Antibiotics made me flare

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megger
Regular Member


Date Joined Oct 2008
Total Posts : 62
   Posted 6/14/2009 8:51 PM (GMT -6)   
First I will tell you a bit about my disease.... I was diagnosed with UC in October 2008 and have been in near remission now for the past 3 months. I take 1200mg asacol (3 pills 3 times daily) and Pentasa enemas every 3 nights. that leaves me with 1-2 bm's a day and no blood.
 
I had an infected piercing for over a month and decided that I had better see a doctor. She prescribed Keflex 2000 mg per day (500mg 4 times daily). 5 days into treatment I had increased urgency to go to the bathroom. On the sixth day I was having 10-12 loose- watery bm's a day and small amounts of blood. I increased my enemas to once a night from once every 3 nights. But how long do I wait to see if it clears up on its own before I see my GI.
 
Any suggestions????
 
Thank you!
Meghan - 24 years old
 
DX:  Pancolitis since October 2008
Current Treament:  Asacol (3 pills 4 times daily), Pentasa Enemas nightly
Natural Treatment: Low Residue/Low Fiber Diet, Daily Multi-Vitamins, Activia Yogurt, Chamomile Tea
Previous Treatment:  Prednisone (40 mg - 5 week taper), Entocort Enemas, Buscopan
Status:  Remission I think!!! YAY!!! And now trying to get pregnant!!!


poohbear37
Regular Member


Date Joined Feb 2007
Total Posts : 98
   Posted 6/14/2009 9:06 PM (GMT -6)   
Always happens to me...next time, try a different antibiotic...i have better luck with some than others...
Ulcerative Colitis (R/O Chrons Disease) - 7 years
25 years old/female
Lialda
Cymbalta
Nexium
40mg prednisone...

Bad reactions to: remicade & 6mp


JewelsOK
Regular Member


Date Joined Jun 2007
Total Posts : 364
   Posted 6/14/2009 9:08 PM (GMT -6)   
It could just be the antibiotic. Are you done with it yet? Also, you might see if you can get tested of c.diff which can be triggered by antibiotics.

Probiotics can possibly help. Primapohilus Reuteri is supposed to be a good one for preventing c.diff. You can get it at iherb.com and they will ship it on ice. Some health food stores might carry it. I think I've also heard Align is a good one and I think you can get that at like Walgreen's, Wal-mart, etc.

I think it would be a good idea to get in touch with your GI and try to figure out what is going on and get it under control quickly if possible.

Hope you are feeling better soon!!
Julie

Mom of Son 17 UC dx 07/02, Lailda 2 per day, Azasan 75mg, Cortafoam (when flaring), folic acid, L. Reuteri, Culturelle, Zyrtec, Iron, Vit/Min

Daughter 10 UC dx 08/07 Colazal 750mg x 3, 6MP 12.5mg, Iron, Vit/Min., Culturelle


AMK77
Veteran Member


Date Joined Mar 2008
Total Posts : 678
   Posted 6/14/2009 9:27 PM (GMT -6)   
Same thing happened to me in Feb. A round of amox put me into a flare. After being tested for c. diff I had to take a round of pred to get me out of it.
32 yr old female
Mild Pancolitis
UC since 2000 - in remission for most of those 8 years med free.
Cannot tolerate mesalamine. Trying Applied Kinesiology & supplements.


megger
Regular Member


Date Joined Oct 2008
Total Posts : 62
   Posted 6/14/2009 9:39 PM (GMT -6)   
I stopped the antibiotics after the 5 days. I figured if I feel this bad afte 5 days, what will i feel like after I finish the 10 days. i know you are not supposed to stop antibiotics mid-way, but I just did not want my flare to get worse then it needed to.

I will give it a day or two I think, then I will see the doctor and get tested for c. diff

As far as I'm concerned the antibiotics wasn't worth it... no one told me this would happen :(
Meghan - 24 years old
 
DX:  Pancolitis since October 2008
Current Treament:  Asacol (3 pills 3 times daily), Pentasa Enemas every 3rd night
Natural Treatment: Daily Multi-Vitamins, Activia Yogurt, Chamomile Tea
Previous Treatment:  Prednisone (40 mg - 5 week taper), Entocort Enemas, Buscopan
Status:  Remission I think!!! YAY!!! And now trying to get pregnant!!!


kops2da
Veteran Member


Date Joined Jun 2008
Total Posts : 2865
   Posted 6/14/2009 9:56 PM (GMT -6)   

There are antibiotics that work but are better for UC.  I can take zithramycin (sp?) Z-Pak which is just for 5 days with no problem  Just be sure the doctor who prescribes it knows about your UC.  Also, probiotics  - lots of them.

ElaineNY


 
Senior - New diagnosed with proctosigmoiditis - 6/2008   Tried, Colozal, steroid enemas, etc. - started working but severe side effects occurred. No mesalamines!!
Started on prednisone Feb.7, 2009 - tapering to 20 mg. - upped prenisone to 25mg. on my own (bleeding returned) - 6MP - 50 mg. 2/28/2009 - staying on 10 mg. prednisone also until visit with specialist.
 
Probiotic Align, Prilosec for GERD, Gas-X, vitamins, Calcium/D
Tylenol for knees and arthritis.
 
 
 


megger
Regular Member


Date Joined Oct 2008
Total Posts : 62
   Posted 6/14/2009 10:07 PM (GMT -6)   
Thanks kops2da!! That helps alot!
Meghan - 24 years old
 
DX:  Pancolitis since October 2008
Current Treament:  Asacol (3 pills 3 times daily), Pentasa Enemas every 3rd night
Natural Treatment: Daily Multi-Vitamins, Activia Yogurt, Chamomile Tea
Previous Treatment:  Prednisone (40 mg - 5 week taper), Entocort Enemas, Buscopan
Status:  Remission I think!!! YAY!!! And now trying to get pregnant!!!


subdued
Veteran Member


Date Joined Dec 2008
Total Posts : 3231
   Posted 6/14/2009 11:12 PM (GMT -6)   
I got my ears pierced when I was 10, and my ear piercings were always getting infected until I was in my early to mid 20s. I never took antibiotics for infected ear piercings. I used rubbing alcohol, which kills the germs. I also found that cleaning the earrings with rubbing alcohol, especially before the first time I wore them, also helps. I will still do this even today to prevent getting infected ear piercings. Prescribing antibiotics for infected ear piercings is diffidently overkill. I only take antibiotics when absolutely necessary, such as when I have a bladder infection.
Joy - 47 yrs and counting; Colitis Dec 06 (also have IBS); Currently in remission

Figuring out how to reduce a flare or get into remission is a trial and error experience. Don't expect your GI to have all the answers. He was trained in making diagnoses, prescribing medications, and surgically removing the colon. He was not trained in alternative treatments. That's why they are called alternative treatments.

Lexapro (for stress), Probiotics and Vitamins, Anti-inflammatory foods, No pro-inflammatory foods when flaring, No HFCS, No foods high in fructose, No artificial sweeteners -- Fecal transplantation worked, Prednisone stopped working, Colazal stopped working, Asacol stopped working


Old Hat
Veteran Member


Date Joined Feb 2007
Total Posts : 5190
   Posted 6/15/2009 12:20 AM (GMT -6)   
Yep, the Keflex 500 script was likely a big mistake. That drug wreaks havoc on the gut! It was RXed for me in my younger adulthood for recurrent tonsilitis & probably started my colon on a downward path to UC. Makes me pretty mad when I think about it. Hope you'll get back in control soon. / Old Hat (30 yrs with left-sided UC ... [etc.])

notsosicklygirl
Forum Moderator


Date Joined Dec 2008
Total Posts : 16719
   Posted 6/15/2009 8:52 AM (GMT -6)   
i've taken Keflex in the past too. I always wonder if it caused an imbalance in my gut.
 
I hope you feel better soon.
Diagnosed with mild proctitis in March 2007: Treated with Canasa (as needed)
December 08: Began treating with Asacol 400mg (9/day) + Canasa 2x/day - Anemic
May 09: Off Canasa, taking Asacol (9/day)
Back on Canasa every other night + Asacol (9/day) + Probiotics + Iron
Reducing to 6 Asacol/day + Canasa + Probiotics + Iron - So far so good!!! -SPOKE TOO SOON! Back to 9/day...


quincy
Elite Member


Date Joined May 2003
Total Posts : 30984
   Posted 6/15/2009 10:02 AM (GMT -6)   
I don't think it was only the antibiotics...considering you had an infection in your mouth for over a month.

You do, however, need to make sure that infection is gone...go back to the doc, get checked for c.diff and get your tongue swabbed...that part is a must.

Start taking high % probiotics. really...you should have been on them when you started the infection.

Taking the antibiotics wasn't a mistake...it's sometimes hit and miss with what agrees and what doesn't.

Go back to the doctor, tell him you stopped the antibiotics and get it dealt with asap. An infection in your tongue can be very bad. I'd risk a flare to get that dealt with...truly.

quincy
*Heather* Status: maintenance Asacol 6 daily + Salofalk enemas every 3rd night
~diagnosed January 1989 UC (proctosigmoiditis)
~UC meds: Asacol (3 x2 daily); Salofalk enemas nightly for flares & taper to maintenance 
~Bentylol (dicyclomine) 20mg as needed; Ranitidine (reflux);  Effexor XR 75mg(depression);  Pulmicort/Airomir (asthma) 
~vitamins/minerals/supplementsProbiotics....(Natural Factors Protec, Primadophilus Reuteri Pearls). @ bedtime
~various digestive enzymes as needed
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!
 


megger
Regular Member


Date Joined Oct 2008
Total Posts : 62
   Posted 6/15/2009 12:00 PM (GMT -6)   
The infected piercing was my belly button, NOT my tongue or my ears (I''m not too sure where that came from). And I did everything I could to get rid of the infection on my own before resorting to seeing the doc.

The infection is now gone, I had it checked out. I am taking high doses of probiotic already and am now on flagyl in case of a bowel infection. I am going to get a test done for c. diff and will be taking flagyl just in case.
Meghan - 24 years old
 
DX:  Pancolitis since October 2008
Current Treament:  Asacol (3 pills 3 times daily), Pentasa Enemas every 3rd night
Natural Treatment: Daily Multi-Vitamins, Activia Yogurt, Chamomile Tea
Previous Treatment:  Prednisone (40 mg - 5 week taper), Entocort Enemas, Buscopan
Status:  Remission I think!!! YAY!!! And now trying to get pregnant!!!


subdued
Veteran Member


Date Joined Dec 2008
Total Posts : 3231
   Posted 6/15/2009 2:05 PM (GMT -6)   
Yah. I somehow assumed you were talking about the ears. I guess that's because the moment you said infected piercing, I thought of my ear piercings, which were always getting infected. It's interesting how we will read something based on our own experiences.

I'm glad your piercing is not infected anymore. Try rubbing alcohol. It really has helped keep my ear piercings from getting infected.
Joy - 47 yrs and counting; Colitis Dec 06 (also have IBS); Currently in remission

Figuring out how to reduce a flare or get into remission is a trial and error experience. Don't expect your GI to have all the answers. He was trained in making diagnoses, prescribing medications, and surgically removing the colon. He was not trained in alternative treatments. That's why they are called alternative treatments.

Lexapro (for stress), Probiotics and Vitamins, Anti-inflammatory foods, No pro-inflammatory foods when flaring, No HFCS, No foods high in fructose, No artificial sweeteners -- Fecal transplantation worked, Prednisone stopped working, Colazal stopped working, Asacol stopped working


quincy
Elite Member


Date Joined May 2003
Total Posts : 30984
   Posted 6/16/2009 4:45 AM (GMT -6)   
D'oh....I read month and it became mouth...sheesh. Sorry about that.

Definitely get checked for c.diff, but do tell the doc you stopped the meds after 5 days.

Could possibly have been the mix of flagyl and the keflex that put your gut over the edge.

Good to hear the infection is gone, however.

I'm off to get my eyes checked lol...

quincy
*Heather* Status: maintenance Asacol 6 daily + Salofalk enemas every 3rd night
~diagnosed January 1989 UC (proctosigmoiditis)
~UC meds: Asacol (3 x2 daily); Salofalk enemas nightly for flares & taper to maintenance 
~Bentylol (dicyclomine) 20mg as needed; Ranitidine (reflux);  Effexor XR 75mg(depression);  Pulmicort/Airomir (asthma) 
~vitamins/minerals/supplementsProbiotics....(Natural Factors Protec, Primadophilus Reuteri Pearls). @ bedtime
~various digestive enzymes as needed
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!
 


megger
Regular Member


Date Joined Oct 2008
Total Posts : 62
   Posted 6/18/2009 8:52 PM (GMT -6)   
I saw my Doctor and he sent me for blood tests to see what my ESR is (the antibody that detects UC and its severity) as well as several stool samples including c-diff. If my ESR is above 30 he will put me on prednisone, I will find out tomorrow hopefully. For now I am taking flagyl in case of bowel infection (I find it makes my colon feel better regardless lol) and he recomended VSL #3 probiotic. It is a very high dose of probiotic (450 billion live cells with 8 differents kinds). It is kind of pricy, but I would recomend you check it out! www.vsl3.ca
 
So far my bm's have gone to to 4-5 per day as apposed to 8-10 that it was on the weekend :) Hopefully i can get out of this flare relatively quickly (I was kind of getting used to feeling normal)...
Meghan - 24 years old
 
DX:  Pancolitis since October 2008
Current Treament:  Asacol (3 pills 3 times daily), Pentasa Enemas every 3rd night
Natural Treatment: Daily Multi-Vitamins, Activia Yogurt, Chamomile Tea
Previous Treatment:  Prednisone (40 mg - 5 week taper), Entocort Enemas, Buscopan
Status:  Remission I think!!! YAY!!! And now trying to get pregnant!!!


quincy
Elite Member


Date Joined May 2003
Total Posts : 30984
   Posted 6/19/2009 1:02 AM (GMT -6)   
Hope you do too.....you should, however maybe keep on the enemas instead of going to pred. My suggestion to avoid pred forever if you can.

Maybe give the vsl#3 a chance as well..

q
*Heather* Status: maintenance Asacol 6 daily + Salofalk enemas every 3rd night
~diagnosed January 1989 UC (proctosigmoiditis)
~UC meds: Asacol (3 x2 daily); Salofalk enemas nightly for flares & taper to maintenance 
~Bentylol (dicyclomine) 20mg as needed; Ranitidine (reflux);  Effexor XR 75mg(depression);  Pulmicort/Airomir (asthma) 
~vitamins/minerals/supplementsProbiotics....(Natural Factors Protec, Primadophilus Reuteri Pearls). @ bedtime
~various digestive enzymes as needed
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!
 


megger
Regular Member


Date Joined Oct 2008
Total Posts : 62
   Posted 6/19/2009 7:58 AM (GMT -6)   
I know - I do not want to go on pred at all!!!

I have been keeping up with the enemas nightly, and have increased the asacol back up to 3 tablets 4 times daily. I guess it has only been a few days now that I have been down to 4-5 bm's a day - but the enemas only helped with the blood before all of this - I was already down to 1-2 bm's a day.... I hope the enemas and asacol alone are enough to get me back to the way I was before all this....
Meghan - 24 years old
 
DX:  Pancolitis since October 2008
Current Treament:  Asacol (3 pills 3 times daily), Pentasa Enemas every 3rd night
Natural Treatment: Daily Multi-Vitamins, Activia Yogurt, Chamomile Tea
Previous Treatment:  Prednisone (40 mg - 5 week taper), Entocort Enemas, Buscopan
Status:  Remission I think!!! YAY!!! And now trying to get pregnant!!!


megger
Regular Member


Date Joined Oct 2008
Total Posts : 62
   Posted 6/19/2009 7:59 AM (GMT -6)   
I am also going to order the VSL #3 today :) I will let you know how that goes...
Meghan - 24 years old
 
DX:  Pancolitis since October 2008
Current Treament:  Asacol (3 pills 3 times daily), Pentasa Enemas every 3rd night
Natural Treatment: Daily Multi-Vitamins, Activia Yogurt, Chamomile Tea
Previous Treatment:  Prednisone (40 mg - 5 week taper), Entocort Enemas, Buscopan
Status:  Remission I think!!! YAY!!! And now trying to get pregnant!!!


quincy
Elite Member


Date Joined May 2003
Total Posts : 30984
   Posted 6/19/2009 3:43 PM (GMT -6)   
Please be patient with the enemas...you just started back to nightly.

My flares are very mild and limited to low in the rectum now....and it still takes me a month of nightly enemas before I go to every second night.

If you've been on pred in the past...you know that it's best to stay off it.

What's the longest you were on the enemas nightly in the past?

Hang tough...your situation is specific....patience with the 5ASA can serve you better in the long-run..trust me on that if you can use them. Takes time to figure it out...

Looking back on the 20 years, I even did ask my GI once about 15 years ago if he thought pred would work for me. He looked horrified and said...no....be patient. I was, and relieved I have him as my doc.

quincy
*Heather* Status: maintenance Asacol 6 daily + Salofalk enemas every 3rd night
~diagnosed January 1989 UC (proctosigmoiditis)
~UC meds: Asacol (3 x2 daily); Salofalk enemas nightly for flares & taper to maintenance 
~Bentylol (dicyclomine) 20mg as needed; Ranitidine (reflux);  Effexor XR 75mg(depression);  Pulmicort/Airomir (asthma) 
~vitamins/minerals/supplementsProbiotics....(Natural Factors Protec, Primadophilus Reuteri Pearls). @ bedtime
~various digestive enzymes as needed
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!
 


megger
Regular Member


Date Joined Oct 2008
Total Posts : 62
   Posted 6/19/2009 6:43 PM (GMT -6)   
Thank you Quincy. I know that patience is a virtue and that it will all be worth it in the end.

The longest I was on enemas nightly in the past was probably about 1 month as well, and then a month of every second night and I was down to a month of every third night...

I am doing better today then yesterday though :) Each day I hope will get better then the last.... Doesn't help that I have caught a sinus cold to fight along with it all :(
Meghan - 24 years old
 
DX:  Pancolitis since October 2008
Current Treament:  Asacol (3 pills 3 times daily), Pentasa Enemas every 3rd night
Natural Treatment: Daily Multi-Vitamins, Activia Yogurt, Chamomile Tea
Previous Treatment:  Prednisone (40 mg - 5 week taper), Entocort Enemas, Buscopan
Status:  Remission I think!!! YAY!!! And now trying to get pregnant!!!


quincy
Elite Member


Date Joined May 2003
Total Posts : 30984
   Posted 6/20/2009 3:17 AM (GMT -6)   
Definitely anything else over and above dealing with a flare makes it all worse. Colds...I hate them!

In the past...one month may not have been enough before you tapered...

I was on the Salfoalk enemas nightly for 4 months once.....you can't hurry them. You have yet to see what they can do.

I would again say stay off pred as long as forever if you can...lol!

quincy
*Heather* Status: maintenance Asacol 6 daily + Salofalk enemas every 3rd night
~diagnosed January 1989 UC (proctosigmoiditis)
~UC meds: Asacol (3 x2 daily); Salofalk enemas nightly for flares & taper to maintenance 
~Bentylol (dicyclomine) 20mg as needed; Ranitidine (reflux);  Effexor XR 75mg(depression);  Pulmicort/Airomir (asthma) 
~vitamins/minerals/supplementsProbiotics....(Natural Factors Protec, Primadophilus Reuteri Pearls). @ bedtime
~various digestive enzymes as needed
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!
 


Christine1946
Veteran Member


Date Joined Aug 2008
Total Posts : 5975
   Posted 6/20/2009 5:19 AM (GMT -6)   
     My doctor always prescribes Flagyl along with any other antibiotic should I have to be on one.  Apparently the Flagyl keeps the "good bacteria" from being destroyed.  Why you young kids have to have those belly button piercings?  LOL!  My youngest daughter got hers pierced at 18 (she is 32 now).  Guess it was a symbol of her adulthood.  Both my daughters have tattoos too.  I tell them wait till they get to be my age and those things go south.  Not a pretty sight.  Thinking about it.....I should get one on my butt....for the enjoyment of my GI doctor. 
62 yr old granny. South Jersey
Diagnosed with ulcerative proctitis in 1998 in hospital
Hospitalized (2nd time) in May 2008
Meds as of June 09: Colazal (6 per day), 6MP (50 mgm), Probiotic (upped to 3 per day), Fish oil capsule, calcium, multivitamin, Cort enema nightly, Canasa in morning.  Also taking Benicar and Toprol to control high blood pressure.  Getting old is a b****.


megger
Regular Member


Date Joined Oct 2008
Total Posts : 62
   Posted 6/20/2009 11:00 AM (GMT -6)   
Christine1946,

Do you find that by taking the flagyl along with your antibiotic that you do not have any flaring symtoms at all then???

I am so glad you said that! It makes alot of sense.... I will ask for a script of that next time I need antibiotics... Thank you!
Meghan - 24 years old
 
DX:  Pancolitis since October 2008
Current Treament:  Asacol (3 pills 3 times daily), Pentasa Enemas every 3rd night
Natural Treatment: Daily Multi-Vitamins, Activia Yogurt, Chamomile Tea
Previous Treatment:  Prednisone (40 mg - 5 week taper), Entocort Enemas, Buscopan
Status:  Remission I think!!! YAY!!! And now trying to get pregnant!!!


Old Hat
Veteran Member


Date Joined Feb 2007
Total Posts : 5190
   Posted 6/20/2009 11:18 AM (GMT -6)   
Flagyl is a very potent drug that should not be RXed routinely! It can cause peripheral neuropathy with extensive use (=nerve damage in one's extremities). Also, the Public Interest Health Research Group reported yrs back that it caused chromosome damage in lab rodents tested-- so beware! (Especially as you want to get pregnant!) Sheeeeeeeeeesh! (As Quincy says!) Some doctors are too casual in what they prescribe. Or, as my 40-ish gyno commented recently during an office visit: "My generation of doctor was trained to test & prescribe; we were not trained to deal with aspects of illness that require patience to heal." / Old Hat (30 yrs with left-sided UC ... [etc.])

quincy
Elite Member


Date Joined May 2003
Total Posts : 30984
   Posted 6/20/2009 12:34 PM (GMT -6)   
Yep, regarding the flagyl...my friend ended up with peripheral neuropathy of her feet...I haven't asked if it's fully recovered...she also now has raynaud's syndrome..so who knows.

Zithromax is one antibiotic as well as amoxicillin that I take with no problems..but don't kow if they're prescribed for piercing infections. The other option, however, could have been a topical such as Fucidin...

Patience is a good thing overall dealing with flares plus c.diff, plus a cold...just wait, I'm sure your period is around the corner...at least that's what used to happen to me. All at once!

Hang tough...


LOL OH...regarding "sheeesh"...it's a good expression methinks.

quincy
*Heather* Status: maintenance Asacol 6 daily + Salofalk enemas every 3rd night
~diagnosed January 1989 UC (proctosigmoiditis)
~UC meds: Asacol (3 x2 daily); Salofalk enemas nightly for flares & taper to maintenance 
~Bentylol (dicyclomine) 20mg as needed; Ranitidine (reflux);  Effexor XR 75mg(depression);  Pulmicort/Airomir (asthma) 
~vitamins/minerals/supplementsProbiotics....(Natural Factors Protec, Primadophilus Reuteri Pearls). @ bedtime
~various digestive enzymes as needed
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!
 

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