UC -> Antibiotics + Probiotics - Appreciate your suggestion

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happyliving
Regular Member


Date Joined Mar 2008
Total Posts : 166
   Posted 3/9/2009 5:17 PM (GMT -6)   
Hi,

I'm having UC for last 3 years and currently on Colozal 3 - 3 times a day + Canasa supp every night + Nature's Way Primadophilus Reuteri Superior Probiotic 5 CBU
I'm having diaheria for the last 3-4 days and when i called my GI he asked me to start with Antibiotic(Ciprofloxacin 500mg - 2 per day) for 10 days
I started today morning and i'm little bit concerned about using them.
Is it safe to use Antibiotics for few days at these dosages? Is 500mg a low dosage? My UC symptoms are not that bad, but i see some blood some times. little bit worried if these antibiotics will mess up.
But i can't go against my GI's call..he says antibiotics will cleanup the Gut and it helps.
My question is if we take antibiotics and probiotics it may kill good bacteria that comes with probiotics, so what would be the best way to take these two?

Looking forward to your inputs , feedback and valuable responses.........eyes

Buckeyeinfl
Regular Member


Date Joined Oct 2006
Total Posts : 114
   Posted 3/9/2009 6:16 PM (GMT -6)   
Hi Happy living,
The antibiotics will likely make you feel better very quickly, but I can't tell you if the dose is high or low. And, your healthcare is in your hands. You do have a right to question, accept or deny treatment from your doctor...it's your body. It doesn't make sense to take them both at the same time; you'd restart the probiotic as soon as you finish the Cipro. That said, talk to your doctor about getting a prescription for VSL #3 DS (double strength formula)...it's possible that your insurance will pay for it. My daughter has gone through the jpouch surgery and I tried in vain to get her GI doctor to help me sort through how much probiotic to take etc etc and he was no help at all (entrenched in the idea that it was "alternative medicine at the time). But, there are studies (check out the vsl #3 website) out there that confirm that VSL #3 can help repopulate and maintain good gut flora so that you won't need the antibiotics. After my daughter had the surgery, her surgeon prescribed this for her and said that she'd have to take it the rest of her life. This "medical food" is marketed for the management of UC and ileal pouches. She is doing fantastic digestively and has not had a bout of pouchitis (basically UC with the jpouch) since her surgery in 06. Hope this helps!
20 yo daughter w/ Pancolitis
diagnosed 8/30/06
Step 1 colectomy/jpouch creation 11/27/06
Step 2 takedown 2/9/07
VSL #3 DS
21 yo Daughter diagnosed with right shoulder, bilateral wrist, 
bilateral elbow, bilateral knee, and bilateral ankle avascular necrosis
(aka Osteonecrosis) as a result of Prednisone use
 


happyliving
Regular Member


Date Joined Mar 2008
Total Posts : 166
   Posted 3/9/2009 6:56 PM (GMT -6)   
Hi Buckeyeinfl,

Is there any chances that these antibiotics may mess up my UC?
Have you guys heard about these kind of instances that happened ever?
I'm totally confused and hoping that nothing happens during my Cirpo intake..

Please comment..............Thanks all

Learntoadapt
New Member


Date Joined Feb 2009
Total Posts : 19
   Posted 3/9/2009 7:10 PM (GMT -6)   
cipro definetly screwed with my gut.  The pain was noticed about 5 days after I started.  Everyone is different.

Diagnosed with Proctitis in 8/08 with additional inflammation by the appendix (whatever that means, sounds like it is more than proctitis)

Colazal 3x3
probiotic
fish oil
multi-vitamin
SCD since 9/08


happyliving
Regular Member


Date Joined Mar 2008
Total Posts : 166
   Posted 3/9/2009 7:28 PM (GMT -6)   
Hi Learntoadapt,

Are you on the same dosages that i listed above?
I was asked to take 2 pills each of 500mg / day

Thanks in advance

Peety
Veteran Member


Date Joined Mar 2008
Total Posts : 2855
   Posted 3/9/2009 8:23 PM (GMT -6)   
Absolutely antibiotics will mess up your UC. I can't believe a doctor would casually prescribe it just for D, let alone a GI treating you for UC! That's Crazy, irresponsible.
Why can't you go against your GI's call? Trust your instincts, doctors are not omnipotent.
49 year old female attorney, diagnosed UC/pancolitis 1985, no surgery but much suffering. Asacol/5ASA 6x400 mg maintenance for 20+ years; use prednisone & Rowasa for flares. 
August 2008 sought care of naturopathic doctor. Food sensitivity test showed wheat/gluten, other intolerances; eliminated all wheat/gluten from my diet. Probiotics (Ultimate Flora, 50 billion), trying Curamin. 
Flaring, seasonal? or supplements too harsh? Back on prednisone, trying 15/20 mg. Appt 3/6 to discuss Humira, etc.   


Dr-A
Veteran Member


Date Joined Jul 2006
Total Posts : 2105
   Posted 3/10/2009 9:27 AM (GMT -6)   
Misuse of an anitibiotic from the information posted, imo.
Proctitis DX 1999, Pancolitis DX 2008
Lialda 1 day
Immuran
Golimumab study (100mg every 4 weeks)
Vitamin E Enemas as needed
Probiotis/GreenTea/VitD+Ca/SuperDHA


princesa
Veteran Member


Date Joined Aug 2007
Total Posts : 2204
   Posted 3/10/2009 1:32 PM (GMT -6)   
Antibiotics kill good and bad gut flora indescriminately. If you must take antibiotics, continue to take your probiotics, but space the doses as far apart as possible. And once you've completed the course of antibiotics, plan to increase your probiotic dose to rebuild the good gut flora.
Diagnosed with ulcerative colitis spring 1999.
 
Maintenance dose sulfasalazine. Probiotics, l-glutamine, vitamin D and fish oil caps. George's aloe vera juice. Oregano oil antibiotic, antiviral, antifungal. Mostly grain-free and dairy-free diet. Long-term remission with only minor blips.
 
 


Zippy123
Veteran Member


Date Joined Feb 2009
Total Posts : 735
   Posted 3/10/2009 11:56 PM (GMT -6)   
I'm no expert of course, but I can't see why he would want you to take antibiotics, that will only make UC worse in the end. For all we know the antibiotics could be the root cause of some of our colitis problems. Maybe try taking some Pepto Bismol instead, it won't hurt unless you overdose on it, and see if it helps.

subdued
Veteran Member


Date Joined Dec 2008
Total Posts : 3231
   Posted 3/11/2009 1:49 AM (GMT -6)   
Antibiotics target bad bacteria but may also kill the good bacteria in the large intestine, leading to diarrhea.

Probiotics may help; however, Probiotics contain only a certain number of strains. Our colons need far more strains of bacteria than what we get from Probiotics.

Antibiotics is one of the main reasons I have Colitis, and it is the reason I got my last flare.

Why can't you go against your GI's call?
Joy - 47 yrs and counting
Diagnosed w/ UC Dec 06 (also have IBS)
Currently in remission

Lexapro (for stress)
Probiotics and Vitamins (a whole bunch of them)
Anti-inflammatory foods: turmeric, seaweed, garlic...
Avoid: pro-inflammatory foods, HFCS, foods high in fructose, artificial sweeteners
Previous treatments: Fecal transplantation (worked), Prednisone (stopped working), Colazal (stopped working), Asacol (stopped working)

Post Edited (subdued) : 3/11/2009 1:02:47 AM (GMT-6)


happyliving
Regular Member


Date Joined Mar 2008
Total Posts : 166
   Posted 3/11/2009 7:19 AM (GMT -6)   
Hello All,

After taking two days of Cipro, today morning i saw more blood and pain the stomach.
Now i'm fully worried to continue with Antibiotics
Confused whether to stop them and call the GI or wait for one more day and see if it still bothers
Please advise.......

Thanks All and Have a great day.

Buckeyeinfl
Regular Member


Date Joined Oct 2006
Total Posts : 114
   Posted 3/11/2009 8:02 AM (GMT -6)   
happyliving,
I know that docs all say it's not diet related...but what's your diet like? It didn't work for my daughter partly I believe, because she had pancolitis, but I have a couple of friends with UC who are doing very well on the SCD diet. I'd be very careful about what you're eating, take out any breads and eat only cooked veggies and canned fruit so as not to irritate an already inflammed intestinal wall...kind of like passing a brillo pad :) If you haven't already, look into the diet...look into getting a rx for VSL #3... I believe wholeheartedly that bacteria play a huge role in UC. Have you figured out any offending foods? Kept a diet journal? Dairy and gluten are often culprits that make UC worse.
Try not to get yourself too worked up over this...maybe finish the antibiotics, but I'd get a better probiotic. Many who can't get a rx for VSL 3 use Culturelle which you can get at CVS or Walmart and it's not that expensive. My friend who recently went on the SCD had just gotten out of the hospital, started on the diet and is taking Culturelle and noticed immediate improvement. You might try that after the antibiotics.
20 yo daughter w/ Pancolitis
diagnosed 8/30/06
Step 1 colectomy/jpouch creation 11/27/06
Step 2 takedown 2/9/07
VSL #3 DS
21 yo Daughter diagnosed with right shoulder, bilateral wrist, 
bilateral elbow, bilateral knee, and bilateral ankle avascular necrosis
(aka Osteonecrosis) as a result of Prednisone use
 


nucid
Regular Member


Date Joined Feb 2009
Total Posts : 63
   Posted 3/11/2009 3:42 PM (GMT -6)   
If he started the antibiotic without proof that you need them, you should demand more tests before taking the antibiotic.

That said, I have been on a lot of antibiotics with no affect on my uc. I had a UTI undiagnosed for at least a year which I am nearly certain triggered my UC. I was on antibiotics for two months. Went two months without and now back on antibiotics for at least another month--that's how long it will take me to get into see a urologist. I take a probiotic in the morning and antibiotic at night. My antibiotic is 100mg and considered a very low dose. I have been on two other antibiotics at 500mg which did not bother the UC as long as I took the probiotic. I have not been on cipro. In fact I think that I do better when I am on antibiotics, because I think the UTI is a big problem with my UC.

The real question is do you or don't you have a bacterial infection?
Female 33 Married
diagnosed January 2009
mild pancolitis
Sulfasalazine 500mg 3X

"The Lord is my Shepherd"


betsaronie
Regular Member


Date Joined Oct 2007
Total Posts : 318
   Posted 3/11/2009 9:28 PM (GMT -6)   
I'm with Peety on this one, Antibiotics are bad news with UC. I can't believe your GI would give them to you just because you have some diarrhea. HELLO, that's all this disease is, diarrhea after diarrhea. You may just be starting a new flare, and that certainly doesn't need any help by taking antibiotics. I say stop taking them and call your doctor and say, why am i taking these poop inducers? it doesn't make sense to me please explain it. Unless you've done a test for something that actually needs antibiotics, don't ever take them.
diagnosed with UC Dec 2006 at 22
diagnosed with IBS at 15
5mg prednisone
weekly accupuncture, probiotics, l-glutamine, and a combo of digestive enzymes. Staying gluten and dairy free as much as possible to avoid hard to digest proteins.
allergic or intolerant to all 5ASAs, sulfa and 6-mp


LondonRed
Veteran Member


Date Joined Oct 2007
Total Posts : 1198
   Posted 3/12/2009 2:52 AM (GMT -6)   
I am taking antibiotics due to an infection in the duedonam ulcer I have.... sometimes you have to take them.

Diagnosis Oct 07 and then Aug 08: Inditerminate Colitis currently under some. Current Medication: 500mg Asacol Suppositories, 800mg Asacol Tablets x 2 a day.


subdued
Veteran Member


Date Joined Dec 2008
Total Posts : 3231
   Posted 3/12/2009 2:09 PM (GMT -6)   
LondonRed said...
I am taking antibiotics due to an infection in the duedonam ulcer I have.... sometimes you have to take them.


Yes. Sometimes you have to take antibiotics. I will take them if I have a bladder infection, which could ascend up to the kidneys if I don't take antibiotics. I'm now taking cranberry supplements to prevent another bladder infection.

In happyliving's case, I didn't see any strong evidence as to why she needs to take an antibiotic. Yes. Some antibiotics target the bad bacteria in the colon, but they still kill good bacteria. I also don't understand the rush to take them before making a solid decision as to whether or not to take them. Antibiotics are supposed to be taken for a set period. You aren't supposed to stop taking them midstream. Otherwise, the bad bacteria will come back.

I would do fecal transplantation or at least take Probiotics to get the good bacteria back into my colon.
Joy - 47 yrs and counting
Diagnosed w/ UC Dec 06 (also have IBS)
Currently in remission

Lexapro (for stress)
Probiotics and Vitamins (a whole bunch of them)
Anti-inflammatory foods: turmeric, seaweed, garlic...
Avoid: pro-inflammatory foods, HFCS, foods high in fructose, artificial sweeteners
Previous treatments: Fecal transplantation (worked), Prednisone (stopped working), Colazal (stopped working), Asacol (stopped working)


Christine1946
Veteran Member


Date Joined Aug 2008
Total Posts : 5975
   Posted 3/12/2009 3:17 PM (GMT -6)   
     Whenever I have to take Cipro the doctor always has me take Flagyl along with it.  Thank goodness it has been several months since I last had to take an antibiotic.  Also find out if you could take a probiotic.  I take Powerdophilus by Country Life.  I order it over the net...something like $17.88 for 200 capsules, which includes shipping.  I take two a day and keep them refrigerated.  Good luck!
 
62 yr old granny. South Jersey
Diagnosed with ulcerative proctitis in 1998 in hospital
Hospitalized (2nd time) in May 2008
Update 11/03/08...finally in remission!!  Hope I don't jinx myself.  Off the prednisone since 11/01/08...now see if I can stay off for longer than two weeks.  Other meds: 6MP (75 mgm), colazal (6 per day), Benicar and Toprol (high blood pressure meds), Probiotic (2 per day), fish oil capsule and multi-vitamin and calcium with vitamin D.

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