Why does inserting lactobacillus cause discharge?

Generally speaking, inserting probiotics refers to placing a lactic acid bacteria vaginal capsule into the vagina. After inserting the lactic acid bacteria vaginal capsule, a watery discharge may occur, which could be related to factors such as drug dissolution and discharge, vaginal self-cleansing, allergic reactions, lactose intolerance, or vaginitis. If discomfort occurs, timely medical attention is recommended. Detailed analysis is as follows:

1. Drug Dissolution and Discharge

The lactic acid bacteria vaginal capsule will gradually dissolve inside the vagina and mix with vaginal secretions. Under the force of gravity, these dissolved medications and secretions may be expelled from the vagina, causing a watery discharge. No special treatment is required; maintaining external genital hygiene is sufficient.

2. Vaginal Self-Cleansing

The vagina has a natural self-cleansing ability. After using medication, the vaginal mucosa may be stimulated to secrete more fluid to expel residual medication and potential pathogens. This is a normal physiological phenomenon that does not require special treatment.

3. Allergic Reaction

If the patient is allergic to any component of the lactic acid bacteria vaginal capsule, an allergic reaction may occur after its use. The allergic reaction might cause congestion and edema of the vaginal wall, along with excessive secretion of fluid, resulting in watery discharge. Symptoms may include vaginal itching, burning sensation, and swelling. Treatment may include medications such as loratadine tablets, ebastine tablets, or dexamethasone acetate injection, as directed by a physician.

4. Lactose Intolerance

Lactose intolerance is usually related to genetic or congenital factors. After using the lactic acid bacteria vaginal capsule, lactose in the vagina may ferment to produce lactic acid, which could accelerate intestinal peristalsis, causing watery discharge. Symptoms may include abdominal pain, diarrhea, and increased bowel sounds. Patients may use medications such as lactic acid bacillus tablets, lactase tablets, or bifid triple viable capsules, as directed by a physician.

5. Vaginitis

Vaginitis is usually caused by infection with pathogens such as bacteria or fungi. Once the lactic acid bacteria vaginal capsule enters the vagina, the lactobacilli may compete with inflammatory cells, leading to increased vaginal discharge, manifesting as watery discharge. Symptoms usually include external genital itching, odor, and abnormal vaginal discharge. Treatment may involve medications such as clotrimazole suppositories, metronidazole suppositories, or Chuanbai antipruritic lotion, under a doctor's guidance.

The external genital area can be washed daily with warm water to maintain cleanliness, but avoid overwashing the interior of the vagina to prevent disruption of the normal vaginal flora.