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Upset stomach
Respected doctor
I ma having from today a bout of loose motion and abdominal cramps ( not frequent) possibly due to high heat and humid weather ,I had similar trouble about three weeks back and had taken ciphran and got well.Last capsule of the course was taken on 1/4 .canwe take another dose of ten capsules now? Or can I take doxyparl DRL ?
Answers (25)
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The cause of gastroenteritis (loose stool with cramps) could be stomach infection. You need to take antibiotics, probiotics and ORS. You consult us through practo for prescription and further advice
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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Hello Sir
Thank you for putting your query
If you had just one bout of Loose stool then I will advice you not to take any medicine right now
Just keep yourself hydrated
And if it’s bothering you lots then You may take FLAGYL 400 Tab Twice plus Tab Drotin if abdominal cramp persist
Or else nothing to worry about
If loose stool and Vomiting persist or increase then kindly consult
I hope I have replied your query
Thank you
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Hello,
Your symptoms are suggestive of acute gastroenteritis, which is commonly seen with weather changes, contaminated food, or water.
Regarding your question
• It is not advisable to start antibiotics like Ciphran (ciprofloxacin) again without medical consultation, especially since you completed a course recently.
• Similarly, Doxypar (doxycycline combination) is not routinely required for simple loose motions.
Most cases are self-limiting and do not need antibiotics.
• Start ORS (oral rehydration solution) frequently
• Take light diet: khichdi, curd, banana
• You may take a probiotic like Darolac
• For cramps, an antispasmodic can be used if needed
Antibiotics are needed Only if there are:
• High fever
• Blood/mucus in stool
• Severe or persistent diarrhea (>3 days)
• Significant weakness or dehydration
When to seek urgent care
• Reduced urine output
• Persistent vomiting
• Dizziness or dehydration
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"It is strongly advised not to self-medicate with antibiotics like Ciphran or Doxycycline for acute loose motions. Most bouts of diarrhea, especially those triggered by heat and humidity, are either viral or due to food intolerance/toxins, where antibiotics are ineffective and can actually worsen the situation by killing healthy gut bacteria. Repeated and incomplete courses of antibiotics (like your previous course ending on 1/4) lead to Antimicrobial Resistance, making future infections much harder to treat."
Next Steps
do connect and consult
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Hello dear,
You didn't have to to take ciphran any time you get loose motion.
Just drink 4-5lit of water, including 1-2lit of ORS
Take bifilac/ sporolac/ any probiotic capsule twice a day after food
Also include banana, curd in your diet.
Avoid junk /oily foods.
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Kindly consult, will help u .
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Need to consult
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A repeated gastro issue can be a bother. But looks like you are aware of what could be the reason for a repeat episode of loose motions. Let's begin by " What not to do"-
1. Thumb rule- avoid medication or altering dosage ( especially antibiotics) without Doctors advice. This may result in Suffering side-effects you weren't aware of or the antibiotics not working effectively due to antibiotic resistance.
2. Exposure to heat or prolonged exposure to humidity.Consuming ice, water, food from kiosks.Especially raw cut food like salads.
Next Steps
use natural as well as formulated probiotics.
natural - Kanji, curd, chaas, kafir
formulated- Enterogermina vial. Take one vial straight in the mouth twice a day for 5 days.( please keep this medication in the refrigerator) or take Cap Econorm after breakfast and dinner for 5 days
Health Tips
Hydrate. Hydrate more- ORS. nimbu pani, Chaas, coconut water.( please ensure you choose the beverages according to your sugar allowance status).
Easy and fresh home food. nothing oily, spicy or left overs.
Take some Rest.
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take ors
stop spicy food and oily food
avoid junk food and hydrate urself properly
also you can take enterogermina 3respules
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Dr. Archita Somani
Consult Now
Ayurvedic Endocrinologist & Internal Medicine Specialist
1 yrs exp
Bhilwara
Ors
Take healthy diet
Tab metronidazole 400 mg tds
Health Tips
Avoid eating outside
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Enterogermina respule three times for three days.
Oz tab two times a day after food for 3to5 days. Use buttermilk curd rice Khichdi porridge poha Upma
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Hello,
I understand that you are experiencing a recurrence of the stomach upset you had a few weeks ago. Given your age (62) and the fact that this has returned shortly after finishing a course of antibiotics, it is important to follow a cautious approach rather than immediately restarting strong medication.
1. Regarding Antibiotics (Ciphran/Doxyparl)
Do not restart Ciphran or start Doxyparl (Doxycycline) without a fresh clinical evaluation. * Taking repeated, short courses of antibiotics can lead to antibiotic resistance. Furthermore, if this is a viral infection or due to heat exhaustion (as you suspect), antibiotics will not help and may actually worsen the diarrhea by disrupting your natural gut flora.
The recurrence suggests that either the previous infection was not fully cleared, or the current issue has a different cause (such as food poisoning or inflammatory changes).
2. Management of Current Symptoms
Hydration is Priority: At 62, dehydration can occur quickly. Use ORS (Oral Rehydration Salts) mixed in boiled and cooled water. Sip this throughout the day to replace lost fluids and electrolytes.
Probiotics: Instead of antibiotics, consider a probiotic (like Bacillus clausii or Saccharomyces boulardii spores). These help restore healthy gut bacteria and are safer for "loose motion" caused by heat or minor infections.
Diet: Stick to the BRAT diet (Bananas, Rice, Applesauce, Toast). Avoid spicy food, dairy products, and heavy caffeine until the motions stop.
3. Red Flags (When to See a Doctor Immediately)
Since you are 62, please visit a clinic in person if you notice:
High-grade fever.
Blood or mucus in the stool.
Severe, persistent abdominal pain.
Decreased urine output or extreme weakness/dizziness.
Next Steps:
Stop all antibiotics for now.
Start ORS immediately to maintain hydration.
If the loose motions continue for more than 48 hours, I recommend a Stool Routine & Culture test. This will confirm if there is an actual bacterial infection that requires a specific antibiotic.
Consult your local physician to review your knee pain medications, as some painkillers (NSAIDs) can occasionally irritate the stomach lining.
Word of Caution: Self-medicating with antibiotics like Doxycycline (Doxyparl) for stomach issues is generally not recommended as a first-line treatment for simple diarrhea and can cause significant gastric irritation. Focus on hydration and gut health first.
Stay hydrated and take rest.
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Ors and sporolac is enough , why go for antibiotics unnecessary.
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Take ors
tab lomotil 1 tds
Tab sporlac. 1tds
Next Steps
stop spicy food and oily food
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Your symptoms suggest acute gastroenteritis, which is quite common in hot and humid weather. Most cases are self-limiting and do not require antibiotics.
It is NOT advisable to start Ciphran (antibiotic) again on your own, especially within a short interval, unless there are clear signs of bacterial infection.
Unnecessary antibiotics can lead to resistance and side effects.
Doxypar (doxycycline combination) is also NOT routinely needed for simple loose motions.
Next Steps
-Start ORS (oral rehydration solution) frequently to prevent dehydration
-Take light diet (khichdi, curd, banana, rice)
-You may take a probiotic and antispasmodic (for cramps)
-If loose motions are more frequent, a short course of racecadotril can help
-Observe for 1–2 days
Health Tips
1. Avoid oily, spicy, outside food for a few days
2. Do not self-start antibiotics unless prescribed
3. Seek medical attention if there is fever, blood in stool, persistent vomiting, or symptoms >2–3 days
4. Stay well hydrated, especially in this weather
Overall, this appears to be a mild, manageable condition, and supportive care is usually sufficient.
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Don’t take antibiotic on your own now.
Looks like simple stomach infection. Take ORS, drink plenty water, eat light food like curd rice banana.
If you won't get better in 2 days or fever comes, then book a consultation I can guide you with proper medicines.
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Ors
Tab metronidazole
Tab lacticacid
Next Steps
Plenty of fluids
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Only Hydration and prebiotic needed as per history
Next Steps
Consult
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Simranpreet Kaur
General Physician
10 yrs exp
Ludhiana
Its a infectious gastroenteritis
Take cap eldoper 2 mg twice for 3 days
Tab oflox oz twice for 3 days
Tab drotin m twice for 3 days( after breakfast and after dinner)
Cap enterogermina once
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Take zifi
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do consult
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