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What Causes Diarrhea After Taking Amoxicillin Clavulanate?

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Posted on Mon, 19 Dec 2016
Question: I took antibiotics ( IC Amox-clav 125 mg 2x day for 10 days) 3 weeks ago and have had diarrea ever since. THere is also mucous in my stool. I do OK if I go on the BRATY diet for a couple of days but back to diarrea when I eat normally. Suggestions?

doctor
Answered by Dr. Dr.Albana Sejdini (2 hours later)
Brief Answer:
Possible Candida overgrowth/c.difficile to confirm by stool culture

Detailed Answer:
Hi XXXX,

I have gone through your medical history carefully and understood your concerns.

The use of broad spectrum antibiotics like IC Amox-clav is associated with alternation in the normal microbial flora of the gastrointestinal tract. As you have been having diarrhea since then, I advise to run culture of stool to determine the cause of diarrhea:
- candida overgrowth: if confirmed, anti-mycotics to start
- C.difficile : antibiotics covering gram negative spectrum recommended if confirmed (e.g. metronidazole or ornidazole).

Until you get the stool culture done, I advise to take probiotics to stabilize intestinal flora together with pepto-bismol. Continue with BRAT diet; avoid high carbohydrate foods/drinks until fully recovered.

Hope this helps.
Dr.Albana
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr.Albana Sejdini (1 hour later)
Thank you. Is that the same candida that would cause a vaginal yeast infection? I've gotten those before after taking antibiotics--but never this diarrhea. I don't have the vaginal yeast symptoms currently, but was given a prescription for Fluconazole in case this antibiotic caused a yeast infection. I din't take it because I didn't have those symptoms. I wonder if it might work with the current symtoms (diarrhrea).
doctor
Answered by Dr. Dr.Albana Sejdini (21 minutes later)
Brief Answer:
Yes,it's the same as vaginal yeast...fluconazole works but ...

Detailed Answer:
Hi back my dear,

Yes, it's the same causing vaginal yeast also.
Fluconazole works great. But should confirm it's from candida first before using it.
If confirmed, should take fluconazole for 7 days, then, once per week for 4 weeks.

Other meds can be used including nystatin or itraconazole as per sensitivity testing.

Wish fast recovery.
Dr.Albana
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr.Albana Sejdini

General & Family Physician

Practicing since :2006

Answered : 7307 Questions

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What Causes Diarrhea After Taking Amoxicillin Clavulanate?

Brief Answer: Possible Candida overgrowth/c.difficile to confirm by stool culture Detailed Answer: Hi XXXX, I have gone through your medical history carefully and understood your concerns. The use of broad spectrum antibiotics like IC Amox-clav is associated with alternation in the normal microbial flora of the gastrointestinal tract. As you have been having diarrhea since then, I advise to run culture of stool to determine the cause of diarrhea: - candida overgrowth: if confirmed, anti-mycotics to start - C.difficile : antibiotics covering gram negative spectrum recommended if confirmed (e.g. metronidazole or ornidazole). Until you get the stool culture done, I advise to take probiotics to stabilize intestinal flora together with pepto-bismol. Continue with BRAT diet; avoid high carbohydrate foods/drinks until fully recovered. Hope this helps. Dr.Albana