Should I seek medical help for the side effects of probiotics?

Question

Hi doctor,

I had probiotics for two days as I was having issues with constipation and it helped me. Later, I got side effects of nausea, headache, cold and hot sweats, sleepiness, loss of appetite and going to the bathroom more often for the past three days. I discontinued probiotics. Should I seek medical help?

Answer 1

Hello,

Welcome to icliniq.com. I have reviewed your concerns regarding post-cesarean section back pain, which is a common experience for many women. This discomfort can arise from nerve damage during surgery, spinal anesthesia, and uterine contractions. Fortunately, such pain typically diminishes over a few months. However, it's essential to consider other factors contributing to the pain, such as calcium deficiency, which can occur due to its secretion in breast milk. This deficiency may lead to generalized body pain and weakened bones. I recommend checking your serum calcium and vitamin D levels and conducting a bone mineral density test. If needed, calcium and vitamin D supplements can be prescribed. Regarding the Copper-T, it is advisable to consult your gynecologist for an evaluation. Additionally, if you experience increased pain during periods, it may be due to intensified uterine contractions. For relief, you can consider tablet Meftal spas (Mefenamic acid) during periods, but please consult your doctor before taking any medication.

Answer 2

Hello,

Welcome back to icliniq.com. The best approach now would be to monitor your symptoms over the next two days and ensure you stay well-hydrated. Since you've stopped taking probiotics, it may take around three to four days for your old flora to return and clear up the issue. You might experience some indigestion-like feelings for about a week, which is normal during this process. If you plan to use probiotics in the future, consider selecting a single strain and starting with half the recommended dose. Some patients who face intolerance to the full dose have found success with kid's probiotics, which typically contain one strain and 5 billion CFU, making them gentler on the stomach. For now, refrain from trying any new supplements for at least six to eight weeks. After that period, you can try a smaller dose as suggested earlier. Keep up with good hydration practices and include two bananas in your daily diet. Avoid using Imodium (Loperamide) during this time.