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Probiotics use when prescribing Antibiotics

hello my name is dr. karla Logan I'm a

board-certified emergency physician and

in this video I'm going to talk about

the relationship between anti biotics

and probiotics so stay tuned

your intestinal bacteria are actually an

integral part of your immune system and

researchers are discovering that

microbes own all kinds play instrumental

role in countless areas of your health

for example beneficial bacteria also

known as probiotics have been shown to

modulate your immune response and reduce

information to produce vitamins and

absorb minerals to break down

indigestible dietary fiber turning into

beneficial short chain fatty acids they

also eliminate toxins from your body

they benefit your mood and mental health

it boosts weight loss beneficial

bacteria and your God the microbiota

controls the growth of disease-causing

bacteria by competing for nutrition and

attachment sites in your colon this is

of immense importance as pathogenic

bacteria and other less beneficial

microbes can wreak havoc on your health

if they gain the upper-hand

I'm not except of course

indiscriminately destroy bacteria all

kinds which is one of the reasons why

antibiotics you only to use when

absolutely necessary in fact taking our

odds it's associated with antibiotic

related diarrhea in about 40% of cases

and in some cases the overgrowth of

bacteria named Clostridium difficile

which can cause severe illness that

manifests itself with bloody diarrhea

information of the bowel wall also known

as colitis lastly let's not forget the

own pleasant yeast infection that

afflicts some women after even a short

course of antibiotics furthermore some

studies have shown that changes to the

gut microbiota caused by excessive

antibiotic using early life may even

increase the risk of waking and obesity

so the logic is simple beneficial

bacteria in the gut are damaged by

antibiotics so why not replace them with

the beneficial bacterial strains in

probiotics to assist gut bacteria to

return to a balanced state and prevent

these listed complications yes the

answer to this question is actually

complicated in fact a recent Israel

study showed that at least one way in

which probiotics might not be as

beneficial as and by sex the

participants were given antibiotics and

split into two groups the first group

was given an 11 strain probiotic

preparation for four weeks the second

group was given placebo or a dummy pill

the researchers found that antibiotic

damage to the gut bacteria

of those in the first group allowed the

probiotic strains to effectively

colonize the gut but this colonization

delayed the normal recovery of the

microbiota which remain per turn for

entire six-month study period in

contrast the minor part of the second

group returned to normal within three

weeks of finishing the antibiotics it's

more likely a diverse community of

thousands of different types of microbes

working together can provide health

benefit this microbial community is as

individual to each one of us meaning

that there is not

one configuration I will result in all

these health benefits or even the

illness related so it's unlikely at the

addition of one or even eleven different

strains of bacteria in a probiotic could

somehow balance this complex system this

research exposes a perhaps unexpected

truth we still don't know what types of

bacteria are truly beneficial or even

what constitutes healthy microbiome on

the other hand research has also shown

that taking probiotics has significantly

decreased an incident of automatically

diarrhea by up to 50% in fact you would

only need to treat ten patients taking

antibiotics and probiotics to have one

patient benefit that is called the N and

T the number needed to treat to benefit

one patient and in this case it would be

ten referring to the prevention of

seated colitis the number needed to

treat would be 25 but a reduction of C

people associate diarrhea of 66 percent

when probiotics are used if this is true

then everybody taking an antibiotic

prescription should also get a probiotic

prescription but the question is which

probiotic to use what is the optimal

dose and are there any diet combinations

that you should follow during the

recovery time to improve the restoration

of your normal god flora all of this

questions we will answer in this video

first let's tackle the question which

probiotic is best the short answer is we

don't know because it will depend on

your unique under

Micro bacterial flora off your gut you

will also depend on your age for

morbidities and how long you've been

sick for a couple probiotics are

commonly recommended are the bacterium

lactobacillus and sacrum Isis it is not

that we know that these two are the best

providers but these are the two that we

have the most evidence for promoting a

beneficial effect also to consider is

the probiotic formulation probiotics are

live bacteria that naturally die off at

a faster rate when left at room

temperatures to get the most out of your

provider quality antibiotic try a

refrigerated one you can get them over

the counter at pharmacy refrigeration

keeps flora replenishing cultures alive

longer many over-the-counter probiotic

supplements are sold on refrigerated in

the bottom of your digestive aisle so

you could end up with a self connected

change over time ask your doctor or

pharmacist about refrigerated brands

like Florida probiotics which is kept

cold from the time of manufacture

through the time of purchase at the

store this helps maintain its potency so

you can be sure you're getting a

consistent cellphone with every serving

what is the best time to take a

probiotic and how long should you take

it for though they're often paired

experts typically advise against taking

probiotics and antibiotics at the same

time so if a person is stay here and buy

in the morning and at night is

recommending having the probiotic at

lunchtime generally speaking is a

catch-22 with trying to colonize the gut

with new bacteria usually probiotics for

taking antibiotics that's gonna kill

clinicians and dietitians tip

say that probiotics should be taking

until least a week or two after the

course of antibiotics is completed since

medications continue to affect the gut

microbiota after they're stopped some

experts have suggested to take the

probiotics in the form of spores this is

the equivalent of a seed form of the

good bacteria

therefore the antibiotics cannot really

kill us for and the good material can

grow unhindered do you have to purchase

a probiotic or is there a way to get

probiotics when you die

is there a diet that for most the

probiotic effects you can get probiotics

naturally from foods like fermented soft

cheeses sauerkraut kimchi and miso soup

kefir a milky fermented probiotic

beverage and yogurt these food contains

a number of healthy bacterial species

such as lactobacillus which can help

restore the gut microbiota to a healthy

state after taking analyzed well it's

got smart to add these foods to your

diet you may also want to add a

probiotic supplement containing billions

of cultures like the one women to be

poor Florida has this probiotic rich

foods are sometimes not enough to

provide enough bacteria to restore your

gut supplementing your diet with fiber

will also help the new bacteria thrive

and grow

fibrous compounds pass undigested to the

small intestine and into the colon where

they act as fuel for bacterial

fermentation

however dietary fiber can slow the rate

at which the stomach empties which in

turn this can slow the rate of into

medications are absorbed therefore it is

best to temporarily avoid high-fiber

foods while taking the antibiotic

treatment and instead focus on even

after you stop

to be antibiotics there are also some

free I said free dot probiotics

prebiotics food to consider adding to

your diet include reading line for

example contains antioxidants which not

only help healthy bacteria grow inside

your god but also can help lower your

blood pressure and cholesterol

supplement in your diet

Coco can also help keep pesky

Clostridium difficile at bay a food that

you should avoid while taking probiotic

is great fruit the body uses the p4

system localize and deliver to digest

the contents found in grapefruit a lot

of antibiotics use that same system for

its metabolism and therefore can cost

competition for the antibiotic breakdown

and lead to dangerously high levels of

said antibiotic in your blood

this is particularly true for

erythromycin also do not take calcium

supplements while taking antibiotics

since they can decrease the absorption

of the antibiotic into the system

especially the quinolones

antibiotics like cipro again my name is

dr. Carla or Jenny Mertz physician and I

produce patient education videos just

like this one you can find my patient

education video and many other related

health videos at dr. BR dot TV so I will

see you in my next video

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