VSL gas/bloating- how long?

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texasmax
Regular Member


Date Joined Oct 2010
Total Posts : 146
   Posted 11/26/2010 3:28 PM (GMT -7)   
All-

Happy Thanksgiving!

Just started a daily sachet of VSL#5 3-4 days ago. The day after the first dose, and ever since, I've had plenty of gas/bloating and a bit more BM urgency because of it. I remember reading this was one of the side effects; did it happen to you, and how long did it last?
UC October 2010
20mg Pred, 3600mg Asacol
Psyllium, fish oil, random probiotics, sunflower seeds and spinach!

suenew61
Regular Member


Date Joined Feb 2010
Total Posts : 103
   Posted 11/26/2010 3:52 PM (GMT -7)   
Yes it happens to lots of people. Unless it is making you really uncomfortable maybe cut it down to quarter or half a packet for a while until the gas settles and then slowly increase.
Sue
Daughter(17) diagnosed severe pancolitis Nov 2009
Off all mesalazine following acute pancreatitis
Currently in remission!!
6MP(25mg/day) SCD, Vitamin D, Lecithin(phosphatidylcholine), VSL3 and Mutaflor

suenew61
Regular Member


Date Joined Feb 2010
Total Posts : 103
   Posted 11/26/2010 3:52 PM (GMT -7)   
Yes it happens to lots of people. Unless it is making you really uncomfortable maybe cut it down to quarter or half a packet for a while until the gas settles and then slowly increase.
Sue
Daughter(17) diagnosed severe pancolitis Nov 2009
Off all mesalazine following acute pancreatitis
Currently in remission!!
6MP(25mg/day) SCD, Vitamin D, Lecithin(phosphatidylcholine), VSL3 and Mutaflor

texasmax
Regular Member


Date Joined Oct 2010
Total Posts : 146
   Posted 11/27/2010 9:24 AM (GMT -7)   
Thanks Sue. Will definitely be cutting back :) Has it caused bleeding for anyone- pretty sure it has for me.
UC October 2010
20mg Pred, 3600mg Asacol
Psyllium, fish oil, random probiotics, sunflower seeds and spinach!

napacabs
Regular Member


Date Joined Jan 2010
Total Posts : 90
   Posted 11/28/2010 8:07 AM (GMT -7)   
I certainly had more gas when I began VSL#3 DS (Double strength, twice the concentration of bacteria as VSL#3). I also noticed and continue to notice that the smell of my stool is different. My initial gas was a bit more odorrific but after a couple weeks (I don't remember exactly, it has been a while), the gas diminished significantly and what gas I would have had minimal odor. The stool still has a different smell than it did previously and I account that to the successful altering of the bacterial flora in my lower GI tract. Initially, I was also taking the probiotic with quite a bit of yogurt. I have cut down on the quantity of yogurt that I take it with and that seems to help lessen the amount of gas/bloating. There are a number of prior posts on this topic if you search the database. I know from participating in those posts that many people do experience increased gas and bloating with the beginning of VSL#3. The makers of VSL#3 recommend starting with smaller amount of the packet and working your way up, however, they also recommend that a higher dosage is taken during active UC. The reasoning being that you are altering the colonation of bacterial flora in your GI tract and need to increase the supply of this bacteria if your bowels are quickly emptying and getting rid of that supply. The studies that have been done on VSL#3 supporting its effectiveness for UC had individuals taking pretty large quantities. Many of the studies were using daily dosages of 4 packets of VSL#3 DS which would be the equivalent to 8 packets of VSL#3 regular strength. This is quite a bit and can obviously get very expensive very quickly. VSL shouldn't cause bleeding...that being said, if your UC is currently uncontrolled and the VSL is increasing gas and leading to more bm's, the resulting activity will seem like more active UC. I would consider increasing the dose slowly until you start to see some improvements in your symptoms. It will likely take a couple weeks but if it works for you, you'll be very happy.

34 yo male
Currently in Remission: VSL#3DS,SCDiet (modified), psyllium husk daily

songlady
Veteran Member


Date Joined Aug 2009
Total Posts : 3252
   Posted 11/28/2010 7:18 PM (GMT -7)   
I had a very slight increase in gas for 3-4 days; I started with 1/2 a packet for the first week.
Napacabs, I appreciate the explanation of why more is needed while in a flare... basically, it gets flushed out (so to speak) so quickly. Makes sense.
When I started VSL, it took 3-4 weeks to take effect, and the effect was gradual, but it has been very helpful for me.
Co-Moderator, UC Forum
Age 54. Diagnosed UP 1983, UC 1986
Asacol - back to 16 pills/day,
Tapering enemas: Rowasa, Cortenema.
Metamucil - 2 doses/day
VSL#3DS and other probiotics, Multivitamin, Calcium and D
homemade yogurt each day
doing well!
Son, 17, dx pancolitis 2007, in remission

texasmax
Regular Member


Date Joined Oct 2010
Total Posts : 146
   Posted 11/29/2010 3:40 PM (GMT -7)   
Appreciate all the feedback, everyone!

Will re-start and ramp it up slowly.
UC October 2010
20mg Pred, 3600mg Asacol
Psyllium, fish oil, random probiotics, sunflower seeds and spinach!

imagardener2
Veteran Member


Date Joined Jan 2010
Total Posts : 3819
   Posted 11/29/2010 3:53 PM (GMT -7)   
It's also possible that VSL doesn't agree with you. Some people have done better with different probiotics. I always try to see what my body is saying because everyone is different. No probiotic should cause bleeding however, that is an effect of severe inflammation.

My bleeding has always been food related.
In remission April 2010 after 10 years of suffering and no remission ever
Jan 2010 started SCD diet (modified to remove dairy, fruit & juices)
Gluten-free=bleeding stopped in 3 days, 95% remission in 5.5 months on SCD
at 5.5 month stage homemade yogurt, hard cheese and some fruit OK :-)
SCD Diet: Gluten/grain-free, starch-free, low carb, low-sugar
Supplements: tsp. fish oil, Vit D3 5000 with oil/fat, veggie juice, sunflower seeds, VSL#3, (4) Citrucel, (1) turmeric capsule, (1) calcium
Highly recommend: the book "Life without Bread" and the Specific Carbohydrate Diet
Rx: (6) balsalazide daily, mesalamine enema occasionally
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