Why does Doxycycline cause stomach pain?

Hi,

Welcome to icliniq.com.

Doxycycline is a known antibiotic to cause severe gastritis or even drug-induced gastric ulcers. You have not mentioned the dose of Doxycycline.

Take a good quantity of antacid syrup as well, like syrup Gaviscon (Sodium Alginate and Sodium Bicarbonate), 10 to 15 ml, after every meal and even at night whenever you feel pain.

Hi,

Welcome back to icliniq.com.

1. Stop Doxycycline or any other oral medicine like NSAIDS (non-steroidal anti-inflammatory drugs), painkillers, or other causes that can worsen your condition.

2. Monitor stool colors, and they should not be black.

3. Your doctor should have told you about Doxycycline (antibiotics) known side effects. Increase the dose of Omeprazole (proton pump inhibitor) to a maximum of 40 mg half an hour before breakfast and half an hour before dinner and Gaviscon (antacid), as I explained already.

4. Take a soft diet for a few days without spicy or fatty meals.

Hi,

Welcome back to icliniq.com.

I can understand, Doxycycline is a very commonly used medicine in dermatology. Be careful if you want to continue this medicine.

It is not necessary that a person will have stomach pain always, or it is with the first dose. It can occur anytime to anyone, just like in your case. Finasteride and Escitalopram are relatively safe. They do not hurt the stomach as such.

Got your point, so if you want to continue it, take it just after meals with a full glass of water, do not lie down immediately after taking medicine, and have at least five to ten minutes walk. Meanwhile, continue Omeprazole 20 mg twice daily along with regular Gaviscon. If you feel well, continue the above plan. If you feel persistent pain still, there are two options. Either increase the dose of Omeprazole to 40 mg twice daily or stop Doxycycline at that time.

Wishing you good health.

Kind regards.

Hi,

Welcome back to icliniq.com.

I do not know what the actual indication for antibiotics in your case and how necessary it will be to continue your Doxycycline was.

Regarding your stomach, I would suggest giving your stomach some break and continuing Omeprazole for two to three weeks, so that stomach can heal itself well.

One possibility is, if you can visit the skin clinic just before your tour and tell them I am unable to tolerate Doxycycline and ask if there are any other options in terms of oral antibiotics rather than injectables or is there a possibility to give yourself a two to four weeks break and then reconsider treatment again under good Omeprazole cover, general precautions, and all?

Because, when you are on a trip, you will be eating out frequentl which is already a risk factor for an upset stomach.

Hi,

Welcome back to icliniq.com.

For such episodes, you can have 10 to 15 ml of Gaviscon and do not drink water after that. You can drink water before if you want.

Kind regards.