How do probiotics work?

You've probably heard about many of the benefits of probiotics — from improving your immune function to protecting against infection. But do probiotics make you poop? Probiotics can help improve your digestive health. Depending on the cause of your constipation, they may help relieve it.
Probiotics are the good yeast and bacteria that naturally occur in your body. These good bacteria are balanced with the infection-causing bad bacteria that also live in your body. When you have an overgrowth of bad bacteria, you can develop an infection. Probiotics kill off extra bad bacteria, which helps your body prevent infections.
The probiotics and the bad bacteria that live in your body are part of your microbiome. Your microbiome consists of the trillions of microorganisms that live in your body, both good and bad. Your microbiome is made of the following types of microbes:
Your microbiome plays an important role in your health by performing the following functions:
- Stimulating your immune system
- Breaking down potentially toxic substances in food
- Synthesizing (pulling together compounds to form other compounds) some amino acids and vitamins, including B vitamins and vitamin K
- Helping break down complex carbohydrates and starches
- Producing short-chain fatty acids that may help prevent chronic diseases such as bowel disorders and some types of cancers
- Protecting against pathogens
What types of constipation can probiotics help?
Although probiotics aren't effective against every type of constipation, there are some types they help treat, including:
Irritable bowel syndrome (IBS) can cause symptoms such as:
- Abdominal pain
- Diarrhea
- Constipation
The exact cause of IBS isn't known yet, but it may be caused by an imbalance in your microbiome and a defective intestinal barrier. Normally, your intestinal barrier will keep out harmful substances, but if it's not working correctly, it may let them in. Probiotics may help treat the symptoms of IBS, including constipation, by restoring balance to your microbiome.
Pregnancy-related constipation
Constipation is a frequent complaint during pregnancy, along with nausea and vomiting. During pregnancy, you experience natural hormone fluctuations that can change your gut microbiome. This may be a significant cause of pregnancy-related gastrointestinal symptoms. UC Davis Health researchers found that women who took probiotics during pregnancy had fewer symptoms of nausea, vomiting, and constipation. Probiotics also helped with other pregnancy symptoms, such as:
- Tiredness
- Lack of appetite
- Difficulty keeping up with normal social activities
The probiotic used in the study contained mainly Lactobacillus. It was available over the counter and contained 10 billion live cultures.
Constipation in older people
Many issues can cause constipation in older people. However, sometimes there's no apparent cause found despite a comprehensive workup by a health care provider. This type of constipation is called functional constipation. One study found that probiotics help relieve functional constipation in older people, although the results were most apparent after 71 days of treatment.
The type of probiotics used in the study included:
- Bifidobacterium animalis
- Lactobacillus acidophilus
- Lactobacillus casei
How to get enough probiotics
Although you can buy probiotic supplements, you're better off getting them from the foods you eat. The FDA does not regulate supplements such as probiotics, so you can't be sure about the quality of what you're buying. There are no nutritional guidelines for a recommended daily dose of probiotics. Probiotics are mainly found in fermented and cultured foods, so you can add as many fermented foods to your regular diet as possible.
Some of the most common dietary sources of probiotics include:
- Yogurt
- Miso paste
- Tempeh
- Fermented milk
- Buttermilk
- Soy beverages
Risks of probiotics
Not all probiotics have been studied well. Supplements such as probiotics aren't regulated by the FDA, so you may not be getting high-quality probiotics. You may not even be getting the probiotics that are listed on the label. Another possible risk of probiotics is that someone with a weakened immune system might get sick from taking them.
Prebiotics
Even if you don't like cultured or fermented foods, you can increase the probiotics in your microbiome by eating prebiotics. Prebiotics are food sources for probiotics. Probiotics need prebiotics to survive and grow. To be effective, prebiotics have to survive the journey through your intestines and make it into your colon. When they reach your colon, they're broken down by the microorganisms that feed on them.
Prebiotic foods are high in a certain type of fiber called fermentable soluble fiber. Fermentable soluble fiber includes resistant starches, pectin, and inulin. You can find resistant starches in foods such as:
- Legumes
- Rice
- Beans
- Green bananas
- Boiled potatoes that have been chilled
- Oats
- Barley
Pectin is in foods such as:
- Carrots
- Green beans
- Apples
- Apricots
- Potatoes
- Tomatoes
- Raspberries
- Peaches
Inulin is found in the following foods:

QUESTION
According to the USDA, there is no difference between a “portion” and a “serving.” See AnswerCleveland Clinic: "Probiotics," "What Are Prebiotics and What Do They Do?"
European Journal of Clinical Nutrition: "The effect of multistrain probiotics on functional constipation in the elderly: a randomized controlled trial."
Harvard Health Publishing: "The benefits of probiotics bacteria," "How to get more probiotics," "Probiotics — even inactive ones — may relieve IBS symptoms," "Should you take probiotics?" The Nutrition Source: "The Microbiome."
UC Davis Health: "Probiotics improve nausea and vomiting in pregnancy, according to new study."
Top Why Do Probiotics Make Me Poop So Much Related Articles
bifidobacterium
Bifidobacteria are “good” bacteria taken as probiotic supplements to populate the digestive system and the vagina with beneficial bacteria, particularly useful for people whose gut or microbiome is disturbed due to antibiotic treatment or other reasons such as chemotherapy or radiation. Common side effects of bifidobacterium include stomach upset, gas (flatulence), bloating, diarrhea, and infection (rare). Consult your doctor if pregnant or breastfeeding.bisacodyl rectal
Bisacodyl rectal is a laxative medication available over the counter to treat occasional constipation and irregularity in bowel movement, in both adults and children. Bisacodyl is available as a suppository or an enema liquid that is rectally administered. Common side effects of bisacodyl rectal include rectal burning, abdominal cramps, abdominal discomfort, gas (flatulence), excessive diarrhea, dehydration, electrolyte imbalance, vomiting, headache, vertigo, and faintness. Consult your doctor if pregnant or breastfeeding.bisacodyl (Dulcolax)
Bisacodyl is an over-the-counter medication used to treat constipation and irregular bowel movements. Side effects of bisacodyl include abdominal cramping, diarrhea, nausea, vomiting, vertigo, rectal burning, and fluid and electrolyte imbalance. Bisacodyl has no known drug interactions. Consult your doctor before taking bisacodyl if you are pregnant or breastfeeding.10 Probiotic Foods
Probiotics are beneficial bacteria and yeasts found in probiotic foods and fermented products like kimchi, kombucha, and kefir. Good bacteria may provide health benefits like weight loss and improved immunity. Lactobacillus is a type of probiotic bacteria. Learn the health benefits of yogurt.lactobacillus acidophilus
Lactobacillus acidophilus is a supplement used to help regulate digestion and prevent diarrhea. Side effects of Lactobacillus acidophilus include bloating, flatulence (gas), constipation, hiccups, nausea, rash, and infection. No significant drug interactions have been reported with the use of Lactobacillus acidophilus. Consult your doctor before taking if pregnant or breastfeeding.lactulose laxative (Enulose, Generlac)
Lactulose is a laxative prescribed to treat constipation, and prescribed to treat hepatic encephalopathy when the liver is unable to remove toxins from the blood. Diarrhea (loose stool) may occur if the dose of lactulose is too high. Problems associated with diarrhea are fluid and potassium loss in the diarrheal stool leading to dehydration and low blood levels of potassium (hypokalemia). An additional side effect is the elevation of blood levels of sodium (hypernatremia) as a result of the loss of fluid.malt soup extract
Malt soup extract is used as a short-term treatment to relieve occasional constipation, maintain regularity of bowel movements and relieve anal itching (pruritus ani). Malt soup extract is available over the counter (OTC) as a tablet, powder, or liquid that is taken with plenty of fluids. Malt is used in the preparation of many foods and beverages. Common side effects of malt soup extract include gas (flatulence), excessive bowel activity, diarrhea, and rectal obstruction.Motegrity (prucalopride)
Motegrity is a prescription medicine used in adults to treat a type of constipation called chronic idiopathic constipation (CIC). Idiopathic means the cause of the constipation is unknown. It is not known if Motegrity is safe and effective in children.naldemedine
Naldemedine is a medication used to treat opioid-induced constipation in adults with chronic non-cancer pain. Common side effects of naldemedine include abdominal pain, diarrhea, nausea, vomiting, gastroenteritis, and opioid withdrawal symptoms. There is a potential for opioid withdrawal in the fetus if naldemedine is used in a pregnant woman because of the immature fetal blood-brain barrier.polyethylene glycol 3350
Polyethylene glycol 3350 is a drug used to treat occasional constipation and for bowel preparation prior to procedures. Side effects of polyethylene glycol are diarrhea, nausea, stomach cramps, and flatulence. People with kidney disease should consult with their doctor before using this product. Consult your doctor before taking if pregnant or breastfeeding.Prebiotics vs. Probiotics vs. Postbiotics - What's the Difference?
What to know about prebiotics vs. probiotics vs. postbiotics. Learn about the health, risks, and differences between the microbiota and how they might benefit your digestive system.sterculia
Sterculia, also known as karaya gum, is a natural dietary fiber extracted from Sterculia urens tree, native to India, and purified for use as a laxative. Sterculia is used to relieve occasional constipation and to maintain regularity of bowel movements. Common side effects of sterculia include gas (flatulence), abdominal cramping, constipation, and fecal impaction. Taking sterculia concurrently with other drugs can reduce the absorption of the other drugs. Allow at least a 2-hour gap between sterculia and other drugs.