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February 10, 2012

Patient Discussions: Clostridium Difficile Colitis - How Was Diagnosis Established

Question:What kinds of treatments have been effective for your clostridium difficile colitis (antibiotic-associated colitis, c. difficile colitis)?

Comment from: mommyofthemase, 25-34 Female (Patient) Published: December 01

I am only 26 and thought I had the "flu," but I had been running a constant fever for three months, so I had an appointment to see an infectious disease doctor that my regular doctor set up for me. My regular doctor had taken a stool sample because he had suspected c-diff because I had taken Clindamycin. When I went to the infectious disease doctor, sure enough, it was C. diff! He didn't understand how I got it. I haven't had any hospitalizations in a long time, I'm young, but I had worked in a nursing home when I was 19. We're assuming that's where I was exposed to it even though I followed all the proper procedures when taking care of C. diff residents. I am now on my second round of Vancocin, as I am severely allergic to Flagyl.

Related Reading: flu | fever

Comment from: cad, 55-64 Female (Patient) Published: November 19

Reading these comments has helped me cope with my own situation and know there is hope in getting better. Three months ago I had a dental procedure and the dentist put me on an antibiotic as a precaution against an infection. A week after I stopped the medication I started with the uncontrolled diarrhea. Went to the doctors and was told I had C diff. It is now November and I am on my fourth round of it. I ended up in the ER this time with pancolitis, dehydration, and uncontrolled diarrhea. I now have infectious disease in on my case. I was told that I had not been on the medication long enough (Vancomycin). I was on a two week course each time and it comes back within a week. Now I am on Vancomycin for 5 weeks with a tapering course. They also said you just should not stop it. I am also on Questran. It binds the toxin and then you pass it. I am hoping this is it. I have always been healthy and I don't take antibiotics but the dentist scared me about infection so I took it. At this point I would have rather taken my chances on an infection that to go through this.

Related Reading: diarrhea | dehydration

Comment from: smurf, 35-44 Female (Patient) Published: November 19

I developed C. difficile about 2 weeks after being in the hospital for my C-section at age 34. I was on antibiotic to prevent infection after the surgery and then another one started afterwards for a bladder infection. I was started on Flagyl for the C. diff. only to end up with severe hives. Then Vancomycin was started but it never fully cleared up. It took 4 months to clear this C. difficile up. You have to be aggressive with the doctor. I ended up going to a gastroenterologist and he put me on Questran (cholestyramine) which you mix with water and drink before a meal so it helps wash out the C. difficile toxin. That is what helped me in conjunction with Vancomycin and a refrigerated probiotic. I also had a colonoscopy to check to see if the C. difficile had done damage to my digestive system. GO TO A GASTROENTEROLOGIST! If that is not possible, ask for the 3 meds listed that helped me. Family practice doctors sometimes just don't know what they are doing!

Related Reading: C-section | bladder infection | hives

Comment from: Jan, 45-54 Female (Patient) Published: November 19

At age 48 I was given an antibiotic (Augmentin) for a sinus infection that began my nightmare. I became extremely ill, to the point I was bed ridden from sheer exhaustion because of C Diff Toxins. I was given many doses of Flagyl and Vancocin and neither of these meds worked. I kept relapsing with C Diff for almost 2 years. Finally I got the courage to go to see a doctor who administered a "stool infusion" to get rid of this nasty bug. The procedure worked for me. It has been a little over 2 months now and I have no signs of C Diff and my test results proved negative for the toxins. Of course, I am now very concerned that I could acquire this again because of how many relapses I have had so, for me no antibiotics is a "must" for the rest of my life.

Related Reading: sinus infection

Comment from: ynkeslb, 55-64 Female (Patient) Published: November 13

I was diagnosed with C-Diff, have had all the recommended prescription treatments, 3 of Vancomycin, my energy level and social life is nil, I must stay near a bathroom all the time. I am now followed by Infectious Disease Control. I have tried the probiotics Lactobacillus Acidophilus, but no improvement. I am now to the point of not eating, just living on Gatorade. I see the doc in a few days. This caused me to seek mental health and with the help of a psychologist and a counselor I have mentally improved, but physically have lost 27lbs, don't get to eat out anymore, have to fast 24 hours before going anywhere like doctor appointments, or grocery shopping. I have had 2 ER visits, one that resulted in hospitalization for dehydration.

Related Reading: mental health


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Clostridium Difficile Colitis - Diagnosis Question: How was your clostridium difficile colitis diagnosed?

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Suggested Reading on Clostridium Difficile Colitis (Antibiotic-Associated Colitis, C. difficile colitis) by Our Doctors

  • Related Diseases & Conditions

    • Abdominal Pain
      • Abdominal pain is pain in the belly and can be acute or chronic. Causes include inflammation, distention of an organ, and loss of the blood supply to an organ. Abdominal pain can reflect a major problem with one of the organs in the abdomen such as the appendix, gallbladder, large and small intestine, pancreas, liver, colon, duodenum, and spleen.
    • Crohn's Disease
      • Crohn's disease is a chronic inflammatory disease, primarily involving the small and large intestine, but which can affect other parts of the digestive system as well. Abdominal pain, diarrhea, vomiting, fever, and weight loss are common symptoms.
    • Diarrhea
      • Diarrhea is a change is the frequency and looseness of bowel movements. Cramping, abdominal pain, and the sensation of rectal urgency are all symptoms of diarrhea. Absorbents and anti-motility medications are used to treat diarrhea.
    • Dehydration
      • Dehydration is the excessive loss of body water. There are a number of causes of dehydration including heat exposure, prolonged vigorous exercise, and some diseases of the gastrointestinal tract. The best way to treat dehydration is to prevent it from occurring.
    • Ulcerative Colitis
      • Ulcerative colitis is a chronic inflammation of the colon. Symptoms include abdominal pain, diarrhea, and rectal bleeding. Ulcerative colitis is closely related to Crohn's disease, and together they are referred to as inflammatory bowel disease. Treatment depends upon the type of ulcerative colitis diagnosed.
    • Fever
      • Although a fever technically is any body temperature above the normal of 98.6 degrees F. (37 degrees C.), in practice a person is usually not considered to have a significant fever until the temperature is above 100.4 degrees F (38 degrees C.). Fever is part of the body's own disease-fighting arsenal: rising body temperatures apparently are capable of killing off many disease- producing organisms.
    • Stool Color & Texture Changes (Black, Red, Maroon, Green, Yellow, Gray, Tarry, Sticky)
      • Stool color is generally brown. When stool color changes, often, an individual becomes concerned. The presence of the bilirubin in bile is generally responsible for stool color. Bilirubin concentration can vary bile color from light yellow to almost black in color. Changes in bilirubin can cause stool to turn green, gray, or clay-like in color. Intestinal bleeding may turn stool black, tarry, red, maroon, or smelly stool. Medication and food may also affect stool color.
    • Colitis
      • Inflammation of the inner lining of the colon is referred to as colitis. Symptoms of the inflammation of the colon lining include diarrhea, pain, and blood in the stool. There are several causes of colitis including infection, ischemia of the colon, inflammatory bowel disease (Crohn's disease, Ulcerative colitis, or microscopic colitis). Treatment depends on the cause of the colitis.
    • The Digestive System
      • Digestion is the complex process of turning food you eat into the energy you need to survive. The digestive process also involves creating waste to be eliminated, and is made of a series of muscles that coordinate the movement of food.
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Symptom Checker: Your Guide to Symptoms & Signs: Pinpoint Your Pain


Clostridium Difficile Colitis (Antibiotic-Associated Colitis, C. difficile colitis)

What is colonoscopy?

Colonoscopy is a procedure that enables an examiner (usually a gastroenterologist) to evaluate the inside of the colon (large intestine or large bowel). The colonoscope is a four foot long, flexible tube about the thickness of a finger with a camera and a source of light at its tip. The tip of the colonoscope is inserted into the anus and then is advanced slowly, under visual control, into the rectum and through the colon usually as far as the cecum, which is the first part of the colon.

Why is colonoscopy done?

Colonoscopy may be done for a variety of reasons. Most often it is done to investigate the cause of blood in the stool, abdominal pain, diarrhea, a change in bowel habit, or an abnormality found on colonic X-rays or a computerized tomographic (CT) scan. Individuals with previous history of polyps or colon cancer and certain individuals with a family history of some types of non-colonic cancers or co...

Read the Colonoscopy article »




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