Gastrointestinal Issues: The Role of Probiotics and Symptoms Analysis

More detailed statement?

Hello Doctor, I am the person who asked question #206140.
Below is a more detailed statement after a few days of observation, and I hope you can provide me with answers.
As mentioned earlier, my mother has been experiencing diarrhea for two months, accompanied by weight loss (from 53 kg to 47 kg).
Additionally, we have observed the following symptoms: 1.
She experiences cramping abdominal pain after lunch on weekdays, which is more severe than on weekends.
2.
There is significant abdominal rumbling.
We consulted a gastroenterologist, and while there was some improvement, the diarrhea and abdominal pain issues persist, although the frequency has decreased.

Recently, we discovered that the medication prescribed by the doctor contained probiotics, and we also have some at home.
My mother reported that after taking the probiotics prescribed by the doctor, her condition improved (less abdominal rumbling, reduced bloating, and decreased frequency of diarrhea).
However, after another doctor changed her medication and removed the probiotics, her symptoms worsened again.
This past weekend, when my mother experienced abdominal pain and diarrhea again, I gave her the probiotics we had at home, and her diarrhea symptoms improved.
Over the weekend, she had diarrhea once, while other bowel movements were normal.
However, after the effect of the probiotics wore off, she still experienced cramping and abdominal rumbling.

On Saturday, March 2, after having diarrhea, she took a packet of probiotics and had normal bowel movements afterward, but experienced abdominal pain in the early morning without diarrhea.
On Sunday, March 3, she took two packets of probiotics; in the morning, she had normal bowel movements after taking one packet, but in the evening, as the effect of the probiotics wore off, she started to have abdominal pain again and took another packet, which resulted in noticeable abdominal rumbling.
Today, March 4, my mother took one packet of probiotics and had no abdominal pain or diarrhea throughout the day, with only mild abdominal rumbling in the evening, which was quieter and less frequent.

Regarding her weight, we measure it twice daily: once before breakfast (fasting weight) and once an hour after dinner (originally fasting weight was 47 kg, without decimal records).
The measurements are as follows:
- March 2: fasting 47.8 kg, one hour after dinner 49.43 kg
- March 3: fasting 48.3 kg, one hour after dinner 49.63 kg
- March 4: fasting 48.3 kg, one hour after dinner 49.9 kg
I would like to ask if you can deduce anything from these data.
Additionally, I want to know if probiotics can have such a significant effect.
If probiotics are so effective, can we determine what condition she might have? Lastly, regarding dizziness and the conventional medications used to treat dizziness, could they directly or indirectly cause any related symptoms? My mother also experienced dizziness about two months ago.

Qing, 50~59 year old female. Ask Date: 2024/03/04

Dr. Chen Shidian reply Gastroenterology and Hepatology

There is no objection to the use of probiotics, and it is also recommended to confirm the results of a fecal occult blood test, adjust the diet (low in oil and dairy), and medications, while continuing to monitor the situation.
Additionally, diarrhea is often not associated with dizziness.

Reply Date: 2024/03/04

More Info

Understanding gastrointestinal issues can be complex, especially when symptoms like diarrhea, abdominal pain, and weight loss are involved. Your observations about your mother's condition provide valuable insights into her gastrointestinal health, particularly regarding the role of probiotics and the nature of her symptoms.

From your description, it seems that your mother has been experiencing persistent diarrhea for two months, accompanied by significant weight loss (from 53 kg to 47 kg). The symptoms of abdominal cramping after meals, increased bowel sounds, and the variability of her symptoms on weekdays versus weekends suggest a possible functional gastrointestinal disorder, such as irritable bowel syndrome (IBS) or another form of gastrointestinal dysmotility.

The fact that her symptoms improved with the introduction of probiotics is noteworthy. Probiotics are live microorganisms that, when administered in adequate amounts, confer a health benefit on the host. They can help restore the balance of gut microbiota, especially after disturbances caused by factors like antibiotic use, infections, or dietary changes. The improvement in her symptoms after taking probiotics indicates that her gut flora may be imbalanced, and the probiotics are helping to restore that balance, leading to reduced abdominal pain and diarrhea.

However, the recurrence of symptoms after stopping probiotics suggests that her underlying gastrointestinal issue may not be fully resolved. This could indicate a chronic condition that requires ongoing management. It's important to note that while probiotics can be beneficial, they are not a cure-all. The effectiveness of probiotics can vary based on the strain used, the dosage, and the individual's specific gut microbiome.

Regarding the weight fluctuations you mentioned, it’s essential to monitor these closely. The increase in weight after meals could be attributed to fluid retention or changes in bowel contents rather than actual weight gain. The fact that her weight is fluctuating but not consistently decreasing is a positive sign, indicating that she may be absorbing nutrients better when taking probiotics.

As for the dizziness your mother experienced two months ago, it’s crucial to consider whether it could be related to her gastrointestinal issues. Dizziness can sometimes stem from dehydration, which can occur with prolonged diarrhea. Additionally, if her diet has been affected by her gastrointestinal symptoms, she may not be getting adequate nutrition, which can also lead to dizziness. It’s essential to ensure she stays hydrated and receives proper nutrition.

In terms of treatment for dizziness, medications such as antihistamines or vestibular suppressants are commonly used, but they can have side effects that may exacerbate gastrointestinal symptoms, such as constipation or dry mouth. It’s vital to discuss any new or ongoing symptoms with her healthcare provider to ensure a comprehensive approach to her treatment.

In summary, your mother's gastrointestinal symptoms, including diarrhea and abdominal pain, may be indicative of a functional disorder, potentially improved by the use of probiotics. Continuous monitoring of her symptoms, weight, and overall health is essential. It would be beneficial for her to consult with a gastroenterologist who can provide a thorough evaluation and possibly recommend further testing or dietary adjustments. Additionally, addressing her dizziness with her healthcare provider will help ensure that all aspects of her health are being managed effectively.

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