How to treat intestinal dysbiosis: treatment with diet, medications. Intestinal dysbiosis. Causes, symptoms, modern diagnostics and effective treatment Folk remedies to help

Microbes in the intestines are actively involved in the digestion of food, and their participation can affect the process. Dysbacteriosis is a change in the composition of the intestinal activity of microorganisms. The ratio of harmful and beneficial bacteria changes, the gastrointestinal tract is disrupted. To understand how dysbiosis is treated in an adult, you need to study its causes, stages and symptoms.

Causes

There are no definite and exact reasons why tract disorder manifests itself. But a combination of factors influencing the work of bacteria influence pathologies in the future.

1. Disturbances in work and diseases of the tract.
2. The effect of antibiotics and other medications.
3. Hormonal and non-steroidal drugs.
4. Taking a course of chemotherapy.
5. Eating fatty and unhealthy foods.
6. Experiences and stress.
7. Physiological changes.
8. Acute respiratory diseases.
9. Violation of the norm in the environmental background, poor-quality drinking water, poisoning in the air.
10. Poisoning due to intestinal infections.
11. Hard physical work, overexertion.

Symptoms of dysbiosis

Signs caused by the gastrointestinal tract:

1. Loose stools, constipation, or changes in these conditions.
2. The structure of feces changes - the fungal type becomes mushy with a change in color to a paler one. The aroma in this case is with a sour impurity or foulbrood.
3. A feeling of cutting or aching pain that subsides for a short time
4. Nausea with vomiting, metallic taste.
5. Lack of appetite, nausea from the sight of food.
6. The intestines do not empty completely.
7. Rotten taste, belching.

Common signs include:

1. Lack of sleep or drowsiness.
2. Loss of strength, lethargy.
3. Aching and dull headache.

Intestinal dysbiosis in adults manifests itself against the background of allergic reactions:

1. Redness on the skin.
2. The epithelium and mucous membrane are itchy.

Manifestation of hypovitaminosis:

1. The skin and mucous membranes are dry.
2. Jams form.

Symptoms that appear during dysbacteriosis may not be observed in everyone; these are individual signs of dysbiosis. About half of those suffering from this disorder experience nothing other than loose stools or constipation.

Disorders in the gastrointestinal tract go through several stages:

1. Pathogenic flora increases slightly in concentration, while obligate bacteria decrease in number. At this stage there are no symptoms.
2. Beneficial microflora is reduced to a critical level, pathogenic flora develops rapidly. Most often, symptoms appear in the form of stool disorders, bowel movements and flatulence.
3. Pathogens actively multiply, the intestinal walls become inflamed.
4. The body begins to deplete, vitamin deficiency begins, obligate microflora is practically absent, pathogenic microflora predominates by 80%, with developed conditionally pathogenic microorganisms.

Intestinal dysbiosis of the last stage, the symptoms of treatment in adults are in-depth and require the prescription of several groups of drugs.

Diagnosis of the disease

The results of diagnosing intestinal dysbiosis are obtained from a complete examination and confirmation of research data. Stool examination reveals disturbances in the intestinal microbiocenosis, the level of sensitivity of bacteria to drugs, this makes it clear how to cure the disease correctly and quickly.

Stool diagnostics also determines:

• enzymatic and acid-forming functions are impaired;
• enzymatic intestinal function is impaired;
• the enzymatic function of the pancreas is impaired;
• liver function is impaired;
• intestinal evacuation from the stomach is accelerated;
• if absorption in the duodenum and small intestine is impaired;
• The gastrointestinal tract is disturbed;
• presence of dysbacteriosis;
• formation of ulcers, colitis.

Treatment is medicinal

Any medication that helps to quickly and effectively solve the problem of digestive tract disorder is prescribed by a specialist. Self-medication may not help or may not be suitable for a person who has certain symptoms. Not everyone turns to a specialist for help, since there are pills that calm the process, but have a short-lived effect. There are many treatment methods, as well as means to improve digestion; we can only give a general idea of ​​each of them.

Probiotics

Probiotics are preparations containing live auxiliary cultures. Probiotics are:

1. Polycomponents - Bifikol, Linex, Bifidum, healthy flora appears after taking these drugs. In general, they take up to two weeks.
2. Combined – Bifiliz, Acipol. Microelements and healthy organisms. The course of treatment reaches 10 days.
3. Monocomponent - Lactobacterin, Bifidumbacterin, Colibacterin. One preparation contains a representative of one type of beneficial bacteria. Therefore, the course of treatment is delayed up to a month.
4. Synbiotics – Laminolact, Bifido-bak, Maltodophilus. This includes healthy bacteria. It is recommended to take it for three weeks.
5. Antagonists – Bactisporin, Enterol, Bactisubtil. These are the most powerful drugs, the bacteria of which destroy the vital activity of pathogens. Doctors recommend taking it for a week.

Such drugs only stabilize the normal intestinal flora; in advanced forms of dysbiosis, just taking these drugs is not enough. Additionally, antiseptics are prescribed.

Antiseptics for the intestines

Medicines of this type do not contain living organisms that reproduce and equalize the balance of microflora. Antiseptics are able to stop the proliferation of harmful bacteria so that healthy microflora has time to recover. The most common antiseptics:

1. Three quinolone derivatives in the composition of the drug - Intetrix. Gastrointerologists recommend taking Intertrix four times a day, two tablets, for no more than a week.
2. Nitrofuran – Nifuroxazide. The product is intended for adults, 200 mg 3 times a day. The course of treatment is from a week.

Symptomatic treatment

It is not always possible to recognize dysbiosis, since the symptoms are not clearly expressed, they are flexible and can relate to various types of intestinal diseases. Patients may complain of normal bowel movements and constipation. And someone may experience allergic reactions, which are not always possible to associate with intestinal diseases. Therefore, in addition to direct treatment aimed at restoring the flora, symptomatic treatment is prescribed. In this case, drugs are suitable on an individual basis:

• If prolonged constipation is indicated, the cause of which is intestinal dysbiosis, laxatives with antispasmodic properties (such as No-shpa or Duspatalin) are selected; if constipation is spastic in nature, choleretic tablets are advisable;
• If allergic reactions are observed, then it is necessary to take antihistamines - it is rational to prescribe Zyrtec, Claritin;
• Diarrhea that lasts more than three days and wears out the body can be suppressed by astringents, sorbents and specific antidiarrheal drugs;
• With frequent stress, even after completing a course of treatment, relapses are observed. In this case, sedatives are taken, for example, Persen.

Symbiotics and synbiotics

In addition to probiotics, other methods of combating dysbiosis are known in medicine: the use of symbiotics and synbiotics. There is a difference and the drugs are actively used.

Synbiotics combine a combination of bacteria that are included in probiotics (this includes Bificol, Bifilin). Synergy between probiotics and prebiotics occurs after entering the body; the microorganisms that are introduced have a greater effect - the microflora is stimulated to healthy action. Dietary fiber and herbal supplements can also provoke this effect.

Symbiotics are complex products that contain pre- and probiotics (such as Biovestin, Biovestin-lacto, Bifiliz, Euflorins (Euflorin-L and Euflorin-B), Bifiform, Bifido-bak, Laminolact). They suppress negative microorganisms and multiply positive ones.

Inclusion of symbiotics and synbiotics at the stages of development of dysbiosis:

• The drugs are prescribed to patients who have severe symptoms of dysbiosis that are difficult to respond to therapy.
• In parallel, you can take auxiliary probiotics, which are consumed in a limited dosage, usually ½ of the treatment course. In the initial stages, probiotics are prescribed every other day.
• In advanced stages, prebiotics and immunomodulatory agents can be taken on a limited basis.
• Herbal medicine that normalizes and maintains the state of the flora is also possible.
• Stool culture, coprogram, immunogram are monitored.
• The duration of parallel use of drugs is determined individually. The duration directly depends on the severity of dysbacteriosis.

Folk remedies

The following are allowed as folk treatment:

• plants that give an antiseptic effect: pomegranate and rosehip juice diluted with water, strawberries, raspberries;
• mint extract, chamomile tea, and St. John's wort infusions provide an analgesic effect;
• have an astringent effect, anti-inflammatory blueberries, bird cherry, beets.

Before treating intestinal dysbiosis in adults with folk remedies, you should be tested for an allergic reaction to one of the products.

Nutrition during and after treatment

Intestinal dysbiosis requires dietary restrictions to regulate natural processes:

• You can drink coffee and tea half an hour after meals;
• Fatty and spicy foods with a lot of seasonings should be excluded from the diet;
• Those who like to drink water with their food should give up this habit - most often the gastric juice is diluted in this way, the processing of food in the stomach is delayed and complicated
• High concentration of proteins, which gradually increases. Only the meat should be lean, so as not to aggravate the situation;
• Bread, especially wheat varieties, is quite difficult to digest; it is better to avoid baking. Or switch to homemade crackers, they are less harmful;
• Nicotine and alcohol are excluded during treatment for dysbiosis. Liqueur, vodka or cognac in small quantities is less harmful to the stomach than “fizzy” alcohol: champagne, beer. Mineral water with gas is also not recommended;
• Raw vegetables are better absorbed and have a richer vitamin bouquet than boiled ones;
• The functionality of the body increases if you introduce sprouted wheat sprouts into your diet at least once a day. You can use the peeled wheat, but do not add milk or water when pouring, just moisten it so that the wheat is not so hard;
• Lactobacilli are found in natural fermented milk products. Especially in kefir and whey. There may be side effects in the form of loose stools, but the intestines simply start working better.

There is no special diet for each person, you just need to follow some rules, avoid unwashed fruits, low-quality foods and eat food every three hours in small portions. It is important to eat hot liquid food every day: soup, broth.

Efficiency of dysbacteriosis therapy

After the course of treatment, clinical therapy, the effectiveness is visible, after it is possible to cure dysbiosis:

• The condition of the body changes after two weeks of treatment in advanced stages.
• Flatulence disappears.
• Pain in the stomach area decreases or disappears.
• The stool returns to normal.

Bacteriological treatment entails changes. After culture studies, improvement occurs after a month of intensive treatment.

Scatological and biochemical effectiveness:

• Iodophilic flora and extracellular starch disappear.
• Alkaline phosphatase is not detected in the stool and the level of enterokinase decreases to normal.

Prevention of dysbacteriosis

For preventive purposes, a diet is prescribed that removes the consequences of intestinal dysbiosis in the form of exhaustion and dehydration. This is a strengthening and restorative event that accompanies the patient during and after treatment. Usually, no additional medications are prescribed. It is possible to use folk remedies to strengthen the body.

Intestinal dysbiosis is diagnosed when there is an imbalance between opportunistic and beneficial intestinal flora. Surely, this disease has been “experienced” by every person - it can develop after long-term use of antibacterial agents, with food poisoning, against the background of poor nutrition and prolonged dieting, with previously diagnosed inflammatory processes in the gallbladder and pancreas. Everything about the causes, symptoms and diagnosis of the disease in question has already been described extensively on our website. But the basic principles of treating dysbiosis will be discussed in detail in this article.

To quickly cure intestinal dysbiosis, doctors recommend adhering to complex therapy - it is necessary not only to use certain medications, but also to strictly follow the recommendations of a nutritionist.

Table of contents:

Even if the patient takes all prescribed medications in a timely manner and in the exact dosage, it will be impossible to achieve positive results without nutritional correction. No one claims that you will need to exclude most foods and limit yourself to the pleasure of eating your favorite delicacies, but some nutritional rules for dysbiosis will need to be followed. And by the way, the diet period lasts exactly as long as the symptoms of the disease in question are present.

In case of intestinal dysbiosis, nutrition should be “structured” according to the following rules:

You shouldn’t focus on your nutrition and build some complex meal plans - just don’t feel hungry and sit down at the table every 3 hours (at least!).

Drug treatment of intestinal dysbiosis

Any medications that help quickly and effectively solve the problem of intestinal dysbiosis should be prescribed by a doctor, so you should not make any decisions on your own regarding the choice of this or that drug. In principle, this will not be possible - as a rule, the symptoms of the disease in question are pronounced and force a person to seek professional medical help. In this article we can only give general recommendations on the use of specific medications for intestinal dysbiosis.

This is the name for drugs that contain live cultures of bacteria. The list of probiotics includes:

Probiotics are intended only to stabilize the balance between healthy and opportunistic intestinal flora, but most often this is not enough for complete recovery and normalization of intestinal function. Therefore, doctors must include various antimicrobial drugs in the course of therapy - in this case, intestinal antiseptics would be appropriate.

Intestinal antiseptics for dysbacteriosis

Medicines belonging to this group of medications actively suppress the development of pathogenic intestinal flora, but do not have any effect on the healthy flora of the organ. Intestinal antiseptics include:

1. A product that contains three quinolone derivatives - Intetrix. You should take 2 capsules of this drug 3-4 times a day, and the duration of use is no more than 5 days (usually 3 days is enough to get positive results).
2. A drug belonging to the nitrofuran group is Nifuroxazide (Ersefuril or Enterofuril). This drug is usually prescribed to adults at 200 mg 4 times a day. The duration of treatment with this remedy is at least 7 days.

These substances are a nutrient medium for healthy flora; they are found in certain foods and are not digested in the intestines. Prebiotics are found in large quantities in onions, chicory, wheat, rye, and dairy products.

You can also purchase specific preparations in which the main component will be these same prebiotics - for example, Duphalac or dietary supplements (Lactusan, Normaze, Prebio).

Antibacterial drugs (antibiotics)

Such drugs are prescribed exclusively by a doctor. Firstly, dysbiosis must be diagnosed by specialists, and secondly, it is necessary to constantly monitor the sensitivity spectrum of microorganisms while taking antibacterial drugs.

Those prescribed for the disease in question include:

• Macrolides, Lincomycin and semisynthetic penicillins - it is advisable to prescribe when a staphylococcal microorganism is detected;
• Erythromycin, Levomycetin and Ampicillin will be effective in identifying enterococci;
• Sulgin, Ftalazol (sulfonamides) and Nevigramon - are prescribed only after various forms of E. coli have been identified;
• Diflucan, Amphotericin B and Lamisil are the optimal prescription for identifying a microorganism in the intestinal flora of the candidiasis type;
• Kanamycin, Gentamicin, Polymyxin and Carbenicillin are effective against Pseudomonas aeruginosa.

Bacteriophages, vitamins and biostimulants

Bacteriophages are called viruses that have a detrimental effect on a certain type of pathogenic bacteria. They can be used as one of the components of complex therapy (bacteriophages go well with antibacterial drugs) or used as an independent treatment for intestinal dysbiosis. Pharmacy chains sell Pseudomonas aeruginosa, Staphylococcus, Coliproteus and Proteus bacteriophages. They are administered orally or used for enemas.

Dysbacteriosis always provokes the development of hypovitaminosis - this is due to disruption of the healthy microflora, which is “responsible” for the absorption of vitamins A, E and D. To prevent hypovitaminosis from developing into complications, the patient must take, for example, Multitabs or Decamevit.

The disease in question violates the local one, so it needs to be restored and strengthened - this will help get rid of the pathology faster. Experts usually recommend taking medications of natural origin to strengthen the immune system - for example, lemongrass tincture, tea with ginger root, propolis tincture.

Symptomatic treatment

Intestinal dysbiosis is special in that it has very variable symptoms - patients may complain of both prolonged diarrhea and prolonged constipation, a pronounced allergic reaction and neurasthenic type disorders. It is not surprising that in addition to specific medications, doctors always prescribe symptomatic therapy. Here, the selection of medications is carried out exclusively on an individual basis:

• in cases of prolonged intestinal dysbiosis, it is advisable to take osmotic laxatives, antispasmodics (No-spa or Duspatalin) for spastic constipation, drugs with a choleretic effect;
• in case of allergic reactions, doctors will definitely select it - it could be Zyrtec, Claritin;
• in case of frequent recurrence (diarrhea), you will need to take astringents, sorbents and specific antidiarrheal drugs;
• if neurasthenic conditions are noted, then it would be appropriate to take a short course of taking drugs with valerian, complex sedatives - for example, Persen.

Folk remedies for intestinal dysbiosis

Of course, traditional medicine has a lot of recipes for remedies that are recommended for use for the disease in question. In principle, official medicine has nothing against the use of folk remedies, but only under one condition - intestinal dysbiosis must be diagnosed in a medical institution, and not independently.

Treatment with garlic

60 minutes before a meal, you need to eat 1 clove of garlic without bread, but with yogurt. Of course, this method of normalizing/stabilizing the intestinal microflora is unlikely to be suitable for working people, but 2-3 days of using garlic in this way will be enough for the patient’s well-being to become significantly better. This allows you to use garlic to treat intestinal dysbiosis on weekends. Please note that 2 hours before bedtime you need to eat 2-3 slices of this vegetable, also without bread, but washed down with sour milk.

Cinquefoil treatment

This plant is very effective for dysbiosis, which is accompanied by diarrhea and abdominal pain. It is noteworthy that the effect is noted immediately after the first use of the cinquefoil-based product.

It is necessary to prepare a decoction of 1 tablespoon of dry source and 200 ml of boiling water. The mixture should be boiled for at least 15 minutes, then the broth should be infused for 6-8 hours. It is advisable to prepare a decoction of bloodroot at night, then in the morning you can begin treatment. The decoction regimen is 1/3 cup 20 minutes before meals and at least 3 times a day. The duration of treatment is 3-5 days.

Jerusalem artichoke treatment

There is one very original way to get rid of the symptoms of dysbiosis and restore normal intestinal activity - prepared in a special way. Moreover, such a medicinal dish can be consumed by both those patients who suffer from prolonged constipation and those who complain of frequently recurring diarrhea.

Method for preparing a medicinal dish from Jerusalem artichoke:

• take 300 g of Jerusalem artichoke tubers, peel them and cut into medium-sized cubes;
• Pour a glass of milk into a saucepan, add 100 ml of water to it, bring to a boil and add diced Jerusalem artichoke into the milk;
• cook until the tubers are ready (they can be easily pierced with a fork), remove from heat and pour the milk into another bowl;
• Bring the milk freed from the tubers to a boil again;
• put 1 tablespoon of butter in a frying pan, melt and add 1 tablespoon of wheat flour, sauté as for regular white sauce;
• pour the prepared flour into the boiled milk and cook until completely thickened over low heat.

Now you can put the cooked Jerusalem artichoke on a plate, pour in the prepared sauce and mix lightly. All that remains is to add finely chopped parsley or dill to the dish - the medicinal dish is ready. It can and should be used for dysbacteriosis at least once a day, but every day. As a rule, 4 days are enough to fully restore health.

Herbal treatment

To normalize stool as quickly as possible, you can prepare a decoction of herbal tea. First, you will need to prepare the herbal mixture itself, for which you mix 1 part of St. John's wort and agrimony seeds/herbs and 2 parts of plantain, peppermint and chamomile.

Now you need to take 1 tablespoon of the prepared dry herbal mixture, pour 500 ml of boiling water and leave the product in a hermetically sealed container for 30-50 minutes. Then the product is filtered and consumed in any quantity - as a rule, 2 days are enough to normalize intestinal function.

Note:This medicine from the category of “traditional medicine” can also be given to children with dysbacteriosis, but only after obtaining permission from the attending physician.

Intestinal dysbiosis is a rather unpleasant disease - the normal rhythm of a person’s life is disrupted, and pronounced symptoms bring a lot of discomfort. Therefore, it is necessary to treat even a slight disorder of the intestines - there are a lot of methods and methods that will restore health in just a couple of days.

Tsygankova Yana Aleksandrovna, medical observer, therapist of the highest qualification category

Dysbacteriosis is a condition caused by a violation of the intestinal microflora associated with a change in the species composition of bacteria. The number of beneficial bifidobacteria and lactobacilli is reduced, and the number of pathogenic (disease-causing) microorganisms increases. Intestinal dysbiosis is not an independent disease. Often it turns out to be a consequence of other ailments (sometimes quite formidable). According to statistics, it occurs in 90% of adults.

Learn more about what kind of disease this is, what the first signs and symptoms are, as well as how to properly treat it with diet and medications.

What is dysbiosis?

Gut dysbiosis (also dysbiosis) - This is a state of microbial imbalance on or within the body. With dysbacteriosis, the ratio of beneficial and opportunistic microorganisms is disturbed, for example, in the intestines or in the reproductive organs.

The adult intestine normally contains about 2-3 kg of various microorganisms(about 500 species). 60% of all microorganisms are settled in the gastrointestinal tract.

Microorganisms help digest food, synthesize vitamins, remove toxins and carcinogens, and break down all unnecessary elements. The main representatives of the intestinal flora are aerobic lactobacilli and anaerobic bifidobacteria.

In the human body, three types of bacteria take part in the digestion of food:

• beneficial (bifidobacteria, lactobacilli). They maintain the ratio of other bacteria in the stomach, prevent the development of allergic diseases, weakened immunity and many other negative effects on the human body. They also control the number of harmful bacteria;
• neutral. They live in a certain place. They do not bring any particular benefit or harm;
• harmful (candida fungus, staphylococcus, streptococcus). They provoke various diseases and disruptions in the gastrointestinal tract.

Causes

The number of each type of bacteria that lives in the intestines is controlled by the laws of natural selection: those that multiply greatly do not find food for themselves, and the excess ones die, or other bacteria create unbearable living conditions for them. But there are situations in which the normal balance changes.

The reasons for the suppression of normal intestinal flora during dysbacteriosis may be the following factors:

Sometimes almost completely healthy people can suffer from dysbiosis. In this case, the reason should be sought in the characteristics of the profession, or in seasonal changes in nutrition.

Kinds

Depending on the cause of its occurrence, intestinal dysbiosis syndrome in modern medicine is divided into several types.

• Dysbacteriosis that occurs in healthy people:
• Professional (violations occur due to harmful professional activities)
• Age-related (flora is disrupted due to aging of the body)
• Nutritional (associated with poor nutrition)
• Seasonal (flora changes depending on the time of year, mainly in cold weather).

By severity:

• light;
• medium-heavy;
• heavy.

With the flow:

• acute (up to 30 days);
• prolonged (up to 4 months): with clinical manifestations (continuous or recurrent) and without clinical manifestations;
• chronic (more than 4 months): with clinical manifestations (continuous or recurrent) and without clinical manifestations.

Dysbacteriosis of the small intestine

Dysbacteriosis of the small intestine begins to manifest itself when it is over-contaminated. In this case, the microbial composition changes, which provokes disruption of the normal functioning of the gastrointestinal tract. The pain is localized in the navel area.

Dysbacteriosis of the large intestine

Colon dysbiosis is an extremely common pathology that disrupts the microflora simultaneously in the stomach, duodenum, and intestines. The disease can be long-lasting, take a more severe form and disrupt a person’s normal lifestyle.

Symptoms of intestinal dysbiosis

The clinical picture of the development and course of dysbiosis depends on both the stage and the microbiological variant of the disorder.

Characteristic signs of dysbiosis in adults:

• Stool disorders. Stool disorders due to dysbacteriosis are one of the most common and characteristic symptoms. Most often it manifests itself in the form of loose stools (diarrhea). With age-related (in older people) dysbiosis, constipation most often develops, which is caused by a decrease in intestinal motility (due to a lack of normal flora).
• With pronounced processes of decay and fermentation, which are observed in only 25% of patients, the composition, shape and color of feces are disrupted. It becomes foamy, liquid, acquires a light color and a sour odor. You may experience a burning sensation in the anus.
• change in the smell of feces (it becomes sharply putrid or sour);
• increased gas formation (gases can be smelly or odorless, sonorous or not);
• bloating of varying intensity (it is more pronounced in the evenings, and may worsen after certain foods);
• Dyspeptic disorders: nausea, vomiting, belching, loss of appetite, are the result of impaired digestion;
• The intestines do not empty completely.
• Rotten taste, belching.

Symptoms that appear during dysbacteriosis may not be observed in everyone, this is individual characteristics. About half of those suffering from this disorder experience nothing other than loose stools or constipation.

With dysbacteriosis, digestion suffers the most. Since food in the intestines is first broken down by bacteria, and only then absorbed into the blood. Without the help of microorganisms, the body cannot absorb many nutrients. Therefore, nausea, vomiting, and loose stools appear.

Stages of dysbiosis in adults

There are the following stages of the disease:

Stage 1	The first degree of intestinal dysbiosis is characterized by a decrease in the protective endogenous flora by no more than two orders of magnitude. Bifidoflora and lactoflora are not disturbed, there are no clinical signs of the disease. This degree is characteristic of the latent phase of the disease.
2	In this case, the decrease in beneficial microorganisms - lacto- and bifidobacteria - becomes critical. Along with this, the development of pathogenic microflora is growing extremely rapidly. At this stage, the first signs of dysbiosis appear, which indicate a disruption in the functioning of the intestines.
3	The inflammatory process begins to damage the intestinal walls, which aggravates chronic indigestion. This stage of the disease requires serious treatment not only with a proper diet, but also with medications.
4	develops when there is no treatment for dysbiosis or it is not intensive enough. At this stage, harmful microorganisms practically displace beneficial ones, which leads to the development of diseases such as vitamin deficiency, depression, intestinal diseases, which are dangerous not only to the health, but also to the life of the patient.

With intestinal dysbiosis, other symptoms and manifestations are possible, but they will most likely relate to complications of the disease or to an exacerbation of concomitant pathologies. These symptoms are not directly related to a violation of the intestinal microflora. For example, signs of hypovitaminosis and vitamin deficiency are possible. The lack of vitamin is due to the fact that it is not absorbed normally in the intestines.

Diagnostics

With intestinal dysbiosis, symptoms such as enterocolitis, inflammation of the large and small intestines are observed. The doctor’s task is to make a correct diagnosis, excluding the above pathologies of the digestive organs.

It is difficult to diagnose dysbiosis without tests. The symptoms of the disease are very similar to the symptoms of other diseases. To make a diagnosis, the doctor needs to have diagnostic results. After collecting the patient’s complaints and palpation, the specialist prescribes 2-3 necessary procedures.

The following will help you make an accurate diagnosis:

• Stool analysis. The most specific method for laboratory diagnosis of intestinal dysbiosis is stool analysis and culture.
• Clinical blood test - shows the presence of inflammation and possible bleeding in the intestines. With severe dysbacteriosis, a decrease in the level of hemoglobin in the blood is noted.
• Colonoscopy. Allows you to assess the condition of a section of intestine up to one meter long.
• Ultrasound examination of the abdominal cavity. It can be used to detect concomitant pathologies.
• Fibroesophagogastroduodenoscopy. It consists of examining the mucous membrane of the stomach, esophagus and duodenum, which is carried out using an endoscope.
• X-ray of the intestines. To detect pathological changes, a contrast agent is used during the procedure.

Treatment of dysbiosis in adults

With a mild degree of imbalance in the intestinal microflora, it may be sufficient to eliminate these causes through a balanced diet, taking prebiotics or probiotics. In case of severe disorders, dietary nutrition is also indicated simultaneously with complex antimicrobial therapy.

How to treat intestinal dysbiosis? Treatment activities consist of:

• elimination of excessive bacterial contamination of the small intestine;
• restoration of normal microbial flora of the colon;
• improvement of intestinal digestion and absorption;
• restoration of impaired intestinal motility;
• stimulating the body's reactivity.

Medications

To treat dysbiosis, drugs are used that help restore normal intestinal flora. Typically, a product from one of the following groups is selected:

1. Antibacterial drugs are necessary primarily to suppress the excessive growth of microbial flora in the small intestine. The most widely used antibiotics are from the group of tetracyclines, penicillins, cephalosporins, quinolones (tarivid, nitroxoline) and metronidazole.
2. Bacteriophages (intestibacteriophage, staphylococcal bacteriophage, pyobacteriophage, coliproteus bacteriophage, etc.);
3. Antibiotics (fluoroquinolones, cephalosporins, penicillins, macrolides, aminoglycosides, etc.);
4. Probiotics for dysbacteriosis (sporobacterin, enterol, cereobiogen, bactisubtil, etc.).
5. Antifungal agents. Prescribed when an increased amount of yeast is detected in the intestinal contents.
6. Enzymes are prescribed in case of severe digestive disorders. Mezim tablets, 1 tablet 3 times a day, before meals. In order to improve the absorption function, Essentiale, Legalon or Karsil are prescribed, since they stabilize the membranes of the intestinal epithelium. Propulsive bowel function is improved by imodium (loperamide) and trimebutine (debridate).
7. Sorbents are prescribed for severe signs of intoxication. Activated carbon is prescribed 5-7 tablets at a time, for 5 days.

Prescribe medications for dysbiosis, determine their dosage and duration of use only a doctor can. Self-medication risks complications.

During long-term treatment with antibiotics, be sure to include in the therapy a special diet containing foods rich in beneficial bacteria, antifungal and immunostimulating, as well as antihistamine therapy.

Treatment of intestinal dysbiosis is prescribed comprehensively depending on the degree of the disease. Since the disease develops under the influence of many factors, it is important to eliminate the cause of its development, otherwise taking probiotics will not have a positive effect. Elimination of foci of infection and chronic diseases is the main task in treatment.

Diet and proper nutrition

There is no special diet for each person, you just need to follow some rules, avoid unwashed fruits, low-quality foods and eat food every three hours in small portions. It is important to eat hot liquid food every day: soup, broth.

Basic principles of proper nutrition for dysbiosis:

• eating regularly at the same time;
• eating warm food (within 25-40 degrees) and avoiding too cold or hot food;
• avoiding aggressive and spicy foods;
• chewing food thoroughly;
• eating food frequently (every two and a half hours) and in small portions;
• drink plenty of fluids, but not during meals (so as not to interfere with the digestion of food).

When following a diet, you are allowed to eat the following foods:

• white or rye bread – not fresh, but yesterday’s bread;
• crackers;
• soups in low-fat broths with pureed cereals and vegetables;
• boiled, steamed or stewed meat dishes;
• lean meats;
• lean fish, boiled, steamed, stewed or fried without breading;
• vegetables (excluding cabbage, legumes and mushrooms) boiled, baked or steamed;
• fruits and berries in jelly, compote, puree or mousse;
• baked or raw grated apples;
• low-fat dairy products;
• butter in small quantities;
• sauces without spices;
• all drinks except alcoholic, carbonated, kvass and fruit drinks.

Along with the diet, patients may be prescribed probiotics and prebiotics. These drugs improve intestinal function and restore healthy flora.

Folk remedies

Traditional medicine, if proven remedies are used correctly, can improve the condition and alleviate the symptoms of the disease. But it can only be used as a supplement to the main treatment prescribed by a doctor.

The following are allowed as folk treatment:

• plants that give an antiseptic effect: pomegranate and rosehip juice diluted with water, strawberries, raspberries;
• mint extract, chamomile tea, and St. John's wort infusions provide an analgesic effect;
• have an astringent effect, anti-inflammatory blueberries, bird cherry, beets.

Traditional methods include the use of the following means:

1. Oak bark . A decoction of oak bark has an astringent effect and helps with diarrhea, which often accompanies dysbacteriosis. A tablespoon of raw material, poured with 250 ml of boiling water, is simmered over low heat for a quarter of an hour. The liquid is cooled, filtered and taken half a glass up to 3 times a day.
2. Garlic . It contains antibacterial compounds that destroy pathogenic microflora and prevent the development of putrefactive processes. To prepare the medicine, you need to crush a clove of garlic in a mortar and pour a glass of low-fat kefir over it. Drink 2 glasses of the resulting drink every day.
3. A healthy and tasty cure for dysbiosis is a mixture of sunflower seeds, pumpkin seeds and walnut kernels. Well-dried ingredients must be ground in a coffee grinder and taken 2 tablespoons of the resulting powder daily, washed down with warm water.
4. Serum. Sold in stores or left over after making homemade cottage cheese. The heated whey is drunk in the morning on an empty stomach for a month, 1 glass.
5. If digesting food is accompanied by bloating. Pour 4 tablespoons of dill seeds into a glass of hot water, leave for 2 hours, then strain and drink every 2 hours throughout the day.
6. Based on propolis honey: A teaspoon of this honey should be diluted in a glass of warm water or rosehip decoction and taken 2 times a day after meals for 1.5 months.
7. The simplest herbal decoction options– this is eucalyptus and mint. To prepare the first 3 tbsp. dry eucalyptus is poured with 500 ml of boiling water. For the second recipe, use 2 times less boiling water – 250 ml. Eucalyptus decoction is drunk a quarter of a glass 3 times a day, and mint decoction is drunk of 3 quarters of a glass 4 times a day. The course of treatment lasts 14 days.

Treatment exclusively with herbs is possible only in cases of mild dysbacteriosis. In other cases, traditional methods are only an addition to the main treatment prescribed by a specialist.

Prevention

Preventive measures include following recommendations for proper nutrition, hygiene and sanitary processing of products.

Basic preventive measures for adults are as follows:

• healthy eating;
• taking antibiotics only as prescribed by a doctor;
• timely treatment of diseases of the digestive system.

To get rid of dysbiosis and prevent further relapses, it is most effective to use an integrated approach. At the first symptoms, be sure to seek help from a gastroenterologist. Be healthy and always watch your lifestyle!

Intestinal dysbiosis in adult patients is most often associated with undiagnosed or untreated diseases that lead to an imbalance in the number of intestinal microorganisms. Ignoring the primary symptoms - dyspeptic manifestations, creates the foundation for the deepening of the pathology and the increase in its severity, leading patients to intoxication, anemia, inflammation of the intestinal mucosa, cholecystitis and other serious ailments. Such a cycle aggravates the intestinal bacterial imbalance, so early initiation of treatment with a confirmed diagnosis is the only correct decision.

What is intestinal dysbiosis

This is a painful condition associated with a violation of the ratio of beneficial, opportunistic and pathogenic representatives of the intestinal microflora with the symptoms of gastrointestinal disorders.

All types of microorganisms of natural flora are found in the intestines in certain quantities. The maximum volume is occupied by bifidobacteria and lactobacilli. Opportunistic pathogens become pathogenic if there is more than a borderline amount of them in the intestine. Under such conditions, dysbiosis develops even if the presence of microbial pathogens (staphylococci, fungi, Proteas, entero- and streptococci) is not detected.

Main reasons

Types of disease

Dysbacteriosis is classified:

1. By type of pathogen: Proteus, fungal or candidomycosis, staphylococcal, associative - the most severe form that occurs when staphylococcus is associated (combined) with other types of pathogens.
2. Because of:
   • primary (when it is not possible to determine the cause of the disease);
   • medicinal, which most often provokes uncontrolled and long-term use of antibiotics;
   • age;
   • radioactive (when irradiated);
   • food and seasonal, associated with changes in diet;
   • mixed (when diagnosing several causes).
3. According to severity of manifestations
   • I degree. An insignificant decrease in the number of beneficial microorganisms, accompanied by constipation, bloating, uneven coloring of stool and its heterogeneity. Children experience weight loss.
   • II - moderate and significant decrease in beneficial flora against the background of the appearance of single pathogens. Pain, belching, nausea, constipation, increased gas formation, allergic reactions, and anemia occur.
   • III - active colonization of the intestine with pathogenic flora. Decreased immunity, poisoning by toxins secreted by microorganisms and symptoms of intoxication - fever with chills, headache, vomiting, nausea, diarrhea or constipation. The presence of harmful bacteria in the urine and blood. The likelihood of organ infection.
   • IV - severe course against the background of the almost complete absence of bifidobacteria and a significant decrease in lactobacilli. Serious digestive disorders, severe intoxication, hypovitaminosis, inflammatory processes on the mucous membranes of the intestines, stomach, esophagus. There is a significant increase in harmful microorganisms in the blood and urine.

Treatment

How to treat adults with medications

When trying to cure dysbiosis, only complex therapy, a regimen developed by a gastroenterologist, gives a stable result. The main task is to eliminate the root cause - that is, the primary treatment of the underlying disease that caused the pathological imbalance of the bacterial flora.

Beneficial and harmful bacteria living in the intestinal lumen

Main groups of drugs

Antibacterial

Suppress abnormal growth and activity of microbes when the cause of dysbiosis is enterococcal infection, candidomycosis, Escherichia coli, staphylococci, streptococci.

Depending on the identified pathogen, the following are prescribed: Levomycetin, cephalosporins (do not act on enterococci and listeria), Nystatin, Pimafucin, Enteroseptol, Azithromycin.

But antibiotics very often disrupt eumicrobiosis - the natural microflora in the large intestine, so they are used for a course of 7 - 10 - 14 days only for pathologies accompanied by active growth of microbes in the small intestine.

Important!

Antibiotics should be prescribed only after a bacterial culture test has been carried out, when the pathogen is identified and its sensitivity to various agents is determined, choosing the most optimal one.

Treatment with antibiotics of the underlying disease - the cause of intestinal dysbiosis - should be accompanied by simultaneous intake of probiotics (approved for use together with antibacterial agents), as well as Wobenzym, Phlogenzyme with highly active bioenzymes, which minimize the likelihood of developing “side effects” and drug-induced dysbiosis.

Antimicrobials

If dysbacteriosis is confirmed, antiseptic medications are prescribed that have minimal effect on the natural intestinal flora, promoting the breakdown and absorption of substances necessary for the body and at the same time suppressing the activity of aggressive microbes, proteas, and yeast fungi. These include: Furazolidone, Ersefuril, Tiberal, Intetrix.

For severe staphylococcal dysbiosis, Tarivid, Palin, Metronidazole, Biseptol, Nevigramon are prescribed.

Rectal antibacterial, antimicrobial, antimycotic suppositories act locally, maximally preventing side effects, while maintaining effectiveness in dysbacteriosis of any complexity. In addition, some suppositories contain corticosteroids that relieve inflammation and swelling of the intestinal walls.

Of these, they include: Metronidazole, Canesten, Genferon, Levomycetin.

But antibacterial suppositories are not allowed to be used by women carrying a child.

Probiotics (eubiotics)

Available in ampoules, bottles, powder, suppositories, tablets, they contain a large volume of living natural bacteria that suppress pathological microbes and actively colonize the intestines.

Type of probiotics	Probiotic Base	Name	Peculiarities
Single drugs. In case of severe dysbacteriosis, they are used only in combination with others, since they contain the same type of active substance	lactobacilli	Trilact, Acylact, Acidobak, Biobakton, Gastrofarm, Primadophilus, Lactobacterin, Regulin Narine; Biobakton, Rela Life Euflorin-L	Compatible with antibiotics
	bifidobacteria	Bifidumbacterin forte, Biovestin, Probifor, Bifidobacterin-Multi, Bifidum-BAG, Bifilong	Not compatible with antibacterial agents
Multicomponent symbiotics, combining several types of beneficial and non-pathogenic bacteria	combination of bifidobacteria and lactobacilli	Florin Forte, Normobakt, Bacteriobalance, Biovestin-Lacto, Bifidin, Bonolact Pro+Biotik, Polybacterin, Symbiolact	Not recommended for people with increased allergic sensitivity or severe immunodeficiency (dosage calculation required)
	lacto- and bifidobacteria, natural enterococci	Linux	Used together with antibiotics, approved for lactating and pregnant women
	bifidobacteria in combination with non-pathogenic Escherichia coli	Bificol	Not compatible with antibiotics
	bifidobacteria, non-pathogenic enterococci	Bifiform	Combined with antibiotics; allowed for pregnant and lactating women

In addition to them, multicomponent probiotics Enterol, Bifidoback, Acipol, and Yogulact are actively used.

Combined probiotics, in addition to normal flora bacteria, often contain:

• substances that maintain a favorable environment for their growth: soybean and propolis extract in Bioflora, immunoglobulins in Kipacid, lysozyme in Bifiliz;
• enterosorbents such as activated carbon, SUMS-1: Ecoflor, Probiofor, Bifidobacterin-forte, Bificol forte (so-called probiotic complexes);
• bacteria that do not live in the intestines, but suppress the vital activity of pathogens (the so-called self-excreting antagonists), which are found in Sporobacterin, Baktisubtil, Enterol.

Probiotics can be used not only in the form of capsules, powder, tablet form, but also in suppositories. The advantages of suppositories Bifidumbacterin, Bifinorm, Lactonorm, Lactobacterin, used rectally, lie in the local effect, which allows you to adjust the balance of microflora locally - in the intestines, without affecting the body as a whole. In addition, bifidobacteria and lactobacilli immediately enter favorable conditions for them, without moving through the gastrointestinal tract for a long time and without being destroyed.

Video. How to treat dysbiosis

Prebiotics

Unlike probiotics, prebiotics do not contain natural bacteria, but create an environment for the active reproduction of beneficial microorganisms and are used at any stage of the treatment of dysbiosis.

They are produced in the form of medicines and biologically active additives (dietary supplements). Most contain lactulose, which activates the growth of natural bifidobacteria and stimulates the immune system.

Other effective prebiotics include Hilak forte, Baktistatin, Ortho Prebio.

Hilak forte is a universal prebiotic for any age, indicated during pregnancy and lactation. Restores the natural intestinal flora, epithelial cells of the intestinal mucosa, normalizes acidity.

Bactistatin contains active antibacterial substances (bacteriocins, lysozyme) that suppress intestinal pathogens; digestive enzymes. Stimulates the synthesis of interferon, increasing protective functions, absorbs and removes poisons and allergens, reducing intoxication; normalizes intestinal motility, provides conditions for the restoration of healthy microflora.

The new prebiotic Ortho Prebio (Raftilose Synergy1) contains acacia gum, natural inulin, enriched with oligofructose. Actively “grows” the natural healthy intestinal microflora, increasing up to 10 times in 10 days. Works much more effectively than many similar drugs.

Synbiotics

Representatives of medicinal synbiotics contain a complex of pro- and prebiotic components.

Among them we can highlight:

• Bifainol (bifidobacteria in combination with vitamins and eicosapentaenoic and docosahexaenoic acids);
• Bifidumbacterin 1000 (lactulose with bifidobacteria);
• Evitalia (lacto- and propionobacteria with lactic acid streptococcus);
• Normoflorin-D (lactobacteria with bifidobacteria and lactitol);
• Normoflorin-D (bifidobacteria and lactobacilli with lactitol);
• Bion - 3 (lacto- and bifidobacteria with a vitamin-microelement complex);
• Maxilac (fructooligosaccharides with bifidobacteria and lactobacilli);
• Algibif (bifidobacteria with sodium alginate).

Photo gallery. Basic pro- and prebiotic medications

How to choose the best

Since certain strains of bacteria and complexes of active organic substances, taking into account their properties, are purposefully used for specific manifestations of the disease, the specialist selects the optimal probiotic or prebiotic drug for the treatment of a specific form of dysbiosis.

To relieve diarrhea, probiotics with saccharomycetes (Enterol), or beneficial bacilli, which are found in Bactisubtil and Biosporin, are optimal.

The doctor chooses a medicine after reviewing the results of a stool test. And usually the best option is a probiotic containing those organisms that are deficient in the intestines.

When treating dysbacteriosis, a drug with lactobacilli is first taken, later - containing bifidobacteria, sometimes after this drugs with colibacteria (Colibacterin) are also prescribed. It is often advisable to take symbiotics containing a combination of bacteria necessary for the intestines.

General rules for use and duration of treatment

Prebiotics are drunk 3-4 times a day with food until the condition is stable and negative manifestations subside. It is allowed to drink them for quite a long time - months.

Probiotics are usually taken half an hour to an hour before meals with the same frequency as prebiotics, but the duration of administration is approximately 2 - 4 weeks. However, in case of acute intestinal infection with severe diarrhea, their intake for 3–4 days is increased to 6 times a day until the diarrhea stops.

Important!

In case of increased gastric acidity, 10–15 minutes before taking the prescribed probiotic, it is advisable to drink half a glass of alkaline mineral water or take acid-reducing agents (Phosphalugel, Almagel, Maalox, Gastal).

Bacteriophages

Like antibiotics, these drugs are aimed at eliminating bacteria, but unlike antibacterial agents, they are not toxic and selectively suppress only certain microbes, without affecting the healthy intestinal flora. An analysis of stool for dysbacteriosis will allow you to accurately select the desired bacteriophage, taking into account the susceptibility of specific pathogens to it.

Some bacteriophages acting on specific microorganisms that provoke dysbacteriosis:

• staphylococcus: Piopolyphage (tablets), Staphylococcal bacteriophage (liquid);
• enterococcus: liquid Intesti-bacteriophage;
• Pseudomonas aeruginosa: liquid Bacteriophage pseudomonas aeruginosis;
• Protea: Coliproteophage (tablets);
• Escherichia coli: liquid purified polyvalent Pyobacteriophage.

Sorbents

They bind and absorb toxins and allergens, preventing putrefactive processes from developing. Used at an early stage of therapy. Polysorb, Smecta, Pepidol, Enterosgel, Polypefan.

Enzymes

They help active digestion and stimulate the motor and absorption functions of the intestine. Festal, Digestal, Panzinorm, Mezim, Creon.

Antispasmodics

Relieves intestinal and stomach cramps. The most effective are Dicetel, No-shpa, Duspalitin, Meteospasmil.

Regulators of peristalsis

Restores normal movement of the food bolus from the stomach to the intestines and peristalsis. Helps with nausea, vomiting, bloating, diarrhea. The most common are Smecta, Trimedat, Motilium, Loperamide, Trimebutin.

Absorption stimulants

Essentiale, Karsil, Legalon stimulate the functions of cell membranes in the intestinal tissue, promoting the normal absorption of nutrients, and relieve colic.

Immune defense modulators

Restore local immunity in the intestines, increase the protective functions of the weakened body. For this purpose, Taktivin, Levomisol, Timalin, Immudon, Timogen, Immunofan are prescribed. Used for a month at the last stage of treatment to stabilize the result simultaneously with vitamins.

Diet

Therapy of dysbacteriosis requires the mandatory inclusion of dietary nutrition in the treatment regimen. It may be less or more “restrained” in diet, which is associated with the severity of the disease, but the basic principles remain unchanged:

• exclude products with chemical dyes, preservatives, flavors and flavor enhancers;
• take into account the nutritional characteristics necessary in the treatment of a disease that provokes dysbacteriosis;
• use products that do not cause diarrhea, constipation, compensate for anemia, vitamin deficiencies;
• consume foods taking into account the likelihood of developing food allergies, which often accompany dysbacteriosis;
• do not drink alcohol, but if this principle is violated, choose strong drinks, since beer, wine, champagne are more likely to cause aggravation;
• Despite the variety of diets for dysbiosis, one should not fanatically concentrate on the time of food intake and its quantity (excluding overeating). There is no need to languish from hunger and eat when you feel that it is necessary. The best option is frequent meals in small portions.

Prohibited Products

Products that require limitation or exclusion:

• starchy foods, spicy foods, fatty meats, offal, mushrooms;
• canned food, spices (except cinnamon, cloves, pepper, bay leaf, coriander);
• alcohol, strong and surrogate coffee;
• sweet fatty foods, dark chocolate, buttercream cakes, fried donuts, ice cream
• fried, fatty, heavy dishes, sauces such as mayonnaise, pickles, marinades;
• raw vegetables for dysbacteriosis with frequent diarrhea (cabbage, including sauerkraut, carrots, beets, green salad, spinach, radish, radish), containing coarse plant fiber. It irritates the intestinal mucosa, easily causing diarrhea.

Photo gallery. Foods and dishes that need to be removed from the diet or limited

Fried, salted, pickled mushrooms Mayonnaise and sauces with a similar composition Beer and other alcohol with a yeast component (wine, champagne)
Fatty sweets, including cakes with butter cream Fried meat, potatoes Pancakes, especially those made with yeast
Pickles and marinades

Features of nutrition for various types of dysbiosis

Not all products allowed for dysbiosis can be consumed in certain forms of it.

During fermentation processes in the intestines, limit sweets, sugar, honey, jam, milk, and raw fiber. If there is no increased acidity, it is undesirable to wash down food with water, since diluted gastric juice worsens the digestion of food, exacerbating the fermentation processes. Boiled vegetables, cereals, fermented milk products, and spices are allowed: bay leaves, cloves, pepper, which suppress fermentation.
Recommended products are boiled, baked, low-fat broths, eggs in a bag, steam omelettes.

During putrefactive processes, the intake of meat and fats is limited, the diet increases vegetable and fruit dishes (especially apples), preferably baked ones, kefir, and yogurt. Boiled vegetables, porridge, kefir, dried apricot compotes, apricot puree, and cranberry jelly are allowed. Herbs: wormwood, sage, lemon balm.

For fungal dysbiosis, limit foods with yeast: cheese, grapes, champagne, beer, kvass, pancakes, pancakes, fresh bread, warm pies, sauerkraut, kefir with fungal starter.

Allowed foods and dishes

In case of dysbacteriosis, the following is introduced into the diet:

• protein products: dishes from lean boiled, stewed without oil meat, fish, poultry, cottage cheese, cheese;
• stale bread, dry cookies without margarine, durum pasta;
• vegetables and fruits in large quantities, but if they have coarse fiber - always boiled and baked;
• eggs in any form, except fried;
• fermented milk products (excluding fungal dysbiosis), low-fat sour cream;
• sweets: natural marmalade, marshmallows - in small quantities;
• any porridge, during fermentation processes - it is better with diluted milk.

Photo gallery. What to eat if you have dysbiosis

Boiled potatoes Fermented milk products without preservatives, kefir Well-cooked porridge - a source of protein, vitamins and processed fiber
Baked vegetables for less intestinal irritation during diarrhea Apricots and dried apricots destroy putrefactive microbes Steam omelets baked in the oven
Carrot juice is a healing drink Low-fat cottage cheese as a source of complete protein Boiled and stewed lean meats
Fruits, preferably baked

Sample menu for the week

On any day of the week, in the absence of diarrhea, a vegetable salad with vegetable oil (150 - 200 g) and stale bread (30 g) are added to the main menu.

Monday	The tea is not strong, Dry cookies (30 g), cheese (20 g), Cottage cheese casserole (150 g) from low-fat unleavened cottage cheese Natural cherry jelly, Low-fat chicken broth with vermicelli (200 g) Boiled meatballs (100 g) with potatoes and carrots boiled in milk, Oatmeal porridge (200 g) with butter (5 g) Compote of lingonberries and raspberries Fruit puree from pear and peach (150 – 200 g)
Tuesday	Natural coffee with milk, custard gingerbread (40 g) Omelet baked with tomatoes (150 g) Bean soup with potatoes and beef (200 g) Vegetable stew with veal (200 g) Cheesecake with semolina and cottage cheese (100 g) Kefir, natural blackcurrant jelly Marmalade (30 g), apples baked with cinnamon
Wednesday	Chicory with milk, dry salted cracker (30 g), cheese (20 g) Fish baked Polish style in milk sauce (without butter) (200 g), mashed potatoes (150 g) Buckwheat porridge cooked in milk (200 g) Puree pea soup (200 g) low-fat curd cheese (100 g) Banana puree (150 g) Apple juice, diluted Marshmallow (30 g), fresh blueberry jelly or decoction of dried blueberries, strawberries, currants
Thursday	Light herbal tea, marmalade (30 g) Carrots stewed in milk sauce (150 g) Steamed chicken cutlets (100 g) with stewed zucchini and tomatoes (200 g) cherry strudel with cottage cheese and custard (150 g) Macaroni and cheese (150 g) Eggs “in a bag” with spinach Lingonberry jelly, kefir Apricot puree (200 g) with cream (20 g)
Friday	Natural coffee with milk, cheese (20 g), croutons Stewed fish with carrots (150 g), boiled potatoes (150 g) Wheat porridge (200 g) boiled with butter (5 g) Light meatball soup Chicken, boiled turkey (150 g) with rice and egg Carrot juice with cream (20 g), weak tea, herbal decoction Dry salted crackers (without margarine) – 40 g Decoction of rose hips and chokeberry
Saturday	Light cocoa with milk, marshmallows (30 g) Semolina porridge (150 g) with butter (5 g) Meat soufflé in omelet (200 g), zucchini fritters (150 g) Low-fat fish soup (250 g) with potatoes Curd casserole with dried apricots (150 g), natural strawberry jelly Dried fruit compote, weak tea Kefir
Sunday	Chicory with milk, cheesecakes (100 g) with pectin confiture (20 g) Potato casserole with beef (200 g) and low-fat sour cream (25 g) Light cabbage soup (250 g) Boiled fish (150 g) with rice (100 g), cheese (20 g) Boiled eggs Benedictine Compote of fresh black currants and apples (or dried fruits) Kefir, dried raspberry and strawberry tea, charlotte with apples (50 g)

Folk remedies

Traditional recipes used in isolation for dysbiosis are not able to cure the pathology, so they cannot become a separate method of treatment. Homemade medicinal recipes can help relieve acute symptoms of the disease, improve general condition, and saturate the body with useful substances, but they cannot eliminate the cause of dysbiosis and represent only part of complex therapy.

It is optimal to use herbal mixtures that have a combined and mutually reinforcing effect in restoring flora, relieving inflammation and spasms, activating the intestines during constipation and strengthening during diarrhea.

Product, plant	Pathogens that are suppressed
Apples	Protea, Klebsiella, Shigella
Cowberry	fungi of the species Candida
Apricot	Enterococcus, Proteus, Staphylococcus, Klebsiella, Pseudomonas aeruginosa, inhibits fermentation
Cranberry	Protea, Salmonella, Klebsiella, Shigella
Strawberries	Enterococcus, shigella, staphylococcus, streptococcus
Raspberries
blueberry	Staphylococcus, Klebsiella, Enterococcus, Proteus
Cloves and cinnamon	Escherichia, Pseudomonas aeruginosa, Proteus, Klebsiella, Candida
Garlic	Protea, Klebsiella, strong bactericidal properties
Black currant	staphylococcus, Proteus, enterococcus, general bactericidal effect
Rowan chokeberry	General antibacterial effect
Horseradish	Protea, Klebsiella, Pseudomonas aeruginosa
Carrot	salmonella, protozoa, clostridia, Candida

Herbs have excellent anti-inflammatory and antimicrobial properties: wormwood, sage, chamomile, cinquefoil, St. John's wort, thyme, birch leaf, calamus root, calendula, oregano, yarrow, bird knotweed. For decoctions, it is advisable to take several types of herbs.

Photo gallery. Healing plants, herbs and berries that suppress the development of intestinal pathogens

Medicinal herbal teas:

1. In equal proportions, take lingonberry and birch leaves, thyme, rose hips, calendula flowers, chamomile, cinquefoil and yarrow.
2. A tablespoon of the mixture is poured into 0.5 liters of boiling water, leaving to steep for an hour. Drink half a glass up to 4 times a day for 7 to 10 days.
3. In equal parts, take currant leaves, blueberries, raspberries and strawberries, rose hips, and calamus root. Two tablespoons of raw materials are brewed with 0.5 liters of boiling water. Infuse the decoction for 12 hours in a warm place (in a thermos). Drink a third of a glass before meals.
4. Decoction of Potentilla erecta. Particularly good for diarrhea. For the decoction, take 1 tablespoon of raw material, pour in 250 ml of boiling water and boil slowly for 15 - 20 minutes. The decoction must be infused overnight. Drink 60–80 ml three times a day.

Home Recipes:

1. Garlic. If there are no contraindications (kidney disease, erosions and ulcers in the stomach, esophagus and intestines, high acidity), it is advisable to eat up to 3 cloves of garlic per day.
2. Mash with honey. If fungal dysbiosis has not been diagnosed and there are no fermentation processes in the intestines and stomach, prepare yeast brew with honey. Half a liter of boiled warm water, honey - 2 tablespoons, 2 grams of yeast. Mix and place in a warm place for 1 hour (no more). In the morning, drink half a glass before breakfast.
3. Jerusalem artichoke puree. Peel 300 g of Jerusalem artichoke, cut, pour boiling milk (1 glass) and water (half a glass) and cook until soft. Drain the milk broth, bring to a boil and add a tablespoon of flour and salt into it, boiling until thick. There is no need to sauté flour in oil. The resulting sauce is seasoned with Jerusalem artichoke. Eaten with dill.

Important.

If you have dysbacteriosis, it is not recommended to use decoctions and infusions of medicinal herbs for enemas without the advice of a doctor. Enemas flush out not only pathogenic bacteria from the intestines, but also those necessary for digestion, so active use of this method can worsen the condition of bacterial imbalance.

Features of therapy during pregnancy

For any disease, pregnancy is a risk factor for the use of many medications.

Medicines and herbs that are completely harmless at first glance can provoke an increase in the tone of the uterus, relaxation of the cervix, and cause spasms of the muscle tissue of the uterus, which is dangerous for spontaneous abortion and early labor.

Some medications can lead to delayed development of the embryo and fetus and have teratogenic properties, leading to intrauterine deformities.

In addition, any medications can provoke acute allergic reactions, including laryngeal edema and rapidly developing anaphylactic shock.

Since many pharmacological agents are used to treat dysbacteriosis, when expecting the birth of a baby, special attention is required to the contraindications set out in the instructions, which even the doctor is not always aware of.

Dangerous during pregnancy:

• Sumamed, Zitrolide (Azithromycin), Furadonin, Metronidazole, Trichopolum. Ciprofloxacin, Ciprolet, Nolitsin, Levomycetin, Biseptol, Ersefuril are prohibited;
• antispasmodics that contain bromine (Decitel) can cause neurological disorders in the fetus.
• laxatives for constipation Loperamide (Imodium), Senna;
• Among medicinal herbs and plants, the following are especially undesirable and even dangerous: tansy, wormwood, aralia, barberry, oregano, juniper, buckthorn, nutmeg, pennyroyal, celandine, lovage;
• products - garlic, rhubarb, radish, parsley.

Prevention measures

Prevention of the development of intestinal dysbiosis takes into account the following measures:

1. Rational nutrition, with a transition to a diet - during periods of possible exacerbations.
2. Competent and careful use of medications that disrupt intestinal microbiocenosis.
3. Timely treatment of internal diseases, many of which (not necessarily related to the gastrointestinal tract), provoke dysbiosis.
4. Preventive courses of taking probiotics and prebiotics.
5. A rational approach or complete exclusion of food experiments, including weight loss diets and fasting days.

The prognosis for intestinal dysbiosis directly depends on how advanced the process of intestinal bacterial dysfunction is, the severity and stage of the underlying pathology - the provocateur of disturbances in the natural flora of microorganisms. If abnormal growth of harmful bacteria and a deficiency of beneficial bacteria are detected in time, and treatment is selected by a competent specialist, then relapses of the disease are minimized, although therapy for dysbiosis is quite long-term.

Dysbacteriosis is characterized by changes in the quantitative and qualitative composition of the microflora in the intestines. The number of pathogenic microbes prevails over the number of lacto- and bifidobacteria. An imbalance of intestinal microflora is provoked by many factors, the condition is accompanied by unpleasant symptoms (pain, flatulence, constipation or diarrhea). It is better to learn from a specialist how to cure intestinal dysbiosis at home. He will prescribe the correct course of therapy, and recovery will come faster.

The health of every person depends on normal and balanced intestinal microflora

Provoking factors

Causes of intestinal microflora imbalance:

• long-term antibiotic therapy;
• poor nutrition;
• the presence of an acute infection in the intestines;
• chronic diseases in the gastrointestinal tract;
• severe immunodeficiencies.

Symptoms

Clinical manifestations are associated with the underlying disease, which provoked dysbiosis. Symptoms are not entirely specific:

• feeling of discomfort in the abdomen;
• pain in the abdominal cavity;
• disruption of the gastrointestinal tract;
• flatulence.

The therapy process aimed at getting rid of dysbiosis at home takes a lot of time. Therefore, it is recommended to follow your doctor's recommendations. After conducting clinical studies, he will make a diagnosis and prescribe a course of treatment. The main therapy will depend on the provoking factor.

There is an imbalance in the body in which carbohydrates, fats and proteins cannot be broken down normally

How to treat intestinal dysbiosis at home:

1. In your diet you need to increase the amount of fruit trees and vegetables, foods high in fiber. These are carrots, beets, apples, plums. Carrots, due to their sulfur content, increase the amount of beneficial microflora in the intestines.
2. Preference should be given to coarsely ground bread. If your body does not have enough vitamin B, you can eat sprouted wheat. An acidic environment increases the number of beneficial bacteria.
3. To speed up the production of juice in the stomach, add horseradish, cilantro, dill, and mustard to your diet.
4. You can acidify dishes using vinegar from apples or grapes, currants, pomegranate and dogwood juice.
5. Kefir is good for the intestines. It is recommended to drink 600 ml per day before meals (1-1.5 hours). Kefir does not allow the formation of poisons in the intestines and prevents putrefactive processes.
6. Garlic has an antimicrobial effect. Helps eliminate bloating in the stomach. You can eat or swallow 1 clove twice a day.

Fish and fatty meats, confectionery and pasta are removed from the diet. The microflora balance returns to normal after 2-3 weeks of proper nutrition.

At home, beneficial bacteria can be obtained through food.

Therapy for children at home

The baby is born with sterile intestines. After a few hours, it is populated by microorganisms. Children who are breastfed have higher numbers of bifidobacteria. Breast milk creates favorable conditions for their development. In a newborn, the imbalance can be eliminated by breastfeeding.

Candles

In the treatment of dysbiosis, a prerequisite is the use of medications aimed at eliminating microbes and restoring beneficial microflora. Candles are part of complex therapy. They activate immunity at the cellular level, normalize the level of harmful microbes and immunoglobulins. The course of treatment does not exceed 10 days.

It is possible to get rid of dysbiosis at home by eliminating pathogenic bacteria and normalizing the intestinal microflora.

The complex of treatment for dysbiosis should include:

1. Antibacterial suppositories (antiseptics). If there is a threat of infection or other complications, the doctor prescribes penicillin antibiotics. In other cases, antimicrobial drugs should be taken. The course of therapy does not exceed a week.
2. Means for normalizing the natural intestinal microflora. These include synbiotics, pre- and probiotics. Probiotics are based on bifidobacteria and increase human immunity. Digestive enzymes, gastrointestinal regulators, and immunomodulators should be added to the therapy complex.

Treatment of the disease necessarily requires a responsible approach on the part of the patient.

How can nature help?

Any pathological condition can be cured or the patient’s condition can be improved with the help of folk recipes. Alternative treatment will help speed up recovery. Most recipes from traditional medicine reduce the severity of symptoms of dysbiosis or eliminate them completely. They normalize gastrointestinal motility. Treatment at home should be accompanied by a change in diet and in combination with medication therapy.

Herbal treatment

Herbal medicine helps correct imbalances. Many herbs have multiple therapeutic effects.

Healing herbs eliminate dysbiosis at the beginning of its development. But you shouldn’t overuse herbs. Receptors in the intestines lose sensitivity to medicinal herbs over time. Therefore, a larger dosage will be required. It is not recommended to use medicinal plants for children under the age of 6 years, with bleeding due to hemorrhoids and the presence of cracks in the intestine.

Bee products

Honey has a complex and unique composition. It contains many chemicals that the body needs. It has an antimicrobial effect. Streptococci, pathogens that cause infections in the intestines and staphylococci are not immune to it. It is this pathogenic flora that displaces beneficial microorganisms during dysbacteriosis.

You can get rid of dysbacteriosis at home with the help of herbs, bee products, garlic, and fermented milk products.

Honey eliminates inflammation and progressively stimulates the movement of food through the intestines. The product is especially necessary for constipation; it is considered a natural antibiotic. Many enzymes improve digestion. The patient feels relief.

Propolis eliminates inflammation and stimulates the immune system. Honey and propolis in combination can quickly cure dysbiosis. For a month and a half, you can drink 200 ml of water with 1 teaspoon of propolis honey twice a day. Carry out the procedure after eating.

Dairy

Lactic acid bacteria are essential for normal intestinal function. It is better not to add whole cow's milk to your diet. If the patient is bothered by pain and bloating in the abdomen, milk can aggravate the situation. Apples have a similar effect. Goat milk is easier for the body to digest. Therefore, it does not provoke fermentation processes.

Several recipes

Traditional recipes help eliminate microflora imbalance. Such therapy can be effective, but not in all cases. It is better to learn from a specialist how to get rid of dysbacteriosis. No matter how effective medicinal herbs are, the doctor will be able to determine the cause of the imbalance and adjust the therapy.

Effective recipes:

1. 50 g of green leaf tea is poured with boiling water. Let it sit for half an hour and simmer over low heat, stirring occasionally. The broth needs to be strained. The remaining tea leaves can be re-boiled by adding 0.5 liters of boiling water to the container. Leave on low heat for 20 minutes and then strain. Take 1 tbsp decoction. l. 3-4 times during the day, half an hour before meals.
2. Dry strawberry stalks (1 tbsp) pour 200 ml of water. Cook for 5 minutes, then let sit for two hours. Strain the broth. Take a quarter glass before meals until you feel better.
3. Drink ½ cup of cabbage brine once a day.
4. Kumis is effective in treating imbalances. You will need the juice of fresh vegetables - carrots, beets, cucumbers, as well as kumiss. All ingredients are mixed in equal proportions. Before use, the folk medicine must be refrigerated for 4 hours. Drink 200 ml per day until the patient feels relief. If desired, kumiss can be replaced with fermented baked milk.
5. Horseradish root (300 g) needs to be grated, and then pour 1 liter of boiled cool water. The broth should be infused for 24 hours. After filtering, take 1 tsp of the product. from 2 to 3 times a day.
6. Dill seeds and olive or sunflower oil are effective in treating dysbiosis. The ingredients are mixed in equal proportions. Take folk medicine before meals, 1 tsp. three times a day. Some time after the course of therapy, the patient’s symptoms will decrease in severity - belching, burning in the abdomen, bloating. The stool returns to normal.