Diarrhea after taking antibiotics
Often, when taking antibiotics, a person may experience diarrhea, since the use of such drugs damages the intestinal microflora. In this article, we will tell you how best to treat such a disorder.

In a healthy person, more than 500 types of bacteria live in the intestines. Useful bifido- and lactobacilli digest food, enrich the body with nutrients, support immunity. These bacteria regulate intestinal function, maintain ionic balance, neutralize various toxins, break down carbohydrates, and even synthesize some vitamins.

In the neighborhood of beneficial bacteria in the intestines, pathogenic ones live, which are waiting for the right moment to remind themselves of themselves. They can be activated when the immune system is weakened, frequent stress, diet violations, the use of drugs or exacerbations of diseases of the gastrointestinal tract. Violation of the intestinal microflora can contribute to a decrease in immunity, disrupt the liver, and even cause allergic skin rashes.

Symptoms of diarrhea after taking antibiotics

When taking antibiotics, the balance between beneficial and harmful bacteria is disturbed, but both of them die. As a result, antibiotic-associated diarrhea develops, the main symptoms of which may be copious watery stools, cramping abdominal pain that subsides after stool, and fever.

In order to reduce the negative impact of the antibiotic on the intestinal microflora, it is important to maintain the maximum number of beneficial bacteria in the intestine.

What to do if indigestion happens?

If, nevertheless, it was not possible to avoid disruption of the digestive tract, first of all, you need to consult a doctor in order to find out the true causes of the disease and get the right recommendations for treatment and diet.

The cause of diarrhea can be not only a violation of the intestinal microflora, but also pathogenic bacteria and viruses that can enter the body against the background of a decrease in immunity. Therefore, it is important to make a correct diagnosis and prescribe appropriate treatment.

First aid measures for profuse, repeated stools include drinking large amounts of fluid in order to make up for its loss. To do this, you need to take saline solutions.

No less important is the intake of sorbents, which provide the body with significant support and have the following properties – they adsorb harmful substances and toxic waste products of bacteria, and do not allow decay products to be absorbed into the blood.

Zeolite contains an almost complete set of macro- and microelements that the human body needs.

The diet for diarrhea should be gentle. It is necessary to exclude fried, fatty, spicy foods. Food should be light and easily digestible. In the early days, you can eat light soups, broths, cereals not with milk, bananas, baked apples.

With diarrhea, as anti-inflammatory, astringents, you can use folk remedies in the form of herbal preparations from blueberries, peppermint, and chamomile. A decoction of dried pears has a fixing effect.

How to prevent diarrhea after taking antibiotics?

In order to prevent diarrhea after taking antibiotics, it is important not to self-medicate, strictly follow the doctor’s prescriptions and take the drugs in the recommended doses.

As mentioned earlier, with diarrhea, the balance between beneficial and harmful bacteria is disturbed, so it is necessary to maintain a normal intestinal microflora.

Taking the means to restore the intestinal microflora – probiotics, prebiotics, and metabiotics will restore the microflora and thereby prevent diarrhea after taking antibiotics. But metabiotics will do it faster, as they begin to act immediately when they enter the gastrointestinal tract.

Metabiotics, or active metabolites, are what the probiotic bacterium has produced, i.e. product of its metabolism. Metabiotics not only promote the growth of beneficial microflora, but also suppress harmful ones. Today, metabiotics are the next step in the development of the probiotic concept.

Prebiotics are nutrients that also contribute to the restoration of disturbed microflora.

How to treat diarrhea after taking antibiotics?

It is important to remember the basic principles for preventing diarrhea when taking antibiotics:

  • do not take antibacterial drugs without a doctor’s prescription;
  • support the work of the intestines – this requires a competent integrated approach;
  • take drugs containing: active metabolites and prebiotics to normalize the intestinal microflora, sorbents – to remove toxins, allergens and reduce diarrhea.

The most effective restoration of the intestinal microflora is possible with the help of a complex preparation, which includes a metabiotic, a prebiotic and a sorbent.

Such a drug absorbs and removes toxins, particles of pathogenic bacteria, toxic gases, while not binding useful substances (vitamins, amino acids, proteins), leaving them in the body. This is especially important in conditions of indigestion and diarrhea.

Popular questions and answers

Questions about the problems of taking antibiotics, their effect on the digestive system were answered by gastroenterologist Natela Lopukhova.

What is the danger of diarrhea after taking antibiotics?

A highly undesirable event associated with antibiotic treatment is antibiotic-associated diarrhea (AAD), which is defined by at least three or more episodes of loose stools associated with their use, unless another cause of diarrhea is identified.

Most often, diarrhea occurs when taking antibiotics of the cephalosporin and penicillin groups. Their use can provoke diarrhea during treatment or even up to 2 months after its completion. Therefore, it is important to collect an anamnesis regarding the prescription of antibacterial drugs.

In the vast majority of cases (up to 80%), antibiotic-associated diarrhea is not of an infectious origin (when it is not possible to identify a specific pathogen), but of a functional one, which can develop due to an acceleration of the motor activity of the intestine or a violation of the composition of its microflora. In other words, it is characterized by loose or watery stools in the absence of other accompanying symptoms. As a rule, the normalization of the state of the intestine with this type of diarrhea occurs independently after 48 hours.

Risk factors for developing this kind of diarrhea are:

● age under 5 and over 65;

● high doses of antibiotics;

● non-compliance with the duration of taking antibacterial drugs with their frequent change;

● the presence of chronic diseases of the gastrointestinal tract and severe concomitant diseases.

In more rare cases, the prescription of antibiotics can cause a decrease in the number of certain beneficial bacteria in the intestinal microflora and already lead to pronounced intestinal dysbiosis, which results in colonization by pathogenic bacteria, primarily Clostridium difficile. This type of antibiotic-associated diarrhea is dangerous because it can occur in a severe form of pseudomembranous colitis and be fatal. This is due to the rapid multiplication of pathogens that release toxins into the intestines, which cause irritation and inflammation of its walls, resulting in impaired absorption of nutrients and water.

Functional diarrhea develops while taking antibiotics without the participation of C. difficile toxins and disappears spontaneously, without treatment, against the background of the withdrawal of antibacterial drugs, which, presumably, were the cause of the disease (if treatment of the primary infection is necessary, then the doctor needs to replace the drug with another effective one, but rarely causes severe colitis.) Diarrhea develops in 10% of patients receiving antibiotics, but pseudomembranous colitis develops in only 1 to 2% of cases.

When to see a doctor for diarrhea after taking antibiotics?

A doctor should be consulted if the stool disorder does not disappear after discontinuation of the antibiotic and is accompanied by the appearance of new symptoms that cause concern. Prolonged diarrhea without timely adequate treatment can be dangerous due to its complications, including dehydration and impaired absorption of nutrients.

Signs of the development of pseudomembranous colitis are:

● frequent (from 5 to 20 – 30 times a day) watery stools in small portions, not containing blood;

● paroxysmal abdominal pain;

● increase in body temperature;

● pronounced weakness.

If the pathology progresses, systemic lesions are attached, which manifest themselves:

● fever to high numbers;

● tachycardia;

● low blood pressure;

● disorder of respiratory function;

● excessively high levels of blood leukocytes;

● perforation of the colon;

● peritonitis and death.

Thus, a severe form requires timely hospitalization to correct water and electrolyte imbalance and protein metabolism, as well as to monitor possible complications.

Is it possible to get rid of diarrhea after taking antibiotics with folk remedies?

If diarrhea is mild, without severe symptoms, it is advisable to drink more water to avoid dehydration. For this purpose, it is also important to take drugs that restore the water and electrolyte balance in the body, prebiotics, probiotics, enveloping sorbents, motility regulators, etc.

In any case, do not self-medicate and do not use antibiotics uncontrollably without a doctor’s prescription, because this is a waste of time that can lead to a deterioration in the condition and unforeseen fatal consequences.

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