Probiotics for Gut Health: When and Which to Take After Gastroenteritis - Gastroenterology and Hepatology

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How to take probiotics?


Hello, doctor.
I often experience gastritis and gastroesophageal reflux due to stress.
On the night of June 8th, after eating something contaminated, I developed a fever, diarrhea, and feelings of weakness and fatigue on June 9th.
After seeing a doctor, I was diagnosed with gastroenteritis.
My condition has improved today, and I would like to ask if it is appropriate to take probiotics to aid digestion while I have not fully recovered from gastroenteritis.
Based on my usual gastric condition, which type of probiotics would be suitable for me? Thank you!

PJ, 20~29 year old female. Ask Date: 2020/06/11

Dr. Cai Jinji reply Gastroenterology and Hepatology


Hello Ms.
PJ: If you are experiencing fever and diarrhea, and if your condition improves, it is still advisable to return to the doctor's office for consultation to determine if probiotics are suitable for you.
Each type of probiotic has different functions and evidence supporting its use, so it is important to identify the specific issue causing your symptoms and whether probiotics are appropriate for you.
Nantou Hospital cares about your well-being.

Reply Date: 2020/06/11

More Info


After experiencing gastroenteritis, it's understandable to be concerned about your gut health and the potential benefits of probiotics. Gastroenteritis, often caused by viral or bacterial infections, can disrupt the balance of gut flora, leading to symptoms such as diarrhea, nausea, and abdominal discomfort. Probiotics, which are live microorganisms that can confer health benefits, may play a role in restoring this balance.


When to Take Probiotics After Gastroenteritis
1. Timing: It is generally advisable to wait until the acute symptoms of gastroenteritis have resolved before starting probiotics. This is because during the active phase of the illness, your gut may be too inflamed or sensitive to effectively benefit from probiotics. Once you notice an improvement in your symptoms—such as reduced diarrhea and abdominal pain—you can consider introducing probiotics into your regimen.

2. Recovery Phase: After the acute phase, probiotics can help in the recovery process. They may assist in restoring the natural gut flora that was disrupted during the illness. Research suggests that certain strains of probiotics can reduce the duration of diarrhea and help in the recovery of gut function.


Which Probiotics to Consider
1. Strain Selection: Not all probiotics are created equal. For gastrointestinal health, specific strains have been studied for their effectiveness. For instance:
- Lactobacillus rhamnosus GG: This strain has been shown to be effective in reducing the duration of diarrhea in children and adults.

- Saccharomyces boulardii: A yeast probiotic that has been shown to be effective in preventing antibiotic-associated diarrhea and may help in cases of gastroenteritis.

- Bifidobacterium species: These are beneficial for overall gut health and can help restore the gut flora balance.

2. Formulation: Probiotics are available in various forms, including capsules, powders, and fermented foods. If you prefer a dietary approach, consider incorporating yogurt, kefir, sauerkraut, or kimchi into your diet, as these foods naturally contain probiotics.


Additional Considerations
1. Dietary Adjustments: Alongside probiotics, maintaining a balanced diet rich in fiber can support gut health. Foods such as fruits, vegetables, whole grains, and legumes can promote the growth of beneficial bacteria.

2. Hydration: After gastroenteritis, it’s crucial to stay hydrated, especially if you experienced significant diarrhea. Electrolyte solutions can help replenish lost fluids and minerals.

3. Consultation with Healthcare Provider: Before starting any new supplement, including probiotics, it’s wise to consult with your healthcare provider, especially if you have underlying health conditions or are on medications. They can provide personalized recommendations based on your health status.

4. Monitoring Symptoms: After starting probiotics, monitor your symptoms. If you experience any adverse effects, such as increased bloating or discomfort, it may be necessary to adjust the type or dosage of probiotics.

In summary, while probiotics can be beneficial for gut health after gastroenteritis, it’s best to wait until your symptoms have improved before starting them. Choose specific strains known for their efficacy in gastrointestinal recovery, and consider integrating them into a balanced diet. Always consult with a healthcare professional for tailored advice and to ensure the best approach for your recovery.

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