Clostridium Difficile Colitis (Antibiotic-Associated Colitis, C. difficile colitis) »
What is Clostridium difficile (C. difficile)?
Clostridium difficile (C. difficile) is a bacterium that is related to the
bacterium that cause tetanus and botulism. The
C. difficile bacterium has two
forms, an active, infectious form that cannot survive in the environment for
prolonged periods, and a nonactive, "noninfectious" form, called a spore, that
can survive in the environment for prolonged periods. Although spores cannot
cause infection directly, when they are ingested they transform into the active,
infectious form.
C. difficile spores are found frequently in:
- hospitals,
- nursing homes,
- extended
care facilities, and
- nurseries for newborn infants.
They can be found on:
- bedpans,
- furniture,
- toilet seats,
- linens,
- telephones,
- stethoscopes,
- fingernails,...
Read the Clostridium Difficile Colitis (Antibiotic-Associated Colitis, C. difficile colitis) article »
I had my colonoscopy done in Seoul, Korea. The pretest period included three days of a restricted diet, avoiding aspirin, and the last day before the test, eating only rice gruel. Between 5 and 9 a.m. on the day of test, I drank a glass of colyte at 10 minute intervals, and gasocol. At 4 p.m. I received a shot in the butt and waited about 30 minutes for it to take effect; apparently it was a muscle relaxer, as it did not seem to make me groggy. I was told to lie on my left side at the beginning of the exam, and later on my back with the right leg crossing the left; I watched the procedure on a color monitor. Before the doctor put the probe in, it seems he put on some local anesthetic to numb the rectum; I didn't feel the probe as it entered, nor could I feel it as it snaked through the colon. No problems with "corners." Everything seemed pretty clean, although there were pockets of liquid that the doctor suctioned out. Everything seemed fine, until as he was withdrawing the probe. Carefully examining the vaults, he found one very small polyp. I couldn't distinguish it from the surrounding tissue. I watched as he looped and removed it. I couldn't feel anything; it was entirely painless. When it was over, I walked back to the waiting room where I received some instructions about diet, activities and risks relating to the excision of the polyp. Then I dressed and went home. So far so good except for the polyp. My test results are due next week. Published: September 02 ::