Why Doesn’t My Doctor Give Me Antibiotics?
Antibiotics are the answer, right?
To put it simply, no. This is probably one of the most common questions people don’t ask when they see a doctor. They expect to need something to treat a cough, cold or flu, and antibiotics must be the answer. But if your doctor or medical service provider doesn’t give you antibiotics, you may feel lucky. Because you have a doctor who is painstaking, keeps pace with the times, has a good education, and has strong judgment. You should write a note to thank them and tell them how lucky you are to have a doctor to serve you.
How antibiotics work
A variety of antibiotics work in different parts of the cell. For example, some bacteria will destroy the cell membrane of bacteria like penicillin, killing them. Interfering with other DNA replication and inhibiting reproduction, such as macrolides; famous examples are penicillin and azithromycin. Antibiotics that kill bacteria are called fungicides. Drugs that inhibit reproduction are called bacterial inhibitors. They need a complete immune system to complete the task of killing bacteria.
But you may wonder why the amount of antibiotics prescribed is not as much as before. In the past 25-30 years, there has been a movement in the medical field called antimicrobial management, but in the past 10-15 years, this movement has begun. With more and more research on the treatment of different diseases, we know more and more that antibiotics generally do not work and may not be needed at all.
Three types of infection
First of all, we should be aware that there are three basic sources of infection: bacteria, viruses and parasites. Antibiotics attack bacteria by destroying cell walls or by inhibiting the ability of bacteria to multiply and produce more baby bacteria. On the other hand, viruses do not live. They breathe like bacteria. They do not respond to antibiotics. The virus is a terrorist. They kidnap your cells for their own purposes, reproduce themselves with your cell machine, and torture you. Some antiviral drugs can be used, but only for a few viruses. They are not all effective medicines. It usually only shortens the illness of influenza, chicken pox/herpes zoster drugs for one or two days. We now have antiviral drugs of covid-19, which are much more effective than previous antiviral drugs. Parasites require completely different antibacterial agents. You may not know the most famous Ibermetin in the World Health Organization’s Essential Medicines List. On the new label. The inventor won the Nobel Prize. How attractive is the development. Here, you can see that the link opens in a new tab. It can save millions of lives and fight parasites. One of the most common uses is to fight StrongyloidesOpens in new tags. If you don’t deal with it, the worm will actually kill you. Ivermectin is a strong drug with strong activity against strong nematodes. You may have heard that Ebertine has no effect on novel coronavirus. But it is really helpful for people with COVID and Strongyloides. These people basically live in a warm and humid tropical climate. Being strong(some people call it strong) is an endemic disease, which means that it will live there forever.
Antibiotics and Ear infection
Many parents are willing to receive antibiotics to treat ear infections. But we generally know that many ear infections are better. Within one week, open the new label and do not use or use antibiotics. It is difficult to disobey a mother’s entreaties to her children. Because her child has a layer of bright red eardrums, hoping to get antibiotics. Thank you.
Ear infection
Indeed, people who need antibiotics have found in their studies that shorter courses of antibiotics are as good as longer ones. Antibiotic standards in the past 10-14 days were not selected scientifically, but were selected based on experience decades ago. New research shows that sometimes 3-5 days is as good as 10-14 days, and generally better. Because drug resistance develops less, the incidence of side effects is low.
Shampoo or upper respiratory tract infection
The United States Centers for Disease Control speculates that most adults get colds two or three times a year, and children get more. Now, I know that many people have not had colds, but if we assume that everyone has had at least one, More than 300 million people in the United States have a cold every year; as expected, colds/viruses do not respond to antibiotics. However, they may become rhinitis or bronchitis with mucus, green or yellow.
A chill in the head
In fact, are you sure antibiotics are worth it? Sometimes, but they are still caused by viruses. These viruses… wait for it… have no response to antibiotics. Sometimes upper respiratory tract infections become complicated by secondary bacterial infections, and antibiotics are helpful. Otherwise, the best choice is to use over-the-counter symptom relievers. Practice good hand hygiene, and wash for at least 20 seconds.(Did you know that a smart watch can automatically time itself? Look here and open the new label.) Then keep your hands away from your face.
Dental abscess
Others are diseases that want to use antibiotics. They are often related to toothache. Sometimes they are considered as abscesses or infections, but they are usually caused by nerve stimulation and inflammation. They need anti-inflammatory drugs that can help relieve pain, inflammation and swelling. However, some people often take antibiotics. I must admit that I am as guilty as the next doctor.
Side effects of antibiotics
So why does your doctor resist everything you think needs antibiotics? This is a good question. I assure you, it is not a huge conspiracy to deprive you of therapeutic drugs or enrich your doctors. Antibiotics are powerful drugs that are fatal to bacteria, with significant side effects and specific indications for use. Antibiotics can cause serious drug interactions, leading to many serious complications and side effects. Yes, so we must weigh the choice of antibiotics.
Antibiotic tolerance
One of the important reasons for reducing the use of antibiotics is the development of bacterial tolerance. When antibiotics are used incorrectly or for too short a time, bacteria can evolve in the first round rather than die. Since then, bacteria will become resistant to antibiotics when they see them again, so they can no longer get help from antibiotics. Perhaps the most famous example is MRSA. When it comes to the use of antibiotics, tolerance is an important issue. This is one of the biggest challenges that doctors face when prescribing antibiotics properly for you. The sad truth is that bacteria have evolved far faster than we can develop antibiotics to kill them. If this is an arms race, we will fail. Some bacteria need a variety of drugs to kill them, such as Helicobacter pylori, Helicobacter pylori, which can cause ulcers. This requires two antibiotics and an acid inhibitor, which lasts twice a day for two weeks to kill it. Other infections are highly resistant and require multiple drugs, such as tuberculosis. Tuberculosis has developed resistance to tuberculosis bacteria and needs to take multiple drugs within 6 to 9 months. The last point on this issue: bacteria will develop drug resistance; you don’t have. You “are not immune to amoxicillin”. It is more likely that an antibiotic was prescribed to infect the virus. That’s why it doesn’t work. COVID – You can see this article on the new label of antibiotics used in Opens. And it is a disastrous result.
Antibiotic diarrhea
Maybe you’ve heard of the so-called “good bacteria” in the arena? When bacteria are removed with antibiotics, they sometimes leave bacteria in the intestine, and these bacteria have no competition now. They can cause severe painful diarrhea, enteritis, and even bloody diarrhea. This serious side effect is called antibiotic associated enteritis. This is usually produced by difficult bacteria, also called difficult bacteria. It is not the allergy or side effect of the drug, but the complication of the drug. This can happen to any antibiotic, but it is more likely to happen to some antibiotics. This is one of the important reasons to avoid using antibiotics without clear instructions.
Serious cardiac side effects caused by drug interactions
Some antibiotics can prolong QT and interfere with heart function. This may lead to ventricular tachycardia. Wearing an electric shock pad on the chest may kill you if you do not prepare to shock yourself immediately. Your doctor must check your current medication before prescribing antibiotics that may cause QT prolongation. This may not happen, but it is better to minimize the risk.
Other antibiotic side effects
Other antibiotics produce hallucinations, delusions, and suicidal thoughts. Some people can even weaken your tendons and break them in the proper environment and sports activities. This is a strong reason for doctors to avoid using antibiotics. They just want to torture you and give you unqualified care. If they do not use antibiotics, they will provide you with quality, up-to-date and quality care.
Influenza and cold
Let’s talk about the most common infections, colds and flu. These symptoms generally occur at the most uncomfortable time in our life, which can lead to severe symptoms such as head congestion, headache, nasal pain, water drops behind the nose, cough, body pain, fever and aversion to cold; why don’t you need antibiotics? If only it could help. But we should know that viruses can also induce colored mucus. Influenza is a kind of virus. All shampoos are caused by about 30 different viruses, including coronavirus, non virus and adenovirus. Although COVID really belongs to the novel coronavirus family, I doubt whether our COVID antiviral drugs can fight against the common cold. Unfortunately, for humans. However, due to the research on the treatment of COVID, an effective antiviral drug for the common cold will be developed one day. Is this good? Even better is an effective cold vaccine.
We do have flu vaccines, but in some years the vaccines are not very good, and in other years the same is true. The efficiency of the most commonly used influenza vaccine in the flu season from 2021 to 2022 on the new label is only 16%, which is a serious failure. The ministry of defense is developing a universal covid-19 vaccine. Maybe they will also develop a universal cold vaccine and a universal influenza vaccine. This is the holy grail of vaccines. It will now open in a new label. Most vaccines are very effective in preventing diseases or serious diseases.
You mean my doctor really cares about me?
Therefore, when your doctor asks you to be examined before the second or even the first course of treatment, you should realize that they do not want to charge you a common fee to become richer.
Physician care
They are too busy to see you that day, but they are for your best interests. If they call only antibiotics that you may not need, you may experience some of the serious consequences listed above. Sometimes there are still cell fragments and inflammation after infection. The body needs to clean up these fragments and inflammation long after the bacteria die. This may cause persistent symptoms, but it does not mean that more antibiotics are still needed. Sometimes this is true, but usually not. Please help your doctor to help you by asking questions and following advice.
For your health,
Kevin McCurry, MD