Can Probiotics Help Dizziness If Dairy is Off-Limits? - Otolaryngology

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If you are experiencing dizziness, should you avoid dairy products, and can you consume probiotics?


Hello Doctor: I have been experiencing dizziness for 20 years and have been advised by doctors to avoid milk, cheese, and other dairy products.
I feel dizzy every day, with a sensation of floating and sinking.
Recently, due to gastrointestinal issues, I have been taking probiotics that contain lactic acid bacteria, but it seems that the next day I feel even more dizzy.
Could this be related to the lactic acid bacteria in the probiotics, or is it just a psychological effect? Thank you, Doctor.

Xin, 30~39 year old female. Ask Date: 2023/02/17

Dr. Ji Zhaoyun reply Otolaryngology


Hello, if you are diagnosed with Meniere's disease, the aforementioned suggestions may apply; however, it is best to consult a physician for an accurate diagnosis of the type of vertigo you are experiencing.

Reply Date: 2023/02/17

More Info


Dizziness can be a complex symptom with various underlying causes, and it’s understandable that you’re seeking answers, especially after experiencing it for 20 years. Probiotics, particularly those containing lactobacilli, are often recommended for gastrointestinal health, but their effects on dizziness are not as straightforward.

First, it’s important to clarify that probiotics are live microorganisms that can provide health benefits when consumed in adequate amounts. They are commonly found in fermented foods and supplements. While they are primarily known for their role in gut health, there is emerging research suggesting that gut health can influence other bodily systems, including the nervous system. This connection is often referred to as the "gut-brain axis."
In your case, since you have been advised to avoid dairy products, it’s crucial to ensure that the probiotics you are taking do not contain any dairy-derived ingredients. Some probiotic supplements are formulated to be dairy-free, while others may contain traces of dairy, which could potentially trigger adverse reactions in individuals with lactose intolerance or dairy allergies. If you are experiencing increased dizziness after taking a probiotic, it may be worth considering whether the specific product you are using contains any dairy components.

Additionally, dizziness can be caused by a variety of factors, including vestibular disorders, dehydration, medication side effects, and even anxiety. If your dizziness worsens after taking probiotics, it could be due to several reasons:
1. Gut Reaction: Introducing new bacteria into your gut can sometimes lead to temporary gastrointestinal disturbances, such as bloating or gas, which might indirectly contribute to feelings of dizziness.

2. Psychological Factors: Anxiety and stress can exacerbate feelings of dizziness. If you are concerned about your symptoms or the effects of the probiotics, this anxiety could be contributing to your experience of dizziness.

3. Underlying Conditions: If you have an underlying condition that causes dizziness, such as vestibular dysfunction or migraines, the introduction of probiotics may not directly address the root cause of your symptoms.

4. Hydration and Nutrition: Ensure that you are adequately hydrated and consuming a balanced diet. Sometimes, dizziness can stem from dehydration or nutritional deficiencies, which can be exacerbated by gastrointestinal issues.

Given your long history of dizziness and the recent changes in your symptoms, it would be wise to consult with a healthcare professional who can evaluate your specific situation. They may recommend further investigations to rule out any underlying conditions that could be contributing to your dizziness. Additionally, they can help you determine whether the probiotics you are taking are appropriate for you or if you should consider alternative options.

In summary, while probiotics can be beneficial for gut health, their direct impact on dizziness is not well-established. If you suspect that the probiotics are contributing to your symptoms, consider discontinuing them and discussing this with your healthcare provider. They can guide you in finding a suitable approach to managing your dizziness, taking into account your dietary restrictions and overall health.

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