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# Constipation After Antibiotics: Why It Happens, What Helps and When to Worry Antibiotics are important medicines that help treat many bacterial infections, but they can sometimes temporarily change the way your digestive system works. Most people associate antibiotics with diarrhea, but **constipation after antibiotics can also happen**. You may notice fewer bowel movements, harder stools, bloating, gas or a feeling that your bowel movements are not as regular as usual. Why does this happen? Antibiotics can alter the community of microorganisms living in your digestive tract. At the same time, being sick, changing your diet, drinking less fluid, becoming less active or taking other medications can all affect your bowel movements. The good news is that constipation after a course of antibiotics is often temporary. However, persistent constipation, severe abdominal symptoms or signs of another digestive problem should not simply be blamed on the antibiotic. ## Can Antibiotics Cause Constipation? Yes, **antibiotics can contribute to changes in bowel habits, including constipation**, although diarrhea is a more commonly recognized digestive side effect. Antibiotics work by targeting bacteria involved in infections. They can also affect some of the bacteria that normally live in the digestive tract. These changes may temporarily alter digestion and bowel function. However, constipation after antibiotics is not always caused directly by the medicine. Other factors surrounding an illness can be just as important. For example, you may have been: * Eating less than usual * Drinking less fluid * Spending more time in bed * Exercising less * Taking iron supplements * Taking opioid pain medication * Using certain antacids * Following a different diet * Experiencing stress because of illness All of these factors can contribute to constipation. ## Why Can Constipation Happen After Taking Antibiotics? There is usually more than one possible explanation. ### Antibiotics Can Change the Gut Microbiome Your digestive tract contains a large community of microorganisms known collectively as the **gut microbiome**. These microorganisms interact with food, digestion and other processes in the intestines. Antibiotics can change the composition and balance of this microbial community. The effects vary depending on the specific antibiotic, dose, duration and individual. For some people, these changes may temporarily affect bowel habits. It is important not to assume that every change in bowel movement after antibiotics is caused by “bad gut bacteria.” The digestive system is complex, and several factors can overlap. ### Illness Can Change Your Normal Routine Sometimes the infection itself is a bigger contributor than the antibiotic. When you’re sick, you may eat differently, drink less, sleep more and move less. If you spend several days resting in bed and consuming fewer fiber-rich foods and fluids, constipation can develop. ### Other Medicines May Be Involved People taking antibiotics are sometimes also taking medicines for fever, pain, nausea, allergies or other symptoms. Some medications can slow bowel movements. Opioid pain medicines are a particularly common cause of constipation. Certain antacids, iron supplements and other medicines can also contribute. If constipation started after you began several medicines at the same time, ask a doctor or pharmacist which ones may be contributing. ## What Does Constipation After Antibiotics Feel Like? The symptoms are generally similar to other types of constipation. You may experience: * Fewer bowel movements than usual * Hard or dry stool * Straining * Pain or discomfort when passing stool * A feeling that you have not completely emptied your bowel * Bloating * Gas * Abdominal fullness * Mild abdominal discomfort You do not have to poop every day to have a healthy bowel pattern. What matters is whether your bowel movements have become unusually infrequent or difficult compared with your normal pattern. ## How Long Does Constipation After Antibiotics Last? There is no exact timeline. Some people notice their bowel habits returning to normal soon after finishing treatment. For others, changes can last longer, particularly if their diet, activity level or other medications have also changed. If constipation continues after the antibiotic course is finished, don’t automatically assume the antibiotic is still the cause. Persistent constipation may have another explanation and deserves attention. ## What Can You Do for Constipation After Antibiotics? If your symptoms are mild and you otherwise feel well, basic constipation measures may help. ### Increase Fiber Gradually Fiber helps add bulk to stool and can support regular bowel movements. Try including foods such as: * Oats * Whole grains * Lentils * Beans * Chickpeas * Pears * Apples with the skin * Oranges * Berries * Vegetables * Nuts * Seeds Adults generally need around **22 to 34 grams of fiber per day**, depending on age and sex. If your diet has been low in fiber, increase it gradually rather than suddenly adding large amounts. A rapid increase can worsen gas and bloating. ### Drink Adequate Fluids Make sure you are drinking enough fluids for your individual needs. This is especially important when increasing fiber because fiber works best when paired with adequate fluid intake. You do not need to force excessive amounts of water. If you have been instructed to restrict fluids because of a medical condition, follow your healthcare professional’s advice. ### Start Moving Again If you’ve been resting because of an illness, gradually returning to normal physical activity may help your bowel function. Even a walk can be a useful starting point if you are well enough to exercise. Don’t push yourself if you’re still recovering from an infection. ### Don’t Ignore the Urge If you feel the need to poop, try to use the bathroom rather than repeatedly postponing it. Regularly ignoring the urge can make bowel habits harder to manage. ### Try a Regular Bathroom Routine Many people find it useful to sit on the toilet after breakfast or another meal. Eating naturally stimulates activity in the digestive tract. Give yourself enough time and try to relax rather than straining forcefully. ### Consider Your Toilet Position Placing your feet on a small footstool may make passing stool more comfortable. The goal is to position your knees slightly higher than your hips and allow the pelvic muscles to relax. ## Should You Take Probiotics After Antibiotics? Probiotics are live microorganisms found in certain foods and supplements. They are often promoted as a way to “restore” gut bacteria after antibiotics. However, probiotics are not a universal solution for every digestive symptom, and different probiotic strains can have different effects. Some people may benefit from specific probiotic products in particular circumstances, while others may notice no meaningful difference. If you’re considering a probiotic supplement, ask a healthcare professional or pharmacist whether it is appropriate for you, particularly if you have a weakened immune system or a serious underlying illness. You do not necessarily need a probiotic supplement simply because you completed an antibiotic course. ## What About Yogurt and Fermented Foods? Foods such as yogurt containing live cultures and certain fermented foods may be part of a healthy diet. They can provide microorganisms and nutrients, but they should not be viewed as a guaranteed treatment for constipation. If you tolerate these foods, they can be included alongside a balanced diet containing adequate fiber and fluids. If dairy products cause you bloating or discomfort, choose other foods instead. ## Should You Stop Your Antibiotic If You Become Constipated? **No. Do not stop a prescribed antibiotic simply because you develop constipation unless your healthcare professional tells you to do so.** Stopping antibiotics early or changing the schedule without medical advice can interfere with treatment. If you believe the antibiotic is causing significant side effects, contact the prescribing clinician or pharmacist. They can determine whether you should continue, change or stop the medicine. Never use leftover antibiotics from a previous illness. ## Can Antibiotics Cause Constipation and Diarrhea at the Same Time? Bowel changes after antibiotics can sometimes be confusing. You may experience loose stool at one point and constipation at another, particularly if your diet, hydration and activity level have changed. There is also a condition called **overflow diarrhea**, in which liquid stool passes around a large amount of impacted stool. If you have watery stool but also feel blocked, severely bloated or unable to properly empty your bowel, don’t assume the watery stool means your constipation has resolved. A healthcare professional should assess persistent or unusual symptoms. ## Antibiotics, Constipation and C. difficile: What Should You Know? One important reason not to ignore significant bowel changes after antibiotics is the possibility of **Clostridioides difficile**, commonly called C. difficile. Antibiotic use can increase the risk of C. difficile infection, which more commonly causes diarrhea, abdominal pain and fever rather than simple constipation. If you develop frequent watery diarrhea, significant abdominal pain, fever or other concerning symptoms during or after antibiotic treatment, seek medical advice promptly. Do not try to diagnose or treat a possible antibiotic-associated infection at home. ## Can Antibiotics Cause Severe Constipation? Severe constipation after antibiotics is possible, but it should not automatically be assumed to be a normal medication side effect. If constipation becomes severe, healthcare professionals may need to consider other causes, including: * Dehydration * Medication side effects * Fecal impaction * Changes in diet * Reduced physical activity * Underlying digestive disorders * Intestinal obstruction or other medical problems The presence of severe symptoms matters more than simply knowing that you recently took an antibiotic. ## When Should You See a Doctor? Contact a healthcare professional if constipation is persistent, repeatedly returns or does not improve with reasonable self-care. You should also discuss constipation with a doctor or pharmacist if you are taking multiple medicines or supplements and are unsure which one may be responsible. ### Seek Urgent Medical Attention If You Have: * Severe or constant abdominal pain * Significant abdominal swelling * Repeated vomiting * Inability to pass gas * Blood in your stool * Black or tarry stool * Fever with significant abdominal symptoms * Severe weakness or dehydration * A sudden worsening of symptoms These symptoms may indicate a problem that needs prompt evaluation. ## Can Constipation After Antibiotics Lead to Fecal Impaction? Prolonged constipation can sometimes cause **fecal impaction**, where hard stool becomes lodged in the rectum or colon. Possible symptoms include: * Increasing abdominal discomfort * Bloating * Difficulty passing stool * A sensation of blockage * Small amounts of stool passing without proper relief * Watery stool leaking around the impacted stool If you suspect an impaction, do not attempt to manually remove the stool yourself. Seek medical care so the problem can be evaluated and treated safely. ## How to Get Your Bowel Routine Back After Antibiotics Once you have recovered from your infection, focus on gradually returning to your normal habits. ### Return to Regular Meals If you have been eating very little, gradually return to balanced meals. Include fiber-rich foods as tolerated. ### Rebuild Your Activity Level If illness kept you inactive, gradually return to your usual movement. ### Keep Your Fluid Intake Consistent Avoid long periods without drinking, particularly in hot weather or when recovering from illness. ### Maintain a Regular Bathroom Routine Respond to natural urges and consider giving yourself relaxed bathroom time after meals. ### Review Your Medications If constipation persists, ask your doctor or pharmacist to review your medicines and supplements. This is especially useful if you started several new products while you were sick. ## What Foods Should You Eat for Constipation After Antibiotics? There is no single food that instantly fixes constipation. Instead, aim for a varied diet. ### Fiber-Rich Fruits Pears, apples with their skin, oranges and berries can contribute fiber. ### Vegetables Vegetables such as carrots, peas, broccoli and leafy greens can help increase overall fiber intake. ### Whole Grains Oats, whole-wheat foods and other minimally refined grains can provide useful fiber. ### Legumes Beans, lentils and chickpeas are excellent sources of dietary fiber. ### Nuts and Seeds Nuts and seeds can add fiber and other nutrients to meals. Increase fiber gradually if your digestive system is sensitive. ## Foods to Limit When You Are Constipated You don’t necessarily need to completely eliminate any particular food. However, if most of your diet consists of highly processed, low-fiber foods, replacing some of them with fiber-rich whole foods may improve bowel regularity. Large amounts of processed snacks, refined grains and other low-fiber foods may make it harder to meet your fiber needs. The goal is balance rather than an extremely restrictive diet. ## Frequently Asked Questions ### Can antibiotics make you constipated? They can contribute to changes in bowel habits, including constipation, although diarrhea is more commonly associated with antibiotic use. Changes in diet, hydration, activity and other medications can also be involved. ### How long after antibiotics can constipation occur? Constipation may occur during or after an antibiotic course, but there is no fixed timeline. The timing can also be influenced by illness, diet, hydration and other medicines. ### Does constipation after antibiotics mean my gut bacteria are damaged? Antibiotics can alter the gut microbiome, but describing this simply as “damaged gut bacteria” is an oversimplification. The microbiome can change in response to antibiotics, and the extent and duration of changes vary. ### Should I take probiotics after antibiotics? Not everyone needs a probiotic supplement. Some specific probiotics may be useful in certain circumstances, but benefits depend on the strain and situation. Ask a healthcare professional if you’re considering one. ### Can yogurt help constipation after antibiotics? Yogurt containing live cultures can be part of a balanced diet, but it is not a guaranteed treatment for constipation. Fiber, adequate fluids, activity and regular bowel habits remain important. ### What should I do if I can’t poop after taking antibiotics? If symptoms are mild, try gradually increasing fiber, maintaining adequate fluid intake, moving regularly and responding to the urge to poop. If constipation is severe, persistent or accompanied by concerning symptoms, contact a healthcare professional. ### Can I take a laxative after antibiotics? Some people can safely use laxatives, but the appropriate choice depends on your symptoms, health conditions and other medications. Ask a pharmacist or doctor for guidance, especially if constipation is severe or recurrent. ### Should I stop antibiotics because they are causing constipation? No. Do not stop a prescribed antibiotic without discussing it with the prescriber or another qualified healthcare professional. ## Final Takeaway Constipation after antibiotics can happen, but the antibiotic itself may be only one piece of the puzzle. Changes to the gut microbiome, reduced activity, dehydration, changes in diet and other medications can all affect bowel movements during or after an illness. If your symptoms are mild, returning gradually to a fiber-rich diet, drinking adequate fluids, becoming active again and maintaining regular bathroom habits may help. If constipation persists, keeps returning or becomes severe, don’t assume that it is simply a temporary antibiotic side effect. A healthcare professional can look for medication-related causes and other conditions that may need treatment. And if constipation occurs alongside severe abdominal pain, vomiting, significant swelling or inability to pass gas, seek urgent medical attention rather than continuing to try home remedies. **Medical disclaimer:** This article is for general educational purposes only and does not replace professional medical advice, diagnosis or treatment. If you have persistent, severe or unusual symptoms during or after antibiotic treatment, consult a qualified healthcare professional.

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Thursday, September 10, 2026 10:12 am

Lionel Messi Scores as Inter Miami Draw 2-2 With Philadelphia Union in Heated MLS Clash

Lionel Messi scored and provided an assist as Inter Miami CF were held to a 2-2 draw by the Philadelphia Union in a tense Major League Soccer match at Subaru Park on Wednesday night.

The game produced four goals, several chances and a dramatic finish, with both teams ending the match with 10 players after red cards were shown during stoppage time. Messi’s goal was particularly significant as it was his first since returning to action following the death of his father, Jorge Messi.

Inter Miami made a strong start and opened the scoring in the 21st minute. Messi delivered a cross into the penalty area, and Luis Suarez headed the ball into the path of Daniel Pinter, who finished the move to put Miami ahead.

Messi then got on the scoresheet himself five minutes later. The Argentine forward cut inside onto his preferred left foot from around 12 yards and curled the ball into the corner of the net, giving Miami a 2-0 advantage.

The goal continued Messi’s impressive production in MLS. He has now recorded 13 goals and nine assists in 17 league appearances during the season, according to ESPN’s match report.

Philadelphia responded before halftime. Indiana Vassilev scored from a volley to reduce the deficit and give the home side renewed hope.

The Union continued to press after the interval and eventually found an equaliser in the 58th minute. Eighteen-year-old defender Neil Pierre headed home his third goal in five games this season, bringing Philadelphia level at 2-2.

Cavan Sullivan, the Union’s 16-year-old midfielder, was credited with his seventh assist of the season for Vassilev’s goal. His contribution was another notable moment in a match that featured several young players making an impact.

Philadelphia appeared to complete the comeback in the 62nd minute when Milan Iloski found the net. However, the goal was subsequently ruled out after a video review determined that Pierre had been offside during the buildup.

The disallowed goal kept the score level and set up an increasingly competitive final period. Both teams continued looking for a winner, but neither could find a decisive third goal.

Inter Miami coach Guillermo Hoyos described the match as an evenly contested encounter and said his team would have preferred to take all three points. He acknowledged that Philadelphia had made Miami work hard for the draw.

The match became particularly heated late in the game. In stoppage time, Inter Miami midfielder Yannick Bright and Philadelphia’s Cavan Sullivan were both shown red cards following a scuffle away from the ball.

The two dismissals brought a dramatic conclusion to an already intense match. Despite the late confrontation, neither side was able to break the deadlock before the final whistle.

For Inter Miami, the draw came after a difficult stretch of results. The club had entered the match following a 4-1 defeat against first-place Nashville SC on Saturday. That loss ended Miami’s seven-game unbeaten run in MLS, a sequence that had included six victories and one draw dating back to May 9.

Miami had also experienced difficulties in other competitions. The club had suffered three consecutive defeats in all competitions before the Philadelphia match, including losses against Mexican opposition in the Leagues Cup.

Messi himself had played 90 minutes in the defeat to Nashville, despite missing a penalty and hitting the post twice. He also provided an assist for Telasco Segovia’s goal in that match.

His availability had been limited earlier in August because of the death of his father. Messi missed Miami’s August 8 match against Monterrey while travelling home for his father’s funeral. He later returned as a substitute against Leon on August 12, playing 45 minutes.

The goal against Philadelphia therefore marked an important personal moment for Messi as he continued his return to regular competitive football.

Inter Miami entered the Philadelphia match second in the Eastern Conference. The result left Miami with an 11-3-6 record and 39 points after 20 matches, while Nashville remained at the top of the conference with 46 points.

Philadelphia, meanwhile, moved to 5-10-5, giving the Union 20 points from 20 games. The club remains in the lower half of the Eastern Conference standings, but its recent form has shown signs of improvement.

The Union are now unbeaten in five matches, having recorded four victories and one draw during that run. Their improved form has come after Ryan Richter was appointed interim coach.

The result was particularly encouraging for Philadelphia because the team was facing one of the strongest attacking sides in the league. Miami’s squad includes several internationally recognised players, while Messi remains the central figure in the club’s attack.

The match also featured a reunion with Rodrigo De Paul absent from the Miami lineup because of a suspension for yellow-card accumulation. De Paul, like Messi, was part of Argentina’s team that finished as World Cup runners-up.

Luis Suarez also entered the game with a strong record against Philadelphia. He had scored a hat trick in Miami’s previous meeting with the Union, helping the team overcome deficits during that encounter.

The latest match was again a high-scoring contest between the sides, but this time Philadelphia managed to avoid defeat after recovering from a two-goal deficit.

For Miami, the draw prevented another loss but also extended a difficult period in which the club has struggled to maintain the consistency it showed earlier in the MLS season.

Messi’s performance nevertheless provided a positive individual highlight. His goal and assist demonstrated his continuing influence on Miami’s attacking play, while his return to the scoresheet could provide an important boost as the regular season progresses.

Philadelphia can take confidence from its response after falling two goals behind. Rather than allowing Miami to control the match, the Union scored twice and created additional opportunities before the final whistle.

The disallowed goal in the second half also showed how closely contested the match had become. A successful finish would have completed Philadelphia’s comeback, but the offside decision prevented the home side from taking the lead.

The late red cards added another layer to a match already marked by physical intensity. Both clubs will now have to manage the consequences of the dismissals as they continue their MLS campaigns.

The 2-2 result ultimately reflected a match in which momentum shifted repeatedly. Miami dominated the opening stages and built a two-goal advantage through Pinter and Messi, but Philadelphia responded strongly through Vassilev and Pierre.

Neither team could produce the decisive moment in the closing stages, leaving the points shared.

For Inter Miami, the immediate priority will be to regain consistency after a series of difficult results. For Philadelphia, extending its unbeaten run to five matches provides renewed confidence as the team attempts to climb the Eastern Conference standings.

Messi’s return to the scoresheet will remain one of the main talking points from the match. Beyond the statistics, the goal came during an emotional period for the Argentine star following his father’s death.

With the MLS season continuing, Inter Miami will look to Messi and its experienced attacking players to push the team towards the top of the Eastern Conference. Philadelphia, meanwhile, will attempt to build on its recent unbeaten run and turn improved performances into more points.

The latest meeting between the two clubs once again demonstrated the competitiveness of MLS, with a match involving one of the league’s biggest stars ending in a dramatic draw rather than a straightforward victory for the visitors.

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