Can People with Gastric Ulcers Take Probiotics?

Gastric ulcers are primarily caused by excessive stomach acid production, Helicobacter pylori infection, or long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs). In such cases, probiotics are not considered a direct treatment for the ulcer itself. However, if a patient experiences additional gastrointestinal issues like indigestion, where probiotics may provide benefits, they can still be safely consumed alongside ulcer management.

It's important to understand that treating gastric ulcers typically involves reducing stomach acid through medications such as proton pump inhibitors or H2 blockers. In some cases, doctors may prescribe triple or quadruple therapy involving antibiotics to eliminate H. pylori bacteria. While probiotics do not replace this standard treatment, they can support digestive health when used appropriately.

Probiotics, particularly strains like Bifidobacterium and Lactobacillus, are known for their role in balancing gut flora and improving digestion. They are most effective when taken with meals, as food helps protect the live bacteria from being destroyed by high stomach acid levels. This allows more beneficial bacteria to reach the intestines where they can exert their positive effects.

When storing probiotic supplements at home, it's crucial to keep them refrigerated, ideally in the coldest part of the fridge, similar to how yogurt is stored. Exposure to heat—especially liquids over 40°C—can significantly reduce the viability of the live cultures. Avoid mixing probiotics with hot beverages or foods to ensure maximum effectiveness.

In summary, while probiotics are not a treatment for gastric ulcers themselves, they can play a supportive role in overall digestive wellness when used under proper medical guidance.