Which is the best probiotic for acid reflux?

Possible causes of symptoms in 3 mins

iCliniq / Answers / Medical Gastroenterology / Acid Reflux / Which is the best probiotic for acid reflux?
Listen

Q. Do you recommend probiotics for acid reflux?

Answered by
Dr. Anshul Varshney
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jun 14, 2018 and last reviewed on: Jul 19, 2023

Hi doctor,

I have acid reflux since 10 years. My H.pylori test is negative. I already overused Pantoprazole and it caused side effects like vitamin B12 deficiency, muscle weakness, etc. So, I would like to discontinue it. I heard that probiotics may heal my problem. Can I use probiotics? If so, then let me know the dosage too. Thanks in advance.

#

Hi,

Welcome to icliniq.com.

  • 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 doctor,

My digestion is fine. I do not have any constipation related problems. I have occasional diarrhea. So, please suggest the probiotics according to my condition. My major problem is heart burn and also bloatedness.

#

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

Thank you doctor,

I will go for probiotics only. Please suggest the better among Lactobacillus plantarum 299v and VSL3.

#

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 doctor,

As I said before, Pantoprazole is causing damage for me. It seems that my liver gets affected by it. So, I do not like to continue it. What is the dosage of Mebeverine and how many days should I have it? Also please give the dosage of VSL3?

#

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 doctor,

Does you mean I shall use both the drugs that is Mebeverine and PPI along with probiotics?

#

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

Hi doctor,

I am taking Mebeverine before breakfast and tablet Ranitidine, Domperidone and capsule VSL3 together after dinner. Correct me if I am wrong. When shall I take the Mebeverine second dose?

#

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 doctor,

Yesterday I did not take tablet because my stool was pale in color. When I read in internet, I got to know PPIs over usage can cause obstruct bile and stool will be in pale color. Today post lunch I got right lower abdomen pain for 3-4 minutes. Then, immediately I took Pantoprazole plus Domperidone. I do not have the pain now. I have minor pains coming and going in the muscles around the stomach. What do you suggest for this?

#

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 doctor,

I have done liver function tests and ultrasound recently and there were no issues. Only yesterday I observed pale color and I thought it might be due to PPI. Regarding Mebeverine I found something called Colospa 135 mg. Is it fine? Or should I use 200 mg retard? What does retard mean? Is it sustained release? Also you said 200 mg twice which I think as high dose. Can I take PPI and Mebeverine together? Or should I give some gap?

#

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 doctor,

From yesterday night I have right side lower abdomen pain and it reduced by early morning. I had Pantoprazole plus Domperidone before breakfast. Today, I did not have pain after lunch. Only last two days the pain was there and also for just couple of seconds. So, shall I use only Pantoprazole? Or is Mebeverine a must? I have bought VSL3 but not yet started. My plan is to start by today night.

#

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 doctor,

It seems stomach acid deficiency also can cause the symptoms like vitamin B12 deficiency, dry skin and white patches on nails. I have all these. I heard that vitamin B6 is required for HCl production and so planning to get tested for vitamin B6 and zinc. How do I get a test for HCl deficiency? In case of HCl deficiency, what treatment should I take?

#

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 doctor,

I have tested for thyroid and I do not have thyroid problem. As I already took the shots, my vitamin B12 is fine now. For HCl and pepsin, could you suggest any brand available in market?

#

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 doctor,

Thank you for your support. Today, I am feeling better. I am having one apple before each meal. In the morning, I had both apple and tomato and I am feeling better now. My ulcer also seems to be coming down. I will use Aristozyme tablets whenever required. I hope these can be used even I have ulcer. I am feeling hungry around 3 AM and I am having some buttermilk or fruit at that time. I thought having some protein food during dinner might help. Please suggest. As of now I am using curd only as probiotic, not taking any tablet.

#

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

Was this answer helpful?

 | 

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
Is Pantoprazole allergy something to be concerned about?

.. gone through your question and I understand your concerns but yes Pantoprazole allergy is a permanent condition that you will need to report to any doctor you visit before prescribing medications. Also, this allergy is nothing to worry about as long a   Read full

Taking Pantoprazole for GERD. Is any drug interactions between Pantoprazole and Voltaren?

In fact, anyone who takes painkillers like Diclofenac has to take Pantoprazole to prevent Diclofenac-induced gastritis ...   Read full

Please suggest some ayurveda medicine for IBS.

.. syndrome) has become a common problem nowadays. The main reason for IBS is outside food. A chronic infection caused due to unhygienic food results in IBS. Avoid outside food completely for six months and include two cups of buttermilk in your daily   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

✶

Health Tools

Safe Days Calculator

Safe Days
Calculator
Menstrual Period Calculator

Menstrual Period
Calculator
Blood Alcohol Content Calculator

Blood Alcohol Content
Calculator
Early Pregnancy Calculator

Early Pregnancy
Calculator @Home
View All Tools

Also Read

PCOS and Liver Problems
The hormonal imbalances in polycystic ovary syndrome could cause liver diseases. Read the article to know the relationship between these medical conditions.  Read more»
Inferior Alveolar Nerve Lateralization Technique
The inferior alveolar nerve lateralization technique is a surgical lateralization technique to reposition the nerve. Read the article to know more about this.  Read more»
COVID-19 and Ebola: Similarities and Differences
This article gives a comparison and broader overview of the outbreak of the two deadliest diseases that showed a greater incidence over the last two decades.  Read more»

Ask your health query to a doctor online?

Ask a Medical Gastroenterologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.