{"id":10627,"date":"2022-06-01T17:00:05","date_gmt":"2022-06-01T16:00:05","guid":{"rendered":"http:\/\/www.theguthealthdoctor.com\/?p=10627"},"modified":"2023-02-28T11:15:58","modified_gmt":"2023-02-28T11:15:58","slug":"antibiotics-your-questions-answered","status":"publish","type":"post","link":"https:\/\/www.theguthealthdoctor.com\/antibiotics-your-questions-answered","title":{"rendered":"Antibiotics: your questions answered"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Firstly, let me start by saying antibiotics are incredibly important. They\u2019re powerful, life-saving medications and it\u2019s thanks to antibiotics that serious, potentially fatal, infections can be cured. <\/span><span style=\"font-weight: 400;\">But there\u2019s been a growing issue: the overuse of antibiotics. And, as with most things, overdoing it could have some unwanted side effects.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">That doesn\u2019t mean antibiotics are \u2018bad\u2019 &#8211; far from it. However, it does mean it\u2019s worth sparing a thought for how they can impact your gut, and overall, health in the long run. <\/span><span style=\"font-weight: 400;\">So, with the intention of empowering you with knowledge (without any of the guilt or scare-mongering!), let\u2019s dive into what effect antibiotics can have on our gut microbes &#8211; and my top tips for when you do need to take them.<\/span><\/p>\n<p><span style=\"color: #ed055e;\"><b>What actually are antibiotics?<\/b><\/span><\/p>\n<p><span style=\"font-weight: 400;\">An antibiotic is essentially a type of antimicrobial substance designed to target bacteria, either preventing the growth or killing the bacteria (\u2018antibiotic\u2019 literally translates to \u2018anti-life\u2019 in Greek).\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Some antibiotics are specialised to target certain specific \u2018bad\u2019 bacteria, while others can target a wider group (aka broad-spectrum antibiotics) &#8211; including the beneficial types.<\/span><\/p>\n<p><span style=\"color: #ed055e;\"><b>How do they affect our gut microbes?<\/b><\/span><\/p>\n<p><span style=\"font-weight: 400;\">By targeting bacteria, antibiotics can disrupt your gut microbiota (GM), which can lead to diarrhoea &#8211; known as antibiotic-associated diarrhoea. It\u2019s estimated that 30% of people experience loose poops when taking antibiotics<\/span><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Depending on the type and dose of antibiotics, a 2020 review suggested that in most cases our gut microbiota returns to (near) normal within a few weeks. However, a 2015 study showed it can take up to 12 months for our GM to &#8220;bounce back&#8221; after antibiotics, and in some people, even at 12months their GM still hadn\u2019t fully recovered. This is why it\u2019s worth being cautious and making an informed decision before taking them.<\/span><\/p>\n<p><span style=\"color: #ed055e;\"><b>What does \u2018antibiotic resistance\u2019 mean?<\/b><\/span><\/p>\n<p><span style=\"font-weight: 400;\">Antibiotic resistance can happen when bacteria adapt to become \u2018resistant\u2019 to antibiotics that were designed to destroy them, due to changes in the DNA of the bacteria.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">They\u2019re able to grow and create infection, even when faced with antibiotics.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The result? Certain antibiotics will no longer be effective in treating certain infections, meaning the treatment for these infections becomes much more difficult.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The more frequently antibiotics are used, the more likely they are to become ineffective for treating more serious conditions &#8211; which could be dangerous, or even life-threatening.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ultimately, antibiotic resistance highlights just how smart our microbes are &#8211; they can change and adapt quickly, as we\u2019ve also seen with new strains of COVID-19.<\/span><\/p>\n<p><span style=\"color: #ed055e;\"><b>What\u2019s being done about it?<\/b><\/span><\/p>\n<p><span style=\"font-weight: 400;\">It\u2019s no longer common practice in healthcare to use antibiotics for treating chest infections, ear infections or sore throats. Global health organisations are working to limit antibiotic use, particularly for mild health issues that can heal on their own.<\/span><\/p>\n<p><span style=\"color: #ed055e;\"><b>What you can do<\/b><\/span><\/p>\n<p><span style=\"font-weight: 400;\">Next time your GP or physician advises that antibiotics aren\u2019t necessary for you, it\u2019s worth taking it seriously. My husband (who is an NHS GP in the UK) is often pushed by patients for antibiotics for common colds &#8211; but as they\u2019re viral (i.e. caused by a virus) not bacterial, antibiotics that only target bacteria don\u2019t work.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">That said, sometimes taking antibiotics is unavoidable, so here are three things worth doing.<\/span><\/p>\n<p><span style=\"color: #ed055e;\"><b>Top tips if you need to take antibiotics<\/b><\/span><\/p>\n<p><b>1. Eat plenty of prebiotic foods<\/b><span style=\"font-weight: 400;\"> that help good bacteria thrive via a diverse range of fibre-filled foods &#8211; hitting your 30 plant points a week across fruits, vegetables, wholegrains, legumes, nuts and seeds.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>2. Consider a probiotic.<\/b><span style=\"font-weight: 400;\"> Taking a specific probiotic while you\u2019re taking antibiotics, and continuing for a week after, has been shown to significantly decrease your risk of antibiotic-associated diarrhoea. Check out my <\/span><a href=\"https:\/\/www.theguthealthdoctor.com\/\/wp-content\/uploads\/2020\/11\/PROBIOTIC-PRESCRIPTIONS-The-Gut-Health-Doctor-Eat-Yourself-Healthy.pdf\"><span style=\"font-weight: 400;\">Probiotic Prescriptions here<\/span><\/a><span style=\"font-weight: 400;\">. There is NO convincing evidence that you should take a probiotic after you have finished your antibiotics, indeed one small study suggested this may even slow down the recovery of your GM.<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-10630\" src=\"https:\/\/www.theguthealthdoctor.com\/wp-content\/uploads\/2021\/06\/Screenshot-2021-06-07-at-10.39.09.png\" alt=\"\" width=\"1592\" height=\"328\" srcset=\"https:\/\/www.theguthealthdoctor.com\/wp-content\/uploads\/2021\/06\/Screenshot-2021-06-07-at-10.39.09.png 1592w, https:\/\/www.theguthealthdoctor.com\/wp-content\/uploads\/2021\/06\/Screenshot-2021-06-07-at-10.39.09-740x152.png 740w, https:\/\/www.theguthealthdoctor.com\/wp-content\/uploads\/2021\/06\/Screenshot-2021-06-07-at-10.39.09-1320x272.png 1320w, https:\/\/www.theguthealthdoctor.com\/wp-content\/uploads\/2021\/06\/Screenshot-2021-06-07-at-10.39.09-768x158.png 768w, https:\/\/www.theguthealthdoctor.com\/wp-content\/uploads\/2021\/06\/Screenshot-2021-06-07-at-10.39.09-1536x316.png 1536w, https:\/\/www.theguthealthdoctor.com\/wp-content\/uploads\/2021\/06\/Screenshot-2021-06-07-at-10.39.09-50x10.png 50w, https:\/\/www.theguthealthdoctor.com\/wp-content\/uploads\/2021\/06\/Screenshot-2021-06-07-at-10.39.09-360x74.png 360w, https:\/\/www.theguthealthdoctor.com\/wp-content\/uploads\/2021\/06\/Screenshot-2021-06-07-at-10.39.09-480x99.png 480w, https:\/\/www.theguthealthdoctor.com\/wp-content\/uploads\/2021\/06\/Screenshot-2021-06-07-at-10.39.09-770x159.png 770w\" sizes=\"auto, (max-width: 1592px) 100vw, 1592px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p><b>3. Complete your course.<\/b><span style=\"font-weight: 400;\"> Make sure to finish your full course of antibiotics, even if you feel better (this can help prevent antibiotic resistance).\u00a0\u00a0<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-10631 size-large\" src=\"https:\/\/www.theguthealthdoctor.com\/wp-content\/uploads\/2021\/06\/Screenshot-2021-06-07-at-10.39.20-1320x1217.png\" alt=\"\" width=\"640\" height=\"590\" srcset=\"https:\/\/www.theguthealthdoctor.com\/wp-content\/uploads\/2021\/06\/Screenshot-2021-06-07-at-10.39.20-1320x1217.png 1320w, https:\/\/www.theguthealthdoctor.com\/wp-content\/uploads\/2021\/06\/Screenshot-2021-06-07-at-10.39.20-740x682.png 740w, https:\/\/www.theguthealthdoctor.com\/wp-content\/uploads\/2021\/06\/Screenshot-2021-06-07-at-10.39.20-768x708.png 768w, https:\/\/www.theguthealthdoctor.com\/wp-content\/uploads\/2021\/06\/Screenshot-2021-06-07-at-10.39.20-50x46.png 50w, https:\/\/www.theguthealthdoctor.com\/wp-content\/uploads\/2021\/06\/Screenshot-2021-06-07-at-10.39.20-360x332.png 360w, https:\/\/www.theguthealthdoctor.com\/wp-content\/uploads\/2021\/06\/Screenshot-2021-06-07-at-10.39.20-480x443.png 480w, https:\/\/www.theguthealthdoctor.com\/wp-content\/uploads\/2021\/06\/Screenshot-2021-06-07-at-10.39.20-770x710.png 770w, https:\/\/www.theguthealthdoctor.com\/wp-content\/uploads\/2021\/06\/Screenshot-2021-06-07-at-10.39.20.png 1412w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Firstly, let me start by saying antibiotics are incredibly important. They\u2019re powerful, life-saving medications and it\u2019s thanks to antibiotics that serious, potentially fatal, infections can be cured. But there\u2019s been a growing issue: the overuse of antibiotics. And, as with most things, overdoing it could have some unwanted side effects. That doesn\u2019t mean antibiotics are&#8230;<\/p>\n","protected":false},"author":6,"featured_media":1722,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[50],"tags":[],"class_list":["post-10627","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-beyond-the-gut"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Antibiotics: your questions answered | The Gut Health Doctor<\/title>\n<meta name=\"description\" content=\"The Gut Health Doctor answers your questions about antibiotics, paying attention to their affect on the gut and what you can do about it.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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