Lifestyle
Chapter 11: Filling Your Diet with Probiotics
Identifying Probiotic-Rich Foods
Going dairy: Yogurt, kefir, and other dairy products
Finding fermentation: Sauerkraut, miso, pickles, and more
Finding Prebiotic-Rich Foods
Supplementing Your Diet
Understanding how probiotics are made
Choosing a probiotic supplement
Deciding on the right dose
Using Probiotic Snacks and Drinks
Looking at Other Probiotic Products
Chapter 12: Cooking Up Delicious Probiotic-Rich Meals
Part IV: The Part of Tens
Chapter 13: Ten (Or So) Ways Probiotics Promote Good Health
Replenishing Good Bacteria in the Gut
Crowding Out Bad Bacteria
Enhancing Your Immune System
Preventing Allergies
Eliminating Yeast Infections
Producing Essential Vitamins
Strengthening Natural Defenses
Preventing Antibiotic-Related Diarrhea
Reducing Constipation, Bloating, and Diarrhea
Chapter 14: Ten Misconceptions about Probiotics
All Bacteria Are Bad for You
A Yogurt a Day Keeps the Doctor Away
The United States Leads the World in Probiotic Use and Education
The Number of Strains in Probiotic Supplements Doesn’t Matter
All Probiotic Supplements Are the Same
Prebiotics Are an Inessential Extra
You Can’t Take Probiotics with Antibiotics
Traveler’s Diarrhea Is an Unavoidable Part of Overseas Travel
Probiotics May Not Be Safe for Some People
Probiotics Don’t Help the Immune System
Chapter 15: Ten (Or So) Famous Bacteria
Bifidobacteria (Good)
B. animalis
B. breve
B. lactis
B. longum
Clostridium Difficile (Bad and Ugly)
Escherichia Coli (Bad)
Helicobacter Pylori (Bad)
Lactobacillus (Good)
L. Acidophilus (Good)
Salmonella (Bad)
Shigella (Bad)
Cheat Sheet

Praise For Dr. Shekhar K. Challa and “Probiotics For Dummies”

“With Probiotics For Dummies, Dr. Shekhar Challa once again simplifies a complicated subject in a way that will help readers improve their health. This book is an excellent resource identifying current research in the probiotics field, and is easily understood and informative. It’s a clear guide showing readers how and why it’s important to incorporate probiotics in their diets.”

— Dr. Michael Sorrell Robert L. Grissom Professor of Medicine Section of Gastroenterology and Hepatology Co-director of Solid Organ Transplant Service University of Nebraska College of Medicine

“Don’t let the humorous title Probiotics For Dummies mislead you. Dr Challa’s very comprehensive primer will help you quickly grasp the vital importance of probiotics from both supplements and food. With easy-to-understand facts and the most recent medical research, you’ll see why probiotics and prebiotics are the foundation for a long, healthy life.”

— Donna Gates Nutritional Consultant Author of The Body Ecology Diet

“Dr. Shekhar Challa’s book, Probiotics For Dummies, provides an easy-to-understand, practical framework for learning about probiotics. Focusing on overall wellness, he demystifies the digestive realm of microflora, micronutrients, supplements, and medications, giving readers a ‘go to’ resource to make informed health decisions.”

— Mary Schluckebier, B.S., M.A. Executive Director Celiac Sprue Association

“Outstanding! Having read numerous books on probiotics in preparation for my new film on these ‘good bugs,’ I was extremely impressed with all the great and useful information provided in Dr. Challa’s new book. His experience as a board-certified gastroenterologist clearly makes a huge difference in explaining to the reader how important probiotics are, not only for gastrointestinal health but for overall excellent health and wellbeing. I would highly recommend Probiotics For Dummies for anyone wishing to learn about these beneficial bacteria!”

— David Knight Executive Producer, Microwarriors: The Power of Probiotics

“I can’t think of a better gastroenterologist than Dr. Challa to navigate the tour through the new and powerful world of probiotics — from GI conditions and women’s health issues to allergies and immunity. Certain probiotic strains can make the difference between health and illness, and Probiotics For Dummies covers it all in a user-friendly way.

— Elaine Magee, M.P.H., R.D. Author of 25 books on nutrition, including Tell Me What To Eat If I Have Acid Reflux and Tell Me What To Eat If I Have Irritable Bowel Syndrome

Probiotics For Dummies®

by Dr. Shekhar K. Challa, M.D. Board-Certified Gastroenterologist

Foreword by Eamonn M. M. Quigley, M.D., F.R.C.P., F.A.C.P., F.A.C.G., F.R.C.P.I. Professor of Medicine and Human Physiology

Probiotics For Dummies®

Published byJohn Wiley & Sons, Inc.111 River St.Hoboken, NJ 07030-5774

Copyright © 2012 by John Wiley & Sons, Inc., Hoboken, New Jersey

Published by John Wiley & Sons, Inc., Hoboken, New Jersey

Published simultaneously in Canada

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About the Author

Dr. Shekhar Challa, M.D., is a board-certified gastroenter- ologist who has been at the forefront of gastroenterology and hepatology for 24 years. In private practice in Topeka, Kansas, since 1987, Dr. Challa is president of Kansas Medical Clinic and CEO of Osteoporosis Services, the largest mobile bone density testing company in the Midwest.

Dr. Challa also is the author of Winning the Hepatitis C Battle, which was a finalist for the Independent Book Publishers Association’s Benjamin Franklin Awards, and Spurn the Burn: Treat the Heat (Everything You Need to Know about Acid Reflux Disease). As a passionate advocate of education as a way to help people achieve the best quality of life, Dr. Challa has been interviewed extensively by national media, including Seventeen magazine, Girl’s Life, and numerous radio and TV shows.

He has been a featured speaker for several pharmaceutical companies and has served on national and international boards, including those for West Central Osteoporosis-Proctor and Gamble, US Bank, AmSurg, and My Medical Records.com. He has been the principal investigator for several clinical trials for various pharmaceutical companies.

Dedication

To my dad, Somrajram Challa, who is going through a tough time right now with medical problems: It is from you that I learned the work ethic and dedication I bring to my career. Thank you for your loving guidance.

To my mother, Anantha Lakshmi: Thank you for the ability to cut to the heart of the matter that you bring to my life. I have never met anyone with more common sense than you have.

To Jaya, my patient wife, who supported me as I spent time writing this book, which was time I “took away” from you. To Akhila and Shruti, my beautiful daughters who mean the world to me.

Acknowledgments

Thank you to Morgan, Lily, and Akhila for countless meetings, emails, and hours of hard work and research putting this book together.

To Dr. Jessica Brown, a future gastroenterologist, for your research contributions. Wishing you good luck in your career path.

To Mark Brudnak, Ph.D, for being a great technical editor . . . and for keeping me in line, and to the Wiley “For Dummies” team, including CC, Tracy, Kim, and Meg.

To my nephews, Dr. Karthik Challa, Dr. Abishek Challa, Dr. Nitin Chandra Pendyala, and med school students Rudra Pampati, Abhinay Challa, Vinayak Pampati, and Abhiram Challa.

To aspiring physicians, undergraduate student Ms. Stephanie Downes and high school students Sahil Rattan, Nitish S. Chimalakonda, and Aparna Dasaraju, for helping to research.

To Cori and Quintin for playing devil’s advocate on this project. To Julie Drick for transcribing many, many tapes over the last 14 months.

To all my staff at Kansas Medical Clinic and the Endoscopy Center of Topeka for re-orienting me when I was going crazy juggling work and this project.

Publisher’s Acknowledgments

We’re proud of this book; please send us your comments at http://dummies.custhelp.com. For other comments, please contact our Customer Care Department within the U.S. at 877-762-2974, outside the U.S. at 317-572-3993, or fax 317-572-4002.

Some of the people who helped bring this book to market include the following:

Acquisitions, Editorial, and Vertical Websites

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Cartoons: Rich Tennant (www.the5thwave.com)

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Foreword

A medical historian of the future looking back at medical progress may well highlight the discovery of antibiotics as the great medical breakthrough of the 20th century; when that same historian looks back at the 21st century he or she may well come to recognize it as the era when the bugs fought back! What I am referring to is the microbiome revolution: the very exciting and ever-increasing knowledge being accumulated on how certain bacteria are a normal and, indeed, essential component of the human body. Bacteria contribute to our growth, development, and health to such an extent that some have come to refer to the microbiome (the collection of bugs in our gut) as the “hidden” or “ignored” organ.

As medical science, aided by rapid advances in technology, comes to recognize the true size and diversity of this microbiome and appreciate how it participates actively in such essential bodily functions as immunity and metabolism, the possibility that approaches that change the microbiota may be useful in treating disease has emerged. Indeed, the concept of giving “good” bacteria to alleviate common complaints as well as prevent or treat illness is not a new one, but has been practiced by communities around the world for centuries.

A number of approaches can be taken to impacting the bacteria in the gut; the first, of course, is by using antibiotics. This occurs inadvertently every time we take an antibiotic by mouth to treat a chest or urinary infection, for example, when the very same antibiotic that zaps the bad bug also suppresses the good bacteria in the gut, albeit transiently. This is a blunderbuss strategy; much subtler is the approach that aims to selectively increase the numbers of certain good bacteria by either administering them directly (as a probiotic supplement) or attempting to promote their growth by giving specific foods (prebiotics) that achieve this.

While the science behind probiotics is now considerable, the consumer who goes into a store seeking help continues to face many challenges. When should I consider a probiotic? What one should I take? Does a given product contain what it claims? Does it really work? What is the best way to take it? When attempting to answer these questions, the consumer is confronted by much hype — unsupported claims presented as sound evidence. Until regulatory processes are put in place which assist the consumer and the health care professional in choosing the right probiotic for a given problem, confusion will be inevitable. This is where this book by Dr. Challa — an eminent clinician and expert in gastrointestinal disorders and the field of probiotics — steps in by providing an accessible, critical, yet practical guide to the perplexing topic of probiotics.

In this book he provides a very helpful background to probiotics in general and then takes the reader on a journey through the many areas in medicine and health where probiotics may have a place, concluding with helpful hints on the use or probiotics in daily life. His discussion of each area of potential use of a probiotic is set clearly in the context of a specific clinical problem, the rationale for the use of a probiotic is presented, and the merits and shortcomings of probiotic therapy are discussed. What emerges is a balanced and eminently readable book that should be of value to all those who wish to learn more about this exciting topic.

Dr. Eamonn M. M. Quigley,Professor of Medicine and Human Physiology, Alimentary Pharmabiotic Centre, University College Cork, Ireland

Introduction

Most people have experienced occasional digestive trouble — diarrhea, constipation, and so on. Between 15 million and 30 million Americans suffer from irritable bowel syndrome (see Chapter 2), and many millions more are affected by a range of other digestive disorders. For many years, such people either got by with no treatment at all or used prescription and over-the-counter medications that, too often, either didn’t work or didn’t work well enough.

Fortunately, researchers now understand much more about how your body’s digestive system actually works. As it turns out, your intestines are populated by hundreds of different kinds of bacteria — some of which cause problems, but most of which are good bacteria, keeping the bad guys under control and performing vital functions for your immune system and overall health.

As this body of knowledge has grown, so have efforts to create products that help your body keep that critical balance of good bacteria alive and thriving. Probiotics are good bacteria, and they’re showing up more and more frequently in foods and in dietary supplements.

About This Book

This book is intended to be a handy primer on how probiotics work, why they help keep you healthy, and how they can affect certain health problems. One chapter even covers the most recent findings on the role probiotics may play in preventing or treating diseases such as colon cancer and cardiovascular disease.

Although various societies throughout history have used probiotics in one form or another (more on this in Chapter 1), their use in the United States is relatively recent, and reliable, easy-to-understand information about probiotics can be hard to come by.

This book is designed to help fill the need for good information about probiotics and to answer basic questions about how they may benefit you.

In some cases, the research about probiotics is promising but incomplete. I explain the promise and the possibilities, but when those promises and possibilities aren’t yet proven, I caution that more research is needed.

Conventions Used in This Book

For the sake of consistency and readability, I use the following conventions throughout the text:

Technical terms appear in italics, with a plain-English definition or explanation nearby.

Keywords in bulleted lists and the action part of numbered steps are in bold.

When this book was printed, some Web addresses may have been split into two lines of text. If that happened, rest assured that I haven’t inserted any extra characters (such as hyphens) to indicate the break. So, when using one of these Web addresses, just type exactly what you see in this book as though the line break doesn’t exist.

What You’re Not to Read

Occasionally, you’ll see sidebars — shaded boxes of text that go into detail on a particular topic. You don’t have to read them if you’re not interested; skipping them won’t hamper your understanding the rest of the text.

You also can skip any information next to the Technical Stuff icon. I explain most technical information in simple language and reserve the Technical Stuff icon for details that are interesting but not crucial to understanding the topic.

Foolish Assumptions

In researching and writing this book, I’ve made some assumptions about you, the reader. I assume that you

Have a health condition (or a loved one with a health condition) for which probiotics may provide effective treatment.

Want to know how probiotics can help improve and maintain your overall health and wellbeing.

Are interested in how gut health may affect other health issues and concerns.

Would like to know how to select effective probiotic supplements and how to fill your plate with probiotic-rich foods.

Want a convenient, comprehensive, and easy-to-understand resource that covers all this information without making you feel like a dummy.

How This Book Is Organized

The information in this book is split into broad subtopics so you can easily find the stuff you want. I divided the subject of probiotics into the following parts.

Part I: Living in the Microbial World

This part focuses on the scientific foundations for probiotics’ role in combating disease and promoting overall good health.

This part includes a chapter on your digestive system to help you understand both the friendly and unfriendly microbes in your body. I also provide a chapter that gives you an overview of probiotics and prebiotics.

Part II: Preserving and Improving Health with Probiotics

This part covers the nitty gritty of probiotics’ role in health. Starting with digestive health, I follow up with the latest research on how probiotics may affect a plethora of other ailments and diseases, including allergies, urogenital infections, and women’s and children’s health.

I also cover the latest research on some really exciting possibilities for probiotics: fighting such common conditions as heart disease, certain forms of cancer, and even autoimmune diseases such as diabetes.

Part III: Adding Probiotics to Your Lifestyle

This part gives you information on probiotics-rich foods as well as a collection of recipes for making your own probiotic-rich meals, snacks, condiments, and desserts.

Part IV: The Part of Tens

The Part of Tens is a staple of every For Dummies book; the information here is presented in bite-sized nuggets for a quick and easy read.

Here, I present a quick look at Ten Ways Probiotics Promote Good Health, Ten Common Misconceptions About Probiotics, and Ten Famous Bacteria.

Icons Used in This Book

Occasionally throughout the text, you see little icons in the left-hand margin. Here’s what these symbols mean:

This symbol alerts you to information that’s important to keep in mind as you explore using probiotics.

The bull’s-eye icon indicates helpful information, such as how to choose probiotics-rich foods or where to find probiotic supplements.

Okay, nothing is really going to explode if you don’t heed the information next to this little bomb. But it does tell you that you should be aware of potential problems.

Technical Stuff is information that’s interesting but not essential; you can safely skip over text marked with this icon without missing anything important.

Where to Go from Here

Like all For Dummies books, this one is organized so that you can find the information that matters to you and ignore the stuff you don’t care about. You don’t have to read the chapters in any particular order; each chapter contains the information you need for that chapter’s topic, and I provide cross-references if you want to read more about a specific subject. You don’t even have to read the entire book (but I’d be delighted if you do).

To learn more about how your digestive system works and the good bacteria that help it function properly, turn to Chapter 2. If you’re ready to start making probiotic meals at home, check out the recipes in Chapter 12. If you want to know how probiotics may help your children stay healthier, flip to Chapter 8. And if you want to discover how probiotics may be involved in heart health, cancer prevention, and a host of other health issues, go to Chapter 9.

Part I

Living in the Microbial World

In this part . . .