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I'm having a surgery next week, to remove a fibroid. They will give me antibiotics. Given that I have a 10-year major bad history of IBS, SIBO and a generally terrible intestinal tract, should I take the antibiotics? Or everything I worked for to fix the situation last year with Paleo will go out of the window?

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Erg, surgery minus antibiotics- I'm biting my nails, but let's see if anyone brighter than me has good reasons!! Genuinely interested, I have a vaguely related surgery hopefully coming up... – JeJ Oct 9 at 19:14
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You will also be getting massive IV antibiotics during the surgery itself. Make sure to have a lot of nourishing broths, fats, and meats, and probiotic foods. – AmandaLP Oct 9 at 20:16

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I had surgery in August of this year, and despite my anti-antibiotic overuse feelings, history of IBS that I'm still fixing, and all that, you bet your sweet bippy I took them. I had fairly major surgery. Despite infection risks being low, an infection in a major surgery site will have you taking some heavy duty antibiotics for MUCH longer than the prophylactic ones they give you post surgery. Want to talk IBS....whew.

I really would take them. The ones I took didn't bother my guts at all. I took and still take my probiotic the whole time too. Why risk what could be a major recovery setback? Your body will be hard at work healing. I really do recommend you take them. In this case, it really is the best thing.

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take the antibiotics. there is a reason they give them to you. they are not inherently bad. overuse and abuse of antibiotics is bad. they serve a very good, life saving purpose. one round of antibiotics shouldn't do too much damage especially if you supplement with a good probiotic.

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Easier to kill good bacteria off than it is to let them grow. – BoneBrothFast Oct 9 at 19:45
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im sorry i don't understand what you're saying. – jake Oct 9 at 21:15
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I had an orthopedic surgery (tendon reattachment) with no follow up antibiotics, but yours is quite a different sort of surgery. I would definitely take the time to research it outside of just this forum though.

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i was on antibiotics twice the past two years for my UC and it actually helped a little. definitely took away my gas and some of the cramping. it basically allowed me to start over by replenishing the good bacteria with massive probiotics and fecal transplant.

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personally, and i mean this answer only in regards to me- i would never take an antibiotic if i didn't have a positive test for an infection. i have a very robust immune system and prophylactic use of antibiotics would compromise it at the very least. my feeling is that this is a "fear of being sued" issue. they don't want to take the chance that they miss a post surgical infection, so they dose you with a broadspectrum antibiotic to cover their asses.

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either that or, ya know, they don't want their patient to die from a staph infection..... – jake Oct 10 at 1:34
^ Course if your talking MRSA its not likely to respond to the types of antibiotics you get prophylactically anyhow. – JayJay Oct 10 at 2:27
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There is a reason these things are resistant now.... – JayJay Oct 10 at 2:27
thats a fair point. im in a bit over my head when talking about antibiotics and staph at this point in my education but i know there are also MSSA's that aren't resistant to the antibiotics. my point is simply that antibiotics have saved a lot of lives and can be very useful especially when dealing with surgeries. ive never seen any data on outcomes of surgeries pre antibiotics vs. post antibiotics but i'd wager a guess that since we've discovered them, we've saved a lot more lives. – jake Oct 10 at 2:46

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