Doctor insights on:
How To Replace Good Bacteria After Antibiotics
What dosage do you recommend if podofilox is taken? And is leflox a good antibiotic to fight such bacteria? And lastly can the warts spread all over
Genital warts?: Podofilox is simply applied to warts, usually without other consideration of the dose. Sometimes daily, other times only 2-3 times a week; follow the instructions on your prescription or that you received from your doctor or clinic. Levofloxacin has no effect on warts or HPV, the virus that causes them. Warts almost never "spread all over". Clarify any further question with your doctor. ...Read more
Can I use a homeopathic insert (vh essentials) to help keep good bacteria in vagina while taking antibiotic to treat bv?
Yes.: Some doctors and homeopaths recommend a douche with yougart that is an active culture. Yougart has lactobacillis which is a good bacteria and normal to be in the vagina. Bacterial vaginosis is a bacterial infection. Yeast are also part of the normal vaginal flora. The antibiotics kill the "good bacteria" and then the yeast grow unchecked, and cause the irritation or "yeast infection". ...Read more
Taking Augmentin (amoxicillin and clavulanate) for a Bacteria Chest Infection. How long. Can't tell if it's helping. What's the duration normally and is this a good antibiotic?
Appropriate: Augmenting is an appropriate antibiotic for many bacterial infections. Whether it works for your infection will depend, in part, on the susceptibility of the bacteria to the antibiotic, and your body's defenses. Duration of therapy may depend on the severity of infection. Your doctor can guide you. ...Read more
Depends: Certain antibiotics can be good for one bug but not another. Cultures and sensitivity testing needs to be done. ...Read more
I have re-occurring bacterial vaginosis. I'm always prescribed Flagyl but it doesn't seem to help. What is a good antibiotic and ways to prevent it?
Chronic problems: May warrant an evaluation by a vaginitis specialist. If hygiene modification and Flagyl gel or pill has not been working, then their expertise may be needed. Make sure infection has been ruled out. Your doctor can also check for ureaplasma and mycoplasma to see if these organisms are present. The treatment is different. Good luck! ...Read more
I have chronic bacterial vaginosis. Antibiotics/ boric acid only temporary relief. How can I perm recolonize my lactobacilli, vag probiotics no good?
Lactobacillus: Make some yogurt at home, dilute it with some sterile water and make it into a douche. Homemade yogurt is full of lactobacillus. I also recommend a product called fem flora from swanson vitamins. It is a vaginal probiotic and I've had really good luck in my chronic BV patients. Also, no undies at bedtime, no thongs, wipe front to back and don't use the tub for hygeine, shower. ...Read more
Will my specific bacteria (MOST LIKELY) (please just GUESS) be resistant to a antibiotic if I stopped it ONCE after a few days. Then restarted 1m later?
Antibiotic resistant: What you propose is very very unlikely with all but one or two antibiotics. ...Read more
Will my specific bacteria (guess) be resistant to an antibiotic if I took for 3 days, stopped it. Then restarted 1 month later. What is the likelihood?
Incomplete killing: Mutations in bacteria that lead to resistance can occur when bacteria are exposed to antibiotics in doses that are not strong enough to kill them. The bacteria then can mutate and develop resistance. A favorite professor of mine would always say "dead bacteria can't develop resistance.". ...Read more
If the well used antibiotic kills all bacteria which participate in infection e.g. sinus infection?
Resubmit: Please have a translator resubmit your question. Unable to answer as is. ...Read more
They Adapt!: Antibiotic resistance is a type of drug resistance where the bacteria no longer are succeptible to the drug. This usually occurs when the microorganism mutates its dna to be able to "inactivate" the medication. This is a type of "natural selection" amoung the bacteria. This is a real threat to medicine today. The overuse of certain antibiotics has contributed to this. ...Read more
Depends on situation: Sometimes the xray features, combined with the age of the patient, time of the year help the physician pick a first line med. Hospital acquired infections may be treated differt from community acquires cases. There is no one fits all med. ...Read more
Antibiotic pressure: When bacteria are exposed to antibiotics the strongest bacteria survive. Strength is gained by genetic mutations & by acquiring resistance genes from other bacteria. This selection for resistant bacteria is called antibiotic pressure. Since the 1st antibiotic was introduced in 1935 bacteria continue to gain resistance in 'snow-balling' fashion. Some bacteria today are resistant to all antibiotics. ...Read more
Probably not: Missing a single dose of antibiotic is unlikely to cause resistance. However, missing more doses or taking antibiotics intermittently can lead to resistance. It comes down to drug levels in the body. Bacteria only develop resistance when there are antibiotics around but not in a high enough level to kill them. If there are suboptimal levels for awhile, the bacteria will then develop resistance. ...Read more
Natural selection: Even the creationists acknowledge this kind of micro-evolution. The molecular mechanisms are well-established. Here's the latest stuff http://www. Nature. Com/ng/journal/v46/n3/full/ng.2878.html ...Read more
Various: They evolve in hospitals, sub acute care facilities and skilled nursing facilities. Environments where antibiotics are excessively prescribed and sensitive bacteria are killed off while resistant strains persist and thrive. They also occur in the food supply because of the excessive use of antibiotics in animal husbandry to increase animal growth rates and corporate profits. ...Read more
Drug resistance: Very. And it would be very wise for all humans to realize their demand for antibiotics, especially in the winter when most illnesses are viral, are leading to this increasingly worrisome threat. ...Read more
I missed a dose of my antibiotic for my sinusitis; is that enough time for the bacteria to develop resistance?
Unlikely: Antibiotic dosage schedules are designed to have an overlap of coverage so that the level of the antibiotic does not get lower than needed for coverage when the next dose is given. If you missed a dose, you almost certainly had some available in your body and resistance development for this reason is unlikely. ...Read more
Offered friend antibiotic ointment for cut, but they refused and said it can sometimes cause more bacteria. Is this true or myth?
Antibiotic Usage: Yes, inappropriate or overuse of antibiotics, internally or on the skin can lead to antibiotic resistance and overgrowth of resistant bacteria. I recommend following the directions on any antibiotic cream of prescription exactly and only use antibiotics when clinically indicated. ...Read more
I have cellulitis with an abscess. They cultured the abscess 3 days after starting the antibiotic. Would bacteria still be present?
Follow up: A bacterial culture can be negative if there has been correct antibiotic coverage for 3 days. Typically an initial culture is taken prior to antibiotic coverage and one or more follow up cultures are then taken depending on the outcomes. Sometimes the antibiotic needs to be changed based on the culture results. Continue with all antibiotics as prescribed and follow up with your provider! ...Read more
Antibiotic resistant: Only use abiotic when specific infection is detected. ...Read more
Is there a test to determine which bacteria are causing my acne and point to a bacteria specific antibiotic?
Yes: This is not necessary though. Dermatologist are usually successful in treating this condition. The list of medication you are taking currently seem appropriate but there are certain triggers such as diet, certain medications and hormonal changes in females, which you are not, that may need to be addressed ...Read more
I have a BV and took some antibiotic pills for 5days it don't work is it ok to take rephresh pro-b for yeasts an bacteria or don't take anything?
Get Checked: All woman have normal bacteria in their reproductive tract. Taking antibiotics for 5 days can change those bacteria and cause overgrowth of some. The best treatment requires a proper diagnosis. I understand it may be a hassle, but taking certain medicines/over-the-counter drugs can delay diagnosis/proper treatment and potentially make things worse. I would recommend seeing your physician. ...Read more
Antibiotic like ampicilin after unprotected sexy does it have any effect on bacteria like gonorrhea?
Please see a doctor: Some types of vaginal bacteria are normal, but you really need to see a doctor to see what is causing your infection, & to get the right treatment. This is very important as some infections can spread to other sites and make you very sick. Also please make sure you don't pass this to someone else. I would recommend you avoid sex until you get treated. Most bacterial infections require an antibiotic. ...Read more