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Doctor insights on: Safest Antibiotics With Lowest Chance Of Diarrhea

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Wat is the best med for sibo. With lowest rate of c diff infection.

Wat is the best med for sibo. With lowest rate of c diff infection.

SIBO, documented?: Treatment is often offered empirically when sibo (small intestinal bacterial overgrowth) is suspected. However symptoms recur when the antibiotics are gone. Is this due to underlying ibs, regrowth of bacteria (or resistant ones!), parasites, altered GI transit, or something else? Bifidobacter-containing probiotics may reduce gassiness, a xifaxan (rifaximin) trial may help, but evaluation is best pursued now. ...Read more

Dr. Oscar Novick
2,218 doctors shared insights

Loose Stools (Definition)

Loose stools is a symptom in which a person's stool (poop) does not hold its shape after it goes into the toilet. Instead of remaining a shaped piece of poop, the poop spreads out in the toilet bowl water. Very loose stool is called diarrhea. Loose stool can be caused by infections, certain foods or drinks, ...Read more


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What's the safest anti-biotic associated with heart risk outside of z-pak? Proven, not opinions. Thanks!

What's the safest anti-biotic associated with heart risk outside of z-pak? Proven, not opinions. Thanks!

What infections?: Different antibiotics are used based on the known or expected type of bacteria involved in your infection. There are gram positive and gram negative bacteria. There are antibiotics used for one or another and different amounts and strengths based on the type of infection. If you don't have an allergy, penicillin is probably the most benign of antibiotics but it may not treat your infection. ...Read more

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What is the incidence of c.Difficile with clindamycin use?

What is the incidence of c.Difficile with clindamycin use?

Incidence varies: The first thing to understand is that many antibiotics have the potential for causing c. Diff infection. The general health of the individual effects this rate as does the environment where they are treated and if the person is immuno-compromised. Because of these factors, an exact rate cannot be given. For a young, healthy person being treated on an outpatient basis, the rate is fairly low. ...Read more

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If I take probiotics with clindamycin will that reduce the risk of side effects? (Ex: c diff)

If I take probiotics with clindamycin will that reduce the risk of side effects? (Ex: c diff)

It's Controversial.: Multiple studies have been done to answer this question, and some have shown a decrease in C. difficile, while others have shown no benefit. Because the risk of side effects of probiotics is generally low (but not zero) I usually recommend to take them if you have had a previous episode of C. difficile or if you have other risk factors for it. Otherwise, there is likely not to be much benefit. ...Read more

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Which is the safe n most effective antibiotic other than injectable ceftriaxone in the treatment of typhoid fever in 1st trimester pregnant lady?

Which is the safe n most effective antibiotic other than injectable ceftriaxone in the treatment of typhoid fever in 1st trimester pregnant lady?

Typhoid fever: That depends upon the sensitivity of the strain of Salmonella typhi present in your community. Ampicillin or amoxicillin might be good, as well as azithromycin, but this needs to be discussed with the doctor treating you and will depend upon the lab results. ...Read more

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What is the risk of c diff with clindamycin vaginal route since its absorption rate is 5%?

What is the risk of c diff with clindamycin vaginal route since its absorption rate is 5%?

Unlikely: you are less likely to get an intestinal infection if you are receiving clindamycin via vaginal route than if you were to receive clindamycin orally or via IV. not everyone will get an intestinal infection with antibiotics, you are more likely if you are immunosuppressed or do not have a good diet, resulting in the ability for bad bacteria to grow in your gut, such as C. difficile. ...Read more

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Can I get c diff by taking 2 courses of clindamycin for bv?was re infected during 1st course. would adding the cream increase chance of c diff?

Possibly: Clostridium difficile is an infection in the gut most commonly when one takes antibiotics, particularly clindamycin. This is because clindamycin kills many of the healthy bacteria in your gut, allowing room for C. diff to grow. It may help to take a probiotic together with your antibiotic to help maintain your normal flora. Topical clindamycin cream does not reach your gut so it should be ok. ...Read more

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What is risk of c diff if repeatedly treated with antibiotics? Also risk of antibiotic resistance?

What is risk of c diff if repeatedly treated with antibiotics? Also risk of antibiotic resistance?

Uncommon but real: This is an uncommon but real issue.Risk varies with the type/duration and intensity of antibiotic use (IV vs oral,etc.) Many centers do stool surveillance cultures to spot this in higher risk patients. Resistance is an everyday issue today which drives us to be selective & specific on antibiotic use.The risk of an individual having to deal with these is part of dealing with healthcare today ...Read more

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Are the common side effect of nause & diarrhea with pentoxifylline (400mg bid) likely to lessen with time? 1 week of misery so far. Notify physician?

Are the common side effect of nause & diarrhea with pentoxifylline (400mg bid) likely to lessen with time? 1 week of misery so far. Notify physician?

Pentoxifylline does usually induce diarrhea: Pentoxifylline is usually prescribed in presence of peripheral vascular disease, and symptoms of claudication. The frequent adverse reactions are: irregular heartbeats, symptoms of intolerance, nausea, upper abdominal discomfort, however the presence of diarrhea is unusual. You should see the physician that describe you the medication, and perhaps he could switch it to another Prescription. ...Read more

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What is the likelihood of pregnancy with a combination of correct birth control use in addition to withdrawal?

What is the likelihood of pregnancy with a combination of correct birth control use in addition to withdrawal?

Possible: ANY time that you have vaginal intercourse, there is a chance of pregnancy! Pre-ejaculate can contain some sperm so withdrawal is not a reliable birth control. If you are using an appropriate BC, there is less chance, but it is still not 0%. Be sure to use protection- condoms and another reliable birth control method- every time, if you do not wish to get pregnant. ...Read more

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With the increase of drug-resistent strains of different infectious diseases, is the future of antibiotic use bleak?

With the increase of drug-resistent strains of different infectious diseases, is the future of antibiotic use bleak?

No: The future of antibiotic use in general is not bleak as newer ones are likely to be discovered (even though it's getting harder to do so). What is bleak is the prospect of existing antibiotics, whose efficacy continue to wane as more bacetria develop resistance to them due to their abuse and misuse. ...Read more

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A family member is taking vancomycin for c. Diff. Is there any contraindication of taking probiotics during the antibiotic course (taken hours apart).

A family member is taking vancomycin for c. Diff. Is there any contraindication of taking probiotics during the antibiotic course (taken hours apart).

Choose carefully...: Most probiotics would not survive the antibiotics designed to kill c.Difficile. On the other hand, sacchromyces boulardis (florastor, ; other brands) may prove helpful as an adjunct to therapy ; it will resist most anti-bacterial drugs. ...Read more

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Can Taking antibiotic right after implant rhinoplasty reduce the risk of infection?

Not necessarily: For most surgeries all that is recommended is antibiotic around the time of the procedure unless you have nasal packing or internal splints. However, most physicians do tend to keep you on oral antibiotics a few days after surgery if using implants. There isn't any good data that post op antibiotics reduce complications though. Hope that helps. ...Read more

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Is severity of withdrawal from antipsychotics linked to duration of use or just dosage?will taking a low dose have the same effect after 1yr as 1mnth?

Is severity of withdrawal from antipsychotics linked to duration of use or just dosage?will taking a low dose have the same effect after 1yr as 1mnth?

Duration matters: But that's a general statement. Each drug, each person, other conditions, other medications all matter too. It's best if you have a relationship w/ the prescribing doctor from the start, but now is a good time to try to create one if you don't. They might help you do this most safely and effectively. I wish more people though ahead about this issue, but... Thinking later is better than not at all. ...Read more

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Is the absorption of one time dose of 4 Azithromycin used to treat Chlamydia affected after vomiting 2 hours after ingestion?

Is the absorption of one time dose of 4 Azithromycin used to treat Chlamydia affected after vomiting 2 hours after ingestion?

HMMMM: Good question. Tough to say as it depends on the absorption and bio-availability of the drug in your system. If you vomited and some of the drug was in the vomit, before being fully metabolized, than you may need another treatment course. Follow-up with your treating Dr. Best wishes. ...Read more

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Dr. John Leander Po
1,117 doctors shared insights

Antibiotic (Definition)

An antibiotic is a medicine that slows, stops, or kills germs. The germs are usually bacteria causing an infection in a person, so the person uses antibiotics to help his body get ...Read more


Dr. Oscar Novick
3,383 doctors shared insights

Diarrhea (Definition)

Diarrhea = increased frequency of stools which ...Read more