Probiotic side effects sometimes happen. They are mostly mild and harmless. Many people ask about reactions to probiotics so here is a collection of frequently asked questions.
You might be familiar with the old saying: “no pain, no gain.” Among athletes, muscle aches are viewed as a temporary discomfort bringing good results. Can something similar be said about probiotics side effects? Yes, it can.
Probiotics can cause a temporary discomfort to reach an improvement. However, this does not mean that side effects are necessary.
Why side effects?
Probiotics consumed help improve the gut environment and this can produce mild side effects. Why? One example: when some harmful microorganisms die, they release toxins causing reactions. Thus the term “die-off” symptoms has been coined.
Another reason is the elimination of toxins and waste. The body naturally uses several exit routes for waste and most probiotic side effects are believed to be associated with this cleansing process.
Here are four exit routs and how probiotics might activate them:
- Urination: higher frequency, strong smell, discoloring
- Bowel movement: diarrhea, constipation, bloating, gas
- Sweating: odor, itchy skin, skin rash, eczema, pimples
- Breathing: running nose, coughing, sneezing, sore throat, a flue-like feeling
Such symptoms may be signs that the body’s exit routes are being activated to remove unwanted substances. Several exit routes can be active at the same time. Most side effects are mild and disappear after a few days or a week. Seldom longer.
Additional causes
In some cases, probiotic side effects are triggered by additives included in some probiotics supplements or a medical condition.
- Problems with the intestinal lining
- Sensitivity to soy, yeast, or lactose
- Anti-fungal medication
- Dietary changes
- Severe stress
Supporting the cleansing process
Some specialists recommend adding the following to promote a body cleanse and lessen probiotics side effects:
- Broccoli seed extract or fresh sprouts
- Cilantro (fresh, juiced, or tincture)
- Drink fresh vegetable juice
- Chlorella (binds toxins)
- Garlic (fresh or powder)
- Drink plenty of water
What are some probiotic side effects?
Acid reflux, heartburn
Acid reflux. Cleansing the gut can produce gas and bloating causing acid reflux. Some harmful microorganisms die violently, releasing toxins that cause gas, constipation, and bloating.
- The more the gut needs cleaning, the more side effects
Try consuming only small amounts of probiotics. Empty a probiotic capsule in a glass of water or juice and drink slowly during the day. Increase the at a pace that feels comfortable. For some, yogurt or kefir work better. Try homemade yogurt of kefir.
Allergic reactions
Allergic reactions from homemade fermented foods are rare. However, some commercially fermented foods contain biogenic amines (tyramine and histamine are common culprits). In sensitive ones they can cause a headache, depression, stomach problems, skin rash, and others symptoms. They are present in red wine, some fermented cheese, pickles, chocolate, beer and many other products. Spoiled food also contain large amounts of amines. (see this post.)
Food freshness is key—fresh vegetables and fresh meat. Avoid processed food and drinks containing the amine aspartame. Homemade fermented foods normally contain low amounts.
Burping
Burping is common when consuming probiotics, especially in the beginning. Gas is produced when the friendly bacteria enter the gut environment. This usually goes away after a few days. Try lowering the probiotic dose.
As a general rule: the more harmful microorganisms present in the digestive tract, the more symptoms when consuming probiotics.
Bloating
Bloating refers to a feeling that the stomach is swollen, full or tight. Bloating might be accompanied by a pain that sometimes is mistaken for pain in the appendix, gallbladder or heart. The explanation below is a bit long, but it might give the wider picture.
Some causes for bloating: inflammation, food sensitivity, gastritis, and IBS. In addition, overeating and not chewing food properly often cause bloating. In such cases, the problem is easily solved just by eating less and chewing well. It’s amazing how many gut problems can be solved jut by eating slowly!
Bloating can also be caused by clogging—foods that get stuck in the digestive system and produce gas. Depending on the location, the level of pain can vary. Gas-producing foods are beans, cabbage, onion, garlic, and others. But such gas production is slow: when having the next meal, gas produced from the previous meal is often the cause of bloating.
What about bloating from probiotics? When introducing probiotics, the gut environment is affected—harmful microorganisms die and waste is removed. This can clog up parts of the gut, create gas and make the stomach feel like a balloon.
Fungi and yeast (like candida) are known to cause bloating. Causes for candida can be complex. Adding probiotics can cause bloating when candida die. In such cases, go slow with probiotics! For some it might be best to wait with probiotics and first use other strategies.
Try drinking more water as this can unclog the pipes. Cut down on sugar that harmful microorganisms like candida love. For some fresh vegetable juice works well for bloating.
Blood pressure changes
Studies on probiotics show that for those with high blood pressure, probiotics can lower it. I’ve not seen any studies indicating that probiotics could raise blood pressure. Probiotics can reduce cholesterol “consuming” it which can lower blood cholesterol and blood pressure. In addition, probiotics help reduce high blood sugar which in turn can lower blood pressure.
Constipation
Some people suffer constipation because they consume too little fiber or drink too little water. Consuming probiotics can also cause constipation. Why?
Bowel movement is a main exit route to eliminate waste. But what happens if the body cannot eliminate all the waste quickly enough? The same happens when trash collectors go on strike and garbage is piling up on the streets. The whole neighborhood stinks creating a breeding ground for bugs, rats, and disease.
If the body’s cleansing system is not tuned well, or if the toxic load is too great, waste can pile up in the body and become a breeding ground for inflammation, infection, and disease.
What can be done!
Support the body’s ability to bring out the garbage! Here are a few suggestions:
- Consume chlorella in any form
- Probiotic supplements
- Fresh vegetable juice
- Intermittent fasting
- Physical exercise
- Hot baths, sauna
- Fermented food
- Eat more fiber
- Chia seeds
- Oregano oil
Diarrhea
Probiotics is often used to lessen diarrhea. However, probiotics can cause diarrhea when removing bad bacteria, yeast, virus, or toxins from the gut. Diarrhea from antibiotics is also common. In one study, 63 out of 100 people who took probiotics no longer had diarrhea after three days.
Persistent diarrhea for more than two weeks is common in children. In case of adults, the reason might be stubborn bacterial infections or candida overgrowth.
Frequent urination
Because probiotics stimulate a cleanse, this sometimes affects urination frequency, smell and color. Some suggestions:
- Drink more water and fresh vegetable juice
- Cut down on coffee and alcohol
- Consume chlorella
Headache
This can occur when harmful microorganisms die and release toxins causing headaches or muscle aches. In the case of Candida, the reaction can be stronger and it might be best to stop taking probiotics.
The violent death of harmful microorganisms often causes headaches. Probiotic headaches usually disappears after a few days. Even though symptoms are harmless, they are unpleasant. Lower the probiotic dose.
Menstrual cycle
There are some reports about women who experience how periods return after consuming probiotics. Other women have reported healthier periods when adding probiotics to their diet and some have had periods starting again after an early menopause.
It is unclear why this occurs. However, some consider it a healthy sign. Recent research has revealed that probiotic bacteria affect the body much deeper than previously thought. Friendly bacteria work on a cellular level and promote many body functions, including the reproductive organs. This might be a reason why probiotics can affect women’s periods.
Mental states
The state of the gut is as an underlying factor affecting a person’s mental state. We know that gut bacteria “communicate” with the brain via the vagus nerve. Studies confirm that consuming probiotics can improve mood. However, probiotic bacteria might temporarily worsen a condition before improvement is seen.
A natural protocol GAPS is used for autism, learning disabilities, neurological disorders, immune disorders, and digestive problems. This protocol includes probiotics. Even small amounts of probiotics can aggravate symptoms before they start to subside. Combining fermented food with bone broths is recommended by some. The recommended GAPS probiotic supplement is Bio-Kult. But Hyperbiotics and Mercola also work well.
Skin rash
A gut cleanse refers to the elimination harmful microorganisms and waste from the body. Sometimes eczema affecting hands and feet and can be related to this. Supporting the body’s natural ability to cleanse itself is important to eliminate whatever the body wants out. A body cleanse can take some time but has long-term health effects.
Symptoms of cold—sneezing, running nose
Common detox symptoms include symptoms similar to a cold or flu. Most symptoms are mild and harmless. However, in the case of candida overgrowth or bacterial infections, symptoms might be stronger. Many harmful microorganisms don’t die peacefully, but release powerful toxins as they die. These toxins can cause symptoms in all parts of the body. Try lowering the probiotic dose.
Most people have no side effects of probiotics, they just feel good. However, side effects can occur if the gut is in a poor state. Be sensible!
References
Lori says
Hi, first of all, love this website. So much important info.
Any way I started taking ultimate flora vaginal support. 50 billion with 10 strains. I took it because I have candida, mild fibromyalgia and chronic yeast infections. I also have taken anti fungal a too. After a week I had a rash on the sides of my breasts.
I have taken probiotics in the past but they usually don’t do anything. The only other probiotic that a gave me a rash was femdopholus after I doubled the dose. Then I stopped taking that.
My question is how can I tell if this is an allergic reaction or just candida releasing out thru my skin. I started to just take half a capsule and the rash doesn’t seem that bad anymore. I want to go to full dose soon. I’m hoping that I can keep taking them because it seems to be helping my vaginitis very much.
Btw, I’m allergic to penicillin, and septra. Not sure if the probiotics have any similar ingredients to that.
Thank you for your time.
Ken Silvers says
Hello Lori.
Sorry to hear about your health problems. I have a few comments on your questions:
Ultimate Flora is a high quality supplement and is most likely not causing allergy. People suffering from yeast infections and fibromyalgia need to go slow with probiotics otherwise die-off/detox symptoms can cause too many symptoms; skin rash is common. Most symptoms are harmless by can be unpleasant. In fact, fungi often cause more symptoms than bacteria. After taking a low dose for a few weeks, some people can increase the dose. Try emptying a capsule in a glass of water or juice and then slowly drink this throughout the day. For some drinking kefir or homemade yogurt works better as it is not as strong. Fermented vegetables can be too strong so be careful with those.
As you probably know, people with fibromyalgia and yeast infections need to be very careful with their diet. Focus on the recommendations that seems right for you; your body often feels what is best. Be patient! Check this post about Candida and vaginitis.
Probiotics has nothing in common with penicillin or antibiotics. In fact, probiotics is the complete opposite; antibiotics destroy gut bacteria while probiotics promote growth of friendly bacteria and heal the gut.
Additional recommendations:
1) Drinking fresh vegetable juice works well for many. Use vegetables that contain less sugar like cucumber, kale and celery.
2) Try bentonite clay which is a great way to cleanse the gut.
3) Excellent also is the GAPS diet. The recommended bone broths can be extremely beneficial to heal the gut. Broths are very simple to prepare.
Jen says
Hello,
I too recently switched from a 50 billion probiotic that I got on the Dr. Axe site and started taking Ultimate Flora 50 billion plus 10.
I’ve noticed a fishy smell and spotting in between periods as well as a neck rash and rash on my upper thighs, elbows and knees.
It’s so noticeable after sex with my husband that I thought he was bleeding on ejaculation because I wasn’t on my normal cycle.
Is this normal dying off process or do I need to scale back or see my Gyno? I believe I suffer from Candida but haven’t been formally diagnosed. I was sick from January 2015-June of 2015 and had to take multiple rounds of steroids and antibiotics. I’ve changed my eating habits as well as added vitamins.
Help?! I smell like a catfish!
Ken Silvers says
Hello Jen
It’very hard to know for sure why this happens. I’ve read reports about probiotics affecting womens periods. Friendly bacteria work on a cellular level and promote many body functions, including the reproductive organs. This might be a reason why probiotics can affect women’s periods, at least temporarily. Reducing the dose might be a good idea. And if symptoms persist, ask a doctor.
Skin rash seems to be a common symptom when harmful microorganisms in the body die. In case of candida, the reaction might be stronger and for a longer time. Again, lowering the dose might help.
Erica says
The fishy odor can be caused by bacterial vaginosis. You should go see your doctor about bacterial vaginosis and getting a prescription specifically for that if needed and then continue with the probiotic to help keep the infection from reoccurring.
C.K. says
Jen. I am sorry to hear that you are having problems. I do not wish to divulge my personal life online but I will tell you that I work within the medical field. I was very impressed with this post and thought it was very well written, and with a good amount of investigation. BUT, I do not think that Mr. Ken Silver is an actual doctor and telling someone to wait to go to the doctors, makes me very nervous. It seems to me that his answer is more of an educated guess (well-educated) but a guess, none the less. If you are having ANY SIDE EFFECTS THAT ARE CAUSING “NOTICEABLE” AND UNCOMFORTABLE PROBLEMS, whether severe or not, I cannot stress enough, TO GO AND SEE YOUR DOCTOR!!! One cannot be diagnosed over the internet, nor should you wait to see a doctor if you are having ANY effects that are causing you discomfort at any level. No offense to you Mr. Ken Silvers, honestly. My bottom line, as a practitioner, is always to advise people to seek medical attention when anything causes discomfort. You will not be bothering your gyno. I’m sure he would have no problem seeing you quickly if you were to explain your situation. Good luck and please go to your doctor. Again, no offense to Mr. Silver, as the information in this post is very complete and generally very well explained. It is a very good and honest post otherwise.
Ken Silvers says
Hi C.K.
Good comment. No offense taken.
Bea Terry says
Hi,
I have had a recurring problem with constipation bloating and gas for 2 years now. I have a healthy diet, exercise daily and have had loads of diagnostic tests all of which have come back clear. It doesn’t matter how much fiber I eat or water I drink, nothing seems to work.
I have recently started eating sauerkraut under the instruction of my nutritionist, however have found the symptoms have worsened. Is this normal? Will this be temporary or should I stop eating them? I am considering trying Kefir also but have heard this can worsen symptoms also before they get better and I am concerned because I am suffering so much already
Any advise would be greatly appreciated
Kind Regards,
Bea
Ken Silvers says
Hello Bea.
I”m sorry to hear about your problems. Symptoms in the digestive tract can be very hard to figure out. I used to have similar problems as you for many years and it took a long time to realize what my underlying problem was. Remember too that each person will have unique needs and also a unique response to food and medicine, this also includes probiotics. So what alleviates symptoms for one person can sometimes aggravate them for somebody else. Some conditions can also be hard to diagnose like inflammations, gluten sensitivity, lactose intolerance, allergies, infections, food sensitivities, yeast overgrowth, histamine sensitivity (sometimes from commercial sauerkraut) and stress. It can be very frustrating when you don’t know the cause of your problem. And even if you do know find out what your problem is, it can still take a long time to heal. The gut is very complex, like a second brain.
For some people the root of the problem is a damaged gut lining. For others bacteria or yeast is the main cause.
In any case, for many people the GAPS diet can help alleviate symptoms. The cornerstone in the GAPS diet is very simple and cheap meat and fish stocks. I have written a GAPS summary here. I plan to do another post on this since GAPS has proven very gut friendly.
Consuming meat stock daily is very nutritious and tastes excellent too. For some people this seems to quickly alleviate some symptoms, even though it might take longer to reach full recovery. Check out this GAPS site.
Besides meat and fish stock, some enjoy drinking fresh vegetable juice daily. Freshly pressed juice is packed with nutrients. Probiotics are important and can be included in some form the gut can tolerate; only very little is needed. Kefir is usually much milder than fermented vegetables, but only if the kefir is made from raw milk, not pasteurized. Fibrous vegetables like sauerkraut might not be tolerated for a while. For me the GAPS diet became a cornerstone in my diet. The meat stock seem to stabilize the gut, no matter what the reason for the problem is.
There is also a probiotic supplement developed specifically for GAPS. Read the review here. Sometimes it’s best to empty one capsule in a glass or water or juice and slowly drink it during the day. For some this does not upset the gut.
Hope this information might help a little. Please let me know how things develop.
C.K. says
No doubt Mr. Silver has done his homework! Great job on explaining things in a way that most can understand, without having to sound as though you may be explaining these things to a child. If you aren’t a medical practitioner, you should think about it! It’s quite a bit of school and school work, but very much worth it when it is all said and done. Have a great day!
Rachel says
Does eating fermented vegetables help with BV? Would you recommend starting off slow with those? I am currently taking Jarrow’s probiotics +FOS. I have tried just about everything and have been trying to find a natural approach as antibiotics have not been helpful
Ken Silvers says
Hello Rachel.
BV can be very stubborn. Be aware that several factors are often involved when developing yeast or bacteria infections.
Several studies has shown that probiotics can be very effective to alleviate symptoms, especially if it contains large amounts of lactobacillus bacteria. I’ve not tested Jarrow but it seems a bit low on the needed bacteria strains. And I’m not a big fan of consuming FOS. A powerful probiotic supplement can help improve the environment where yeast and bacteria will not thrive. I’ve tested a few very effective probiotic supplements . Starting out slow is always a good idea when dealing with bacteria or yeast. Die-off symptoms are common and can be unpleasant, but it’s harmless.
However, probiotics are not the only treatment. For example studies reveal that many BV sufferers are vitamin D deficient. Other recommendations: Not consuming sugar and grains; control stress; be careful with “feminine” products as many are way too harsh and filled with toxins; cranberry juice works well for some; wearing loose clothing can be helpful; douching with apple cider vinegar can soothe infections – 3 tablespoons of raw organic apple cider vinegar mixed in a quart of water.
shonnie watts says
I’m reading your question, and honey try the Renew Life probiotics…try the 90 billion…I swear by this product!!! good luck!!
Aurora says
Hello! i just found your website while looking for information on how to remedy the allergic reaction i had to probiotics i began taking a couple of weeks ago (and have since stopped).
I experienced the reactions you mentioned above: Serious allergic reactions include facial swelling, lip swelling, hives.
I went to my doctor and he prescribed a steroid treatment which helped with the swelling. However i am still experiencing hives/itching although able to alleviate by taking benadryl capsules.
Do you know of another way to alleviate? do i just need to let this work out of my system or should i go back to dr? i do not want to take any more steroids.
Thank you in advance.
Ken Silvers says
Hello Aurora.
Sorry to hear about the reaction, it can be frightening to experience. Much depends on what caused the reaction. It can be wise to check if the probiotic capsules contains any substanses that can be the cause; sometimes the cause is not what you think but completely another. Causes of allergic reactions are hard to determine also because some reactions can occur hours after consuming a trigger. Check this post on this.
In any case, it’s wise to stop eating whatever you suspect to be the cause of a reaction; never take allergic reactions lightly!
It is hard to be specific about how to treat an allergy when you are not sure of the cause. In addition, allergy is a complicated topic and each individual is unique. But I know many who have alleviated similar problems by following a simple protocol to cleanse and heal the digestive tract. Here is more info on this.
Sorry I can’t be of more help.
Vrushali says
Absolutely brilliant information on this website.
I started taking probiotics because I read somewhere that it can help in depression and other mental issues.
It’s been 5 days since I’ve started taking them and I feel very heavy in my head and feel extremely heavy in my eyes. I also have constipation …
I have become less tolerant and there for more angry …
I’m taking the renew life ULTIMATE FLORA 90 billion 12 strand probiotic ..
Should I take a lower dose probiotic or continue this for a month and then see.
Will this affect my periods
Thank you so much
Ken Silvers says
Hello, Vrushali.
Yes, most people who experience such symptoms lower the dose for a while until symptoms are gone. Then they try to increase the dose see how they feel. The supplement you take is considered high quality and effective. Most women experience no change in their periods.
Dee says
Hi there… Can you advise me on a probiotic to start with? I changed my diet in January and I have lost about 20 pounds. But the change has given me horrible bloat and uncomfortableness. I am not constipated but occasionally miss a day here and there. My doctor suggested I take one but there are so many I wonder about the quality. Thank you
Ken Silvers says
Hello Dee.
There are several very good supplements; I’ve tested a few here on my site. To start with Now Foods Probiotic-10 is very good and with a lower price. Now Foods is a good supplement to start with.
KimberlyK says
I started giving my 3 year old Renew Life Ultimate Flora for general well-being and possibly help with irregular BM. She started a fever that has been going on for a couple days. She has no other symptoms and still very active. She has no existing medical conditions. I realized this coincided with starting the probiotic. I have stopped it as I don’t want to hurt my child. I am not sure why the probiotics would cause a fever.
Ken Silvers says
Dear Kimberly.
I can understand your concern. There are reports about fever occurring when taking probiotics. But it’s not easy to say why this happens in each case. Studies confirm that probiotics for children are very beneficial, especially for gastrointestinal problems. Children collect and carry more germs than adults. Is has been suggested that the body temperature can temporarily raise when probiotics cause harmful germs to die. Such side effects are temporary and harmless. But this is a reason why minor side effects like gas, bloating, loose stool, fever or skin rash are common when taking probiotics.
Another rare reason for fever: certain probiotic bacteria stimulate immune cells in the gut (where 80% of the immune system is located). This is beneficial. But for people with autoimmune diseases, large probiotic doses might overstimulate the immune system causing fever.
To avoid most side effect some people have lowered the dose with good results. They dissolve the contents of one capsule in a glass of water or juice. Then consume a teaspoon or so a few times per day. After some time they can increase the dose without causing any side effects. This is a good sign that the gut environment is improving. Renew Life Ultimate Flora is a good choice.
Ta le says
Dear Mr. silver. My brother had who is 56 yrs old. Had kidney transplant about 4 years ago. He’s also is a diabetic, also have bad gout. Well about 6 months ago he gas his toe amputated and being a diabetic his toe wouldn’t heal so they just did below the knee amputation. His wound is healing but very slow. I’ve been given him organic kefir ( store bought) I know home made is better but he won’t drink home made kind so I guess store bought kefir us better than non at all. I also bought him sone probiotics to take, but he said when he takes probiotic he would have a hard time breathing, like shortness of breath. Could you please tell me why? He’s also taking anti-rejection medication too. I’m thinking maybe he’s allergic to probiotics?
Ken Silvers says
Hello Ta le.
Sorry that it took me so long to respond, but I’m on vacation at the moment and for a while I had no network connection.
I’m sorry to hear about your brother. I can understand your concern. Even though probiotics are very safe, in cases of such a serious health problem, it is good first to consult with a doctor.
Most people only get very mild symptoms from probiotics. But in case of being immunosuppressed after an organ transplant, stimulating the immune system with probiotics can cause serious reactions. In this case it might be better to use another, safer strategy to strengthen your brother’s health. Vegetable juicing has worked well for many. But again, consult with the doctor first.
Elena says
Hello,
I have self-diagnosed myself as having a candida overgrowth due to chronic BV. I realized that my love of wine and regular consumption was feeding the problem.
So, I have been on the Anti-candida diet for over a month already and used antifungals such as coconut oil, oregano, tumeric, etc.
I would like to introduce Probiotics now. Is 50 billion CFUs too much to begin with? Specifically speaking of Renew Life’s Ultimate Flora Critical Care. Is it too much? Should I rather start with 10 or 20 billion?
Looking forward to your reply!
Thank you – Elena
Ken Silvers says
Hello Elena
Nice to hear that you have been able to follow a strict diet. This is not easy, especially for wine lovers. Well done! It helps to remember that a strict diet will not last forever. If you can control candida, then you will be able to enjoy wine again.
About the probiotics. This varies from person to person. Most people need to go very slow when introducing probiotics. If you take too much the reaction can be very unpleasant. Try dissolving a capsule in a glass of juice or water and drink a little now and then during the day. Choose a low CFU. Later you can increase the strength.
Anne says
Hi there, I was “off track” for a few weeks when i decided to try taking a probiotic for digestion. It definitely helped get me back on track, but after 2 weeks of taking it, I felt symptoms similar to the start of a UTI. It never progressed into anything painful, just mild. So I stopped taking the probiotic and after one week off, it now seems like I have a yeast infection? I’ve had discomfort throughout the short period of time I’ve taken it to even after a week of stopping. This all seems to be related to the probiotic, but have you heard of these side effects? I know they usually aid in getting rid of a yeast infection but can someone actually get one from taking probiotics? The timing is too coincidental for me to think it would be something else.
Ken Silvers says
Hello Anne
Yes, other have reported similar symptoms. Probiotics improve the bacterial balance in the digestive tract. This process can take a while depending on the gut condition. Therefore, the effect will continue after you stop taking probiotics. However, if there are yeast or other harmful microorganisms present, this can cause the symptoms you mention. Of course, it’s impossible for me to say in your case, but this is what has been reported. UTI symptoms are common. Some specialists recommend that if you suspect yeast like candida, then you should be careful with probiotics, perhaps taking only very small amounts. Often it’s best to follow a more thorough candida protocol for this. In some candida cases, probiotics are not recommended at the beginning of the treatment since the side effects can be too unpleasant. Sorry that I can’t be of more help.
L'Oreal says
Hi, how long can side effects last after you have stopped taking probiotics. Thank you, great info and site!
Ken Silvers says
Hello. In studies, the probiotics bacteria consumed remained in the stool for up to two weeks after they stopped taking it. In most cases, this might be the time frame you are asking about. However, the gut is a very complex matter involving diet, the level of stress, antibiotics, medicine, smoking, vaccines and more. Therefore, two weeks is an approximation.
T. Day says
My naturopath gave me a probiotic to help after suffering from diverticulitis. I took one capsule at night and the next day felt a little dizzy. The second night I took another and immediately had severe dizzy spells, tingling in my hands, and my lips started to feel numb. I suffered incredible nausea and abdominal pain for the next 7 hours and was not able to fall asleep until the next morning. Two days later I suffered from explosive diarrhea and I refuse to take another probiotic because my life cannot be disrupted like this. Surely these can’t be normal side effects…
Ken Silvers says
Hello.
Yes, such reactions do occur sometimes and they are very unpleasant. Diverticulitis can be a reason, as can the presence of harmful bacteria or yeast; inflammation is another common factor. In any case, it’s clear that the dose was too much for you. But it does show that the probiotics are working and that there is a need for it. A general principle is that the stronger the reaction to probiotics the more you need it. But sometimes large doses of probiotics can speed up the process too much; it’s like tossing dynamite into a rats nest, it causes chaos. It’s better to go slow and controlled. Some people have found it helpful to empty a capsule in a glass of water or juice and drink a little now and then during the day. This slows down the process considerably. In some cases, it might even be best to first make some dietary changes and only after that try probiotics. The goal is to improve the gut environment slowly and controlled.
Andrea says
Hi –
Great site thank you! I started Ultimate Flora Womens 90 billion probiotic and have been on it 53 days. The first 2 weeks I experienced some bloating and stomach issues but then it all calmed down.
For the past 3-4 days – I’m having abdominal pain just below my belly button area, constipation (which I never get usually it’s the opposite) and actually went to the Dr. She said after no tests and a very brief exam that I have IBS and sent me away with a script. Nothing has changed with my diet since I started the probiotic. Would it be normal to experience a 2nd round of die-off symptoms from taking it after this long?
Ken Silvers says
Hello Andrea
Sorry to hear about your pain. Yes, some people have reported something similar. The digestive tract is very complex and probiotics will slowly improve the gut environment. But depending on the gut condition this can go quickly or take many months, for some even years. If the gut contains ‘pockets of resistance’ like inflammation, infection, parasites, toxins, or heavy metals in the gut, it can take longer. It can also take a long time, sometimes a year, to repair the gut after antibiotics. IBS is a broad term, often used when it’s hard to pinpoint the cause of gut symptoms. People suffering from fatigue, fibromyalgia, are mercury toxic, have candida, might needs years to fix a damaged gut. They are also often very sensitive to large doses of probiotics, so they need to go very slow. The same is true with sufferers of autism, ADHD and similar conditions; they often have severe gut problems. In any case, if symptoms are bothering you, some people have tried to take a break from probiotics for a week or two, then start again. Or you can try taking a capsule every second day and see if symptoms will disappear.
Muhammad says
I have been going to the toilets between 6-8 times per day for the past year almost with some mild pain in my lower left abdomen and hip. The stool is not not watery but the number of times I have to use the toilets per day that bothers me. Sometime it becomes a real urgency that I have to rush to the nearest loo. On a few occasions I have also been experiencing mild constipation. I also pass wind quite a lot during the day and also burp a lot. I tried to drink a lot of water, doing some exercise but nothing has improved my situation. I have started to take one probiotic capsule every morning for the past 2 weeks but haven`t seen any improvement. I would also add the I have done 2 colonoscopies in the past 6 months to remove 3 polyps. My real issue is that I use the toilet too often. Any advice will be most welcome and thanks in advance.
Ken Silvers says
Hi Muhammad.
I’m very sorry to hear about your problem; it sounds most inconvenient. Unfortunately, I’m not in a position to make a medical diagnosis, that’s something your doctor should do. There are a number of conditions that can cause such symptoms—intestinal polyps, inflammation, and infections and many other. In some cases probiotics are extremely helpful. Do you know the root cause of your symptoms, or what condition exactly you are treating? If polyps are the cause, then some studies suggest that consuming probiotics can indeed be very beneficial; and also fresh vegetables, vegetable juice, nuts, garlic, green tea, coconut oil and fiber. Processed food and sugar should be avoided. Sorry I cannot be of more help.
Sandy says
Hi Ken,
My psychiatrist recommended I try probiotics for my treatment resistant depression. I am on my 4th day of taking Megafood Megaflora (20 billion CFU). So far no major side effects, just slight headaches and smelly perspiration…
I have noticed since day 1 that my stools contain what appears to yeast overgrowth. Is this my body’s way of expelling the yeast killed off by the probiotics, or are the probiotics causing the yeast overgrowth?
Thanks for such a straight forward and easy to understand article!
Ken Silvers says
Hello Sandy
Studies show that probiotics can influence the emotional health and help control depression. Research has revealed that gut inflammations affect the brain. Therefore, many sufferers of depression, ADHD, autism and many other conditions, often have problems in the digestive tract. Consuming probiotics is one way to improve the gut environment. However, your symptoms are quite common and in most cases last for a few days to a week. However, in case of candida overgrowth it’s recommended to consume low doses of probiotics, otherwise the reaction might be too unpleasant. Some people have found it helpful to empty a probiotic capsule in a glass of water or juice and drink this slowly during the day.
Other suggestions to improve the gut include limiting consumption of sugar and carbs; consumer more healthy fats like avocado, coconut oil, olive oil; avoid processed foods and soda; vegetable juicing can be very beneficial, as can intermittent fasting.
Sandy says
Thanks for your reply. Both my psychiatrist and I are hopeful that improving my gut will help with my depression.
However, before taking prebiotics, I never noticed the (this is gross) white clumps in my stools. Doing research on the internet about this is what made me suspect yeast overgrowth. Other than that no unpleasant reactions.
So is the change in stool my body’s way of expelling “junk” from my gut that the probiotics have affected?
Mike Dunn says
I have ulcerative colitis which is currently flared up> I was going to a natural-path doctor and she strongly advised me to get a probiotic. So far I’ve tried 5 different one’s. I am currently trying Renew Life, I started with Colon Care 80billion that was definitely too potent it increased my diarrhea dramatically and caused severe pain in my large intestine from the left side to right side a tremendous burning sensation. I then returned that and am currently using the 30billion adult 50+. I still have the diarrhea bad but after taking this for 20 days I’m developing pain in the left side of my colon and it is very tender. I’ve been trying to look up side effects and don’t see pain I do see diarrhea though. I am wondering if this dose is too potent and should I try the 15billion dosage of the Renew Life. I really need to get the severe diarrhea under control and this severe pain on the left side. Would you agree to lower the dose or ride this dose out, since my ulcerative colitis is active I know I have more bad flora than normal people’s intestinal area and it would take longer for it to help my gut.
Ken Silvers says
Hello Mike
Sorry to hear about your condition. In cases of inflammation, infection and some other conditions, many people have found that they can take only small doses of probiotics to avoid severe reactions. Some empty a probiotic capsule in a glass of water or juice and drink this slowly during the day. After some time they try again to take capsules. However, in severe cases and strong reactions, it might best to stop taking probiotics and use other strategies to improve the gut. After this, probiotics can be reintroduced. Probiotics are excellent but should be complemented with other strategies as adding fibre, vegetable juicing, lower intake of sugar/carbs, adding healthy fats and so on.
Mike D says
Thanks so much for you information and knowledge on this subject, I will try your suggestions!!!!
Amber Kanallakan says
I have been taking probiotics consistently for the last 4 weeks. I experienced a few die off symptoms in the first week but then felt great. Two days ago I woke up with a raging UTI. Could it be more die off? I am on an antibiotic now and am disappointed that I’ll have to “start over” with building up my good bacteria again.
Ken Silvers says
Hello Amber
Sorry to hear about your problem. Yes, flare-ups sometimes happen when taking probiotics. In many cases probiotics seem to cleanse the digestive tract in “waves” that comes and goes depending on the gut condition. Therefore, it can be a good sign that the probiotics are at work. However, each individual is unique and it’s therefore hard to say what the reason is in your case. But I can share what I know.
Reports show that very often UTI is cause by E. coli bacteria. E. coly bacteria can be stubborn since they are able to stick very stubbornly to the inner walls of the bladder and other organs. Therefore, they cannot simply be flushed out from the body. Probiotics promote good urinary tract health by creating a healthy environment and by driving out harmful microorganisms; this can take a while. However, additional strategies might also be needed. In the case of e. coli, D-mannose is very effective and for some has resolved this in two days; drink much water or vegetable juice; take showers instead of baths, avoid Jacuzzis. Probiotics are essential when on antibiotics, but take the probiotics as far from the antibiotics dose as you can. Try a probiotic designed for UTI as the Hyperbiotics-PRO Women. It contains cranberry extract which for some people is effective for UTI.
Murielle says
Thank you so much for this good explanation. I am currently looking for taking a probiotic. I have candida, and leaky gut (one with another), and I need to heal the leaky gut. But it is hard because of Histamine reactions.
I wanted to know if this probiotic would cause histamine reaction, knowing that there are good probiotics for it and some (lacto…) not so much. I am also wondering if I should first restore my gut and then take this probiotic. First I wanted to do it with kefir, but impossible with histamine.
Also, do you have to take a probiotic with a pre biotic? and is it obligatory to kill the candida with another anti-fungal or probiotic could already help a lot (with food of course).
I thank you in advance.
Best regards
Ken Silvers says
Hello Murielle
Sorry to hear about your problem. I’ve not seen so much research done on this question, if certain probiotic bacteria increase histamine levels in humans. Please keep this in mind.
Many microorganisms can produce histamine. Some are candida, E. coli, Lactobacillus bulgaricus, S. thermophilus and many others. But other bacteria prevent histamine from forming. Examples are Bifidobacterium infantis, Bifidobacterium longum, Lactobacillus gasseri, Lactobacillus rhamnosus, Lactobacillus plantarum, Lactobacillus salivarius.
So what happens when histamine producing and histamine preventing bacteria are combined in a supplement? Will histamine level increase or decrease? This might be impossible to predict in each individual case. The digestive tract is increadby complicated containing trillions of microorganisms and hundreds of species that form a complex ecosystem. This makes it hard to predict exactly how each one of us will react to any supplement. The only sure way is to try and find out. Of course, one should always be careful and sensible, especially in the case of allergy and other serious conditions.
Candida overgrowth usually requires a specific protocol. Taking a strong probiotic supplement for candida can cause unpleasant symptoms. Therefore, go very slow!
A scientific reference.
Julia says
I have just started taking probiotics a few days ago. I put it in orange juice and just drank it right down every morning. Almost at the same time I started, I have been having pain in the top of my chest every few minutes to 1/2 hour, lasting only 3-4 seconds and occurs with gas in my chest. Gas bubbles accompanying the chest pain, made me concerned about my heart, but after reading this I wonder if it is just from the probiotics. I have these gas bubbles in my throat constantly and I have had increased flatulence. I started taking them because I have bloating after any meal, even though I don’t eat very much. I also have GERD, which is not symptomatic until bedtime. I chew a DGL before bed. It contains 3 strains, Lactobacillus gassen, Bifidobacterium bifidum and Bifidobacterium longum. The chest pains are right in the center, between the breast, almost in line with my armpits, where my breasts attach to my chest, on my sternum. Where you would press for CPR. Can this be the cause of my chest pain?
Ken Silvers says
Hello Julia
I’m sorry about your problem. The formation of gas is very common when taking probiotics, so are your symptoms. For some this lasts only a few days, while for others longer. A general rule is that the more harmful microorganisms or inflammation in the gut, the stronger the reaction to probiotics. In case of candida, the reaction can be very unpleasant.
Therefore, the recommendation is usually to lower the probiotic dose to avoid symptoms. Try dissolving a capsule in a glass of water or juice and drink this SLOWLY during the entire day. If this does not help, then avoiding probiotics might be the only way. Many people have found that it’s sometimes best to use other strategies first to improve the gut condition and only after this continue with probiotics. Such strategies often include intermittent fasting, vegetable juicing and daily bone broths (excellent!).
However, if you are worried about a possible heart problem, then please get in touch with your doctor just to make sure. Chest pain should not be taken lightly.
CHERYL says
Took 100 Billion probiotics for 2 days. On 3rd day started diarrhea, which has lasted 7 days so far. Also vomiting, coughing, sneezing, runny nose, itchy throat & ears. Stopped taking probiotic as soon as symptoms started, but they persist a week later. The diarrhea is really getting to me. Drinking lots of water & sugar POWERade. Eating light. So tired. How long should this last? Obviously, I started with much too high a dose. Advice appreciated.
Ken Silvers says
Hi Cheryl
Sorry to hear about your reaction. Hard to know why, but such reactions can be caused by a number or reasons such as candida or other infections or inflammation. Starting off slow with probiotics is wise; increase the dose when there are no side effects. In case of a poor digestive tract symptoms include those you experience. It can take 6 months or more to reestablish a normal gut flora and might require a complete strategy, not just probiotics. With such a strong reaction, you need to be careful with probiotics. Some people dissolve a capsule in a glass of water or juice and drink this slowly during the day. Sometimes the gut does not like a specific supplement (might be the lactobacilli bacteria); bifido usually is OK.
natasha says
Can I put a little bit probiotic in water and slowly increase the dose over weeks since one capsule in a day makes me really sick
thanks
Ken Silvers says
Hello Natasha
Yes, this is someting specialists sometimes recommend. Try empty a capsule in a glass of water or juice and drink this slowly during the day. If you use a strong probiotic supplement with 100 billion or more CFU per capsule, then you might need to drink less than one capsule per day to avoid symptoms. Much also depends on how sensitive your gut is.
Sharlene says
Hi,
Been taking Renew Life Ultimate Flora 90 Billion for about 20 days now…no side effects and I am thankful…However, I missed my period this month. Keeps feeling like its coming but still hasn’t. I read where you stated that probiotics can affect the menstrual cycle but does it completely stop it? Thanks so much!
Ken Silvers says
Hi Sharlene
I must confess I’ve not seen any reports about this happening to healthy individuals. Some reports say that probiotics can speed up recovery from inflammation, infection and hormone imbalances and this can sometimes affect the menstrual cycle. But I’ve not ready anything about why it should stop. However, that you have no side effects is a good sign that the digestive tract is in good shape. If you are worried, you could try to make a break with the probiotics. Sorry I cannot be of more help.
Ellen Conley says
I been to the doctor with bleeding after menopause and I wrote in my paperwork I am taking a probiotic (floragen 3) and before that pro-Bio 5. I even had a paps and ultrasound this week. ( no result on the ultrasound yet had that yesterday) I AM SURE NOW IT IS THE PROBIOTIC, dank wish I had seen this site earlier. Why didn’t the specialist catch this? I have also had the flu-like symptoms, and very itchy skin, but my constipation seems better and bloat somewhat better. I had muscle ache and headaches too, I think it must be working, ridding bad stuff and this is the reaction, maybe I should stay with it? I been on a probiotic for about a month 2 weeks with floragen 3. Waiting for my results on the ultrasound today. I look back on it 4 years ago (2013) I had this I was on floragen( I remember it I was remodeling my kitchen and one of the contractors brought up floragen 3 and remembered I had some in my fridge yet) then and had bleeding problems and had to see this same specialist and she tested me for cancer, poked and prodded me and I had a surgery, D and C and burned off polyps she said with a hysterscopy surgery. Could polyps be formed because of the probiotic? wow this site opened my eyes, thanks! I have some prolaspe and now with this bleeding I am 1 step from a hysterectomy, which I do not want and she is pushing for with the bleeding! Help
Janet says
I have histamine intolerance and love Biokult but has L.Casei in which increased HI. However I did find it good and I do prefer a probiotic without prebiotic in.
However at the moment I am finding that no probiotic seems to help my bloat – first four days bloat goes down then after that it’s worse than ever and then I feel like my whole body goes up a size – like I’ve gained weight – is this normal and would it eventually go back to normal
Ken Silvers says
Hello Janet
Sorry to hear about your histamine intolerance. This can be a tricky problem to control. Yes, you are right, some beneficial bacteria can affect the histamine levels. However, in the case of L casei please read this. Bio-Kult is a great supplement that I’ve written about.
The problems with biogenic amines are very complex and require research and some trial and error. Check this post about it. It seems that each person with HI will have a unique response and needs.
Larry says
Started Probiotics-10 Acidophilus a few weeks ago, taking one capsule daily. After a week the dreaded side effects arrived: bloating, gas, fatigue, chills, low grade fever, lose of appetite, and brain fog. I stopped taking the supplement and symptoms have persisted for the last two weeks. I know it is difficult to predict with any accuracy how long theses symptoms might continue, but do you have any recommendations on foods or drinks that might relieve and/or hasten the process. I feel like a recluse stuck in the house not able to engage in my usual exercise and sports activities. Have there been recorded studies on how exposure to sunlight might worsen the side effects of probiotics? Thanks for your help.
Ken Silvers says
Hello Larry
Sorry to hear about your symptoms. Although common, they can be uncomfortable. How long do they last? Well, in most cases from a few days to a week, but sometimes longer. Taking probiotics initiates a series of changes in the gut that can affect the entire body on multiple levels at the same time, even how certain genes are activated. But this also makes it hard to know for sure the reasons for symptoms or side effects. Probiotics promote a number of changes that can continue for some time after you stop taking it. It’s like turning off a fast-rotating fan – it does not stop turning immediately but continues to spin for a while until finally stopping completely. When you stop taking probiotics, the processes already started will not cease right away but subside slowly.
Can symptoms stop even if a person continues to take probiotics? Yes, in many cases they will. However, if it feels best to stop, then that’s what should be done. Some people need first to engage in a diet aimed to improve the gut before they go for probiotics. Bone broths, vegetable juicing, intermittent fasting are all simple strategies that has helped many. Others report good success just by lowering the probiotic dose. Empty a capsule in a glass of water or juice and drink this slowly during the day. If there are no side effects, do this for a few weeks until trying to take a capsule again.
In the great majority of cases, probiotics side effects are completely harmless. In scientific reports, gas, fatigue, bloating, brain fog, constipation, skin rash, short-term diarrhea etc are all considered “minor” side effects. Serious side effects are very rare and can be experienced by those suffering from serious infections/inflammations, adrenal fatigue, are immune compromised, premature infants, short bowel syndrome, central venous catheters, or cardiac valve disease, autism, ADHD, and others. Such individuals should consult with a health professional before engaging in probiotics. For these protocols as GAPS or similar might work well.
Much is still unknown about how the different probiotic bacteria types interact with the body to promote gut health, stimulate the immune system and treat/prevent disease. However, most agree that consuming probiotics is a cornerstone for good health.
Ellen Conley says
also brain fog and very tired!
Stephanie L. says
Hi I just started back taking Probiotics, I use to taking the Pearl 1 billion probiotic 2 years ago had no problem with taking it and I stop for 2 years and started back up last Friday taking the Ultimate Flora 50 billion and by that afternoon I was bloated, gas, burping, diarreha and was bothered with acid reflux very unpleasant. I only took it that one day and after 3 days my stomach settle down. So I tried taking Probulin Probiotic 10 billion, I took it yesterday had no probelm and took my 2nd one this morning and the samething happen around noon with the bloating, gas burping, and going to the bathroom not diarreha nor constipation but in between if that makes any sense and acid reflux not as bad as the first time. So do I need to start off with a lower dosage or take it every 2 days? Is the Pearl worth taking, I had no problem taking it? What is the purpose for bone soup? I was thinking about trying it, dealing with this acid reflux I do not have an appetite to eat.
Ken Silvers says
Hi Stephanie
Sorry to hear about the side effects. The digestive tract is complex and it’s hard to know the precise cause of side effects. However, one thing is clear, Ultimate Flora is much more powerful than the Pearls you had and an increased dose can trigger many symptoms. Side effects are for most people harmless, just very uncomfortable. Most specialists recommend lowering the dose or stop completely and then restart again but with a much lower dose. For some people, the gut needs more time to adjust, especially if there are harmful microbes present. For example, candida can cause very strong side effects; in this case, it’s best to start with other, milder strategies before taking larger doses of probiotics. Bone broths are one such strategy.
Some people have found it helpful to empty one capsule in a glass of water or juice and drink this slowly during the day. If there are no or only very mild symptoms, then they keep doing this for a few weeks until they decide to try a whole capsule again.
Bone broths have proven excellent to stabilize an upset digestive tract. It’s simple and cheap to make but is packed with the specific nutrients that help seal and heal the gut lining. This strengthens the gut against harmful microorganisms, prevents a leaky gut, and prevents inflammation which can cause many problems.
About Acidophilus Pearls. They provide 1 billion CFU of Lactobacillus acidophilus and Bifidobacterium longum. These two probiotic bacteria strains have been much researched and have much clinical support, so they are good choices. However, there are reports of poor batches from this company so I recommend caution. You are better off with a higher quality supplement like Now Foods Probiotics, Bio-Kult or Dr Mercola. Renew Life Ultimate Flora is one of the best probiotic supplements on the market, very high quality, very potent. That’s probably why you feel it in your gut.
Stephanie L. says
How much water or juice for one capsule?
Stephanie L. says
And is Probulin Daily Care 10 Billion Probiotic Capsules a good brand to take? I just purchased it last week. If it isn’t worth trying to finish then I will buy one of the ones you recommended.
Ken Silvers says
I haven’t reviewed Probulin so I’m not familiar with this brand. But just from checking the ingredients and Probulin homepage it looks OK.
Ken Silvers says
Just a normal glass is fine. The idea is to consume a very small probiotic dose each time you drink. Drink a little every hour or two; the glass should be empty before bedtime. For many, this works well. However, if symptoms are still bothering you, lower the dose even more; perhaps one glass during two or three days.
Steve Pardue says
I just started taking “Nature’s Bounty Ultra Strength Probiotic 10” and have been getting dizzy spells in the morning when I get out of bed and just today after watching a 2-hour movie on the sofa I stood up and felt very dizzy.
I used to take “Tru-Biotic” by One-A-Day and never had any problem.
I do know I have low blood pressure and I read that this product could lower your blood pressure so I;m guessing that it is, in fact, the Probiotic 10 that is causing my problem and I’m wondering if I should just quit taking it altogether and if it could be dangerous for me since I already have low blood pressure?
Ken Silvers says
Hi Steve
Very hard to know for sure what the reason is. Studies show that probiotics are able to normalize high blood pressure, but usually, don’t affect those with low blood pressure. However, Nature’s Bounty may not be of the best quality. One lab recently measured 97% less viable bacteria than stated on the label. This means that the capsules are basically useless. Check this post for more info on probiotics and blood pressure. Now Foods is better, as is Hyperbiotics.
Chrissy says
I love the information! Last year I was diagnosed with Lyme disease and I was on antibiotics for close to 2 months. After my treatment, I ended up with a lot of food allergies. Basically, I can only have white bread, dairy, and meat. No fruits or vegetables. A week ago I started taking probio5 that also has vitamin b6 and grapeseed extract. After about 4 days of taking 2 pills before going to bed, I started getting really bad joint pain in my arms and legs like when you have the flu.
My question is, should I stick it out or discontinue the probiotics?
Ken Silvers says
Hello Chrissy
Sorry to hear about your Lyme disease; it can be nasty. I had it myself 10 years ago. It seems to differ from person to person how Lyme expresses itself, but joint/neck pain and flu-like symptoms are common. It took me over one year to heal completely. I did not have any antibiotics, only a skilled homeopath. Briefly a few suggestions: Experts say probiotics are vital with Lyme and after antibiotics, as much as you can take. You may want to try a more reputable probiotic brand. It can take a long time for the digestive tract to recover fully; be patient. However, a good recovery strategy must include more than just probiotics. For some bone broths and vegetable juicing works very well. Lots of rest needed; if tired don’t push yourself. Many Lyme sufferers are also low on minerals. Exercise is important; some think, intense bursts are best, not long and slow. Some recommend sauna every week as increased body temperature kills off any bacteria left and support healing. Coenzyme q10, fish oil also good. Try what works best for you.
Check this article.
Chrissy says
Thank you for the great info! I was diagnosed a year ago thinking it would be done with by now.
sufferer says
Does Probiotic helps with smelly scalp? I do not have candida.
Ken Silvers says
I has long been known that probiotics bacteria promote supple skin. Microorganisms living on the skin can get out of control and cause many skin problems. Studies has shown that gut bacteria can “communicate” with the bacteria living on the skin. Therefore, consuming kefir, yogurt, fermented vegetables or even a probiotic supplement is a good way to promote healthy skin. However, there are also skin care products containing good bacteria that can be applied on the skin. But I’ve not reviewed any of those products yet, but it might be worth trying.
Zismail says
I took probiotics for a month, after 5 days of starting it, i start having very bad acid reflux, and burping. I did stop ten days ago, still have the symptoms and I am wondering how long the side effects last.
Thanks,
Ken Silvers says
Hello Zismail
Sorry to hear about your symptoms. Such side effect to probiotics often means there are gut problem, perhaps some bad bacteria or inflammation. Probiotics help improve the gut environment, but this can take a long time if the gut is in poor condition. For exapmle some people need more than six months to restore the gut after taking antibiotics. In case of candida, a more thorough protocol is needed and it can take longer. In any case, some people say that bone broths quickly calm an upset stomach. It’s sometimes very hard to know the exact reasons for symptoms; visiting a good health practitioner is one way to determine that.
Titilayo Fashola says
Hello,
I so love the information you provided and thank God I came across this site.
I just started fermenting vegetables and made some sauerkraut. Though I didn’t measure out to the letter, I feel it’s doing well. And I started eating half a forkful at about 7days of fermenting.
Felt okay the first 3 days then noticed bloating, constipation, a feeling of liquid wanting to come back into my mouth from that feel of everything being at standstill in my stomach, and yes…sneezing (very surprised). But u know what, apart from those, I actually feel OK.
Here’s how I take it… By the way I am fasting the Muslim fast. So in the evenings, eg 7pm, I break with half a forkful of sauerkraut, then eat fruits after 30mins (I read it’s better this way ie on an empty stomach). I later eat a light meal, go to sleep and wake to eat between 4.30-5.20am. Then no food till I break with half a forkful again in the evening.
So the bloating stays all day and I am constipated a bit, waiting for my period but that has a history of being unpatterned.
Is this okay? Especially the feeling of wanting to burp and then it’s more like liquid instead of gas? Maybe I should reduce to quarter forkful or no sauerkraut for some days. But I am tempted to believe that it’s working, that’s why I am having all this. Or is it because I am fasting?
Quick one: I have always had digestive issues… From ulcer to IBS diagnosis but I really feel better than I used to when I started the sauerkraut. And I was recently told I had subcutaneous appendicitis and my doc said no antibiotics till it became acute. But since I started the sauerkraut, the discomforts in that area disappeared too. ?
Ken Silvers says
Hello
Sorry about your gut problems. All symptoms you mention are quite common, though unpleasant. Sometimes the digestive tract is very sensitive to probiotics. This usually depends on the condition of the gut. Things like inflammation, the presence of unwanted microorganisms, bacterial imbalances and especially antibiotics play a big role. A problematic gut needs to be worked on slowly and gently until it improves. For some this might take months. After taking antibiotics some people need 6 months to a year to fully recover.
Lowering the amount of fermented vegetables consumed is one possibility, as low as needed until most symptoms disappear. For some this means a teaspoon or so with a meal. Others have reported that they had to engage in other strategies before moving on with probiotics. Bone broths and vegetable juicing seem to work well for many. Then probiotics can be introduced later when the gut has recovered some. But you just need to try and see what works because each individual is unique.
Another factor that for some might be an issue is digestive enzymes; a lack of enzymes can cause bloating, constipation and many other symptoms. The remedy for such ones is fairly simple – just add enzyme rich food and take a good supplement.
Titilayo Fashola says
Thanks. I did go off the sauerkraut for about 5 days. After that, had persistent heartburn and now changed to being bloated in my stomach. Heartburn no more…for now. I have to get myself to eat cos of the feeling of fullness. Quite uncomfortable but no other pain.
Trying chamomile tea and also gingerroot tea cos I heard they are good for bloating. Made bone broth too. Which veggies do you recommend I juice?
Took a sip of sauerkraut juice this morning and felt a bit better throughout the day but once I tried eating this evening, bloating comes back….uuugh!
Titilayo says
For someone with a compromised digestive system, I have started taking sips of my sauerkraut juice every morning with food. Now that t my Dill pickle is ready, I want to know how to regulate it consumption with the sauerkraut? Alternate days or I wait till I finish the sauerkraut? Had a lot of heartburn and bloating previously with the half fork of sauerkraut on an empty stomach.
Ken Silvers says
Hello Titilayo
Sorry to hear about your gut problems. Much depends on how the digestive tract i compromised. Some conditions makes consuming probiotics hard and such people need to take only very small amounts of probiotic food (a teaspoon juice or so) once every 3-5 days for some time; then the dose can be very slowly increased to once a day. Probiotics can produce a die-off effect which releases toxins causing symptoms. Many report that consuming small amounts of meat stock serveral times per day can help stabilize the gut. For some the GAPS approach works well.
Cheryl says
Hi I have recently started taking Nourex Professional Probiotic X50 & am experiencing mild gut pain. From what I’ve read on here should I have started on a much lower dose of Probiotics ? I don’t want to stop them but don’t want to feel like I am either.
Ken Silvers says
Hello Cheryl
Lower the dose if symptoms make you worried. Some supplements contain high doses and mild gut pain is common when taking such probiotics.some people like to empty a capsule in a glass of juice or water and drink this slowly during the day. You get the same daily dose, only much slower.
Patty Badali says
I don’t know, after reading several Q&A’s, It makes me wonder if I should try any probiotics. I just recently bought Ultimate Flora 200 Billion, 7 day Intensive Program. After reading reviews, 200 Billion seems a bit much starting out. It came in powder packets
Ken Silvers says
Hello Patty
Yes, this is often a question: how much probiotics can you take. If you have never taken it before, it might be wise to start off slowly. Many people don’t have any problem with 200 billion. However, in case of serious health problems it’s good to be careful. A good recommendation is to empty a capsule in a glass of water or juice, mix well and drink this slowly during the day (or even two days). This way you release the 200 billion in a “slow-release” mood. The 7-day intensive care is really good. Overdosing probiotcs is hard because you have trillions of bacteria in your gut.
Lindsay Kosutic says
So I started taking Probiotics regularly about 3 weeks ago. Before I started taking it I would CONSTANTLY get this feeling like there was a giant gas bubble trapped in my stomach. I was bloated all the time and I just always felt uncomfortable. I work out daily, eat heatlhy, and drink plenty of water. I wasn’t sure what to do, so I started taking probiotics. Immediately after taking it, I felt so much better. No bloating, normal and consistent bowel movements and overall I just felt better. Within these past couple of days, I have felt like I used to feel before I was taking the supplements. My stomach has been so bloated and it’s so uncomfortable and that gassy feeling is back. I started running again this week so I thought maybe that could be a factor? I am not sure what to do. Should I take a break from the probiotic? Any advice will be helpful!
Ken Silvers says
Dear Lindsay
Sorry to hear about your bloating, it can be very annoying. Bloating means there is excess gas in the gut. How ths gas is formed can be hard to find out so you have to do some detecive work. A food diary can be very helpful to reveal the cause. Here are some common causes for bloating to keep in mind:
What you eat. Some people get bloated from sorbitol, fructose, grains, legumes, dairy products, cabbage, cauliflower, prunes and other. Carbonated drinks and chewing gums are also suspects.
How you eat. Eating too fast or too much, not chewing properly can cause bloating. Avoid drinking through a straw.
Vegetables can help reduce bloating, but in case of gut imbalances they can make it worse. If the gut needs healing as with a leaky gut, then there’s the GAPS diet, others like fasting for some days to let the gut rest and recover. Water fasting or drinking bone broths can be tried. Fresh vegetable juice are great for some but not for others. It depends on what kind of gut problem there is.
In many cases, probiotics will help alleviate symptoms, but they will not heal everything. Which probiotic supplement do you use?
Kim Harris says
I recently started taking probiotics after having some antibiotics as my friend suggested it would be beneficial for my gut. I was drinking kefir and taking some probiotic tablets. I stopped the tablets (as i ran out) and then I got another bout of strep throat. I didn’t take any other antibiotics, the strep throat cleared and I started taking kefir and eating sauerkraut. I have since developed an awful rash, really itchy and all over my tummy, back, legs – it’s very red and raised. The doctor thought it was psoriasis but I am now wondering whether it has been caused from the toxins leaving my body and causing the rash. Do you have any thoughts on this?
Many thanks
Ken Silvers says
Hello Kim
Streps can be nasty. Skin rash is a common side effect when taking probiotics. Infections and antibiotics can make symptoms much stronger, it’s believed because of killing off bad bacteria and by promoting the elimination of waste and toxins produced in the body. Harmful microorganisms die violently and release powerful toxins that can cause many symptoms. Of course, I cannot say with certainty that this is so in your case, but only generally speaking this is a common cause of side effects. For most people, this is completely harmless, even beneficial and disappears after a week or so.
However, if symptoms are strong or if you feel worried, then it might be best to stop consuming probiotics or at least to lower the dose. Homemade sourkrout can contain very high amounts of good bacteria and is very effective. Kefir is also potent and has many profound health benefits. Many people also find it beneficial to engage in a diet that promotes the body to cleanse, such as consuming bone broths, vegetable juicing or fasting. Physical exercise and hot saunas also promote a body cleanse.
Jennifer says
Please help!
I Have had a terrible UTI and have been on antibiotics for 11 days. I was even in the hospital for two days receiving IV antibiotics. all of them should work against the strain of e coli but I still have uti symptoms! I still have 5 more days of antibiotics left. I just got 90 Billion probiotics Utlimate Flora Is that too much?? Will this help? The health food store guy said to try this one, I am afraid it may be too much to start with?
Ken Silvers says
Hello Jennifer
Sorry to hear about your UTI. For most people 90 billion would be fine. However, if you want to go slow you can empty a capsule in a glass of water or juice and slowly drink this during the day. This can lessen any side effects but is still very effective for E. coli and other harmful microorganisms. Ultimate Flora is a trusted brand and when on oral antibiotics, it can literary save the gut.
Emily Church says
Hi Mr. Silvers,
I was trying to do some probiotic research and was happy to find an unbiased source! My 3.5 month old son has struggled with bad gas and silent reflux since a couple weeks of age. I started him on Mother’s Select Infant probiotic 2 days ago. His symptoms (stiffening his body, bloated belly, general fussiness) have seemed to worsen since starting, but I’ve heard that can be normal. My questions are how long should I give him before I decide if it is helping/hurting? Is the probiotic I chose a good one? Also, is there a probiotic you would recommend to me as a breastfeeding mom? I just ordered New Chapter Perfect Postnatal Vitamins, which have probiotics in them, but wasn’t sure if I should add more. Thank you for any advice! <3
Ken Silvers says
Hello Emily
I’ve not reviewed Mother’s Select but as far as I can tell it looks fine. Infants have a sensitive digestive tract and as with adults you might need to tweak how to administer the probiotics. Some infants do fine with the recommended dose while others need to start off slower. Depending on the problem, it can take from just less than a week up to two months to get the desired result. As you say, many experience a slight worsening of symptoms before they reside. This is normal. However, in some cases it’s recommended to lower the dose or to administer the probiotics slower during the day.
As for a probiotic for breastfeeding moms. Research indicates that a high quality supplement containing multiple strains is fine. I’ve reviewed a few supplements that I know are good like Hyperbiotics, Now Foods, Dr Mercola. But there are also many others. I haven’t reviewed New Chapter so I can’t say much about the quality. Most specialists recommend a supplement with 20-100 billion CFU to reach the desired effect. Or better yet, consume homemade fermented vegetables.
Angela Knox says
I have been taking Renewlife ultimate flora 90 billion for about 6 weeks. I did have some die off of a little rash on my feet so no problem. I have recently gotten to the point where I am getting daily stools and not diarrhea type stools and that is good. I am taking Fluoxetine 20 mg and Olanzapine 7.5 mg for Depression. I also take D3, Curcumin, and Omega 3 fish oil. I have not had any headaches or any thing like that. But my whole body is peeling off the first layer of my skin. Is that die off? I don’t have any other contraindicating symptoms like nausea or headaches. I plan to get a full body scrub to get off the dead skin. Would you recommend that or should I stop taking this and go to a Dermatologist? Other than that I like the product.
Ken Silvers says
Hello Angela
I cannot tell you if your skin reacts to probiotics or something else. However, studies show that probiotics affect the skin very directly. One way is through the communication between different bacteria species in the gut and the skin which is teeming with bacteria. In cases of yeast or harmful bacteria, common skin reactions are rash and itching, but reactions tend to be specific to each individual. Generally, the state of the gut is often reflected in the skin.
In addition, it seems that when the body tries to rid itself of waste and toxins a favorite exit route is the skin, mainly because it’s the largest detoxification organ. Therefore, people who want to promote a body detox often rub the skin, take hot sauna baths or do dry brushing. Dry brushing the skin is great for the lymphatic system and stimulates the removal of waste and toxins. When the body is stimulated to dump toxins (as when taking probiotics), then this will show on the skin in one way or another. So brushing the skin prevents toxins from being reabsorbed into the body, but they are effectively removed. Hope that might help a litte.
Erich says
Lots of great info on this site. Just wondering what your thoughts are about probiotics increasing reflux?
Backstory, I am a 48 yo male, former elite cyclist, still ride almost as much as my competitive days so I consider myself very fit and healthy. I started having some GI issues about a year ago. Occasional bloating, a few bouts of constipation. Was put on PPI and generally things were good for a few months, then while on vacation I was food poisoned and I’m 99.9% sure it was staph as it hit quickly and violently. Recovered, weaned myself off PPI then about 8 weeks later started having a lot of problems with bowel frequency increase, gas, trapped gas, bloating. Stools were a magical mystery tour every day. Saw family doc, referred to GI but here in Canada this takes a while(!). During that time had several tests. H Pylori negative, celiac negative, abdominal ultrasound which showed gallstones. Saw the GI specialist 2 weeks ago, he was not concerned about gallbladder so much but we agreed to a colonoscopy in my near future. He felt nature of my pain and discomfort was IBS. He had me try Align (B infantis) and I took it for 5 days. Initially noticed more intestinal sounds, a couple days of extra trips to the toilet, but by day 4 and 5 I really started to notice reflux. Not heartburn, more like LPR mostly laryngeal. Not painful, but lump-in-throat with some occasional gurgling. I stopped the Align after 5 days, I’m now on day 6 with no supplementation but the reflux is still a problem. It seems to get worse with my stomach empty, but also worsens as the day goes. How long will this take to level out? Could this be an indicator of a potential SIBO issue? I have often wondered if I induced a SIBO situation when I was staph poisoned while on PPI. Seems a perfect recipe for that.
Had a surgical consult today for the gallstones. Surgeon did heavy palpation and decided I’m not classical gallbladder pain so he does not wish to operate. Thanks for your time, this whole situation is turning frustrating and the negative reaction to the Align was indeed a setback.
Ken Silvers says
Hello Erich
Sorry to hear about your symptoms, sounds pretty frustrating. It’s often hard to quickly determine the cause of gut symptoms. The digestive tract is very complex and many factors are invovled, both physical, mental, diet, stress and so on. However, here are a few ideas to check.
1. How to deal with acid reflux.
2. How to treat IBS.
3. Bone broths can help calm an upset stomach.
As you probably know, athletes often experience gut problems including acid reflux, bloating, stomach pain and more. It’s not clearly known why this happens but it symmptoms seem to be very specific to each athlete. Here’s a nice article about this.
Erich says
I completely forgot to reply and say thanks Ken. I had missed the article you linked, even though I frequent that cycling website regularly. Still trying to sort this out, eliminating a few things from diet to see if I can make some improvements.