{"id":4553,"date":"2016-04-20T16:01:01","date_gmt":"2016-04-20T15:01:01","guid":{"rendered":"http:\/\/dev5.sclerodermie.ca\/?page_id=4553"},"modified":"2016-04-22T20:14:54","modified_gmt":"2016-04-22T19:14:54","slug":"small-intestine-dysfunction-bacterial-overgrowthdiarrhea","status":"publish","type":"page","link":"http:\/\/dev5.sclerodermie.ca\/en\/health-professionals\/abc-on-symptoms-and-treatments\/small-intestine-dysfunction-bacterial-overgrowthdiarrhea\/","title":{"rendered":"Small Intestine Dysfunction: Bacterial Overgrowth\/Diarrhea"},"content":{"rendered":"<h2>Symptoms and Treatments<\/h2>\n<p>Broad Spectrum Antibiotic use is the mainstay of treatment for this complication. There are many potential approaches to this therapy. For example: Antibiotics are given in 2\u20133 week courses followed by a 1\u20132 week drug holiday. Generally a few cycles of this treatment can allow for quiet periods of a few months to a few years. However, some persons may require almost continuous antibiotics.<\/p>\n<p>Alternating antibiotics and increasing the antibiotic-free period will decrease the development of resistant strains of bacteria.<\/p>\n<p><em>Note: Prolonged use of Broad Spectrum Antibiotics may be complicated by superinfection.<\/em><\/p>\n<p>&nbsp;<\/p>\n<table style=\"height: 5px;\" width=\"450\" cellspacing=\"3\">\n<thead>\n<tr style=\"height: 2px;\">\n<td style=\"border-color: #ed7f18; background-color: #f57514; width: 275px; height: 55px; vertical-align: middle;\">\u00a0<\/td>\n<td style=\"border-color: #ed7f18; background-color: #f57514; width: 275px; height: 55px; vertical-align: middle;\">\n<p><span style=\"color: #ffffff; font-size: 10pt;\"><strong>Action<\/strong><\/span><\/p>\n<\/td>\n<td style=\"border-color: #ed7f18; background-color: #f57514; width: 275px; height: 55px; vertical-align: middle;\">\n<p><span style=\"color: #ffffff; font-size: 10pt;\"><strong>Most Common<br \/>Side Effects<\/strong><\/span><\/p>\n<\/td>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"border-color: #ed7f18; background-color: #ffffff; width: 150px; vertical-align: top;\">\u00a0<\/td>\n<td style=\"border-color: #ed7f18; background-color: #ffffff; width: 150px; vertical-align: top;\">\u00a0<\/td>\n<td style=\"border-color: #ed7f18; background-color: #ffffff; width: 150px; vertical-align: top;\">\u00a0<\/td>\n<\/tr>\n<tr>\n<td style=\"border-color: #ed7f18; background-color: #ffffff; width: 150px; vertical-align: top;\" colspan=\"2\">\n<p><strong>Broad Spectrum Antibiotics<\/strong><strong><br \/> <\/strong><\/p>\n<\/td>\n<td style=\"border-color: #ed7f18; background-color: #ffffff; width: 190px;\">\u00a0<\/td>\n<\/tr>\n<tr style=\"background-color: #f57514;\">\n<td style=\"border-color: #ed7f18; width: 150px; background-color: #ffffff; vertical-align: top;\" colspan=\"3\">\n<hr \/>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"border-color: #ed7f18; background-color: #ffffff; width: 150px; vertical-align: top;\" colspan=\"2\">\n<p><strong>Examples include: <\/strong><\/p>\n<\/td>\n<td style=\"border-color: #ed7f18; background-color: #ffffff; width: 190px;\">\u00a0<\/td>\n<\/tr>\n<tr>\n<td style=\"border-color: #ed7f18; background-color: #ffffff; width: 150px; vertical-align: top;\">\n<p>Tetracycline, Ampicillin<\/p>\n<\/td>\n<td style=\"border-color: #ed7f18; background-color: #ffffff; width: 125px;\">Decrease bacterial overgrowth<\/td>\n<td style=\"border-color: #ed7f18; background-color: #ffffff; width: 190px;\">Nausea, vomiting, diarrhea, abdominal pain, photosensitivity, skin rash.<\/td>\n<\/tr>\n<tr>\n<td style=\"border-color: #ed7f18; background-color: #ffffff; width: 150px; vertical-align: top;\">\u00a0<\/td>\n<td style=\"border-color: #ed7f18; background-color: #ffffff; width: 125px;\">\u00a0<\/td>\n<td style=\"border-color: #ed7f18; background-color: #ffffff; width: 190px;\">\u00a0<\/td>\n<\/tr>\n<tr>\n<td style=\"border-color: #ed7f18; background-color: #ffffff; width: 150px; vertical-align: top;\">Metronidazole (Flagyl\u00ae)<\/td>\n<td style=\"border-color: #ed7f18; background-color: #ffffff; width: 150px; vertical-align: top;\">\u00a0<\/td>\n<td style=\"border-color: #ed7f18; background-color: #ffffff; width: 150px; vertical-align: top;\">Metallic taste, headache, diarrhea, reduced appetite, dizziness, nausea.<\/td>\n<\/tr>\n<tr>\n<td style=\"border-color: #ed7f18; background-color: #ffffff; width: 150px; vertical-align: top;\">\u00a0<\/td>\n<td style=\"border-color: #ed7f18; background-color: #ffffff; width: 150px; vertical-align: top;\">\u00a0<\/td>\n<td style=\"border-color: #ed7f18; background-color: #ffffff; width: 150px; vertical-align: top;\">\u00a0<\/td>\n<\/tr>\n<tr>\n<td style=\"border-color: #ed7f18; background-color: #ffffff; width: 150px; vertical-align: top;\">\n<p>Ciprofloxacin (Cipro\u00ae)<\/p>\n<\/td>\n<td style=\"border-color: #ed7f18; background-color: #ffffff; width: 125px;\">\u00a0<\/td>\n<td style=\"border-color: #ed7f18; background-color: #ffffff; width: 190px;\">\n<p>Drowsiness, dizziness, nausea, vomiting, diarrhea.<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"border-color: #ed7f18; background-color: #ffffff; width: 150px; vertical-align: top;\">\u00a0<\/td>\n<td style=\"border-color: #ed7f18; background-color: #ffffff; width: 125px;\">\u00a0<\/td>\n<td style=\"border-color: #ed7f18; background-color: #ffffff; width: 190px;\">\u00a0<\/td>\n<\/tr>\n<tr>\n<td style=\"border-color: #ed7f18; background-color: #ffffff; width: 150px; vertical-align: top;\">\n<p>Amoxicillin\/Clavulanate (Clavulin\u00ae)<\/p>\n<\/td>\n<td style=\"border-color: #ed7f18; background-color: #ffffff; width: 125px;\">\u00a0<\/td>\n<td style=\"border-color: #ed7f18; background-color: #ffffff; width: 190px;\">Diarrhea, nausea, vomiting, abdominal discomfort, rash, vaginitis, pseudomembranous colitis<\/td>\n<\/tr>\n<tr>\n<td style=\"border-color: #ed7f18; background-color: #ffffff; width: 150px; vertical-align: top;\">\u00a0<\/td>\n<td style=\"border-color: #ed7f18; background-color: #ffffff; width: 125px;\">\u00a0<\/td>\n<td style=\"border-color: #ed7f18; background-color: #ffffff; width: 190px;\">\u00a0<\/td>\n<\/tr>\n<tr>\n<td style=\"border-color: #ed7f18; background-color: #ffffff; width: 150px; vertical-align: top;\">\n<p>Clarithromycin (Biaxin\u00ae)<br \/>Azithromycin (Zithromax\u00ae)<\/p>\n<\/td>\n<td style=\"border-color: #ed7f18; background-color: #ffffff; width: 125px;\">\u00a0<\/td>\n<td style=\"border-color: #ed7f18; background-color: #ffffff; width: 190px;\">Altered taste (dysgeusia), diarrhea, nausea, heartburn, abdominal pain.<\/td>\n<\/tr>\n<tr>\n<td style=\"border-color: #ed7f18; width: 150px; vertical-align: top;\" colspan=\"3\">\n<hr \/>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span style=\"font-size: 12pt;\"><a href=\"http:\/\/en.sclerodermie.ca\/health-professionals\/symptoms-and-treatments\/\">Scleroderma Medications Guide (Canada)<\/a><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Symptoms and Treatments Broad Spectrum Antibiotic use is the mainstay of treatment for this complication. There are many potential approaches to this therapy. For example: Antibiotics are given in 2\u20133 week courses followed by a 1\u20132 week drug holiday. Generally a few cycles of this treatment can allow for quiet periods of a few months [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":0,"parent":357,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-professionnels.php","meta":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.14 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Small Intestine Dysfunction: Bacterial Overgrowth\/Diarrhea - Sclerodermie<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"http:\/\/dev5.sclerodermie.ca\/en\/health-professionals\/abc-on-symptoms-and-treatments\/small-intestine-dysfunction-bacterial-overgrowthdiarrhea\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Small Intestine Dysfunction: Bacterial Overgrowth\/Diarrhea - Sclerodermie\" \/>\n<meta property=\"og:description\" content=\"Symptoms and Treatments Broad Spectrum Antibiotic use is the mainstay of treatment for this complication. There are many potential approaches to this therapy. For example: Antibiotics are given in 2\u20133 week courses followed by a 1\u20132 week drug holiday. 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