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ANTIBIOTICS: Caution

Why do doctors prescribe antibiotics to treat anal fissure? Despite the fact that they're used to cure some deadly bacterial infections

why doctors prescribe antibiotics for an anal fissure?

I didn't know what antibiotics were until I got an anal fissure. In India, doctors usually prescribe them for prolapsed hemorrhoids, anal fissure, and deep wounds. Why? Because antibiotics are known for killing bad bacteria that impede healing, but in that process, they also kill the good bacteria; some block bad bacteria reproduction.

One thing I noticed among doctors is that they never keep prescribing the same antibiotics, these are advised on in stages to prevent antibiotic resistance.

So it's necessary to complete the course. In case you don't, there's a slight chance you may revive the infectious bacteria. Moreover, if you take them more than you are prescribed, you may train the bacteria that the antibiotic is fighting against to survive its attack in the future. Subsequently, you will have to take more doses of antibiotics or stronger ones for common infectious diseases. Some deadly bacterial infections are cholera, tuberculosis, typhoid,
pneumonia, etc.; antibiotics are used to cure them.

In response to prevent antibiotic resistance or more severe AMR(Antimicrobial Resistance: all microbes like viruses, bacteria, fungi, etc. become immune to drugs), WHO has started a campaign named AWaRe to spread awareness among people and practitioners.

Following which WHO has classified them into 3 groups, namely access, watch, and reserve. Where access indicates the antibiotic of choice for each of the 25 most common infections that should be available at all times with assured quality and affordability; watch includes most of the “highest-priority critically important antimicrobials” for human medicine and veterinary use which are recommended only for specific and limited indications; reserve includes antibiotics that should only be used as a last resort when all other antibiotics have failed.

Explanatory examples:

Antibiotics classification by WHO

Never use them to treat viral infections like common cold (which mainly occurs due to rhinovirus and adenovirus), etc. Animal products may harbor resistant bacteria, especially those that are treated with antibiotics in farms before going to your plate.

So make your loved ones aware of antibiotics usage because their misuse is rampant.


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Reference:
Link to the sheet containing the antibiotics categorized in the aforementioned groups:

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