Antibiotics for intestinal infections in adults and children: list of drugs, treatment recommendations

Are antibiotics needed for gastritis?

Treatment of gastritis is carried out depending on the main cause of the disease, as well as its severity.

If the disease is not caused by pathogens, then it is not advisable to take antibiotics, because they will not have the desired effect.

The most common cause of the disease is Helicobacter pylori. This microorganism is a spiral-shaped gram-negative bacterium. If it gets into the digestive organs, antibacterial agents are always prescribed.

Antibiotics, compared to other drugs, have certain advantages:

1. High therapeutic effectiveness.
2. Achieving results quickly.
3. Elimination of the inflammatory process.
4. Reducing the reproduction and growth of pathogens.

However, it is important to take into account that these drugs often provoke dysbiosis, so when using them it is important to take probiotics to restore normal intestinal microflora (Linex, Yogurt, Bifidumbacterin, Bifi-form and others).

In addition, these medications negatively affect the liver and kidneys..

Therefore, it is necessary to remember that whether or not a patient should take antibacterial drugs should be decided by an experienced specialist who takes into account the nature of the disease and the main cause of its occurrence. Self-medication can not only aggravate the problem, but also cause serious complications.

To find out which antibiotics to take and how long treatment should last, you need to consult a gastroenterologist.

Features of treatment of acute intestinal infections

ACI, especially in children (they develop severe dehydration very quickly), should be treated in an infectious diseases department.

The basis of treatment is the fight against dehydration, intoxication and electrolyte imbalance. The purpose of sorbents plays an important role. Due to adsorption, absorption and elimination of the causative agent of acute intestinal infection, they not only contribute to effective detoxification, but also partially have an etiotropic effect.

Etiotropic (pathogenetic antibacterial therapy) should be prescribed strictly according to indications, on the recommendation of the attending physician, since antibiotics can increase the manifestation of endotoxemia (due to the death of a large number of pathogens and the rapid absorption of toxins into the blood). Also, dysbiosis that occurs during antibacterial therapy can aggravate functional disorders of the gastrointestinal tract.

In this regard, antibiotics for AEI should be prescribed strictly according to the indications listed above. Self-medication of ACI and independent choice of antibiotics are fraught with complications and aggravation of the severity of the disease.

The most effective drugs

If gastritis is caused by the bacterium Helicobacter pylori, then the most effective remedies are:

• Amoxicillin. This is an antibiotic from the penicillin group. Prescribed in the form of capsules or tablets. This drug can be replaced with products similar in action and composition. These include Flemoxin Solutab, Amoxil, Ecobol, Amoxillat, Amosin.
• Clarithromycin. This medicine belongs to the macrolide series. Analogues are Aziklar, Klatsid, Klareksid, Klamed, Fromilid, Klaritsid, Binoklar, Klabaks.
• Metronidazole. This substance blocks protein synthesis in bacteria, which leads to a decrease in their activity and reproduction. Produced in tablet form.

These are the best antibiotics for gastritis of any form; they provide the lowest risk of adverse reactions.

Less popular antibiotics may include the following:

• Tinidazole;
• Hiconcil;
• Helicocin;
• Metronidazole-Nycomed;
• Erythromycin;
• Pilobact;
• McMimorr.

In some cases, it is possible to use tetracycline antibiotics. Azithromycin or Levofloxacin is also sometimes prescribed.

Types and list of drugs

There are many options for classifying antibiotics; the most widely used option is based on the chemical characteristics of the active substance.

We recommend reading:

Intestinal tuberculosis: first signs, diagnosis and treatment

There are also special groups of antibiotics that are effective against one microbe, but have different effects on different clinical forms of the disease. For example, anti-tuberculosis drugs are selected according to the predominant tissue damage (one is prescribed for the pulmonary form, and another for the brain) and the duration of the disease.

Antibacterial agents for various forms of gastritis

If an exacerbation of the disease occurs, Amoxicillin and its substitutes are usually prescribed simultaneously with Metronidazole. These drugs are prescribed for chronic gastritis.

When a patient has a pathology with high acidity, Clarithromycin is used simultaneously with drugs that inhibit the production of hydrochloric acid. These drugs include Omez, Omeprazole, Ultop, Omefez.

For gastritis with low acidity, both Amoxicillin and Clarithromycin can be prescribed. Pepsidil, Acidin-pepsin or Panzinorm are taken simultaneously with these drugs.

All of the above drugs are used to treat gastritis in adults, except in cases with contraindications. In children, the disease is treated with Amoxicillin, since Clarithromycin, Tetracycline and Metronidazole are prohibited for patients under the age of twelve. Whether it is possible to give children other drugs, you need to find out from your doctor.

Treatment regimen

Therapy consists of eradication - the complete elimination of pathogenic bacteria in the stomach. It is carried out not only with the help of antibiotics. In this case, simultaneous administration of a complex of drugs is important.

Treatment consists of the use of the following medications:

• new generation antibiotic;
• bismuth-based drug (mainly De-Nol);
• metronidazole;
• proton pump inhibitor (Omeprazole or its analogues of the active substance).

In medicine, two treatment regimens for gastritis are used:

1. Quad therapy (use of four drugs simultaneously, two of them are antimicrobial drugs). Tetracycline or Metronidazole tablets, De-Nol and omeprazole-based products are prescribed.
2. Tritherapy (taking three medications). Amoxicillin, Clarithromycin and a drug that inhibits gastric secretion are prescribed.

These regimens are most effective in the treatment of infectious gastritis or peptic ulcer.

The dosage and duration of administration are determined in each individual case by a gastroenterologist. The doctor takes into account the patient’s weight, age criterion, and individual characteristics of the body.

The course of treatment is usually at least ten days.

Side effects from antibacterial drugs

In some cases, antibiotics can cause adverse reactions. When using Amoxicillin and its analogues, an allergic reaction often occurs in the form of skin rashes and anaphylactic shock. When the immune system is weakened or used incorrectly, a superinfection develops.

Clarithromycin may cause the following side effects:

• headache;
• mycosis in the oral cavity;
• vomit;
• nausea;
• changes in taste;
• diarrhea;
• depression;
• dizziness;
• pain in the abdomen;
• drowsiness or insomnia;
• convulsions;
• increased heart rate;
• hives.

In rare cases, anaphylactic shock occurs.

Contraindications to the use of antibiotics

Amoxicillin and its substitutes are not prescribed for hypersensitivity to penicillins, lymphocytic leukemia, mononucleosis. It is also prescribed with caution if the patient has a tendency to bleed.

It is not allowed to use the product for liver failure, acute gastritis caused by salmonella, and shigellosis.

Clarithromycin is contraindicated in the following cases:

• childhood;
• renal failure;
• liver pathologies;
• hypoglycemia;
• arrhythmia.

You can find out about contraindications to taking other antibiotics prescribed for gastritis by reading the instructions.

Mechanism of action of antibiotics

There are several options for classifying antibiotics, one of them is by mechanism of action. An antibiotic can be bactericidal or bacteriostatic.

• A bactericidal antibiotic is said to exist if its active substance destroys the cell of a microbial agent and it dies. These antibiotics include penicillin.
• We should talk about a bacteriostatic antibiotic if its active substance only slows down the process of reproduction of the bacterial cell, but does not destroy it. That is, in the absence of such an antibiotic, the microbial agent can completely restore its vital activity. As an example, we can consider chloramphenicol succinate.

There is an even more detailed classification according to the characteristics of the effect of the antibiotic on various processes of the life of the microbial cell (inhibiting protein synthesis and others), but such information is difficult for the average person and is of interest only to a narrow circle of specialists.

In medical practice, all antibiotics are divided into primary and reserve.

• Basic drugs are first-line drugs that are prescribed for a specific infectious disease as the most effective and safe.
• Reserve drugs, in accordance with their name, are used only when first-line drugs are not effective or cannot be prescribed for some other reason.

The occurrence of gastritis from the use of antibiotics

In some situations, the disease may occur precisely after antibiotic therapy. This type of gastritis is called medicinal gastritis. The pathology has an acute form and severe symptoms.

Often antimicrobial drugs lead to the fact that the mucous membrane ceases to function normally, and its protective reactions are reduced. As a result, erosions form in the organ. A dangerous consequence of this condition is gastric bleeding.

Most often, gastritis after antibiotics occurs in people who have hypersensitivity to the components of antibacterial drugs. Long-term use of such drugs can provoke the disease.

To cure this form of gastritis, you must adhere to a diet. Physiotherapeutic procedures and traditional medicine are also used. An important component of treatment is the consumption of mineral waters.

To prevent drug-induced gastritis, it is important to follow all the instructions of your doctor when using antibiotics.

So, antibacterial therapy for gastritis is indicated in the case of an infectious form of the disease. Only an experienced doctor can prescribe drugs from this group and set the dosage and duration of treatment.

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Antibiotics for children

The main manifestation of intestinal infections in children is diarrhea, which can be caused by about 40 pathogens. Some diseases are viral in nature and are resistant to antibacterial drugs.

Self-medication in childhood is dangerous with negative consequences. A specialist must prescribe the medicine.

If the child's condition is moderate, antibiotics are recommended for intestinal infections in children in solid dosage form. The most popular are:

• Cefix is ​​an antibacterial drug, the component of which is cefixime trihydrate. Eliminates various pathogenic bacteria and is often used by pediatricians.
• Azithromycin is a macrolide tablet. Other names: sumamed, hemomycin.
• Amoxicillin is a penicillin drug. Produced in powder for making a suspension.
• Augmentin is a product with a wide range of applications. The powder is contraindicated for babies under 3 months.
• Ceftriaxone is a 3rd generation cephalosporin, used in injection form. Contraindicated in newborns with low birth weight and jaundice.
• Enterofuril is a remedy for infectious diseases, prescribed from 1 month of life.

Most often, medications are produced in the form of a suspension, which is consumed for 5 days. In addition to basic therapy, the baby needs to drink plenty of water to prevent dehydration. In some cases, hospitalization of the child is indicated, for example, in case of seizures or severe loss of fluid. In a hospital setting, droppers and intravenous solutions are used.

An intestinal antibiotic for children is prescribed as a last resort and, if possible, replaced with more gentle means.

Why are antibiotics needed?

A doctor must prescribe such medications. You should not self-medicate; antibiotics can be harmful to your health.

In order to accurately determine which antimicrobial medication will be most effective, tissue from the affected stomach is taken using gastroscopy and the sensitivity of the pathogen to antibiotics is determined in the laboratory.

The main effect of such drugs is aimed at inhibiting the vital activity of bacteria. However, the more often a person takes them, the more resistant microorganisms become. The bacteria's resistance or resistance increases. Therefore, under no circumstances should you take antimicrobial agents unless absolutely necessary.

Antibiotics that treat gastritis are divided into 3 groups:

• products based on clarithromycin;
• omeprazole;
• amoxicillin.

The difficulty in treating gastritis is that most often the disease is accompanied by increased acidity of gastric juice. It irritates the walls of the stomach and prevents antibiotics from working at full strength.

In order to destroy the bacteria, Metronidazole is taken together with the prescribed antimicrobial agent.

Typically, to treat gastritis with antibiotics, which is caused by the Helicobacter bacteria, the doctor prescribes the following treatment regimen:

1. Three drugs are used: 2 different antibiotics, such as Clarithromycin and Metronidazole, and the proton pump inhibitor Omeprazole. This course of treatment lasts a week. If there is no result, go to step 2.
2. Amoxicillin, Clarithromycin, De-Nol is used for 10 days. If this combination also turns out to be ineffective, move on to step 3.
3. The patient is prescribed 4 drugs: Amoxicillin, De-Nol, Tetracycline, Metronidazole.

Effective antibiotics for gastritis

Klacid is an antimicrobial agent from the macrolide group. Presented in the form of tablets, powder and vials for intramuscular injection. The main active ingredient is clarithromycin, which fights Helicobacter.

Not recommended for use by pregnant and lactating women. In case of liver disease, while taking the drug, it is necessary to monitor the indicators of a biochemical blood test for the liver complex. The drug is allowed to be prescribed to children from 6 months.

Contraindications:

• acute liver and kidney failure;
• lactose intolerance;
• hepatitis;
• arrhythmia.

Binoclair is a semi-synthetic broad-spectrum antibiotic. Available in the form of granules, capsules, tablets, and vials for injection.

It is prohibited to take the drug in the first trimester of pregnancy, as well as in case of renal and liver failure. The drug can be prescribed to children from 12 years of age.

Levofloxacin is an effective new generation antibiotic. Copes with neutralization of Helicobacter in an aggressive environment Copes with increased acidity of gastric juice.

Contraindicated for children, pregnant and lactating women, people with central nervous system diseases.

Azithromycin is a drug that is prescribed if Clarithromycin is ineffective. The drug causes virtually no side effects. Available in the form of capsules, tablets and syrup.

It is necessary to take the drug one hour before meals or 2 hours after meals.

Amoxicillin is a drug that destroys harmful bacteria during their reproduction period. Made from penicillin. The drug is approved for children over 10 years of age.

The drug is contraindicated for the following diseases:

• bronchial asthma;
• allergic conjunctivitis;
• leukemia;
• mononucleosis.

The antibiotic may reduce the effect of contraceptives. Strengthens the effect of anticoagulants.

Omeprazole is a drug that is taken in combination with antibiotics to treat gastritis. The drug accumulates in the mucous membrane of the digestive tract and controls the secretion of gastric juice. Thus, the drug helps antimicrobial agents destroy bacteria.

The medicine is produced in the form of capsules. The effect of the product begins an hour after taking it and lasts 2 days.

It is forbidden to take in children, pregnant and lactating women.

Before taking the drug, you should undergo an examination to rule out the presence of gastrointestinal cancer. The drug is not taken for cancer patients.

Analogues of the product are Omez, Gastrozop, Losek, Zerotsid, Promez, Omecaps.

Tetracycline is a drug that inhibits the growth and reproduction of bacteria. Dosage form: tablets. With long-term use, it is necessary to monitor the functioning of the liver and kidneys using laboratory tests.

During treatment, you should take multivitamins, since tetracycline reduces the absorption of vitamins B and K from food.

The drug is contraindicated in the following diseases:

• fungal infections;
• autoimmune pathologies;
• decreased number of leukocytes;
• renal and liver failure.

The drug is not prescribed to children under 12 years of age, pregnant and lactating women.

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Antibiotics for intestinal inflammation in adults - Antibiotics

» Antibiotics for inflammation » Antibiotics for intestinal inflammation in adults
Inflammation of the intestine is a collective term denoting the presence of an inflammatory process on the intestinal walls. Inflammation can affect one or more parts of the intestine. This condition occurs in men and women equally often and is one of the first in frequency among all diseases of the gastrointestinal tract.

Causes of intestinal inflammation

1. Inflammation as a consequence of poor nutrition and other provoking factors;
2. Inflammation as a symptom and consequence of a certain gastrointestinal disease, which usually occurs in a chronic form.

Treatment of intestinal inflammation

Treatment of intestinal inflammation mainly comes down to following a strict diet and taking various medications. Do you take antibiotics for intestinal inflammation? Let's figure it out.

The answer to this question will be ambiguous, like everything related to taking antibiotics. On the one hand, antibiotics are prescribed without fail if we are talking about an infectious disease that caused this very inflammation of the intestinal walls.

But on the other hand, long-term use of antibiotic drugs, especially for a long time, does not have a positive effect on the general condition of the entire intestine and its health. During drug therapy, colitis or enteritis may well develop. And yet, doctors prescribe antibiotics.

And although these appointments are not always justified, there are many cases when you simply cannot do without them.

Antibiotics for the treatment of intestinal inflammation

So, what antibiotics are usually used for inflammatory diseases of the digestive system and, in particular, the intestines? Fluoroquinolones are usually prescribed.

With salmonellosis, dysentery and some other inflammatory diseases, symptoms of increased gas formation, diarrhea, pain, rumbling in the abdomen, fever, thirst and various other symptoms are observed.

To treat these and similar diseases, doctors prescribe the antibiotic Ofloxacin, Ciprofloxacin and other fluoroquinolones. They can be used in combination with Biseptol.

If dysentery is diagnosed, Biseptol, Doxycycline or Nevigramon are prescribed.

For bacterial pathologies in the digestive system, enteroseptics are usually used: Enterosediv, Nifuratel, Intetrix, Nifuroxazide. The same drugs are prescribed for giardiasis, amebiosis and a number of other intestinal diseases.

In general, drug treatment depends on the severity of the inflammatory process and its specific symptoms. If the intestinal inflammation is of an allergic nature, you should begin treatment with antihistamines, while simultaneously cleansing the intestines of the allergen using oil laxatives.

nmedicine.net

Colitis is called inflammation of the colon mucosa. The causes of this disease can be infections, unhealthy diet, stress, heredity, incorrectly selected medications or their illiterate use, and much more. Antibiotics for colitis are prescribed only if the disease was caused by an infection.

Such drugs for intestinal colitis can only be prescribed by the attending physician. In severe cases, antibacterial therapy can be combined with the use of sulfonamides.

Uncontrolled use of antibiotics by self-medicators can cause serious complications in the functioning of the large intestine, destruction of its microflora, the appearance of fever and cramping abdominal pain, which aggravates the course of the disease.

Indications and contraindications

Antibiotics are medications whose task is to destroy bacteria that cause the growth of infectious diseases. There are many types of antibiotics, all of them are different, since their action is aimed at different groups of pathogens. But despite the fact that these are quite strong medications, antibiotics cannot cure any disease.

Most antibiotics have a detrimental effect on the beneficial bacterial flora of the intestinal mucosa; they can provoke the development of colitis. But there are antibiotics that are used to treat this disease.

The prescription of antibiotics for intestinal colitis directly depends on the type of pathology. For example, antibiotics for the treatment of infectious colitis prevent the proliferation of pathogenic bacteria in the body. Treatment of ulcerative colitis is carried out with the combined use of antibiotics and sulfonamides.

Prescribing antibiotics for colitis is necessary to inhibit the growth of pathogenic bacteria, and anti-inflammatory drugs effectively reduce irritation and swelling of the intestinal mucosa.

The indication for prescribing antibiotics for colitis is the presence of an intestinal infection in the body, which has led to inflammatory changes in the colon mucosa.

All intestinal infections are divided into three groups:

• bacterial;
• viral;
• parasitic.

Most often, colitis develops as a result of shigella dysentery and salmonellosis; the causative agents of these diseases are Shigella and Salmonella, respectively.

Less common are cases of tuberculous intestinal colitis. The disease can also be caused by viruses such as intestinal flu.

The parasitic origin of colitis is infection of the body by amoebas or amoebic dysentery, giardiasis.

All these infectious pathogens provoke an inflammatory process in the colon and require antibiotic therapy. Only the doctor decides which antibiotics a patient should take for intestinal colitis. But before starting treatment with these drugs, it is important to undergo appropriate diagnostics, which will determine the infectious agent that caused the pathology.

Contraindications to the use of antibiotics for colitis:

• hypersensitivity to the drug;
• the presence of fungal infections;
• disorders of the liver and kidneys;
• dysfunction of hematopoiesis.

Antibiotics should be taken with caution for intestinal colitis in cases of a tendency to allergic reactions, as well as in children under 12 years of age.

Review of popular drugs

Let's consider which antibiotics are most often used for intestinal colitis.

Alpha Normix for colitis

Alpha Normix is ​​a broad-spectrum antibiotic. Due to its pronounced bactericidal effect, this drug is often prescribed for the treatment of colitis. It forms a bond with bacterial enzymes, inhibiting the synthesis of bacterial proteins and RNA, resulting in the bactericidal effect of the drug against sensitive bacterial flora.

The antibacterial effect of Alpha Normix is ​​aimed at reducing the pathogenic bacterial load on the intestines, which causes pathological conditions in colitis.

Alpha Normix has the following spectrum of action:

• inhibits the synthesis of ammonia caused by bacterial flora;
• reduces the number of pathogenic bacteria in the colon;
• reduces high levels of proliferation;
• neutralizes antigenic stimulation;
• minimizes the likelihood of infectious complications.

Side effects:

• from the cardiovascular system - increased blood pressure;
• from the nervous system - migraine, insomnia;
• from the organs of vision - diplopia;
• from the respiratory system - shortness of breath, nasal congestion, dryness in the oropharynx;
• from the gastrointestinal tract - flatulence, abdominal pain, stool disorders, tenesmus, dyspeptic disorders, rarely - anorexia, dry lips;
• from the urinary system - polyuria, glucosuria, hematuria.

For patients over 12 years of age, unless the doctor has indicated otherwise, Alpha Normix is ​​prescribed 1 tablet every 8 hours, or 1800 mg of the drug per day. The course of treatment is up to 7 days.

Levomycetin for colitis

Levomycetin is an antibiotic effective against gram-positive and gram-negative microflora, with a pronounced bactericidal effect. After oral administration, Levomycetin is rapidly absorbed and absorbed from the gastrointestinal tract.

Side effects:

• from the gastrointestinal tract - dyspeptic disorders, diarrhea, dysbacteriosis, irritation of the oral mucosa;
• from the hematopoietic organs - erythrocytopenia, thrombocytopenia, anemia;
• from the nervous system - depression, optic neuritis, migraine;
• allergic reactions - skin rash, swelling.

Levomycetin is available in the form of tablets and powder for injection. Tablets are taken 30 minutes before meals, 250-500 mg 4 times a day. The drug in powder form is diluted with water for injection in a volume of 2 ml and administered intramuscularly. The course of treatment is determined by the doctor.

Furazolidone for colitis

Furazolidone is an antibiotic of the nitrofuran group that has a pronounced antimicrobial effect against gram-negative aerobic flora. The pharmacological effect of Furazolidone for colitis depends on the dosage of the drug.

Side effects:

• from the gastrointestinal tract - dyspeptic disorders, loss of appetite;
• from the cardiovascular system - lowering blood pressure;
• from the nervous system - headache, general weakness, fatigue;
• allergic reactions - urticaria, fever.

Furazolidone is taken orally. The tablet should not be chewed or crushed, only swallowed whole with water. Adults are prescribed 100-150 mg of Furazolidone after meals 4 times a day for 5-10 days. The course of treatment depends on the severity of the pathological process.

Basic rules for taking antibiotics for colitis

Treatment of colitis with antibiotics, no matter how modern and safe they may be, can cause intestinal dysfunction, resulting in an increased risk of exacerbation of chronic colitis.

To support intestinal function and normalize microflora, together with antibiotic therapy, it is recommended to take Nystatin orally 500,000-1,000,000 units daily. You can replace it with Colibacterin in a dosage of 100-200 g 2 times a day 30 minutes after meals.

Antibiotics for colitis are used to destroy pathogenic flora in the intestines, but taking these drugs can worsen existing diarrhea.

You should immediately inform your doctor if the clinical picture of colitis worsens, and if dizziness, breathing problems, joint pain and bruises under the eyes appear.

Call an ambulance immediately if you notice swelling of the lips, throat, or bleeding of unknown etiology that was not there before.

If your doctor has prescribed antibiotics to treat colitis, tell him what medications you are currently taking. Some medications in combination with antibacterial drugs can have an undesirable effect.

Antibiotics are most often not prescribed for ulcerative colitis, but your doctor may prescribe them if other treatments have been ineffective. In other cases, antibacterial therapy is not used, since the effectiveness of antibiotics for ulcerative colitis has not been proven.

If colitis is provoked by long-term uncontrolled prescription of antibiotics for the purpose of treating another disease, the condition antibiotic-associated colitis occurs.

In this case, the drug is immediately discontinued and additional rehabilitation treatment of the patient is prescribed with mandatory restoration of the disturbed intestinal microflora.

Read more about how to restore the intestines after antibiotics →

The main method of treating colitis is diet therapy and maintaining a healthy lifestyle. Antibiotics for the treatment of colitis are prescribed provided that the disease is the result of an intestinal infection. Also, the use of antibacterial therapy is justified in the case of chronic colitis, if a bacterial infection of the affected colon mucosa has occurred.

Antibiotics for the treatment of colitis are not a panacea, so it is important to exercise caution and avoid self-medication with these drugs to avoid the consequences of their use.

Source:

How to treat intestinal inflammation

Intestinal inflammation in adults and children is accompanied by a number of unpleasant symptoms, which can be eliminated with medications and folk remedies. And proper nutrition will help consolidate and enhance the therapeutic effect of medications.

Inflamed intestines cause great discomfort

What are inflammatory bowel processes called?

Intestinal inflammation is a collective term that refers to any pathological processes occurring in the mucous membranes of various parts of the organ. In any form of the disease, the process of absorption of nutrients deteriorates, which negatively affects the overall health. Diseases can occur in acute or chronic form.

Types of pathology:

• duodenitis - the inflammatory process is localized in the duodenum;
• enteritis - pathological changes are diagnosed in a small compartment or the entire small intestine;
• ileitis – the focus of inflammation is in the ileum;
• colitis – the disease affects all parts of the intestine;
• typhlitis - inflammation of the cecum;
• proctitis - an inflammatory process in the area of ​​the rectal mucosa;
• ulcerative colitis – inflammation of the large intestine;
• cryptitis - the anal sinuses of the rectum become inflamed.

Source: https://antibi0tik.ru/primenenie/antibiotiki-pri-vospalenii-kishechnika-u-vzroslyh.html

The effect of antibiotics on the human body

First, it’s worth finding out why treating a person with antibiotics can lead to intestinal dysfunction. According to experts, the adult body contains about 2-2.5 kg of beneficial microorganisms, which amounts to hundreds of trillions of bacteria. They are our constant companions, help digest food, create a favorable acid-base environment, improve the absorption of vitamins and nutrients, protect against harmful microbes and infectious diseases.

When taking antibiotics, the bacteria necessary for the normal functioning of the body suffer no less than those that harm human health. Powerful antibacterial drugs have a detrimental effect on both “bad” and “good” microorganisms. As a result, the intestinal microflora suffers (microbiocenosis) and antibiotic-associated diarrhea develops.

The adverse effects of antibiotics on the intestines do not affect everyone. This depends on what antibiotics the doctor prescribed, as well as on the patient’s health status, his immunity and the duration of antibiotic therapy. According to doctors, at least a third of people taking quinolones, macrolides, cephalosporins, lincomycins and aminopenicillins experience problems with the gastrointestinal tract. And this happens regardless of whether the patient has a sore throat, pneumonia or inflammation of the intestines - antibiotics harm beneficial microflora and provoke the appearance of dysbiosis.

How to protect the digestive organs from the harmful effects of antimicrobial drugs? Intestinal upset, which is always accompanied by abdominal pain and diarrhea, can be prevented if, while taking antibiotics, you take a medicine that supports the intestinal microflora.

Combined use of antibiotics with other drugs

Unlike the treatment of respiratory diseases, where one can, in principle, limit oneself to the use of one antibiotic, the treatment of intestinal infections is not limited to the use of antibacterial drugs alone, which is of fundamental clinical importance. Moreover, despite the fact that an antibiotic is a drug that directly eliminates the cause of the disease, in the treatment of infectious processes of the gastrointestinal tract, eliminating the symptoms of the disease is often even more important than eliminating the pathogen. In this case, we are talking about dehydration - it is clear that this symptomatology occurs only in severe clinical cases, which are accompanied by the loss of a large amount of fluid, and the number one medications will be solutions for infusion therapy, which allow restoring the water-electrolyte balance of the body and preventing hypovolemic shock.

Another point should be taken into account when prescribing antibiotics (in any case, it does not matter in which organ the inflammatory process is located). It lies in the fact that when an antibiotic acts on a bacterial cell, the latter is destroyed, and this is accompanied by the release of toxic substances into the blood, which, in turn, significantly enhance the signs of general poisoning of the body. Naturally, in this case it will simply be impossible to do without drugs intended to restore water and electrolyte metabolism (that is, we mean infusion therapy). Moreover, the use of drugs of this particular group guarantees that the patient will not experience cardiac arrest due to hyperkalemia - when fluid in the body decreases, the concentration of potassium in the blood increases.

When using antibacterial drugs, one should also not forget about the use of probiotics - medications containing live cultures of lactobacilli (normal intestinal microflora). Their use allows you to avoid the occurrence of intestinal dysbiosis in the future.

Types of drugs for intestinal microflora

What should I take along with antibiotics to protect myself from their negative effects on the intestinal microflora? Doctors prescribe probiotics and prebiotics for this purpose.

Probiotics are medications containing strains of live bacteria. Once inside the intestines, beneficial microorganisms populate the mucous membranes and, under favorable conditions, begin to actively multiply. And other drugs help them with this - prebiotics. Prebiotic supplements contain components that create a breeding ground for beneficial bacteria and accelerate colony growth.

Currently, probiotics containing various strains of bacteria are produced. These can be either single-component preparations, in which only one specific type of microorganism is present, or multicomponent preparations, containing simultaneously two or more strains of bacteria.

Most common gut probiotics include:

• aerococci;
• bifidobacteria;
• yeast-like fungi;
• lacto- and colibacteria;
• enterococci.

In addition, the tablet or capsule may also contain prebiotic additives that help beneficial bacteria “take root” in a new place.

Important! Combined probiotic agents are preferable for restoring intestinal microflora after antibiotics. However, only a doctor can accurately determine which specific probiotic to prescribe in each specific case.

Benefits of probiotics

Probiotic preparations have a beneficial effect not only on the digestive organs - the entire body begins to function more harmoniously:

• the harmful effects of antibiotics on the walls of the stomach are reduced;
• enzymes, hormones and vitamins necessary for the normal functioning of the human body are produced;
• the negative impact of toxins is minimized;
• water-salt metabolism in the intestines is restored;
• the body's defenses are stimulated, its resistance to disease increases;
• the acidity level of the stomach and the entire digestive system is normalized, in which pathogenic bacteria die faster and beneficial bacteria multiply better;
• intestinal microbiocenosis is restored;
• the digestion process is stimulated;
• intestinal motility improves.

All this clearly proves that drinking probiotics to prevent antibiotic-associated diarrhea is simply necessary. Otherwise, the patient faces diarrhea or constipation, bloating, nausea and pain in the abdominal area.

Important! Microbiocenosis can recover on its own after antibiotic therapy is discontinued. However, this process is not fast and depends on the person’s immunity. Therefore, you should not neglect the advice of doctors and save on your health. It is better to take a course of probiotics so that after the main infectious disease you do not also have to treat dysbiosis.

List of probiotics

Drugs that restore the intestines after antibiotics represent a fairly large group of drugs. Below is a list of the most effective probiotics, according to reviews from doctors and patients:

• Linux.

Perhaps the most popular medicine from the category of multicomponent probiotics. Almost everyone hears it thanks to mass television advertising. Linex capsules contain bifidobacteria, lactobacilli and strains of enterococci. It is prescribed to both adults and children, as the drug is safe and has no contraindications. Linex is not prescribed only for the treatment of patients suffering from lactose intolerance.

• Acipol.

Prescribed to eliminate manifestations of dysbiosis and digestive disorders of various etiologies, including when taking antibiotics to restore intestinal microflora. The drug is available in the form of capsules that are resistant to stomach acid. The capsules contain acidophilic lactobacilli and strains of kefir fungus, which acts as a prebiotic. When colonized in the intestines, beneficial bacteria eliminate the symptoms of dysbiosis, indigestion, intestinal infections and food allergies.

• Hilak and Hilak-forte.

The drug is prescribed to restore microbiocenosis when antibiotics are prescribed to treat the intestines or other infectious diseases. The medicine is available in the form of drops and eliminates various disorders of the digestive tract (diarrhea, constipation, flatulence, nausea and others). The probiotic can be pre-diluted with tea, orange juice or water, but cannot be combined with milk and dairy products.

• Enterol.

As an active component, it contains lyophilized cells that inhibit pathogenic microorganisms and eliminate the symptoms of diarrhea. The medicine can be taken even by the youngest patients from the moment of birth.

Probiotics are available in different dosage forms. These may be capsules, tablets, powders, drops or syrups. The doctor selects the optimal form of the drug to take individually, taking into account the patient’s condition and age. In addition, each popular drug has a lot of analogues. For example, instead of Linex, a doctor may prescribe:

• Bifidumbacterin;
• Lactobacterin;
• Laktomun;
• Biolact;
• Biosporin;
• Bificol;
• Lactiale;
• Normobakt.

Atsipol also has a number of analogues:

• Latium;
• Primadophilus;
• Acidolact;
• Narine;
• Subalin forte;
• Acylact;
• Good luck.

The choice of such a seemingly harmless drug as a probiotic must be agreed with your doctor. Only a specialist can tell you the best option for the drug needed when taking a particular antibiotic.

Treatment with intestinal antiseptics

For intestinal infections, antiseptic drugs are often prescribed. They selectively act on pathogenic flora, but the intestinal bacteria’s own bacteria remain intact.

Intestinal antiseptics are destructive for most bacteria (staphylococcus, proteus, shigella, etc.). They can be prescribed to children and adults.

Such drugs include:

• Ersefuril (nifuroxazide). This drug can be prescribed to treat children over 6 years of age. Its action is aimed at suppressing the vital activity of the bacterial flora that populates the intestines. Ersefuril is prescribed for rotavirus infection and dysentery.
• Furazolidone. This is a time-tested antibacterial drug that is destructive against many harmful microorganisms (salmonella, shigella, etc.). In addition to the antibacterial effect, Furazolidone can improve the patient's immunity.
• Intetrix is ​​a drug that allows you to destroy not only harmful bacteria, but also fungi and parasites. It can be used not only for treatment, but also for the prevention of intestinal infections, for example, during hiking.
• Phthalazole is an antiseptic with a wide spectrum of action. It should be used with caution in children as it has side effects.
• Enterol is a drug containing live yeast that destroys harmful bacteria. Enterol contains protease. Thanks to this enzyme, toxins released by bacteria will be destroyed and will not harm the human body. Enterol also contains probiotics, which stimulate the growth of the natural microflora of the human intestine. A single dose of the drug is enough to feel the therapeutic effect. However, Enterol should not be combined with antibiotics or adsorbents. It has no contraindications, so it is prescribed for the treatment of lactating and pregnant women, as well as children.

Inflammation of the gut and probiotics

Antimicrobial drugs are also prescribed for various diseases of the digestive tract. Antibiotics are indispensable for intestinal inflammation caused by the proliferation of pathogenic microflora. The symptoms and treatment of the disease are similar to antibiotic-associated diarrhea.

Treatment of colon diverticulosis in adults also involves the prescription of broad-spectrum antibiotics. Often, with intestinal diverticulosis in the initial stages, the patient does not have any pain, and diverticula (pouch-like protrusions in the wall of the colon) can be discovered completely by accident. The diagnosis itself is not dangerous to the patient’s health. However, over time, the disease leads to the development of inflammatory processes characteristic of this pathology.

In both cases, complex therapy includes the administration of probiotics to normalize and support the intestinal microflora. But what is the best medicine to take, the doctor must determine, since self-medication is fraught with adverse consequences.

Antibiotics for the intestines

Intestinal infections are the second most common disease. ARVI traditionally takes first place. But antibiotics are used to treat the intestines in only 20% of all diagnosed cases.

The indication for prescribing drugs is the development of the following symptoms:

• significant increase in body temperature;
• cutting pain in the abdomen;
• diarrhea occurring more than 10 times a day;
• uncontrollable vomiting;
• signs of developing dehydration.

Drugs from the antibiotic category can be prescribed for dysbiosis, colitis and stool disorders (diarrhea).

Antibiotics to treat intestinal infections

The cause of infectious damage to the gastrointestinal tract is the penetration of pathogenic microflora into the human body. These can be staphylococci, protozoa, enteroviruses, salmonella, etc.

The indication for the use of drugs from the category of antibiotics is the lack of positive dynamics of treatment from previously prescribed drugs. But when dysentery or cholera is diagnosed, they are prescribed to be taken immediately.

To eliminate intestinal infections, antibiotics are used only when certain symptoms develop

To treat intestinal pathology, medications from the following categories can be used:

• cephalosporins;
• fluoroquinolones;
• tetracyclines;
• aminoglycosides;
• aminopenicillins.

The dosage and regimen are individual in each specific case.

If we talk about specific drugs, the most often prescribed are:

1. Levomycetin. Broad-spectrum antibiotic. Very effective against Vibrio cholerae. Recommended in the absence of a therapeutic effect after taking other medications. Prohibited for use in children.
2. Tetracycline. Practiced for the treatment of intestinal infections caused by salmonella and amoebas. Effective against the causative agent of anthrax, plague, psittacosis. Long-term treatment with drugs of this group can provoke the development of dysbiosis, therefore, after tetracycline antibiotics, the patient is recommended to take synbiotics.
3. Rifaximin. The drug is less aggressive than tetracycline, and therefore can be prescribed to both adults and children.
4. Ampicillin. A semi-synthetic agent that is effective against a large number of pathogens. Allowed for children and pregnant women.
5. Ciprofloxacin (from the group of fluoroquinolones). Does not cause dysbiosis.
6. Azithromycin (from the group of macrolides). Suppresses the growth of pathogenic microflora in three days. The safest medicine with virtually no side effects.
7. Amoxicillin.

The use of antibiotics for dysbacteriosis

When dysbiosis develops, medications from the group of antibiotics are prescribed to suppress pathogenic bacteria. Most often, drugs from the following groups are recommended for use:

• penicillins;
• tetracyclines;
• cephalosporins;
• quinolones.

Metronidazole may also be prescribed.

Antibiotics for the development of dysbacteriosis are recommended in exceptional cases

Since antibiotics already have a detrimental effect on the state of the microflora of the digestive tract, they are used for dysbiosis of the small intestine, accompanied by malabsorption syndrome and motility disorders.

The following drugs are most often prescribed for the treatment of dysbiosis:

1. Amoxicillin. A semi-synthetic drug from the penicillin group. Gives good results when taken orally, as it is resistant to the aggressive gastric environment.
2. Alpha Normix. Non-systemic broad-spectrum antibiotic. The active substance is rifaximin. Indicated for dysbiosis caused by diarrhea and infectious pathologies of the gastrointestinal tract.
3. Flemoxin Solutab. Semi-synthetic drug of the penicillin group. Has a bactericidal effect.
4. Levomycetin. Broad-spectrum antimicrobial agent. Prescribed for the treatment of dysbacteriosis caused by intestinal infection and pathologies of the abdominal organs. It can also be prescribed as an alternative drug if previously selected medications have not given a positive result.

With the development of dysbiosis of the large intestine, the following are prescribed:

• Nitroxoline;
• Intetrix;
• Ersefuril.

The drugs are effective against yeast, staphylococcus and proteus, which are the main cause of colon dysbiosis. The drugs do not have a significant effect on the state of natural microflora.

Antibiotics for colitis

Treatment of colitis of bacterial origin is impossible without a course of antibiotics. For nonspecific ulcerative inflammation of the colon, medications of this category are prescribed in the event of a secondary bacterial infection.

In the process of treating pathology, the following can be used:

• group of sulfonamides for mild/moderate disease;
• broad-spectrum agents for severe disease.

In order to prevent the development of dysbiosis, the patient is recommended to take probiotics. This could be Nystatin or Colibacterin. The latter contains live E. coli, which contribute to the restoration and normalization of microflora.

Antibiotics are required in the treatment regimen for bacterial colitis.

For colitis, the following medications may be prescribed:

1. Alpha Normix. A broad-spectrum agent with a pronounced bactericidal effect, which helps reduce the pathogenic load.
2. Furazolidone. A drug from the nitrofuran group. Has an antimicrobial effect.
3. Levomycetin. The product is active against pathogenic microflora and also exhibits a bactericidal effect. Since numerous side symptoms may develop while taking Levomycetin, the dosage and treatment regimen should be selected individually. Intramuscular administration of the drug is possible.

Self-treatment of colitis with antibiotics is completely unacceptable. A qualified specialist must select medications and determine the dosage regimen. It is also necessary to inform the doctor about all medications taken in order to exclude the development of negative reactions due to drug interactions.

Rules for taking probiotic drugs

The effectiveness of taking probiotics directly depends on the quality of the drug, compliance with the rules of its storage and administration. Therefore, every person should know what to do and how to take “live” medicines correctly so that the benefits from them are tangible.

The rules for taking probiotics are simple and easy to follow even for the most undisciplined patient:

• You need to take exactly the drug prescribed by the doctor. Only a doctor is able to correctly assess the clinical picture and health status of the patient and prescribe the “right” medicine, taking into account the characteristics of its effect on the body.
• Take the probiotic exactly according to the included instructions. It is important to follow the recommendations regarding dosage and time of administration (before, after or during meals).
• Do not take probiotics with hot water. The maximum permissible temperature of the drink is 45°C - at a higher temperature, beneficial microorganisms will die.
• Do not stop taking probiotics after completing the course of antimicrobial therapy. Doctors recommend continuing to take medications for some time after taking antibiotics. This is necessary in order to completely restore the functioning of the stomach and intestines. The period of time during which it is necessary to take “live” medications is determined by the attending physician.
• Quit alcohol and smoking. During treatment, you have to think about health, and not about the dubious pleasure of drinking alcohol and cigarettes.

Important! For any disease, you should not take antibiotics and probiotics at the same time of day. These drugs should be taken with a minimum difference of 2 hours. Otherwise, strains of beneficial bacteria will die under the influence of antimicrobial drugs.

Antibiotics for intestinal infections and their dosage for adult patients

When treating intestinal infections, patients are usually prescribed antibiotic medications that have a wide range of effects.

• Tetracyclines - these drugs are well absorbed when taken internally and have a pronounced bacteriostatic effect, however, they are contraindicated for children. Adults are prescribed Tetradox, Vibramycin or Doxycycline.
• Cephalosporins. They have a pronounced bactericidal effect, are similar to penicillin antibiotics, and can provoke an allergic reaction. Drugs like Suprax, Cephabol, Claforan or Rocesime, Cefotaxime are prescribed.
• Aminoglycosides are prescribed when bacterial microorganisms are widespread in the body, even in septic processes. These antibiotics are quite toxic and can damage the liver or kidneys. These antibiotics include Neomycin or Gentamicin.
• Penicillin antibiotics are characterized by excellent absorption and selectivity, and do not have a harmful effect on other intraorganic structures; they can be taken by children, pregnant women, and lactating women, although they sometimes cause allergic reactions. Among the most famous penicillins are Amoxiclav, Amoxicillin, Augmentin, Flemoxin Solutab.
• Macrolide drugs like Azithromycin or Roxithromycin, Erythromycin, etc. are prescribed to patients who have an allergic reaction to penicillin.
• Antibiotics of the chloramphenicol group such as Levomycetin, Chloramphenicol.
• Fluoroquinolone drugs such as Normax, Levofloxacin, Ofloxacin or Tsiprolet, etc. These drugs inhibit the enzyme that is responsible for DNA synthesis.

The dosage is prescribed only by a doctor, because it may differ for different infections. The main thing is to follow the dosage recommended by your doctor and complete the course of treatment completely.

Diet correction

Restoring microbiocenosis is impossible without changing the diet and following a special diet. Of course, it is better to discuss this issue with your doctor. Below are general recommendations:

• Exclude spicy, fatty, fried and smoked foods from the daily menu.
• Steam, bake in the oven or stew.
• Avoid high carbohydrate foods.
• Drink about 2 liters of clean water daily.
• Consume foods containing carbohydrates in the first half of the day.
• Increase the amount of plant fiber and protein foods.
• Eat more often and in small portions.
• Balance the diet taking into account the amount of calories needed for a particular individual.

You can also improve your intestinal microflora with certain foods. It is especially useful when patients take fermented milk products:

• natural sourdough yogurt;
• acidophilus kefir;
• cottage cheese;
• feta cheese;
• buttermilk.

In addition to the listed products, fruits and dried fruits, legumes, cereal porridges, green tea and light broths are useful. But it is better to exclude baked goods, sweets, jelly, black tea, sweet soda, fresh cabbage, mushrooms, meat and meat products from your menu.

Treatment with folk remedies involves the inclusion in the diet of fresh fruit and vegetable juices, which have a good effect on the microbiocenosis. Decoctions and infusions of medicinal herbs are also useful. Depending on the condition of the stomach and intestines, they drink chicory, sage, oak bark, yarrow, flax seed, St. John's wort, chamomile, calendula, and nettle.

Conclusion

It is not difficult to maintain intestinal microflora when taking antibiotics. It is enough to start drinking probiotic preparations from the first day of antimicrobial therapy. At the same time, you need to balance your diet, take care of personal hygiene and give up bad habits. An active lifestyle, exercise, daily walks in the fresh air and psychological balance are also beneficial.

proantibiotic.ru

Help of antibiotics to treat gastritis

Due to poor nutrition, the bacterium Helicobacter pylori develops in the intestines. The person begins to feel unwell and have pain in the stomach. Microorganisms cause ulcers and develop into peptic ulcers. Antibacterial agents are used to treat irritation in the intestines. Doctors prescribe medications that include a substance such as amoxicillin.

Some prescribed medications contain macrolides, tetracyclines, and fluoroquinols. Antimicrobial drugs for gastritis include metronidazole, ornidazole and tinidazole.

Antibacterial drugs have a negative effect on microorganisms. The drugs interfere with protein synthesis when the number of microbes increases. For this, amoxicillin is used, which is effective against most pathogenic bacteria. The antibiotic is a common drug included in the penicillin group. If the course of gastritis occurs with increased acidity, then dyspeptic manifestations occur .

Some medications have a level of strength against bacteria. Sometimes amoxicillin is not used due to individual intolerance of the body or the medicine does not cope with reducing the number of pathogens. So doctors prescribe azithromycin, a drug that affects microorganisms with reduced strength.

Tetracycline has a number of side effects. The drug has a strong effect on pathogens, which is suitable when other means are ineffective. Refers to old antibiotics. Over a long period of time, bacteria were able to develop resistance to the drug. Thus, levofloxacin is also prescribed, which is sometimes replaced with clarithromycin.

Metronidazole has many properties:

• antibacterial;
• trichomonacid;
• antiprotozoal.

The drug is used for a certain type of therapy along with a complex of other drugs and a therapeutic diet. Medicines of the orindazole group are used if other means have not had the desired effect. This substance is taken in complex therapy.

Treatment occurs using several medications. Antibiotics help remove pathogens from the body. Bacteria in gastritis of the stomach are considered resistant to microorganism therapy. Therefore, doctors prescribe radical therapy using potent drugs.

What antibiotics are used to eliminate intestinal infections?

The list of drugs that have a positive effect in solving problems with infectious diseases is very long. Antibiotics of this type are divided into several groups, which have the ability to cause harm to the human body to a greater or lesser extent.

Antibiotic drugs have the ability to cope with the problem if it is of infectious rather than viral origin. To get rid of infectious problems, specialized doctors most often prescribe the following drugs:

1. Rifaximin.
2. Bancomycin.
3. Bacitracin.
4. Ramoplanin.
5. Neomycin.
6. Doxycycline.
7. Cefix.
8. Tetracycline.
9. Doxycycline.
10. Claforan.
11. Ceftriaxone.
12. Streptomycin.
13. Gentamicin.

Most of these medications are broad-spectrum. Not all drugs from this series have the ability to have a mild effect on the body. Doctors consider Rifaximin, Bancomycin, Bacitracin, Ramoplanin, Neomycin, Claforan to be the safest antibiotics from those on the list.

Other medications are not recommended for use by people with liver and kidney problems. This is due to the fact that the contents of the antibiotic are completely absorbed by the human body within 2–2.5 hours, placing a very heavy burden on it.

Attention! It is better to use broad-spectrum antibiotics to eliminate the problem. They work more gently and are not as harmful. When absolutely necessary, doctors even prescribe such drugs to children.

Indications for the use of antibiotics for the treatment of gastritis

Treatment of the disease begins after diagnosis and consultation with a gastroenterologist. The doctor will inform the patient about the prescription of antibiotics for diseases. The following contraindications to the use of drugs are identified:

• individual intolerance to components;
• during pregnancy and lactation;
• liver failure;
• renal encephalopathy;
• not prescribed to children under 18 years of age.

When therapy with antibacterial drugs is carried out, the condition of the patient’s internal organs is monitored.

Contraindications and negative effects

Intestinal antibiotics fluoroquinolones are not used in children less than 2 years old, however, if the case is severe, the choice is made in favor of gentle drugs of the modern generation.
Antibacterial agents are prescribed with caution in adolescence, as they can negatively affect the muscular and skeletal system.

Medicines of the erythromycin group are not used during pregnancy and lactation, as well as by patients with liver disease and pathologies of the urinary system.

There are no antimicrobial agents that do not cause side effects. The most common negative effects are allergic reactions. Also, taking medications has a negative effect on the liver and blood condition. That is why a specialist should prescribe a specific antibiotic against intestinal infection.

Common side effects of antibiotic therapy include:

• disorder of the hematopoietic system, the appearance of blood clots, anemia, leukopenia;
• malfunction of the brain, muscle numbness, spasms, disorientation, drowsiness, weakness of the muscular system, epilepsy;
• disruption of the digestive tract, lack of appetite, vomiting, diarrhea, pain symptoms in the liver;
• difficulty breathing, decreased hearing and visual abilities, dizziness, loss of coordination;
• difficulty urinating, presence of blood streaks and protein in the urine;
• the occurrence of hypotension, allergic manifestations in the form of skin rash and itching, the appearance of fever.

Despite the large list of contraindications and negative effects, the use of antibacterial treatment is advisable for serious infectious pathologies, but their independent administration is not permissible.

Methods of taking antibacterial drugs

In medicine, there are several methods for treating gastritis with antibiotics. Treatment regimens differ in their methods of combating bacteria. There is a triple method and quadruple therapy. In both cases, drugs from the group of inhibitors or bismuth preparations are included. Medicines reduce the secretion of gastric juice. Healing of the gastric mucosa, ulcers, and erosion occurs.

Triple therapy method

The use of a triple therapy regimen involves the use of 2 antibiotics and 1 antisecretory drug. The attending physician prescribes amoxicillin, clarithromycin and a proton pump inhibitor. Medicines for gastritis are taken in the morning and evening. If this scheme does not help, then metronidazole, tinidazole or ornidazole are prescribed instead of the proposed drugs.

The use of a proton pump inhibitor is replaced with Omeprazole, Rabeprazole, Pantoprazole. In some cases, this component of treatment is changed to bismuth subcitrate. The triple therapy regimen includes effective drugs and provides positive results. After a course of treatment, the causative agent of gastritis is destroyed in the intestines.

The course of treatment with this method is one week. In individual cases, therapy is carried out for 14 days.

Scheme for using quadruple therapy

When a triple treatment regimen does not provide results, quadruple therapy is prescribed. The attending physician prescribes subsalicylate and tetracycline. The dosage regimen is 4 times a day. Then metronidazole is introduced into therapy, which is consumed in the morning, evening and afternoon. After antibiotics, proton pump inhibitors are prescribed. They need to be taken 2 times a day.

Quad therapy can include a different composition of drugs. For individual conditions, amoxicillin, a proton pump inhibitor, metronidazole and clarithromycin are prescribed. Depending on the patient’s body, medications are replaced. This is done due to the sensitivity of the bacteria and the tolerance of the drug components.

other methods

Currently, there are complex preparations that are collected from 3 drugs. The antibiotic package is designed for 1 course of treatment. Such drugs are convenient for use for gastritis. The patient will not need to buy separate medications. The package contains tablets or capsules. They must be taken one day before. Complex products include Piloct, Clatino and Pilobact Neo.

Side effects after taking antibiotics

If incorrect treatment of gastritis with antibiotics has been prescribed, the likelihood of improving health is reduced. Tetracycline is considered a dangerous drug. In case of negative effects, the patient will experience symptoms of nausea, diarrhea and abdominal discomfort. In individual cases, depression and gout can occur. After stopping taking intolerant medications, weakness goes away .

When antibiotic therapy ends, the intestinal microflora begins to restore. Side effects include:

• dysbacteriosis;
• headache;
• psychoemotional disorder;
• diarrhea and stool upset;
• allergy.

Regardless of the positive effect the medicine has on gastritis, the antibiotic affects the beneficial bacteria for the intestines. To restore the microflora of the stomach, preparations containing bifidobacteria and lactobacilli will help. Doctors recommend using these drugs in parallel with antibiotics.

The occurrence of side effects occurs due to an increase or decrease in the dosage of the drug. Such experiments can cause harm to the body.

Recovery depends on following the recommendations of the gastroenterologist. At the same time, it is necessary to follow a therapeutic diet for gastritis. It includes fermented milk products. If symptoms of side effects occur, you should consult a specialist.

Various antibiotics are used to treat gastritis or stomach ulcers . The drugs have an effect on bacterial microflora and destroy it. For therapy to be successful, it is necessary to know the form of gastritis. Many antibiotics are taken with low acidity.

It is necessary to treat the disease in a chronic form with caution. If you do not adhere to the prescribed dosage for gastritis, side effects appear. In addition to the general symptoms of illness, complications may occur in the form of pancreatitis. However, do not be afraid and resort to treating gastritis without antibiotics.

gastrot.ru

Why you can’t choose your own antibiotics

Only a doctor can evaluate all the possible benefits of a drug, the advisability of its use, and the risk of side effects. Another important point is possible drug interactions, especially if the patient takes medications constantly (hypertensives, oral contraceptives). The antimicrobial effect in such a situation may increase or decrease, so therapy for a bacterial infection may be too powerful or, conversely, too weak.

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To carry out rational antibiotic therapy it is necessary:

• select the drug in accordance with the maximum sensitivity of the bacteria to it;
• the duration of antibacterial therapy should be at least 7-10 days (even if the clinical condition improves);
• the dosage should be average, minimum and maximum should be avoided, since the first may not be effective enough, and the second may cause side effects.

Self-medication can cause serious and even irreversible harm to the body, and consulting a doctor will never be superfluous.