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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Abdominal Pain And Diarrhea After Taking Cephalexin?

I have been prescribed IC CEPHALEXIN - 500 MG - 3 times daily -- I had surgery on my bladder last week -- I have terrible abdominal pains and diarrahea -- this was listed as a possible side effect of the med -- is there any thing I can take in place of this antibiotic?
Mon, 21 Jan 2019
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General & Family Physician 's  Response
Hello,

I'm sorry you are having this. Cephalexin is a broad spectrum antibiotic. All antibiotics, especially broad-spectrum ones, can alter the microbiome of bacteria in the gut (kill the good bacteria along with the bad) and thereby cause diarrhoea.

I recommend:

Take a good quality probiotic (not at the same time as the antibiotic as the antibiotic will just kill it - take a couple hours apart).

Call the doctor who prescribed the cephalexin to discuss discontinuing it. I would NOT recommend a different antibiotic at this point because that would likely make diarrhea worse.

If your diarrhoea does not improve off of the antibiotic and with probiotics, in a few days, then you should be tested for an opportunist bacteria called c. dificile.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Bonnie Berger-Durnbaugh, General & Family Physician
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What Causes Abdominal Pain And Diarrhea After Taking Cephalexin?

Hello, I m sorry you are having this. Cephalexin is a broad spectrum antibiotic. All antibiotics, especially broad-spectrum ones, can alter the microbiome of bacteria in the gut (kill the good bacteria along with the bad) and thereby cause diarrhoea. I recommend: Take a good quality probiotic (not at the same time as the antibiotic as the antibiotic will just kill it - take a couple hours apart). Call the doctor who prescribed the cephalexin to discuss discontinuing it. I would NOT recommend a different antibiotic at this point because that would likely make diarrhea worse. If your diarrhoea does not improve off of the antibiotic and with probiotics, in a few days, then you should be tested for an opportunist bacteria called c. dificile. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Bonnie Berger-Durnbaugh, General & Family Physician