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For centuries, we’ve had relationships with other organisms to keep us healthy – it used to be external beasts like leeches, now we’re learning that it’s all about the internal relationship with our bugs and bacteria. The big question lately is what to do after we go nuclear on our own healthy bacteria with a round of antibiotics – how to fix the gut after that, especially for our kids? A walk through medical history can be funny, yet alarming: the practice of blood-letting, with or without leeches, that persisted for 2,000 years; shock treatments for psychiatric patients; cocaine as a pain killer; and even trying to cure everything from scrapes to constipation to syphilis with mercury. Sources: 1, 2, 3 I certainly hope that in a hundred years, people don’t look back on our era and laugh at how ridiculous some of the cures of our day were. There’s a lot of research behind things like chemotherapy and antibiotics, and they have helped many people – but there are folks who question the real benefit vs. the risk. Because there is a risk. The new frontier of modern medicine and research, now that we’ve catalogued the human genome, is studying the human microbiome – the 3 trillion or so bacteria (and even viruses) that live inside our bodies, co-existing with us and likely playing a large role in our continued existence. That’s a work in process. In other words, we don’t know what we don’t know. And just like the docs giving shock therapy, the doctors of today can only prescribe treatments based on what they do know. It’s a “give it your best shot” kind of healing, which is all any of us can do. This post is sponsored by WellFuture. I am not a doctor, naturopath, or trained clinician, and even if I was, this information would not be intended to diagnose, treat, or advise away any symptoms of your health. That’s not how the Internet works… How do Antibiotics Harm the Gut?Since we have so much to learn about our gut and other bacteria, we surely don’t quite understand the full ramifications of taking an antibiotic. But we do know some things:
I try to avoid anyone in my family taking antibiotics at all costs, and 3 of my children have never had them in their lives. In the last 10 years, I had one regimen (10 years ago) and I think my husband has had one or two in that time as well. Unfortunately my oldest son has had about four rounds, including at birth and then for strep and some ear infections, but not for about 3 years. You could say I’m anti-antibiotics. And since I’ve learned more about essential oils that have antibacterial properties without contributing to antibiotic resistance and superbugs, I’m a fan of always trying natural remedies first. But I realize that sometimes, antibiotic drugs are the only thing that will keep you alive (or get you through a certain infection) and I’m not going to judge folks who accept them. What you do after a round of antibiotics is really important though, and you can do a lot of good for your kids if you are careful to rebuild what has been lost. I get a LOT of questions about taking probiotics after a regimen of antibiotics, including:
Let’s dig in! What can I do after antibiotics to help build gut health again?There are lots of things anyone can do to help heal their gut at any time – in fact, I listed 100 of them not too long ago! I’m not going to reinvent that wheel here, but I would like to say that because antibiotics harm the gut’s flora, not the gut lining necessarily (as in other issues like leaky gut), taking probiotics and eating fermented foods are the most important steps to repair any damage from the medicine. Just beware the dangers of soil based probiotics. They are not the same thing! The antibiotics are going to wipe out both good and bad bacteria in your gut, so you need to replenish it with the good guys, lest the bad guys take hold. Can I take probiotics at the same time as my antibiotics or will it just cancel out?When on antibiotics, the NIH recommends taking probiotics twice a day, two hours away from the prescription to avoid killing the supplemented probiotics. This recommendation seems to be based on common sense of digestion timing rather than specific research that I can source. Whether there’s been any official research on whether the antibiotics just wipe out all the probiotics the next time you take them – and therefore you should take a break from probiotics during your actual abx regiment – I am not sure. But my own common sense says that we’re only talking about a 5-10 day period, and that’s not very much probiotics to “waste” if it’s going to be wasted anyway. If it doesn’t bother your stomach, I’d keep taking them right through the prescription. A reader shared that taking them at the exact same time caused her extreme digestive distress (maybe a battle of the bugs inside her?) so do follow the 2-hour guidelines and listen to your body. Again, it’s only 5-10 days, so skipping probiotics during that time isn’t going to set you back so far that you can’t recover. How long should my child take probiotics after completing a round of antibiotics?This is the big one! If you don’t regularly take probiotics (and you really should, but I understand they can be expensive), at the very least please please please give your gut a chance to bounce back after antibiotics by taking a probiotic supplement. But for how long, minimum, if you’re not going to continue taking them regularly? I asked this question of Catherine Clinton, naturopath and founder of WellFuture and the WellBelly probiotic that our 2-year-old has been taking since he started food: “A disturbed flora from antibiotics can onset several weeks after completing a course of antibiotics, and the microbial ecosystem in your post-antibiotic gut is shifting dynamically for weeks, so a general guideline of continuing probiotic supplementation a week or two after completing the round of antibiotics is common.” I responded and said I was surprised to hear “weeks,” as I had always thought it was at least two months. Her reply: That’s great honesty and transparency from “the lady who sells probiotics” if you ask me! Here’s some research to back all this up:
WellBelly is allergen-free, designed especially for infants and children, and you can check out the ingredients for yourself right HERE. NEW! WellBelly has been reformulated since we shared about it last – not the active part, but the carrier. I’ll let Catherine explain: “Our new and improved WellBelly is a unique blend of nine different non-dairy probiotics that target intestinal, digestive and immune health in infants and children, although adults love it too! We are proud to offer the first organic, whole food based probiotic blend that contains no solvent derived probiotic carriers. While probiotic carriers accompany probiotics in very small amounts, we believe every bit counts when it comes to our children. We wanted an organic, whole food option that avoided a daily exposure to a chemically derived carrier. Our probiotics are grown on a hypoallergenic yeast to avoid common food allergens. Our probiotics do not produce the D form of lactic acid that can irritate digestive tracts, especially in young ones, and are wonderful for diets that avoid histamine and SIBO issues.” The new carrier is organic banana and apple fruit powder, and it’s just a little bit different looking, off-white instead of the pure white powder it used to be when made from non-GMO corn. This is a wonderful change many have been asking for! But don’t worry – it still blends easily and seamlessly into yogurt or juice. We call it Gabe’s “special yummies” and he has it every day at lunch. The Only Consistent Thing is Change!The last thing Catherine threw out in our emails is something I just have to share with you, because it blows my mind and intrigues me (and underscores my first point about how quickly medical research and knowledge changes!): So much neat info coming out about the length of prescriptions for antibiotics and stopping a prescription before it is over. Seems the old wisdom of never stopping a course of antibiotics to avoid superbugs is wrong. Longer regimens of antibiotics seem more at fault than the shorter ones or even stopping prescriptions early. Go figure. I wish they would research how to put the gut back together again after antibiotics and start prescribing shorter courses of antibiotics like the research finally shows as super important. Me too, Catherine, me too!! RELATED: Seed Synbiotic Probiotic Review & Side Effects From Antibiotics. Cheat Sheet SummaryThe bottom line on antibiotics and probiotics is this:
Do you take probiotics regularly? Why or why not? Do you have a family philosophy about antibiotics? If you need a probiotic for your children, you can buy WellBelly right here. For All Ages…Some Quality ProbioticsSome of these I’ve used, some I’m planning to use, and some have been recommended by friends and professionals alike. It’s good to remember a few things about probiotics: 1. People should get different colonies of probiotics, so switching brands/strains every so often (6 weeks?) is good practice. 2. What works great for one person’s needs doesn’t always work for another. I’ve personally tried:
For Little Ones (we use all of these):
Recommended by experts I trust:
Unless otherwise credited, photos are owned by the author or used with a license from Canva or Deposit Photos. When should I take probiotics after antibiotics?Doctors who recommend probiotics typically suggest that people take them a few hours after their antibiotic. Otherwise, the two medications can cancel each other out. Some doctors even suggest waiting to start probiotics until a few days after you've completed your course of antibiotics.
Can I take my probiotic at the same time as I take my antibiotic?In short: Yes, you can take a probiotic while you're taking an antibiotic—it's perfectly safe to do so. In fact, experts generally agree that probiotics may help ward off the gut reaction that comes from taking antibiotics (such as diarrhea), but the data is limited.
How do you reset your gut after antibiotics?How can I help my gut bacteria to recover after antibiotics?. Take probiotics. The clinical evidence for the benefits of taking probiotics during and after antibiotic use is confusing. ... . Make the most of prebiotics. ... . Eat like a hunter-gatherer. ... . Reduce stress. ... . Exercise.. |