Will taking probiotics and digestive enzymes help relieve my gastritis symptoms?

Q. Can probiotics and digestive enzymes help relieve gastritis symptoms?

Answered by
Dr. Goswami Parth Rajendragiri
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Dec 24, 2022 and last reviewed on: Dec 26, 2022

Hello doctor,

I underwent endoscopy and biopsy and have been diagnosed with non-H pyroli chronic gastritis and intestinal metaplasia. Regarding intestinal metaplasia, my doctor has suggested that there is nothing to worry about and check the status every two years. Gastritis has always been there for five years.

Currently, I am taking the tablet Rabeprazpole for gastritis. I was prescribed a course for one and a half months. Now, it is one month since I am taking the tablet. I take 20 mg daily once in the morning, half an hour before food. I have taken tablet Zantac for the past four years. Initially, it helped but not this year. I have side effects like bowel movements right after a big meal, a burning sensation in the throat, blurry eyes, light sensitivity, and instability in my head due to the tablet Rabeprazole. I have bloating, nausea, excessive gas, burping, heartburn, a huge throat lump, and discomfort.

I also developed severe anxiety after diagnosing intestinal metaplasia and got two panic attacks. I believe that the tablet Rabeprazole is triggering panic attacks. I would like to try natural supplements like Slippery Elm once I am done with my current medications. I would like to know if I should take probiotics and digestive enzymes, as they are doing more good for people with excessive acid problems.

Kindly advise.



Welcome to icliniq.com.

I understand your concern.

Antacids like the tablet Rabeprazole can only be prescribed for chronic gastritis. Your gastrointestinal symptoms are due to gastritis-induced acid reflux and stress. Regular exercise and meditation can help manage stress. I suggest you avoid gastric irritants like excess spicy foods, smoking, alcohol, anxiety, and excess consumption of tea. Continue using the tablet Rabeprazole as suggested by your doctor. Eating cooked oatmeal can help soothe the stomach.

You need not panic about intestinal metaplasia. You can get an endoscopy screening done once every two to three years to check the status. In case of excess stress, you can consult a psychiatrist.

I hope this helps.

Take care.

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