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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Abdominal Pain After Taking Vsl3 Probiotics. Taking Medication For Ulcerative Colitis, IBS. Suggestions?

hello Dr. Grief, I am experiencing severe abdominal pain after being on VSL3 probiotics for only 4 days. I take 2 capsules a day. My Gastroenterologist said I could take both together in the AM. So I did that today, and the pain is worse. Is this normal? Common? What can I do to relieve the pain? I take aciphex once/day and am on prednisione 25mg due to a flare up of my ulcerative colitis and IBS Thank you
Wed, 25 Sep 2013
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Internal Medicine Specialist 's  Response
Dear friend,

Thanks for posting your query on this website. I can fully appreciate your concern for problem.

You have mentioned that you are a known case of Ulcerative Colitis, and taking prednisolone for flare-up. Prednisolone is highly gastric-irritant and should always be taken AFTER meals. If taken empty stomach, it too can cause abdominal pain.

However, the abdominal pain is most likely as a result of the flare-up of ulcerative colitis and NOT due to VSL3. Once the disease is under control, the pain will reduce to minimum/or disappear.

Are you taking Tab Mesalamine along with prednisolone? Mesalamine and related salts keep the disease activity under control.

I am highly optimistic that you will certainly benefit from the advice.

May I assure you that I am always available for your assistance and will try my best to cure your condition to the best of my experience and knowledge.

Please feel free to revert back to me in case of further clarifications, if any.

HAVE A NICE DAY AND A SPEEDY RECOVERY.

Fond Regards,

Dr.(Col) R Karanwal
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Abdominal Pain After Taking Vsl3 Probiotics. Taking Medication For Ulcerative Colitis, IBS. Suggestions?

Dear friend, Thanks for posting your query on this website. I can fully appreciate your concern for problem. You have mentioned that you are a known case of Ulcerative Colitis, and taking prednisolone for flare-up. Prednisolone is highly gastric-irritant and should always be taken AFTER meals. If taken empty stomach, it too can cause abdominal pain. However, the abdominal pain is most likely as a result of the flare-up of ulcerative colitis and NOT due to VSL3. Once the disease is under control, the pain will reduce to minimum/or disappear. Are you taking Tab Mesalamine along with prednisolone? Mesalamine and related salts keep the disease activity under control. I am highly optimistic that you will certainly benefit from the advice. May I assure you that I am always available for your assistance and will try my best to cure your condition to the best of my experience and knowledge. Please feel free to revert back to me in case of further clarifications, if any. HAVE A NICE DAY AND A SPEEDY RECOVERY. Fond Regards, Dr.(Col) R Karanwal