Do probiotics need to be taken daily?
Hello, Dr.
Tsai! My husband is 67 years old and has had diabetes for 5 years.
He has been following the medication prescribed by his doctor (Glyburide) and adheres to his dietary restrictions very well.
However, he is experiencing constipation, bloating, and dry stools.
A friend suggested that he take one capsule of Jamieson Probiotic with 30 billion active cells every morning, which has improved his bowel movements significantly, but he often experiences intestinal bloating (and occasionally gastric bloating).
Taking a digestive enzyme has helped! I have a few questions: (1) Can probiotics be taken daily? (2) Are there any side effects from taking digestive enzymes regularly? Is there a risk of developing resistance? (3) He previously consulted a gastroenterologist and took a stool softener, which resulted in diarrhea.
Is this normal? Thank you, Dr.
Tsai! I hope we can resolve my husband's issues!
Fúqì, 60~69 year old female. Ask Date: 2018/05/12
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Whether it's probiotics or over-the-counter medications, you can take them for a while and then take a break; there is no need for continuous use.
Make sure to adequately supplement your intake of fruits and vegetables for hydration.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.
Reply Date: 2018/05/12
More Info
When it comes to the daily intake of probiotics, especially for someone like your husband who is 67 years old and has diabetes, there are several important considerations to keep in mind. Probiotics are live microorganisms that can provide health benefits when consumed in adequate amounts, primarily by improving gut health and balancing the gut microbiome.
1. Daily Intake of Probiotics: Yes, probiotics can generally be taken daily. Many studies suggest that regular consumption of probiotics can help maintain a healthy gut flora, which is crucial for digestive health. For your husband, taking a probiotic like the Jamieson 30 billion active cells may help alleviate issues such as constipation and bloating. However, it's important to monitor how he feels after taking them, as individual responses can vary.
2. Side Effects of Probiotics: While probiotics are generally safe for most people, some individuals may experience mild side effects, such as gas, bloating, or digestive upset, especially when they first start taking them. These symptoms often subside as the body adjusts. If your husband experiences significant discomfort, it may be worth consulting with a healthcare provider to determine if a different strain or dosage might be more suitable.
3. Use of Softening Agents: Regarding the use of softening agents like "若元錠" (which I assume is a stool softener or laxative), it's essential to use these medications judiciously. Overuse can lead to dependency, where the bowel becomes reliant on these agents to function properly. If your husband is experiencing diarrhea after taking a softening agent, it could be a sign that the dosage is too high or that his body is reacting adversely. It's crucial to discuss this with his healthcare provider to find a balanced approach to managing his bowel health.
4. Gut Health and Diabetes: For individuals with diabetes, maintaining gut health is particularly important, as there is a growing body of evidence linking gut microbiota to metabolic health. Probiotics may help improve insulin sensitivity and reduce inflammation, which can be beneficial for managing diabetes. However, it's essential to ensure that any probiotic supplement does not interfere with his diabetes management or medications.
5. Consulting Healthcare Providers: Since your husband has a history of digestive issues and is on medication for diabetes, it's advisable to keep his healthcare provider informed about any new supplements he is taking. They can provide personalized advice based on his overall health status and medication regimen.
6. Dietary Considerations: In addition to probiotics, consider incorporating a diet rich in fiber, which can help improve bowel regularity. Foods such as fruits, vegetables, whole grains, and legumes can support digestive health. Staying hydrated is also crucial, as adequate fluid intake can help prevent constipation.
In summary, probiotics can be a beneficial addition to your husband's daily routine, particularly for improving digestive health. However, it's essential to monitor his response and consult with healthcare professionals to ensure that his overall health and diabetes management remain optimal. Regular follow-ups with his doctor can help tailor his treatment plan to his specific needs, ensuring that he receives the best care possible.
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