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Medical Forum / Diseases and Disorders / Sinusitis / February 2007

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About Yogurt and Antibiotics

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preesi - 21 Feb 2007 19:39 GMT
Im always baffled about the usage of yogurt DURING antibiotic
treatments.
So I wrote to a TOP TV Doctor who works on several BIG time shows with
BIGTIME people.
He told me that the recolonization in the gut by the yogurts flora is
minimal at best and he agreed with ME that
eating yogurt FOLLOWING a course of antibiotics is the best and its what
he himself recommends.

Signature

preesi

DMF - 21 Feb 2007 20:23 GMT
preesi wrote...
> Im always baffled about the usage of yogurt DURING antibiotic treatments.
> So I wrote to a TOP TV Doctor
> who works on several BIG time shows with BIGTIME
> people. He told me that the recolonization in the gut by the yogurts flora
> is minimal at best and he agreed with ME that eating yogurt FOLLOWING a
> course of antibiotics is the best and its what he himself recommends.

For a short course of antibiotics this is probably true. However,
many with chronic sinusitis take antibiotics for weeks not 7 to
10 days.  Moreover, I had the same question and found some
research studies that showed that taking probiotics DURING
the treatment reduced the incidence of antibiotic induced diarhea.
Also, I agree that yogurt probably has little effect which is why I
take a probiotic powder that has a lot of the cultures necessary to
impact the gut flora.

Regards,
David
Terry Raymond - 22 Feb 2007 01:12 GMT
"preesi" <preesi@comcast.net> wrote in news:iLmdnQ0h6
_RTAkHYnZ2dnUVZ_uCinZ2d@comcast.com:

> Im always baffled about the usage of yogurt DURING antibiotic
> treatments.
[quoted text clipped - 4 lines]
> eating yogurt FOLLOWING a course of antibiotics is the best and its what
> he himself recommends.

I was taking 500mg of Ceftin twice a day and I had to
take a probiotic 2 hours after each antibiotic so I would
not get diarhea and cramps. Also after a while I had to
cut back on carbs. Additionally, I found out that some
probiotics are better than others in keeping your gut
flora in balance. The one I like the best is "Natural
ACIDOPHILUS with PECTIN" from CVS. It has a blend of
bacteria in it, not just acidophilus.

It also seemed that consuming more dairy helped.

Signature

Terry
===========================================================
Terry Raymond
Crafted Smalltalk
80 Lazywood Ln.
Tiverton, RI  02878
(401) 624-4517        traymond at craftedsmalltalk nospam dot com
<http://www.craftedsmalltalk.com>
===========================================================

neil0502@yahoo.com - 22 Feb 2007 01:35 GMT
> It also seemed that consuming more dairy helped.

As always ... you fix one thing; you break another.

I'm not sure about ALL antibiotics, but I've read that you should not
take any dairy product (it's the calcium) within 2hrs of taking
Doxycycline.  Inhibits its absorption.

May be true with other antibiotics.  A quick Google makes it look like
that IS the case with many other antibiotics, too.

I take the probiotics whenever stuck with taking antibiotics.  I take
them 2-3hrs from any dose of the anti's and continue taking them for a
few weks after the anti's are over.
Shirley ann - 22 Feb 2007 10:28 GMT
My husbands MD told him to take Acidiph. tablets when he was on
antibiotics.
It stopped his diarrhea.

shirleyann
Susan - 22 Feb 2007 01:41 GMT
> "preesi" <preesi@comcast.net> wrote in news:iLmdnQ0h6
> _RTAkHYnZ2dnUVZ_uCinZ2d@comcast.com:
[quoted text clipped - 18 lines]
>
> It also seemed that consuming more dairy helped.

saccaromyces boulardi works very well, and is not killed off by antibiotics.

Susan
Ghamph - 22 Feb 2007 04:01 GMT
> x-no-archive: yes
>
[quoted text clipped - 24 lines]
>
> Susan

Probiotics are great.  I needed them for a long time and didn't know until I
tried them , what a difference.
Mike S. - 22 Feb 2007 11:30 GMT
>x-no-archive: yes
>
[quoted text clipped - 22 lines]
>
>saccaromyces boulardi works very well, and is not killed off by antibiotics.

Just don't take it if you're immunosuppressed :-(
Susan - 22 Feb 2007 15:33 GMT
>>saccaromyces boulardi works very well, and is not killed off by antibiotics.
>
> Just don't take it if you're immunosuppressed :-(

Why not?  It's a non pathologenic yeast.

I have taken it while immunocompromised.

Susan
Mike S. - 23 Feb 2007 02:18 GMT
>x-no-archive: yes
>
[quoted text clipped - 3 lines]
>
>Why not?  It's a non pathologenic yeast.

Cases of Saccharomyces fungemia have been reported.
Susan - 23 Feb 2007 14:55 GMT
>>x-no-archive: yes
>>
[quoted text clipped - 5 lines]
>
> Cases of Saccharomyces fungemia have been reported.

In whom, and under what conditions?  Do you have citations?

Susan
Mike S. - 23 Feb 2007 22:04 GMT
>x-no-archive: yes
>
[quoted text clipped - 9 lines]
>
>In whom, and under what conditions?  Do you have citations?

Mostly in ICU settings in patients with intravascular catheters. In some
cases, the immunosuppressed _roommates_ of patients so treated developed
fungemia.

Google for "saccharomyces", "fungemia", and "probiotic" and you'll get a
bunch of hits.

Here is an example:

Munoz P, Bouza E, Cuenca-Estrella M, etc. al. Saccharomyces cerevisiae
fungemia: an emerginc infections disease. Clin Infect Dis 2005, Jun
1;40(11): 1636-7
Susan - 24 Feb 2007 14:40 GMT
> Mostly in ICU settings in patients with intravascular catheters. In some
> cases, the immunosuppressed _roommates_ of patients so treated developed
> fungemia.

You're documenting conditions under which just about anything can become
pathogenic, no?

Susan
Mike S. - 24 Feb 2007 23:37 GMT
>x-no-archive: yes
>
[quoted text clipped - 4 lines]
>You're documenting conditions under which just about anything can become
>pathogenic, no?

Well, it's certainly easier for low-grade pathogens to cause problems when
body defenses (or integrity) are compromised. The point is that one must
be careful when _adding_ potential pathogens to the mix if the
risk/benefit ratio does not favor their safe use.
Susan - 25 Feb 2007 01:55 GMT
> Well, it's certainly easier for low-grade pathogens to cause problems when
> body defenses (or integrity) are compromised. The point is that one must
> be careful when _adding_ potential pathogens to the mix if the
> risk/benefit ratio does not favor their safe use.

There's compromise, and there's COMPROMISE, though.  You cited ICU
patients in extremely compromised, possibly terminal, shut down states
where everything is a threat.

Susan
Mike S. - 25 Feb 2007 13:23 GMT
>x-no-archive: yes
>
[quoted text clipped - 8 lines]
>
>Susan

In a review of probiotic therapy, the following were proposed as risk
factors for bloodstream infection:

MAJOR

-Immune compromise, including a debilitated state or malignancy
-Premature infants

MINOR

-central venous catheter
-diarrheal illness, intestinal inflammation (impaired epithelial barrier)
-administration via jejunostomy
-concomitant broad-spectrum antibiotics to which the probiotic is resistant
-use or probiotics with high mucosal adhesion or pathogenicity
-cardiac valvular disease (lactobacillus only).

While the "ICU" type risk factors are represented in the second category,
the first major risk factor is immune compromise or debilitated state.

Reference:

Lestin F, Pertschy A, et. al. Probiotic use in clinical practice: what are
the risks? Intensive Care Med 2000;26:825. 47
Susan - 25 Feb 2007 14:53 GMT
> In a review of probiotic therapy, the following were proposed as risk
> factors for bloodstream infection:
[quoted text clipped - 20 lines]
> Lestin F, Pertschy A, et. al. Probiotic use in clinical practice: what are
> the risks? Intensive Care Med 2000;26:825. 47

You don't think ICU residents are in the first category?  Immune
compromise has tremendous range of severity, and probiotics can assist
in this, too.  I think that's why so many AIDS patients take s. boulardi.

Susan
Mike S. - 25 Feb 2007 15:40 GMT
>x-no-archive: yes
>
[quoted text clipped - 24 lines]
>
>You don't think ICU residents are in the first category?  

They are, but I don't limit the first category (debilitation, immune
compromise) exclusively to ICU patients.

>Immune
>compromise has tremendous range of severity, and probiotics can assist
>in this, too.  I think that's why so many AIDS patients take s. boulardi.

AIDS patients are also at risk for conditions (ulcerative, inflammatory,
neoplastic, etc) that predispose to leakage of organisms from the gut into
the bloodstream. Some of the patients who developed invasive disease due to
Saccharomyes in the cited studies were, in fact, also AIDS patients.

I think that you are trying to justify that your own usage of a probiotic
is safe. For most people it is ... probably for yourself also. I am more
cautious than that; and the purpose of my post was simply to point out
that every form of therapy has risks.
Susan - 25 Feb 2007 16:12 GMT
> They are, but I don't limit the first category (debilitation, immune
> compromise) exclusively to ICU patients.

Of course not, but that's what you cited.

> AIDS patients are also at risk for conditions (ulcerative, inflammatory,
> neoplastic, etc) that predispose to leakage of organisms from the gut into
[quoted text clipped - 7 lines]
>
>  

I won't aruge that anything that's strong enough to help is strong
enough to hurt.  You're no mind reader, though, and oughtn't presume to
know what another person is thinking.

I just think your caution was stronger than the facts support for almost
everyone.

Susan
Mike S. - 26 Feb 2007 13:22 GMT
>x-no-archive: yes
>
[quoted text clipped - 18 lines]
>enough to hurt.  You're no mind reader, though, and oughtn't presume to
>know what another person is thinking.

Nothing in my response was intended to indicate I "presumed to know" what
another was thinking. That is why the sentence began with "I think
that..." rather than "I know that...".
marika - 28 Feb 2007 01:38 GMT
>> x-no-archive: yes
>>
[quoted text clipped - 24 lines]
> Nothing in my response was intended to indicate I "presumed to know" what
> another was thinking.

couldn't find any real newz??

> That is why the sentence began with "I think
> that..." rather than "I know that...".
preesi - 22 Feb 2007 17:23 GMT
> "preesi" <preesi@comcast.net> wrote in news:iLmdnQ0h6
> _RTAkHYnZ2dnUVZ_uCinZ2d@comcast.com:
[quoted text clipped - 18 lines]
>
> It also seemed that consuming more dairy helped.

Dairy is a binder that makes alot of people constipated, so its NOT the
"CULTURES" that prevent the diarrhea, but the DAIRY in the YOGURT.

Diarrhea helps FLUSH out bad stuff in your system, including the BAD
bacteria from the infections.
WHY would you want to stop your body from flushing it out!

A multivitamin and gatorade is better...

Signature

preesi

Murray Grossan - 22 Feb 2007 04:49 GMT
On 2/21/07 11:39 AM, in article
iLmdnQ0h6_RTAkHYnZ2dnUVZ_uCinZ2d@comcast.com, "preesi" <preesi@comcast.net>
wrote:

> Im always baffled about the usage of yogurt DURING antibiotic
> treatments.
[quoted text clipped - 4 lines]
> eating yogurt FOLLOWING a course of antibiotics is the best and its what
> he himself recommends.

There is increasing evidence that eating yogurt daily may have significant
benefit to your health.
Martin J. - 22 Feb 2007 17:10 GMT
> On 2/21/07 11:39 AM, in article
> iLmdnQ0h6_RTAkHYnZ2dnUVZ_uCin...@comcast.com, "preesi" <pre...@comcast.net>
[quoted text clipped - 11 lines]
> There is increasing evidence that eating yogurt daily may have significant
> benefit to your health.

I'm sure you are right about this one.

But what I believe is an advantage of taking probiotics while on
antibiotics is that the bacteria in probiotics are specifically
selected to be resistant to most antibiotics - this way they are not
killed by wide spectrum anitbiotics and are far more effective in
keeping balance than those from yogurt.

Regards,
Martin J.
preesi - 22 Feb 2007 17:24 GMT
> On 2/21/07 11:39 AM, in article
> iLmdnQ0h6_RTAkHYnZ2dnUVZ_uCinZ2d@comcast.com, "preesi"
[quoted text clipped - 10 lines]
> There is increasing evidence that eating yogurt daily may have
> significant benefit to your health.

But thats not what we are talking about, right?

Signature

preesi


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