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What Causes Stomach Upset After Having Azithromycin?

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Posted on Sat, 28 Feb 2015
Question: Took azithro 1000 mg two weeks ago and now lingering stomach upset and slight diahrea. Now taking probiotics- any other suggestions??
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Answered by Dr. Panagiotis Zografakis (24 minutes later)
Brief Answer:
Just wait...

Detailed Answer:
Hello,

most antibiotics interfere with the bowel's normal flora and may cause diarrhea. Its severity ranges from mild (like in your case) to very severe. In mild cases only watchful waiting is advised. Treatment is indicated when the patient is febrile and/or has bloody diarrhea.

Probiotic use has not been very well documented regarding its effectiveness but it can do no harm and it may help.

So unless you've got intense symptoms like bloody diarrhea, too many bowel movements per day, high fever, low blood pressure etc, you only have to wait for it to get better. You'll have to watch the stool whenever you go to the toilet and check your temperature, blood pressure and heart rate. If all of them are within normal limits then you shouldn't worry too much. Otherwise clinical examination and laboratory investigation (for Clostridium difficile) would be required.

I hope I've helped!
If you have more questions, please contact me again.

Kind Regards!
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3814 Questions

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What Causes Stomach Upset After Having Azithromycin?

Brief Answer: Just wait... Detailed Answer: Hello, most antibiotics interfere with the bowel's normal flora and may cause diarrhea. Its severity ranges from mild (like in your case) to very severe. In mild cases only watchful waiting is advised. Treatment is indicated when the patient is febrile and/or has bloody diarrhea. Probiotic use has not been very well documented regarding its effectiveness but it can do no harm and it may help. So unless you've got intense symptoms like bloody diarrhea, too many bowel movements per day, high fever, low blood pressure etc, you only have to wait for it to get better. You'll have to watch the stool whenever you go to the toilet and check your temperature, blood pressure and heart rate. If all of them are within normal limits then you shouldn't worry too much. Otherwise clinical examination and laboratory investigation (for Clostridium difficile) would be required. I hope I've helped! If you have more questions, please contact me again. Kind Regards!