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Doctor insights on: C Difficile

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How do you get c. Difficile?

How do you get c. Difficile?

Varies: Usually people acquire c. Diff while in the hospital or nursing home. The bacteria can be spread if hands are not washed properly. Patients usually have recent antibiotic exposure to treat infections, weakened immune system, are over the age of 65, colon disease, previous abdominal or gastrointestinal surgery, or previous history of c. Diff. ...Read more

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How does c. Difficile spread? 

Fomites: C. Diff is more common in the hospitals and nursing homes and is usually spread by not washing your hands properly. Those who carry that bacteria may not be sick but still my pass the bacteria person to person or through objects such as doorknobs, tv remotes, handles, etc. ...Read more

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Who is at risk for c. Difficile?

Hospital: The majority of c. Diff cases occur in the hospital with patients who are taking antibiotics to treat recent infections. Other risk factors include being over the age of 65, colon disease, being in a hospital or nursing home for an extended period of time, have a weak immune system, abdominal or gastrointestinal surgery, or previous history of c. Diff infections. ...Read more

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What can be done for c. Difficile?

What can be done for c. Difficile?

Antibiotics: Antibiotics are used to eradicate the organism. Some doctors help to repopulate the gut with probiotics. ...Read more

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What are the symptoms of c difficile?

What are the symptoms of c difficile?

Diarrhea/cramps: Diarrhea ( 3 or more loose stools per day), abdominal cramps and pain, fever, an elevated WBC count are the most common findings in d. Difficile induced colitis. ...Read more

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What are the symptoms of c. Difficile?

What are the symptoms of c. Difficile?

Many: Common symptoms of c. Difficile include watery diarrhea in tremendous volumes, recent antibiotic exposure, abdominal pain, fever, and foul stool odor. Many patients get this while they are in the hospital after being treated with an antibiotic for a recent infection. ...Read more

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What is the best way to treat c. Difficile?

What is the best way to treat  c. Difficile?

Flagyl or Vancomycin: Clostridium difficile colitis is treated with a 10-14 day course of oral Flagyl or vancomycin. Unfortunately relapses occur in 25-30% of treated patients requiring re-treatment. Multiple recurrences are treated witha 6 week vancomycin pulse/taper some add a probiotic s. Boulardii (flora stor), some give a Rifaximin chaser. When these fail, fecal transplant cures 91% of these recalcitrant pts. ...Read more

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I have c. Difficile, is it dangerous?

No and Yes: Most cases of c. Difficile colitis can be cured with a 14 day course of Metronidazole or vancomycin. 20-25% of people relapse after their treatment and require re-treatment. After 1 relapse the risk of recurrent relapses increases. Recurrent relapses can be a serious problem requiring fecal transplant in some patients. Severe c. Diff does occur-toxic megacolon needing colectomy in some. ...Read more