the Impact of Probiotics on Throat and Digestive Health - Gastroenterology and Hepatology

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Lactic acid bacteria and the gastrointestinal tract?


Hello doctor, I have been suffering from chronic pharyngitis for three months.
The main issues are muscle tension in my throat and mild gastroesophageal reflux.
I have seen significant improvement, but my throat still feels a bit scratchy.
A few days ago, a relative bought me a German product called "Lactobacillus Syrup" and suggested I try it.
Since it tastes quite sour, I am concerned that it might worsen my acid reflux.
I checked the ingredients and the instructions, and it mainly contains fermented whey concentrate, lactic acid, B vitamins, minerals, lactose, and phosphates, with calcium.
The indications include cough, pharyngitis, diarrhea, and many others, but it does not mention any effects on the stomach.
I would like to know if this could increase my gastric acid secretion.

Lü Chá, 20~29 year old female. Ask Date: 2018/05/20

Dr. Chen Shidian reply Gastroenterology and Hepatology


Hello, it is not advisable for patients with reflux disease to consume sweet and sour foods, so it is not recommended to drink them.
Changhua Hospital cares about your health.
Chen Shidian

Reply Date: 2018/05/20

More Info


Probiotics have gained significant attention in recent years for their potential benefits on digestive and throat health. In your case, with chronic pharyngitis and mild gastroesophageal reflux disease (GERD), it’s understandable to be cautious about introducing new supplements, especially those that might exacerbate your symptoms.

Probiotics are live microorganisms that, when administered in adequate amounts, confer a health benefit on the host. They are often referred to as "good" bacteria because they help maintain a healthy balance of gut flora, which is crucial for digestion, immune function, and overall health. The specific product you mentioned, which contains fermented whey concentrate, lactic acid, B vitamins, minerals, lactose, phosphates, and calcium, is designed to support various health conditions, including cough, throat inflammation, and diarrhea.


Impact on Throat Health
For throat health, probiotics can be beneficial. They may help reduce inflammation and improve the immune response in the throat, potentially alleviating symptoms of chronic pharyngitis. Some studies suggest that probiotics can help reduce the incidence and duration of respiratory infections, which could be beneficial for someone with chronic throat issues. However, the specific effects can vary based on the strains of probiotics used and the individual's health status.


Impact on Digestive Health
Regarding digestive health, probiotics can help restore the natural balance of gut bacteria, which can be disrupted by factors such as antibiotics, poor diet, or illness. They may aid in digestion and help alleviate symptoms of gastrointestinal discomfort, including bloating, gas, and diarrhea. However, in individuals with GERD, there is a concern that certain probiotics, especially those that produce lactic acid, could potentially increase stomach acidity and exacerbate reflux symptoms.


Concerns About Increased Stomach Acid
Your concern about whether the probiotic syrup could increase stomach acid secretion is valid. While probiotics generally do not directly stimulate acid production, the fermentation process can produce short-chain fatty acids and gases, which might lead to increased pressure in the stomach and potentially worsen reflux symptoms. However, the impact can vary widely among individuals. Some people find that probiotics help improve their digestive symptoms and reduce reflux, while others may experience an increase in symptoms.


Recommendations
1. Start Slowly: If you decide to try the probiotic syrup, consider starting with a smaller dose to see how your body reacts. Monitor your symptoms closely for any changes, particularly with regard to your reflux.

2. Consult Your Doctor: Given your history of chronic pharyngitis and GERD, it’s advisable to discuss the introduction of probiotics with your healthcare provider. They can provide personalized advice based on your medical history and current condition.

3. Dietary Considerations: Alongside probiotics, consider dietary adjustments that may help manage your GERD symptoms. Avoiding trigger foods (such as spicy, fatty, or acidic foods) and eating smaller, more frequent meals can be beneficial.

4. Hydration: Staying well-hydrated can help maintain throat moisture and support overall digestive health.

5. Monitor Symptoms: Keep a diary of your symptoms, noting any changes after starting the probiotic. This can help you and your healthcare provider assess its effectiveness and any potential side effects.

In summary, while probiotics can offer benefits for throat and digestive health, their effects can vary based on individual circumstances. It’s essential to approach their use cautiously, especially in the context of existing conditions like GERD. Always consult with your healthcare provider before making changes to your health regimen.

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