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Gas after antibiotics?

Answered on August 09, 2016
Created August 15, 2012 at 4:12 AM

I had to take a round of antibiotics (cipro) for a very nasty bladder infection. I took a ton of probiotics during and for few days after. have kept up with yogurt and kombucha since then. despite this I have had pretty much constant gas (sometimes quite smelly, but not always) for 2 weeks now. any ideas on what else I can do to get my gut back in order?

F15e0bae42dbf0b8cfc71e62902497b4

(2036)

on August 15, 2012
at 03:12 PM

Not being my doctor you wouldn't know that I have several contraindications for levo.

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6 Answers

2
Af3e3615beba642bcafd0f21d64d74f7

on August 15, 2012
at 07:10 AM

It takes a while to repopulate to the correct BALANCE of gut flora. Too much good can be as bad as too much bad.

1
B396a0ecd39520e322143a3f871a5939

on August 09, 2016
at 04:57 AM

Get checked for C-difficile. It's a bacterial overgrowth infection you can get from taking antibiotics, particularly the fluoroquinolone antibiotics such as Cipro. Protocol is to send the lab 3 samples, one a day for three days, since it's often hard to detect, but few doctor's offices will do this. So, you may have to fight with your doctor. There are a lot of long-term consequences to c-difficile, so it's good to make sure you rule it out after using a fluoroquinolone and having gut issues. 

1
Cc1cbc7a2aec6280bc11c6d408983c03

on August 15, 2012
at 12:53 PM

leveofloxicin rather than ciprofloxicin would have been the better choice. levo spares the gut flora because its absorbed befor it gets to that location. your doctor new this but the cipro is cheaper. time to change docs?

F15e0bae42dbf0b8cfc71e62902497b4

(2036)

on August 15, 2012
at 03:12 PM

Not being my doctor you wouldn't know that I have several contraindications for levo.

1
194d8e8140425057fe06202e1e5822a7

(3979)

on August 15, 2012
at 04:40 AM

Up the quality of the probiotics. Make your own kefir. Buy Natren probiotics (a relatively expensive brand I use, but I notice a big difference with it. It's high-caliber stuff.) If you're strictly paleo, I can't imagine another cause of the gas besides unbalanced intestinal flora. Others feel free to chime in.

0
193f00d53ebcb13940c7a55afc78ad17

on August 15, 2012
at 02:20 PM

The antibiotic levels were built up in your system, so it will take a little time for things to return to a non-toxic level. After that, things will return to normal. All the probiotics may, in fact, be hindering things by colonizing your gut in an unbalanced fashion. I'd cut back on them and let things recover naturally. I've taken antibiotics many times in my life, and I never use probiotics to recover. I've never had lengthy gas-spells, so I can only conjecture that the probiotics are the issue here.

0
A39237551dac75eb36335098b0f5fa61

(525)

on August 15, 2012
at 12:18 PM

I recently spent 4 days reading studies on IBS and other gut problems. Many of the papers noted that benefits from probiotics are strain-specific. I remember at least a handful of studies where one strain showed benefit while another one had no effect. So not all probiotics are created equal.

Strains also vary in how well they can colonize the gut. This is a real issue with probiotics. Because many of them are just passing visitors in the gut. They cannot colonize therefore they only help while you are taking them - if even then.

The problem is that most manufacturers don't state what strains they use. And there's not enough research yet to say for sure which strains are helpful for which condition.

This is why it's better to eat a wide variety of fermented foods (as you do) and also make sure you eat prebiotic foods. Those help the existing gut flora recover faster.

I have a detailed post on how to deal with gut issues here. Hopefully you'll find it helpful.

http://www.acneeinstein.com/gut-healing-guide/

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