Q. Do you recommend probiotics for acid reflux?

Hi,

Welcome to icliniq.com.

• Your symptoms are suggestive of irritable bowel syndrome.

• Yes, probiotics play a wonderful role in this.

• In fact the famous probiotic for this purpose available in market are Darolac-IBS and VSL-3 (lactic acid). You can take them twice a day.

For further information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist

Hi,

Welcome back to icliniq.com.

• Your condition is irritable bowel syndrome (IBS) only.

• The preferred drugs are Mebeverine, which is a combination of Pantoprazole and Domperidone and VSL-3 probiotic.

• This probiotic has very good response rate.

For further information consult a medical gastroenterologist online -->  https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist

Hello,

Welcome back to icliniq.com.

• In my opinion, the best probiotic for IBS is VSL3.

• But, probiotics alone are not going to help you. You need to take the above discussed drug too.

For further information consult a medical gastroenterologist online -->  https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist

Hi,

Welcome back to icliniq.com.

• Pantoprazole does not affect the liver. I do not know how you got that derivation.

• You may take Ranitidine and Domperidone for acid reflux in that case.

• Capsule VSL-3 is also given once a day before going to bed.

• Mebeverine is commonly used in dose of 200 mg retard tablets twice a day.

For further information consult a medical gastroenterologist online -->  https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist

Hi,

Welcome back to icliniq.com.

• In my opinion, you should take any one of Ranitidine or Pantoprazole along with Mebeverine and VSL-3.

• You need to take all these 3 drugs and see the wonderful response within two weeks.

For further information consult a medical gastroenterologist online -->  https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist

Hello,

Welcome back to icliniq.com.

• Mebeverine second dose should be taken before dinner.

• The schedule is perfect in my opinion.

• However, we always advice you to share the online opinion with a doctor in person and take the prescription.

For further information consult a medical gastroenterologist online -->  https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist

Hi,

Welcome back to icliniq.com.

• What you have read is right but is very rare and even more common in people who have pre-existing liver disease.

• Pale colored stools are commonly found in IBS. If you want to be sure then you can have your liver function tests done.

• The pain in abdomen that you are feeling is because of IBS only. Mebeverine would help you in that.

• In fact, if your ultrasound abdomen has never been performed then you should get it done.

For further information consult a medical gastroenterologist online -->  https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist

Hi,

Welcome back to icliniq.com.

• You may use PPI (proton pump inhibitor) or H2 blocker (histamine H2 blocker) like Ranitidine.

• Yes, you can take PPI and Mebeverine together.

• Colospa Retard 200 (Mebeverine) is widely available in market.

• Initially we start with retard formulation and later convert to 135 mg formulations.

• Retard means sustained relief only.

For further information consult a medical gastroenterologist online -->  https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist

Hi,

Welcome back to icliniq.com.

• Mebeverine is not just for the pain.

• Its role is also in IBS associated diarrhea and constipation. In my opinion you should take both VSL3 and Mebeverine.

For further information consult a medical gastroenterologist online -->  https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist

Hi,

Welcome back to icliniq.com.

• No special test is indicated for HCl synthesis.

• The concept is actually opposite. Vitamin B12 synthesis occurs inside stomach in presence of acidic medium.

• You can get tested for Vitamin B12 levels.

• You should also get your thyroid profile and anti-tTG antibody test done.

• Anti-tTG antibody test is done for the diagnosis of celiac disease.

For further information consult a medical gastroenterologist online -->  https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist

Hi,

Welcome back to icliniq.com.

• It is great news that your thyroid is normal. You do not need to take HCl from outside. It is produced by stomach only and excessive production causes acidity.

• However, to improve digestion you can take tablet Aristozyme that contains diastase and pepsin.

• We usually prescribe it as one capsule thrice daily with meals.

• Share my opinion with your doctor, before you act upon it.

For further information consult a medical gastroenterologist online -->  https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist

Hi,

Welcome back to icliniq.com.

• Good to know that you are improving. I would advise you to have cold milk in night before you sleep.

• Avoid any spicy food item.

• In case you feel acid reflux in the middle of night, then take syrup Gelusil.

For further information consult a medical gastroenterologist online -->  https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist