<human>: Hi, I m 33 and over weight but here with in the past 3 weeks I have been really bloated swollen ankles, I ve been very dizzy and my face is breaking out bad. The only think I have changed is I started taking a probiotic and a 1 a day multivitamin. My eating habit hasn t changed. Could it be the probiotic?
<bot>: Hi Thanks for your query and Welcome to Chat Doctor. I am Chat Doctor. Swelling in your ankles can actually be due to a lot of reasons and if there is no associated injury, then you will most likely require a detailed physician evaluation because there are numerous medical conditions which can cause swelling not only in your ankles but entire lower limbs. I actually do not think that it is probiotic which should be causing any symptoms in your case but :Evaluation of LFT, FT, Thyroid disorders has to be done. Also swelling can be due to cardiac issue which needs to be evaluated, it can also just be postural in nature when elevation at night may cause decrease in swelling. So as you can see if swelling is occurring without any injury, then a detailed assessment by a general physician is required for further management. Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation. Thanks & Regards