How to treat diarrhea after taking antibiotics for adults and children. What to do when you have diarrhea (diarrhea) after antibiotics What to take when you have diarrhea after antibiotics
The site provides reference information for informational purposes only. Diagnosis and treatment of diseases must be carried out under the supervision of a specialist. All drugs have contraindications. Consultation with a specialist is required!
How to get rid of diarrhea while taking antibiotics?
If during admission antibiotics appeared diarrhea, initially you can resort to the following methods:
- reduce the dosage of the prescribed drug;
- take an antibiotic only after meals;
- If possible, replace the antibiotic you are taking with another one.
To help stop diarrhea while taking antibiotics:
During diarrhea, it is recommended to follow certain dietary rules and limit the consumption of certain foods. During the diet, food should be consumed 5 to 6 times daily. Over time, when the stool returns to normal, it is recommended to start introducing 1 – 2 products per day and monitor the body’s reaction.
Exclude | Use |
---|---|
fried food | eat food boiled or stewed |
fatty foods ( butter and vegetable oil, sour cream, cream, etc.) | porridge ( rice, buckwheat, oatmeal, etc.) |
sweets, sugar, confectionery pastries | crackers ( from any bread) |
spices, seasonings, sauces ( mayonnaise, ketchup, etc.) | light soups with cereals, puree soups |
pickled and canned foods | boiled eggs |
fatty meats and fish | lean meat and fish |
peas, beans | apples, bananas |
vegetables ( cabbage, beets, radishes, etc.) | vegetables ( carrots, potatoes, zucchini, etc.) |
carbonated and alcoholic drinks | tea, still water |
Drinking fluids.
To stop diarrhea and replenish lost fluid, drink plenty of fluids ( tea, compote), as well as saline solutions.
Note. Excessive consumption of these solutions can negatively affect health by increasing potassium and sodium levels in the blood.
Treatment of diarrhea after taking antibiotics: what to do with diarrhea
Antibiotic treatment is used for a number of diseases caused by the activity of pathogenic bacteria. Drugs in this category are powerfully effective; they localize and destroy foci of infections and inflammations. However, they also have side properties. In particular, patients quite often have to deal with the phenomenon of diarrhea from antibiotics. What can be used to help with the disorder? Read about it below.
Abnormal bowel movements while taking medications
When taking antibiotics, an adult or child may experience not only diarrhea, but also vomiting. This reaction is often associated with individual intolerance to the components of the drug. A violation of the dosage can cause diarrhea. Therefore, the doctor must select antibiotics, determine the dose and duration of the course.
If intense diarrhea and vomiting are observed while taking the medication, treatment should be stopped and consult a doctor to choose a different drug. There are many antibiotics in the range, which will allow a specialist to select the right medication to cure the disease, eliminating negative reactions.
If the course of antibiotic therapy is “at fault”
There are several reasons why diarrhea appears after antibiotics in children and adult patients. In any case, diarrhea after treatment with these drugs indicates an imbalance in the intestinal microflora. Antibiotics are not able to “distinguish” between beneficial and harmful bacteria and destroy them completely. As a result, during treatment in the intestine, the number of microorganisms responsible for the breakdown of food components sharply decreases. The process of peristalsis is disrupted, and diarrhea appears. In most cases, this symptom may appear several days after stopping the medication.
It is not always necessary to provide assistance and treat diarrhea. Usually this phenomenon goes away after taking medications on its own, the intestinal microflora is gradually restored, and diarrhea caused by antibiotics stops. It is required to follow a gentle diet, which should not contain heavy food; the menu includes fermented milk products, bran, etc.
But if diarrhea is pronounced, it is necessary to treat it and look for ways to stop the process. This phenomenon creates a serious risk of dehydration. This situation is especially dangerous for a child. There is no need to look for treatment methods on your own. You need to see a doctor who will decide what needs to be done in a particular case, how to treat diarrhea.
Restoring microflora using traditional methods
You can use folk remedies to quickly restore the intestinal microflora. Positive results are observed when taking infusions and decoctions:
- Oak bark.
- Walnut peels.
- Alder cones.
- Bird cherry berries.
- Herbs St. John's wort, etc.
Treatment with folk remedies can be used for patients of any age; it will stop diarrhea and eliminate dehydration. But it is important to take into account that not all recipes from the folk tradition can be used for chronic diseases of the gastrointestinal tract. You cannot choose these remedies on your own to treat children under 3 years of age.
A decoction of St. John's wort will help restore the intestinal microflora.
If folk remedies fail to stop diarrhea, you need to contact a gastroenterologist who will conduct an examination and determine what needs to be done in this case.
Medicines in the fight against dysbiosis
Medicines and methods for restoring the functions of the digestive tract are selected taking into account the patient’s condition. Effective results are observed when taking liquid probiotics:
- Hilaka-forte.
- Lactobacterin.
- Bifidumbacterina.
The inclusion of fermented milk products, bran, cereals, and vegetables in the diet can further increase the effectiveness of treatment.
Intense diarrhea must be treated with more active drugs. These include Loperamide, which can quickly treat diarrhea. Please note that taking this medication is prohibited if you have a bacterial infection. Therefore, if the exact cause of diarrhea is unknown, it is advisable to consult a doctor who can determine what to do and how to treat diarrhea in this case.
Diarrhea that occurs after taking antibiotics can be treated with products containing clay and pectin. These drugs have the property of compacting the structure of feces. They are instantly broken down in the intestines, ensuring the effectiveness of the effect. The doctor can prescribe several medications at the same time to fully restore all functions of the gastrointestinal tract. The complex may include: Smecta, Phosphalugel, Attapulgite, drugs with lignin.
Intestinal dysfunction and negative changes in its microflora during or after taking antibiotics are often observed. These problems do not always disappear on their own without consequences. If diarrhea occurs after a course of treatment, you should consult a doctor and not continue to use antibiotics. A medical examination will allow you to choose effective, safe methods and drugs to treat diarrhea.
How the disease manifests itself:
- Frequent loose stools after taking antibiotics, more than 20 times a day.
- High fever, chills, headache.
- Pain in the abdominal area.
- Impurities of mucus and blood in the stool.
- The duration of the condition is more than 7 days.
- Cannot be treated with antidiarrheal drugs.
The pathology is treated comprehensively, in a hospital, under the supervision of a doctor; the etiotropic drug for treatment is vancomycin.
Diarrhea when taking antibiotics: what to do and how to treat it
If diarrhea occurs during or after taking antibiotics in adults, you should first contact your doctor who prescribed the drugs.
Perhaps they are not suitable, then the doctor will individually select another group of drugs for the treatment of the primary pathology.
- If possible, the antibacterial drug should be discontinued or replaced with another, more gentle one.
- You should follow a diet.
- Prescribing medications that will help normalize intestinal microflora.
Treatment of antibiotic-associated diarrhea
In order to avoid side effects, you must follow the rules for taking antibacterial agents.
How to take antibiotics correctly:
- The use of drugs only as prescribed by a doctor in the required dosages and with the correct frequency of administration, all this is stipulated by the attending doctor.
- Avoid stress during treatment.
- Observe the work and rest schedule.
- Eat properly.
- Do not use the product on an empty stomach, only after eating.
- Do not drink alcohol during the course of treatment.
Treatment comes down to basic rules and goals:
- Stop diarrhea.
- Restore imbalance in microflora.
- Drinking large amounts of fluid to eliminate intoxication syndrome.
Drug therapy
There are main groups of drugs for treating stool disorders and restoring microflora:
These are enzyme preparations that contain nutritional elements necessary for the growth and reproduction of beneficial bacteria; they are used to treat diarrhea after taking antibiotics, when the effect of the antibacterial drug has already ended.
The drugs are: Oligosaccharides, Sorbitol, Sucrose, valine, Arginine and others.
Products that contain ready-made living bacteria colonize the digestive tract: Linex, Enterol, Hilak Forte, Acipol, Normobakt and others.
They are produced in a wide variety of forms: tablets, capsules, powders, drops. The use of capsule probiotics is justified; the capsule component, when passing through the gastrointestinal tract, protects the active substance and beneficial bacteria from the aggressive effects of hydrochloric acid in the stomach.
Under the action of intestinal enzymes, the capsule dissolves, and beneficial bacteria populate the environment unchanged. A true probiotic that can stop diarrhea during and after taking antibiotics is Linex, it is indicated from the first day of taking the drugs.
All other remedies should be used after completion of the course of treatment:
Combined preparations that contain a probiotic and a prebiotic: Normobact, Bifiform.
Substances that bind toxins and foreign substances, removing them from the intestinal lumen, the most effective sorbents include: Activated carbon, Smecta, Enterosgel, Polysorb, Filtrum.
In order to replenish the supply of fluid lost with loose stools, they resort to rehydration, prescribing oral saline solutions: Regidron, Trisol, Polysorb, the patient must take at least 2 liters of fluid per day.
List of products that are prohibited for consumption: canned food, sausages, smoked meats, semi-finished products, alcohol, tobacco, spicy foods, marinades, fast food.
Dietary poultry, boiled beef, fish, tea, vegetable soups, porridge without milk, boiled vegetables, dried fruits, crackers, jelly, fermented milk products.
Treatment of diarrhea during chemotherapy
Chemotherapy is the use of drugs that have a detrimental effect on the body's cells, killing them; it is one of the main methods of treating malignant tumors.
Like every medicinal substance, chemotherapy has its own side effects, the disadvantage of treatment is that the substances affect and kill not only cancer cells, but also healthy elements of the body.
The functions of all major organs and systems are affected; the main manifestation of intestinal disorders during chemotherapy is diarrhea. Drugs that cause diarrheal syndrome are: topotecan, doxorubicin, teniposide, irinotecan, ftorafur and others that kill healthy epithelial cells of the gastrointestinal tract.
Patients with cancer are treated in a hospital; if diarrhea occurs, patients require special attention and treatment. It is important to ensure that the stool is free of mucus, blood, fever, and dehydration.
If the patient notices such changes, it is necessary to urgently inform the doctor about his condition.
What must be observed for treatment:
This is the process of replenishing fluid in the body, achieved by drinking the required amount of fluid by the patient or by intravenous infusion of solutions.
If the patient is able to drink the liquid himself, then it is recommended to use Hydrovit, Regidron solutions, the contents of the sachets are diluted with a certain volume of water.
The products replenish the mineral, electrolyte and water balance of the body. Saline solution, Ringer's solution, Trisol, Quadrosol and others are infused intravenously, all this is prescribed by the attending doctor.
The diet should be followed fractionally, in small portions, often; it is recommended to consume boiled poultry, chicken breast, fish, eggs, cereals without milk, boiled vegetables, potatoes, carrots, meatballs, goulash.
For such patients, dairy products, beans, cheeses, bread, and foods that may contain mold are completely excluded. In patients with immunodeficiency after chemotherapy, infection with a fungus can aggravate the course of the disease.
In some cases, diarrhea after taking antibiotics can be a side effect of certain medications.
Some tablets and capsules contain substances that act on the muscles of the stomach and intestines.
In this case, we are not talking about serious digestive disorders, and diarrhea is caused precisely by increased intestinal motility.
Fecal masses clear the gastrointestinal tract faster than usual. In some cases, attacks of diarrhea can be caused by increased activity of the pancreas and excessive secretion of bile.
Some medications can have an effect both directly on the digestive organs and on the human nervous system, which, in turn, provokes disruption of the gastrointestinal tract.
In the case of such a cause of diarrhea, the diarrhea is not particularly severe; attacks occur from one to four times a day.
Intestinal upset as a side effect of taking medications usually does not cause serious discomfort and is not accompanied by severe abdominal pain.
Stool with such diarrhea does not contain blood, mucus and pus, and also does not have a particularly unpleasant odor compared to regular stool.
In some cases, strong stool liquefaction may not even be observed, especially during the first urge.
Such diarrhea begins immediately after the first doses of medication and ends with the end of treatment.
Antibiotic-associated diarrhea of this nature does not require additional treatment.
The main thing is to ensure that the body is not dehydrated, and dosages of prescribed medications should not be violated.
You can ease the load on the intestines by refusing foods that are difficult to digest during treatment.
The body should be closely monitored during treatment, because sometimes you may not notice the manifestations of more serious causes of diarrhea.
It is necessary to carefully familiarize yourself with the possible side effects of all prescribed medications - both antibiotics and auxiliary drugs prescribed along with them.
Intestinal dysbiosis
Antibiotics are chemically active substances that are designed to fight pathogenic bacteria in the body.
However, sometimes beneficial microorganisms also die from their action. In such cases, the natural processes of regulation of intestinal microflora are disrupted and antibiotic-associated diarrhea occurs.
The microflora of a healthy intestine has a strong ability to self-heal.
Therefore, if taking antibiotics does not cause serious damage to beneficial bacteria, their population will recover on its own.
You should not worry about how to treat attacks of diarrhea after antibiotics, in this case it will go away on its own.
Diarrhea with dysbacteriosis usually begins a few days after taking antibiotics, when their effect is fully manifested. Diarrhea lasts from a couple of days to several weeks.
To speed up the restoration of intestinal microflora, it is recommended to introduce foods rich in prebiotic substances into the diet.
They will have an inhibitory effect on the proliferation of pathogenic organisms that have not been exposed to drugs.
The high content of coarse dietary fiber and pectin in food, which is found in vegetables and fruits and cereals that have undergone minimal mechanical processing, has a positive effect on the normalization of digestion.
Phytoncides contained in onions and garlic effectively combat the growth of pathogenic microorganisms.
Active substances affect, among other things, those harmful bacteria that did not die under the influence of antibiotics.
Beneficial bacteria in the body are responsible for the absorption of vitamins and microelements. When dysbiosis from antibiotics occurs, the absorption of necessary substances is impaired, and the problem of hypovitaminosis arises.
To reduce the negative impact of the disease on the body, you should take multivitamins.
In some cases, with dysbiosis, special restorative therapy may be prescribed, including anti-diarrhea medications.
If diarrhea is associated with severe abdominal pain, painkillers may be prescribed.
Intestinal infection and its consequences
The most dangerous cause of diarrhea is an intestinal infection caused by taking antibiotics. A serious complication of infection can be inflammation of the large intestine or colitis.
Beneficial intestinal bacteria are destroyed by the active ingredients of antibiotics, and some pathogenic organisms may develop resistance to the drug.
In this case, the remaining beneficial bacteria cannot cope with the destruction of harmful ones.
Pathogenic microorganisms produce large amounts of toxins that irritate the walls of the large intestine, leading to severe inflammation.
The risk of antibiotic-associated colitis increases when several types of antibiotics are combined, the dosage of drugs is increased, and the course of treatment is too long.
People over 65 years of age, women during pregnancy and immediately after childbirth, as well as people suffering from chronic diseases are more susceptible to inflammatory processes.
The use of enemas and aggressive laxatives during antibiotic treatment can provoke the occurrence of an intestinal infection. The condition for the development of the disease can be a general weakening of the body.
Diarrhea due to intestinal infection has more painful symptoms than in other cases.
Severe and frequent diarrhea is observed (up to once a day); traces of blood, mucus and pus can be found in the stool.
Some patients experience an increase in temperature up to several degrees. Abdominal pain can be either moderate or very severe.
In the absence of severe pain, symptoms of infection may include nausea, vomiting, and severe weakness.
To treat an intestinal infection caused by taking antibiotics, which is accompanied by diarrhea, complex therapy is used. First of all, you should cancel the antibiotic, or change it if cancellation is impossible.
Emergency measures are being taken to restore healthy intestinal microflora. To destroy pathogenic organisms, special bactericidal agents are prescribed.
To maintain beneficial bacteria, prebiotic and probiotic medications are prescribed.
It is important to exclude ulcerative damage to internal organs. The doctor must prescribe a number of diagnostic measures to obtain complete information about the patient’s condition.
It is important to understand that intestinal infection and antibiotic-associated colitis are very serious and dangerous diseases, the treatment of which should be carried out exclusively under the supervision of a doctor.
In some cases, it is necessary to place the patient in a hospital setting.
Preventive measures while taking antibiotics
It is easier to prevent disruption of intestinal microflora while taking antibiotics than to treat its consequences.
In order to reduce the risk of complications that cause diarrhea, while taking antibiotics, you should follow a special diet and not use medications without a doctor's prescription.
It is important not to overuse antibiotics and not to take them yourself in case of the slightest cold.
The body begins to show resistance to the active ingredients of the drug. In case of a serious illness, it is necessary to use several drugs or significantly increase the course of treatment. Such activities negatively affect the intestines.
Broad-spectrum drugs should be prescribed only in cases of serious illness.
You should not look for a medicine that is “more effective” in order to shorten the usual treatment period and get back to your usual activities sooner.
The diet when taking antibiotics should be rich in dairy products, grains, legumes, fresh vegetables and fruits.
It is necessary to remove too salty, sour and spicy foods from the diet. You should not eat foods that have a strong effect on the liver and pancreas.
It is preferable to eat meat and fish boiled or steamed. You should exclude too fatty foods from your diet, as well as everything fried and smoked.
It is important to understand that the faster you recover from the underlying disease, the lower the risk of serious side effects from taking antibiotics.
You should be careful about personal hygiene and maintain a comfortable temperature regime.
You should not get carried away with taking antipyretic drugs if your body temperature is below 38 degrees.
An increase in body temperature is a protective mechanism of the body designed to fight many pathogenic organisms.
In case of problems with defecation, you should use only gentle laxatives that have a mild effect on the body and do not harm the intestinal microflora.
Diarrhea after antibiotics
An antibiotic is a drug designed to slow down the growth of microbial flora. The drug has a bactericidal effect, which determines the ability to create conditions where the existence of microbial cells is impossible. The bactericidal effect is the reason why antibiotics are used in the treatment of these diseases:
- gastrointestinal tract;
- skin;
- urinary organs;
- ENT organs;
- respiratory organs.
Antibiotics are effective in treating infectious diseases. However, like many medications, antibiotics have side effects (ranging from mild nausea to kidney and liver failure). The most unpleasant secondary effect of taking antibiotics is that the drugs cause severe diarrhea.
Causes of diarrhea
Due to their effectiveness, antibiotics are often used to treat various diseases. More and more people began to self-medicate using the drug. If you use a medicine too often, its effectiveness decreases, the human body gets used to it and stops responding to the active substance. When using the drug independently, it is often used incorrectly, which provokes the appearance of side effects after antibiotics.
A common side effect when using antibiotics is antibiotic-associated diarrhea, the occurrence of which is caused by the regular use of penicillins, cephalosporins, or a number of drugs at the same time. There are other reasons for the occurrence of loose stools after taking this drug.
Intestinal dysbiosis
The first reason why diarrhea may begin is intestinal dysbiosis (disorder). The occurrence is due to the use of antibiotics of the aminoglycoside and tetracycline groups.
The human body contains bacteria that arise when taking antibiotics when the microflora changes. The antimicrobial drug destroys the necessary bacteria responsible for the functioning of the stomach (bifidobacteria, lactobacilli) along with harmful bacteria (pathogenic flora). Due to the imbalance of harmful microorganisms, there are predominantly more beneficial ones. The urge to defecate occurs due to stimulation of the smooth muscles of the intestine.
Laxative effect of the drug
If the diarrhea started due to antibiotics, a drug that has a laxative effect may have been used. This minor effect lasts a couple of days. This side effect is typical for drugs that enhance intestinal motility, for example, the group of macrolides.
Pseudomembranous ulcerative colitis
One of the causes of diarrhea from taking antibiotics is considered to be pseudomembranous ulcerative colitis. The appearance is due to prolonged use of the drug or taking one type of antibiotic. The pathogenic microorganism Clostridium difficile causes harm to the body; it is difficult for the human body to get rid of the microbe. The microorganism Clostridium difficile is resistant to antimicrobial drugs.
Pseudomembranous ulcerative colitis is usually considered a separate disease; it is characterized by the following symptoms:
- copious, loose stools;
- bowel movements up to 30 times a day (discharge greenish in color, putrid odor);
- increased body temperature;
- weakness of the body, dizziness;
- I have a stomachache;
- migraine;
- vomit.
If the described symptoms occur, you should immediately contact a medical facility. Ignoring the disease will lead to the development of complications and dehydration of the body.
Treatment of diarrhea
The appearance of diarrhea is observed at the beginning of antibiotic use and throughout treatment. To treat diarrhea, medication and folk methods are used. For recovery, an integrated approach is used, including the use of restorative drugs and a specially designed dietary regimen.
Diarrhea associated with antibiotic use should be treated promptly and in a timely manner. When the first symptoms appear, you should immediately visit a doctor. The most dangerous thing in such a situation is to treat yourself. Such actions are accompanied by complications in the form of side effects.
First aid
First of all, in case of diarrhea caused by antibiotics, it is necessary to interrupt the use of the medicine. The method of treatment is influenced by the age of the patient. Depending on the age category, treatment differs:
- Infants. This age category requires emergency medical care. Especially when observing signs of dehydration: fainting, dry skin, weight loss, lethargy, weakness.
- Child under 18 years of age. You need to consult a local pediatrician who will prescribe a suitable treatment method. At a young age, the child’s gastrointestinal tract is not fully formed. In order not to cause complications, you should use only medications prescribed by your local doctor.
- Adults. If an adult has symptoms, you should also consult a doctor immediately. If the frequency of stools is less than five times a day, there is no suspicion of pseudomembranous ulcerative colitis, drink 1-2 capsules of Loperamide before taking it. After taking this drug, the condition significantly improves. Seeing a doctor is mandatory if you have symptoms: nausea, abdominal pain, fever, diarrhea that does not go away.
Pharmacy medicines
Medicines are prescribed by the attending doctor. An independent course of treatment can harm a person, causing complications. Prescribed drugs that normalize intestinal function due to the beneficial microflora they contain. The products prevent diarrhea and restore intestinal microflora. The doctor decides which medication to prescribe. The doctor is based on the presenting symptoms, diseases, and condition of the patient. The most effective medications:
- Loperamide. Prescribed for severe diarrhea. It is fast-acting. Available in the form of tablets, capsules and drops. It is allowed to be taken by children over 4 years of age and by women during pregnancy.
- Bifidumbacterin. A similar remedy, but the effect occurs after 2-3 applications. Suitable for treating children.
- Linux. One of the most popular treatments for diarrhea. It is distinguished by its effectiveness and safety. Effective from the first day of use.
- Imodium. A quick remedy to cure diarrhea, it helps within an hour after use. Available in tablets. It has contraindications: children under 6 years of age, pregnant and lactating women, individual intolerance to the components.
Traditional medicines
You can stop diarrhea with folk remedies. The most common is herbal medicine. For diarrhea, they mainly use: oak bark, cinquefoil, green tea. It is possible to make herbal tea from these ingredients. Take a few teaspoons of the component, pour boiling water over it for 10 minutes, wait until the drink cools down, then drink. Decoctions of nettle, yarrow, and St. John's wort help cope with the disorder by promoting an increase in microorganisms.
During loose stools, dehydration occurs and, therefore, the water balance is disturbed. Its recovery is based on saturating the body with water. You should drink up to 3 liters of water per day. It is advisable to remove fiber, flour, and fruits from your daily diet. The influence of the above products is undesirable in case of illness.
Diet food
Diet plays an important role for speedy recovery. The essence of the diet: during the week you should eat certain foods in small portions every 3 hours. In the first stages, drink large amounts of water and herbal teas (see above). It is advisable to stick to a food list that includes:
- fermented milk products;
- boiled eggs;
- baked apples;
- vegetable puree;
- jelly;
- crackers;
- buckwheat, rice porridge;
- vegetable soups;
- dietary meat.
The following foods should be excluded from your daily diet:
The diet is followed until signs of the disease completely disappear.
Rules for taking antibiotics
Most often, people feel worse when they use medications incorrectly. For this reason, you should remember the rules of application:
- take into account the doctor’s recommendations;
- read the instructions, follow the recommendations;
- use the appropriate dosage (frequent use causes side effects);
- When taking medications (especially after injections), it is advisable to reduce physical and psychological stress (avoid stress, intense physical activity).
To prevent loose stools, adults take probiotics.
Follow the rules for taking antibiotics and remember: the sooner you start treatment, the sooner your recovery will come. Be healthy!
How to cure diarrhea after medications
In case of inflammatory processes caused by a bacterial infection, in most cases antibiotics are prescribed to kill pathogenic microflora. However, along with harmful microorganisms, beneficial microorganisms are also destroyed, so the existing balance in the intestines is disrupted and diarrhea from antibiotics may begin, which is regarded as a side effect of the medications. Particularly negative effects are exerted by drugs from the group of penicillins, cephalosporins and clindamycin.
How likely is it to develop the disorder?
Most often, diarrhea and dysbiosis after antibiotics develop in the presence of the following predisposing factors:
1. The antibiotic is prescribed to children under 5 years of age or older adults.
2. The anamnesis of an adult or child contains somatic pathologies associated with the malfunction of the nervous system rather than internal organs.
3. Antibiotics are used to treat acute and chronic inflammatory processes of the digestive system.
4. Therapy is carried out using large doses of antibacterial agents.
5. Taking antibiotics is extended over time, there is a violation of the treatment regimen prescribed by the instructions.
Diarrhea after taking antibiotics can begin either a couple of days or a week after the start of the course of treatment, or from the first days of using the drug. A characteristic symptom of microflora imbalance is the appearance of loose stools several times a day. At the same time, after the antibiotic, thrush may develop, causing additional discomfort. Quite often, diarrhea is accompanied by pain caused by increased intestinal motility. Such spasms are especially undesirable during pregnancy, so it is important to cure dysbiosis as quickly as possible.
Methods for eliminating the disorder
To get rid of unpleasant symptoms and cure diarrhea in adults or children, an integrated approach is required, which involves following a certain diet and using special restorative drugs. It is also important to strengthen the drinking regime, since with diarrhea a large amount of water is removed from the body, which is dangerous due to dehydration.
1. Proper diet.
During the treatment of diarrhea after antibiotics, it is recommended to adhere to the following diet:
- It is advisable not to consume milk and dairy products, as well as foods based on wheat flour, for several days. We are talking about bakery products and pasta. This limitation is due to the increased sensitivity of the digestive tract to these irritants, which can lead to increased diarrhea.
- It is undesirable to introduce bran and fruits rich in fiber into the diet.
- The basis of a gentle diet is pureed soup cooked in rice water, steamed omelet, viscous porridge made from semolina and buckwheat. Such dishes help normalize stool and restore intestinal motility.
- Bread is replaced with homemade unsweetened crackers.
- A good astringent effect for diarrhea is provided by jelly made from sweet fruits and berries.
After 2-3 days, when the condition has stabilized a little, you can diversify the diet with steamed meat or fish cutlets, vegetable broth soups, and the usual crumbly porridges (with the exception of millet and barley). Also, good results are obtained by daily consumption of yoghurts, saturated with beneficial living bacteria so necessary for the intestines. You can introduce black bread into your diet no earlier than 10 days after normal stool has been restored. White bread is allowed to be consumed if at least 5 days have passed since the condition improved.
Treating the disorder in this way is especially recommended if the child has diarrhea after taking antibiotics. The main emphasis on diet should also be placed during pregnancy, when you need to cure digestive disorders using natural methods without medications.
2. Medicines.
Among the most recommended remedies for diarrhea is Imodium, which has a direct effect on intestinal motility. As a result, diarrhea stops an hour after taking the first dose of the drug, thereby eliminating dehydration and loss of minerals and trace elements important for normal functioning. If the diarrhea is severe and a bacterial infection is excluded, Loperamide helps treat the disorder after antibiotics. Contraindications to taking this drug are pregnancy and a child under 2 years of age.
Also, the obvious answer to the question of how to treat diarrhea after antibiotics is the prescription of drugs from the probiotic groups and prebiotic substances. The former should be administered in maximum quantities to quickly saturate the digestive tract with beneficial microflora. In this case, there are various options for the entry of bacteria into the intestines, but more often preference is given to oral administration (administration through enemas and a nasal tube is also possible). It is important to treat diarrhea with drugs that contain microflora that are resistant to the acidic environment of the stomach. Among the most popular remedies for diarrhea are Linex, Bifiform, Bifidumbacterin, Hilak forte.
For the drug to work, you need to take into account the specifics of its use. For example, Bifidumbacterin is taken together with an unsweetened fermented milk drink (the contents of one packet of the medicine are poured into a glass of kefir or yogurt and mixed thoroughly). To achieve results, taking the product 2-3 times before meals is enough. The duration of the course for adults is at least 14 days after the end of antibiotic therapy.
1. bitterness in the mouth, putrid odor;
2. frequent gastrointestinal disorders, alternating constipation with diarrhea;
3. fatigue, general lethargy;
Prebiotics are carbohydrates that feed good bacteria. You can get such substances by eating onions, garlic, tomatoes, asparagus, bananas, artichokes and chicory, so there is no need to purchase them in the form of medicines. The optimal effect in the treatment of diarrhea in adults and children, as well as during pregnancy, is provided by the simultaneous use of pro- and prebiotics.
How to prevent diarrhea?
To exclude antibiotic-associated diarrhea, it is important to follow a few simple rules:
1. Take antibiotics strictly as prescribed by your doctor.
2. From the first days of treatment for diarrhea, supplement therapy with probiotics, taking into account the prescribed dose of the antibacterial agent.
With this approach, the likelihood of negative symptoms will be minimized and there will be no need for additional treatment of dysbiosis after antibiotics.
What to do when you have diarrhea and diarrhea after antibiotics
Very often, a person who is treated with antibiotics may experience diarrhea. Alas, this problem concerns many, but not everyone knows exactly how to treat it and stop it.
Most often, diarrhea from antibiotics occurs due to improper use. But we should not exclude the negative impact of the chemical composition of the drugs in question on the human body.
Modern medicine cannot do without antibiotics.
This is explained by the fact that such drugs reduce complications after surgery, relieve adults from purulent and bacterial diseases, and prevent the spread of various types of infections throughout the body.
For example, botulism, tetanus or anthrax. Due to the fact that pharmacies have a large selection of antibiotics, their use has become irrational - many people began to treat themselves, not knowing how to do it correctly.
Such actions have led to the fact that the most common infections are no longer “afraid” of the drugs in question.
And this, in turn, provoked the low effectiveness of simple and cheap antibiotics.
The most common problem that many patients encounter when taking medications is considered to be diarrhea that develops while taking antibiotics.
This phenomenon is commonly called antibiotic-associated diarrhea, which can be caused by treatment with penicillin and cephalosporin.
It is worth considering that taking several groups of antibiotics at the same time increases the risk of diarrhea.
It is noteworthy that loose stools can occur if you take antibiotics in the form of tablets or capsules - drugs for oral use.
Intravenous or intramuscular administration of the medications in question is much less likely to lead to diarrhea.
How do antibiotics affect humans?
Every person should know that antibiotic treatment requires strict adherence to the instructions or recommendations of the attending physician.
Such actions will prevent possible side effects associated with drug overdose and minimize its negative impact on the patient’s body.
The word "antibiotic" means "against living things." This suggests that the medicine, when entering the body, harms the intestinal microflora.
But, by the way, it brings considerable benefits: it destroys infection, prevents the proliferation of bacteria, affects tumor cells, inhibiting their growth.
But, alas, the harm from antibiotics for adults is much greater. It is worth considering in more detail their negative impact on the patient:
- With long-term treatment with the drugs in question, the bacteria that provoked the disease become invulnerable to antibiotics, so the treatment does not bring the desired effect.
- Broad-spectrum antibiotics kill beneficial bacteria. This phenomenon provokes the activation of fungal flora, which leads to intestinal dysbiosis.
- Almost all medications have a negative effect on the patient’s liver. The fact is that taking antibiotics provokes normal liver function, and it does not completely remove harmful substances from the body, becoming a source of intoxication.
- When taking the medications in question, a person’s cellular respiration becomes difficult, which leads to a lack of oxygen in the body.
- Many drugs kill the immune system, so the adult body cannot cope with various infections on its own. This suggests that in case of subsequent diseases a person cannot do without antibiotics.
- Due to the fact that microbes constantly mutate, they become resistant to available antibiotics. Therefore, specialists have to constantly develop new drugs that harm humans even more.
In any case, self-medication is prohibited. Only a specialist can prescribe a suitable group of drugs that will help cope with a specific pathology.
It should be noted that doctors prescribe the medications in question only when it is truly impossible to do without them.
Causes of diarrhea
Most often, diarrhea after taking antibiotics develops in the presence of certain factors. They are:
- The drugs were prescribed to young children or elderly people.
- Patients undergoing antibiotic treatment have somatic pathologies of the nervous system.
- Antibiotics are prescribed for acute or chronic inflammatory processes in the gastrointestinal tract.
- Treatment is based on the use of large doses of the drugs in question.
- Treatment continues for a long time.
- Patients violate instructions and take medications incorrectly.
Diarrhea caused by taking antibiotics makes itself felt both a few days after the start of therapy and a few hours later.
Dysbacteriosis has one characteristic symptom – frequent stools with a liquid consistency.
Diarrhea in adults is often accompanied by abdominal pain caused by excessive bowel activity.
This problem causes a lot of discomfort and is quite dangerous for pregnant women. This suggests that microflora imbalance needs to be treated in a timely manner.
How to deal with the disorder
In order to cure diarrhea in adults, you need to approach the problem comprehensively. This means following a diet and taking specific medications.
In addition, it is very important to drink plenty of fluids, because diarrhea often causes dehydration in patients.
Proper nutrition when diarrhea occurs
If a person develops diarrhea after taking antibiotics, it is recommended to begin treatment immediately. One of the points of therapy is the correct diet, which is based on compliance with the following recommendations:
- For a week you should avoid milk, dairy products and dishes made from wheat flour: pasta, bread or pastries. This limitation is due to the fact that the gastrointestinal tract reacts sharply to these irritants, so diarrhea can only get worse.
- During this period, you need to exclude bran and fruits, which are rich in fiber, from your diet.
- It is allowed to eat only soup, which is cooked with rice broth, steamed omelet, semolina and buckwheat porridge. It is these dishes that will normalize bowel movements, restore bowel function and relieve the patient from diarrhea.
- Instead of bread, experts recommend eating homemade crackers.
- Jelly made from sweet fruits and berries can eliminate diarrhea in an adult. It has remarkable astringent properties.
When the situation normalizes a little, and diarrhea subsides after taking antibiotics, doctors allow the inclusion of meat or fish cutlets, vegetable broth soups, and crumbly porridges in the diet.
In addition, consuming yogurt, which contains live bacteria necessary for restoring intestinal microflora, is beneficial for the body.
You can eat rye bread only 1.5 weeks after the diarrhea stops. Bakery products made from white flour are allowed a few days after the diarrhea has completely passed.
Medications to combat diarrhea
Modern medicine is at the highest level, and therefore has a large number of drugs that are appropriate in the treatment of diarrhea.
The most common of them is the drug Imodium, which has a positive effect on intestinal function.
The drug in question quickly relieves a person of diarrhea after taking antibiotics, does not provoke dehydration of the body and restores the level of minerals and trace elements.
In cases where the diarrhea is very intense, the doctor may prescribe Loperamide. But here it should be taken into account that this remedy is prohibited for pregnant women and children under 2 years of age.
Preparations from the group of probiotics and prebiotics are recognized as very effective in treating diarrhea after using medications.
Probiotics are needed to quickly saturate the digestive tract with microflora. Medicines can be administered to the patient's body in various ways, including orally.
This group of medications includes Linex, Hilak Forte, Bifiform or Bifidumbacterin. To achieve maximum efficiency, you need to know the features of using the funds in question.
For example, Bifidumbacterin should be taken with fermented milk drinks: kefir or yogurt. The therapeutic effect will appear after 2-3 doses. The problem can be treated with such substances for no longer than 2 weeks.
If we talk about prebiotics, you should know that these are a kind of carbohydrates that provoke the growth of beneficial bacteria in the intestine, normalizing its microflora.
Similar substances are also found in food products: garlic, onions, tomatoes, bananas and chicory. This indicates that you should not immediately run to the pharmacy and buy medications.
Increased effectiveness of treating diarrhea after taking antibiotics is achieved by using both pro- and prebiotics simultaneously, in combination.
But exactly how to do this should be suggested by a qualified specialist.
Preventive measures
To be sure that defecation disorders will not occur after drug treatment, you need to adhere to several basic rules of behavior.
- Maintain personal hygiene.
- Avoid strenuous physical activity.
- Eliminate possible emotional overload and stressful situations.
- Do not ignore alarming symptoms and promptly contact medical institutions.
- Carefully read the instructions for antibiotics and strictly follow them.
What to do if diarrhea could not be avoided after taking medications and why did this happen? In this case, you should immediately seek qualified help from specialists, because the situation can worsen at any time.
Pathological phenomena should not be triggered, because they can cause serious and life-threatening complications.
Dangerous complications of irrational treatment, e.g. diarrhea after antibiotics, allergic reactions, candidiasis, superinfections, currently require a revision of the indications for antibacterial therapy.
If after taking antibiotics within a month there were 3 episodes of diarrhea - loose stools, then this is considered a complication of antibacterial therapy.
Classification
Any antibiotic can potentially cause loose stools, but the causes and mechanisms of its occurrence depend on the type of antibiotic used. The following types of disorders are distinguished during or after taking antibiotics:
- pseudomembranous colitis;
- antibiotic-associated diarrhea.
Development mechanism
Clavulanic acid, either alone or in combination with amoxicillin, is prescribed for severe purulent infections of the respiratory tract, abdominal organs, skin and subcutaneous tissue. They cause increased peristalsis of the small intestine, leading to so-called hyperkinetic diarrhea.
Drugs from the macrolide group: erythromycin, oleandomycin, spiromycin, macropen, azithromycin penetrate into the bacterial cell and cause its death. They give a good effect against mycoplasma pneumonia and chlamydial infection. Diarrhea patients develops due to increased motility of the stomach and duodenum.
The third generation cephalosporin cefixime, used to treat all types of sinusitis, gonorrhea, tonsillitis, otitis media, pharyngitis, causes impaired absorption of carbohydrates and the breakdown of bile acids. And these, in turn, in the lumen of the large intestine contribute to excessive secretion of chlorides and water, and loose stools appear.
Diarrhea after taking antibiotics may be toxic. This is a common complication of treatment with penicillins and tetracyclines, which change the ratio of normal intestinal microflora. Pathogenic microorganisms that are not sensitive to the product used begin to flourish. This development of events is possible after long-term use, more than 2 weeks, of an increased dose of an antibacterial drug.
Errors in antibiotic therapy
In order to prevent diarrhea, they begin to use antifungal substances simultaneously with antibiotics, for example, nystatin, levorin. This is wrong, because it is fraught with the proliferation of pathogenic E. coli and Proteus.
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Diarrhea due to dysbacteriosis never appears in the first days of antibiotic treatment. During this time, normal microflora does not have time to suffer, and pathogenic microorganisms do not have time to develop.
The only remedy whose prescription is justified simultaneously with antibiotics is enterol. This probiotic contains non-pathogenic yeast fungi and is not harmful to the human body. This is the only drug that is resistant to all antibiotics, sulfonamides, and to the action of hydrochloric acid of the stomach.
The remaining microbial probiotics are destroyed in the gastrointestinal tract when administered simultaneously with antibiotics.
Risk factors
Not every patient develops diarrhea after taking antibiotics. There must be predisposing factors:
- chronic diseases of the gastrointestinal tract, especially the pancreas, colon, and gall bladder;
- severe or decompensated endocrine diseases, for example, diabetes;
- patient age under 4 and after 65 years;
- prescription of too high or low dosages, unmotivated changes in medications, incorrect duration of treatment.
Clinical picture
The main complaint is the presence of loose stools. Additional symptoms:
- the occurrence of abdominal pain, wave-like or paroxysmal;
- admixture of blood, mucus, pus in the stool;
- increased body temperature;
- symptoms of dehydration: weakness, malaise, dry mucous membranes, thirst;
- intoxication of the body.
The following violations may occur:
- Constipation.
- Diarrhea.
- Abdominal pain.
- Alternating diarrhea and stool retention.
- Green chair.
Diarrhea therapy
Treatment directly depends on the mechanism of development of the disease, the antibiotic that caused diarrhea, the severity of diarrhea, and the type of pathological microflora.
How to treat what if diarrhea does not go away on its own after stopping the antibiotic?
The following medications are prescribed:
- enterosorbents;
- drugs that slow down peristalsis;
- antimicrobial;
- probiotics;
- means for restoring water and electrolyte balance.
The selection of the drug is influenced by the mechanism of disease development:
- If you are sure that diarrhea has developed as a result of increased intestinal motility, then you can prescribe loperamide, uzar, loflatil.
- If diarrhea occurs as a result of a microflora disorder, then it is necessary to prescribe probiotics, eubiotics, i.e., products containing normal intestinal microflora.
If child after antibiotics diarrhea has developed, it is necessary to get tested for dysbacteriosis. An error in choosing a drug and unreasonable prescription of loperamide during the development of pathogenic microorganisms in the intestines will slow down their evacuation. At the same time, intoxication increases, body temperature rises, and life-threatening complications develop.
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In an adult the risk of developing toxic complications is lower, but, nevertheless, treatment should be prescribed by a doctor and selected individually.
Enterosorbents
Effective drugs that bind and remove toxins. The child after Long-term use of enterosorbents may develop hypovitaminosis, impaired absorption of calcium and other microelements.
Therefore, these medications can only be prescribed prophylactically.
Name of drugs:
- Activated carbon;
- polyphepane;
- enterosgel;
- sorbex;
- smecta;
- polysorb.
Probiotics
After antibiotics in an infant For the correction of dysbiosis, microorganisms, substances of microbial origin, food products, and dietary supplements have a good effect.
The most commonly used probiotics are:
- Lactobacilli: lacidophilus, spasmolac, lactobacterin.
- Saccharomyces boulardii: Enterol, normagut.
- Mutaflor, subalin, bifidumbacterin, colibacterin, symbioflor, enterozermina, biosporin, bifiform, lacium, linex, biolact, laktovit forte, symbiter.
The drug racecadotril, which is used to reduce the amount of water and electrolytes secreted in the intestines, does not belong to any of the above groups. Prohibited for use if you have fructose intolerance.
The child after racecadotril develops headache, constipation, nausea, uncontrollable vomiting, skin rash, angioedema, itching, so it is not prescribed.
Homeopathic remedy - camphor granules helps to cope with diarrhea.
To restore the water-electrolyte balance, plenty of fluids are prescribed, a solution of rehydron, gastrolite, and oralite is used.
You can prepare a similar solution at home: add 2 tablespoons of sugar and 1 tablespoon of baking soda and salt to 1 liter of water.
Antimicrobial agents
If, after an antibiotic, a pathogenic microflora develops in the intestines, it is necessary to prescribe any drug from the following classes:
- fluoroquinolones: ciprofloxacin, ofloxacin;
- sulfonamides;
- intestinal antiseptics: enterol;
- antifungal drugs: nystatin, levorin, natamycin.
Nutritional Features
Diet for diarrhea includes the following products:
- Pasta (1-2 times a day).
- Pureed buckwheat and rice porridge without oil in water.
- Low-fat soup with chicken breast broth.
- Fish (only skinny varieties).
- Hard-boiled eggs. Provided there are no allergies.
- Dried bread, crackers, crackers, biscuits.
- Kiseli.
- Compotes.
- Milk serum.
- Baby food made from vegetables and fruits.
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