Good afternoon, many will be interested in understanding their health and that of their loved ones, and I will tell you my experience, and we will talk about a review of methods for treating and restoring the intestines after dysbiosis in adults. Most likely, some details may differ, as was the case with you. Please note that you should always consult with highly specialized specialists and not self-medicate. Naturally, you can quickly find the answer to the simplest questions and diagnose yourself. Write your questions/suggestions in the comments, and together we will improve and supplement the quality of the material provided.
Review of Treatment Methods
The goal of drug therapy is to restore the balance of intestinal, vaginal flora, and microorganisms in the oral cavity.
The standard treatment regimen depends on the degree of violation of the ratio of beneficial and pathogenic bacteria as follows:
Suppression of pathogenic flora using antibiotics, antimycotics when fungi of the genus Candida are detected. The drugs of choice are antibiotics from the Cephalosporins or Tetracyclines, Metranidazole, and Flucanazole groups.
The dosage form depends on the severity of the disease and the location of the lesion. When treating intestinal manifestations, tablet or infectious forms are prescribed. In case of damage to the oral cavity - topical preparations in the form of sprays, tablets for sublingual administration. In gynecological practice - suppositories, vaginal creams.
Preparations for restoring normal microflora are probiotics and prebiotics. They contain normal flora and create conditions for their own growth.
The drugs of choice are “Linex”, “Bifidumbacterin”, “Enterozermina”, “Yoghurt in capsules”. To normalize stool during constipation, the use of prebiotics and lactulose syrup is indicated. If you have loose stools, you do not need to use laxatives.
The course of treatment with drugs to normalize microflora is long. May be several months.
- Enzymes - to improve and restore the processes of breakdown and digestion of food. Indicated for the intestinal form of the disease.
- Bacteriophages are virus-based substances that destroy strictly defined types of pathogenic flora. Drugs in this group are prescribed after examining samples of stool and other biological fluids to determine the causative agent of the disease.
- Enterosorbents for the gastric form of the disease. The simplest drug in this group is activated carbon.
- Taking vitamins, mineral complexes, immunostimulants to strengthen local and general immunity at the doctor’s discretion.
A prerequisite for the treatment of dysbiosis is adherence to a diet. You should exclude sweets, alcohol, fatty, heavy foods. Nutrition should be varied and gentle.
In the recipes of folk herbalists, from TV screens they offer many ways to get rid of the manifestations of dysbiosis without the use of drugs: herbal treatment, taking garlic or Malyshev’s methods.
Do not collect plant materials within the city, near roads and industrial enterprises! Buy medicinal herbs in pharmacies! Do not use untested methods of alternative medicine during pregnancy or for children.
Our body is inhabited by a variety of microorganisms. As long as the number of positive representatives prevails over the pathogenic and opportunistic flora, the person feels healthy. According to WHO protocols, microflora imbalance is not an independent disease. But treatment of dysbiosis is a prerequisite for normalizing the functioning of all organs and systems.
Which doctor should I contact?
Manifestations of microflora imbalance are varied and can affect all organs and body systems in adults and children. Highlight:
- dysbiosis of the gastrointestinal tract system - occurs with abdominal pain, diarrhea;
- violation of the microflora of the oral cavity is a common occurrence in children;
- dysbiosis of the reproductive system - manifests itself as thrush, gardnerellosis, reproduction of coccal flora, regardless of gender;
- The skin may be affected by fungal flora.
The pathological process is caused by various factors. This could be aggressive treatment of other diseases, unnecessary use of antibiotics and other antibacterial drugs, chronic stress, intoxication of various etiologies.
Treatment of microflora imbalance depends on the symptoms of the inflammatory process. Reproductive diseases are dealt with by a gynecologist for women, a urologist or andrologist for men. Oral cavity - dentist or otolaryngologist, intestines - gastroenterologist, family doctor or pediatrician for the child. In difficult cases, tests to determine the causative agent of the inflammatory process and additional studies are indicated.
Intestinal dysbiosis in children
A common cause of this pathological condition in a child is artificial feeding or poor nutrition. Parents should take a very responsible approach to the issue of antibiotic therapy, since it is often while taking antibacterial drugs that the child develops symptoms of the disease. Intestinal dysbiosis in children is treated by a pediatrician or gastroenterologist
(in severe cases). The symptoms of the disease are the same as in adults. Abnormal bowel movements, anxiety after feeding, and abdominal pain are noted.
How long can recovery take?
It is only possible to cure microflora disorders using complex methods. Therapeutic measures are carried out in 2 stages.
The first one shows the suppression of pathogenic microflora by antibiotics and antibacterial agents. The standard duration of this period is from 7 to 10 days.
The second stage shows the colonization of the body with beneficial flora. The duration of this period is determined by the physician. It can range from 3 months to six months.
Anti-relapse therapy - indicated for severe forms of dysbiosis, prevents the development of a chronic form of microflora imbalance. Conducted 2 times a year for 3 years. The duration of each episode is 2-3 months.
The effectiveness of treatment depends on the patient’s scrupulous compliance with doctor’s orders and compliance with nutritional recommendations.
The second stage shows the colonization of the body with beneficial flora. The duration of this period is determined by the physician. It can range from 3 months to six months.
Where does the specialist work?
Patients with digestive system problems are interested not only in which doctor deals with the intestines and stomach, but also in where exactly they can consult with this specialist. Currently, it is almost impossible to find such a doctor in ordinary public clinics. They can work in the following institutions:
- in specialized departments of large inpatient healthcare organizations;
- in multifunctional interdistrict clinics;
- in private medical centers.
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In the case of state-owned institutions, in order to obtain a consultation with a gastroenterologist under your insurance policy, you must first visit your local physician, undergo a mandatory preliminary examination and receive a referral.
Doctor for the treatment of chronic dysbiosis
So, we have decided if you have acute dysbiosis and which specialist to contact first. If this pathology has reached a chronic stage, then you need to contact more specialized specialists who can help you.
First of all, you need to consult with a gastroenterologist, who will assess the correctness of the previous treatment and evaluate it and the therapeutic results obtained.
Most likely, if the disease lasts for a long time, the gastroenterologist will want to obtain more reliable data on the state of the gastrointestinal tract, for which he will use modern imaging methods. First of all, you will have to undergo an ultrasound procedure, gastroduodenoscopy and rectoscopy, which will allow you to visually assess the condition of all departments.
If you are experiencing manifestations of dysbacteriosis for the first time, then functional diagnostics will not help you, so there is no point in carrying out expensive visual diagnostic procedures.
Based on diagnostic data, the gastroenterologist will be able to develop a long-term treatment plan that will be strictly individual and compensate only for the identified disorders. For this reason, there is no point in using publicly available treatment regimens, since absolutely every patient with a chronic form of dysbiosis requires a strictly individual approach.
If you think that the answer to the question of which doctor treats dysbiosis remains incomplete, then perhaps you should visit a nutritionist. This medical specialist will select an individual nutrition plan, which, in addition to the predominance of lactic acid products, will be rich in a number of other nutrients that are vital for your body.
How to determine intestinal pathology by appearance?
An experienced doctor is able to make a preliminary diagnosis only by externally examining the patient. Judging by the condition of the skin of the face and its color, hair, nails, tongue, one can determine which organ a person is sick with.
The connection between diseased intestines and facial skin is obvious. During the processing of food, not only useful substances are produced, but also toxic toxins. If the intestinal microflora is disturbed and does not cope with its filter function, then the functioning of the sebaceous glands is disrupted. They become clogged, and harmful bacteria use the sebum-filled areas as a favorable habitat.
After research, doctors came to the conclusion that the accumulation of acne in certain places may be associated with internal organs:
- pimples located on the forehead, wings of the nose, cheeks indicate problems with the intestines;
- acne on the temples indicates impaired functioning of the gallbladder;
- acne on the chin can be a sign of a disorder in the sexual sphere or gastrointestinal tract;
- inflammatory formations on the back indicate intestinal dysbiosis, possible problems of endocrine organs, and gynecological pathologies.
An sallow-gray complexion and bluish circles under the eyes are most likely also a manifestation of intestinal dysfunction. If a person’s lips are dry, chapped, with cracks and “jams” that do not heal well, then there may be gastritis, ulcers or other diseases of the digestive tract.
The truth about internal diseases can be easily read from the tongue: if the base of the tongue is covered with a white coating, the mucous membrane is dotted with deep pits, then this indicates dysbacteriosis or a disorder of the gastrointestinal tract. A greenish coating indicates duodenal dysfunction.
In order not to confuse an individual appearance with a disease, if suspicious symptoms are detected, it is recommended to consult a doctor.
Features of therapy
- laxatives are prescribed - suppositories, enemas, tablets;
- nutrition is adjusted;
- exercises useful for the gastrointestinal tract are recommended;
- risk factors are excluded - junk food, medications, sedentary lifestyle.
When treating constipation, it is important to maintain a drinking regime. Insufficient water intake also causes constipation. This is important because when using laxatives, the body loses a lot of fluid, which leads to dehydration.
There are many drugs with a different mechanism of action. Some work immediately, while others take 2 to 3 days. Some drugs are contraindicated during pregnancy, children, and gastrointestinal diseases. Therefore, the drug is agreed upon with the attending physician.
Who treats
If signs of intestinal diseases appear, you can seek help from the following doctors:
- Gastroenterologist. It will help if there are problems with the gastrointestinal tract.
- Proctologist. He treats diseases affecting the rectum and colon, as well as pathologies associated with the anus.
- Oncologist. He is a specialist in intestinal tumors.
- Surgeon. His specialization is inflammatory processes in the cecum and surgical intervention, if indicated.
Patients with digestive system problems are interested not only in which doctor deals with the intestines and stomach, but also in where exactly they can consult with this specialist. Currently, it is almost impossible to find such a doctor in ordinary public clinics. They can work in the following institutions:
Which doctor treats intestinal dysbiosis?
Don't know which doctor to see?
We will promptly select the right specialist and clinic for you!
It is impossible to unequivocally answer the question of which doctor treats intestinal dysbiosis. Since this is not a separate disease, but a pathological condition, which, in turn, can lead to the development of various diseases and their complications.
If you have pronounced symptoms indicating a disruption in the functioning of the digestive system, you should consult a gastroenterologist. Most likely, the doctor, after a thorough diagnosis, will prescribe treatment specifically for disorders of the organs and systems of the gastrointestinal tract, with a parallel correction of the balance of beneficial microorganisms. If this disorder is caused by an infectious agent, any disease, or is a reaction to taking medications, then Dysbacteriosis is treated by a specialist who “managed” the underlying disease that caused directly or indirectly changes in the intestinal microflora: an infectious disease specialist, gastroenterologist, surgeon or therapist.
A specialized doctor simultaneously treats the primary disease that provoked dysbiosis and carries out therapeutic measures to restore the normal ratio of bacteria and microorganisms in the intestines.
If dysbiosis is caused by poor diet, stress or bad habits, when the first alarming symptoms of the disease appear or your health deteriorates, you should consult a therapist.
Constipation in an adult, where to go?
For frequently bothersome constipation, there is no need to self-medicate. It is necessary to seek medical help in the following cases:
- if there is no bowel movement for more than three days;
- taking a laxative did not bring the desired result (intestinal obstruction);
- the presence of streaks of blood or mucus in the stool;
- constipation is accompanied by vomiting and general malaise;
- severe abdominal pain;
- increase in body temperature.
If you don’t know which doctor to contact for constipation, you can first consult a therapist. After listening to complaints and conducting a series of tests, the doctor refers the patient to the right specialist.
Don't waste time, consult a doctor near your place of residence
Dysbacteriosis – what specialty will a doctor help?
As is known, dysbiosis is a consequence of a violation of the qualitative and/or quantitative composition of the intestinal microflora, which leads to various symptomatic pictures. Often when dysbiosis manifests itself, many do not know which doctor to turn to for help.
All this leads to an unreasonable waste of precious time. Remember that the sooner you start full treatment, the faster the recovery phase will begin without any complications.
As soon as you suspect intestinal dysbiosis, consult a doctor; even a therapist will be able to give initial recommendations, as well as prescribe the necessary diagnostic procedures.
First of all, the therapist prescribes a general blood test, urine test and stool test for bacteriological examination. It is recommended not to use any pharmacological drugs before the initial consultation, as they can spoil the clinical picture and mislead the doctor.
After the analysis is performed, the attending physician evaluates the results obtained and determines a plan for further treatment. If the patient is in a medical institution in a 24-hour hospital, then if a pathogenic microflora is detected, he can be transferred from the therapeutic department to the infectious diseases department, if this has not been done previously. As a result, the patient will not be managed by the employee who was initially assigned to him upon admission, but by a new one.
If treatment for an adult occurs on an outpatient basis, then perhaps he can schedule a consultation with an infectious disease specialist. During the consultation conversation, the therapy plan can be edited, and a referral for inpatient treatment may be issued.
So, if you don’t know which doctor treats dysbiosis in adults, then first of all you can contact a general practitioner, who in the future can refer you to a more specialized specialist.
Survey
First, the therapist will listen to complaints, study tests, and learn about habits that could cause a disorder. When constipation is not accompanied by systemic diseases, standard treatment will be prescribed. If there are doubts about the nature of the disorder, additional studies are prescribed to identify the cause and associated diseases.
Primary required studies include:
- blood test - general, biochemical;
- stool blood test;
- Analysis of urine.
A gastroenterologist can perform a rectal examination to identify nodules, fissures, and hemorrhoids. Additionally, a colonoscopy is prescribed. Then the gastroenterologist can see the condition of the intestines by moving a probe with a camera through it. In special cases, radiography is used.
- blood test to detect thyroid pathologies;
- sigmoidoscopy for visual assessment of the lower intestine;
- colonic test to determine the duration of movement of masses through the intestines.
If you don’t know which doctor to contact for constipation, you can first consult a therapist. After listening to complaints and conducting a series of tests, the doctor refers the patient to the right specialist.
Probiotics
In general, today it is difficult to consider the question of how to get rid of intestinal dysbiosis without mentioning the so-called probiotics. They are shouted at us from TV screens, billboards, and the pages of the press. They are medicines containing beneficial living microorganisms. But the effectiveness of such drugs has long been questioned by doctors, since they are all intended for oral use, so before they enter the intestines, they inevitably pass through the stomach. As you know, the stomach always retains an aggressive environment created by concentrated hydrochloric acid, so most of the bacteria in it die.
Attention! The effectiveness of taking probiotics today is questioned by authoritative experts in the field of medicine and pharmacology.
Manufacturers are making many attempts to overcome this problem, in particular, they enclose lyophilized bacteria in shells that are insoluble in gastric juice, but they still cannot guarantee the penetration of the required quantities of microorganisms into the desired parts of the intestine. Nevertheless, probiotics are widely used for the treatment and prevention of intestinal dysbiosis.
The following types of these drugs are distinguished:
- Multicomponent, which includes several different types of bacteria, for example, bifidobacteria, lactobacteria and colibacteria.
- Monocomponent, which includes only one of the types of bacteria listed above.
- Combined, including components of the nutrient medium, immunoglobulin complexes, symbiotic communities of bacteria and individual strains that are insensitive to the action of most antibiotics known today.
- Recombinant, containing, in addition to traditional strains of bacteria, genetically modified ones.
- Synbiotics are drugs that simultaneously contain beneficial bacteria and a substrate for them, that is, such drugs combine the components of probiotics and prebiotics.
- Antagonists. This group includes drugs that suppress the growth of opportunistic microflora bacteria.
Doctor's appointment and diagnostics
If you experience unpleasant intestinal symptoms, as well as general poor health, you should consult a gastroenterologist. If a microflora disturbance occurs as a result of an infectious disease, then consultation with an infectious disease specialist is recommended.
A preliminary examination and laboratory diagnostics will allow us to determine the true cause that led to the pathological change in the microflora.
Important! Dysbiosis has common symptoms with other gastrointestinal disorders, so it is difficult to make a correct diagnosis based on symptoms alone.
To do this you need to undergo the following studies:
- Ultrasound of the abdominal organs.
- Pass a coprogram and biochemical analysis of stool.
- General blood and urine tests.
- GC/MS (gas chromatography) - determination of the amount of hydrogen in exhaled air.
If you suspect vaginosis, you should consult a gynecologist. In addition to the examination, the doctor will prescribe a vaginal culture.
Symptoms and signs of the disease
When a person suffers from the disorder, the noticeable symptoms are manifestations of intestinal disorders. The following signs indicate a violation of the intestinal microflora:
- increased flatulence;
- chronic stool disorders, bloody discharge;
- bad breath, increased fatigue, frequent bloating;
- hypovitaminosis is the most dangerous, serious symptom;
- prolonged pain in the abdominal area.
Drug treatment
Since the severity of the disease and the age of patients may vary, therapeutic measures are selected depending on these parameters. Therefore, in mild situations it is enough to change the diet and composition of the diet, take vitamins, enterosorbents, prebiotics or probiotics, but in severe cases it can be difficult to do without the use of such heavy artillery as antibiotics, intestinal antiseptics and bacteriophages.
Diet features
On a diet for intestinal dysbiosis, the following foods should be excluded:
- marinades, smoked meats, canned food, pickles;
- spicy, fried, fatty foods;
- alcohol, kvass, oatmeal jelly;
- sausage, frankfurters, deli meats;
- mushrooms;
- yeast bread, pastries;
- sour berries and fruits, sauerkraut, seafood.
The menu should be composed of the following products and dishes:
- viscous, bland, slimy food without salt and spices;
- soup, broth from white fish, chicken;
- chopped steamed fish and meat;
- low-fat fermented milk products, especially kefir.
Important: bacteriophages are specific viruses that are able to penetrate into bacteria of a certain type and destroy them from the inside. In different cases, such drugs can be used independently or in addition to antibacterial therapy, but the doctor must decide on the need for their use.
What is dysbiosis?
Dysbacteriosis is a violation of the physiological balance of intestinal microflora, in which populations of pathogenic microorganisms (fungal and bacterial in nature) begin to predominate over “beneficial” bacteria. This leads to a decrease in overall immunity, the risk of developing allergic reactions and disruption of digestive processes in the gastrointestinal tract: the intestines cannot cope with the physiological process of food digestion, in which lacto- and bifidobacteria (the same “useful” microorganisms of our intestines) participate.
When to see a doctor
In the intestines of any healthy person, a certain amount of beneficial microflora is present, which contributes to the complete digestion of food. With dysbacteriosis, the number of beneficial bacteria decreases significantly, which leads to the development of the disease.
The main symptoms of intestinal dysbiosis:
discomfort in the abdominal area (especially after eating fatty, fried foods);- tendency to increased gas formation (the medical term is flatulence);
- painful sensations in the abdomen;
- bowel dysfunction: diarrhea (stool more than 3 times a day) or constipation (stool less than 3 times a week).
If one or more of the above symptoms appear, you should contact a gastroenterologist. You need to go to a specialist with dysbacteriosis immediately to prevent the condition from worsening and other unpleasant consequences of the disease.
Dysbiosis doctor
Anyone can face the problem of intestinal microflora disturbance. Poor nutrition, arbitrary intake of medications, bad habits and stress lead to stool disturbances and a feeling of discomfort in the abdomen. The presence of such symptoms should be a cause for concern and see a doctor, since only at the initial stage of dysbiosis is it possible to get rid of the disease in a short time and prevent the development of complications.
Which doctor treats intestinal dysbiosis ? Since dysbiosis is often not an independent disease and occurs as a result of some pathological conditions of the body, in these cases it must be treated in combination with the underlying disease. It is necessary to contact a general practitioner, who will prescribe a series of tests; based on the data obtained, a referral is given to visit a gastroenterologist, infectious disease specialist and other necessary doctors. When to see a doctor
Dysbiosis is not dangerous to the patient’s health if it is mild. In most cases, this condition does not require treatment, it is only necessary to adjust the diet and introduce probiotic food products into the diet, such as, for example, bifilact BIOTA with live bifidumbacteria and lactobacilli (“Benefits of bifilact BIOTA for the treatment of dysbiosis”). Bifilact BIOTA is tasty, clinically a proven functional and dietary probiotic fermented milk product for the treatment and prevention of intestinal microflora disorders with live bifidumbacteria and lactobacilli, in contrast to pharmaceutical probiotic preparations, in which the bacteria are devoid of vital activity and do not take root well in the intestine. If not treated in a timely manner, dysbacteriosis can become severe, requiring consultation with a doctor. If you have severe abdominal pain, fever, or general malaise, you should visit a gastroenterologist and a therapist, who, based on tests and identifying the causes of the disease, will prescribe competent treatment.
Diagnosis and treatment
You need to see a doctor for treatment of dysbiosis in a timely manner. Before prescribing a course of treatment, the doctor will definitely prescribe a comprehensive examination of the entire body.
To make a diagnosis, the following studies are necessary:
coprogram: allows the doctor to assess the motor-evacuation function of the intestines, analyze the amount of mucus, the presence of blood impurities, undigested fats and other important indicators;- bacteriological examination of stool: the doctor needs the examination to determine possible infectious agents;
- determination of the level of basic digestive enzymes;
- FGDS: the doctor assesses the condition of the upper digestive tract;
- colonoscopy: to evaluate the condition of the large intestine.
The doctor will treat dysbiosis in adults with the help of special drugs that normalize the microflora. There are many medications from different manufacturers, so the patient has a wide choice depending on the severity of the condition and his financial capabilities. It is also very important to follow a diet, eliminating fast food, fatty, spicy and fried foods from the diet.
Usually it takes 1-2 months for a complete cure. To avoid relapse of the disease, doctors recommend adhering to the principles of proper nutrition and adequate antibiotic therapy.
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