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Doctor insights on: Fecal Enemas Treat Clostridium

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Dr. Stephen Scholand
452 doctors shared insights

Clostridium Difficile (Definition)

C. Diff, it is a spore forming bacillus that when the micro environment of the colon is modified by antimicrobials, it can germinate and elaborate a toxin causing pseudo membranous colitis, ...Read more


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Are fecal transplants beneficial in treating ulcerative colitis?

Are fecal transplants beneficial in treating ulcerative colitis?

Possibly: They help reduce inflammation by repopulating the gut with healthy bacteria that are immune modulators. It's still in the research stage for UC, so most GIs don't offer it. Some kits with instructions are available on the internet. Try Probonix probiotic, vit D3 10k IU/day and autoimmune paleo diet until you can find more on fecal transplant. ...Read more

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Can whipworms treat ulcerative colitis?

Can whipworms treat ulcerative colitis?

Ongoing research: There is a lot of promising data that looks at whip worms but also other living organisms like bacteria in making a difference in ulcerative colitis and crohn's disease. The data are still preliminary in my mind and are not ready for prime time, mostly because we do not fully understand the biology behind why they help people. ...Read more

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What is intestinal infection with clostridium difficile?

What is intestinal infection with clostridium difficile?

Abx complication: An infection resulting from antibiotic use that can cause diarrhea and other colonic problems. It requires treatment with either Metronidazole or oral vancomycin. ...Read more

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Is it true that the use of fecal enemas is way to treat severe clostridium difficile infections?

Is it true that the use of fecal enemas is way to treat severe clostridium difficile infections?

Absolutely True: It's amazing, and for some people seems disgusting, but it actually works to recolonize the gut. The formal name is fecal or stool transplant, and as you say it essentially involves introducing fecal matter from a healthy donor into the gut of a person with c. Diff. Still experimental and not widely used yet. I have condensed a medlineplus link: see http://tinyurl.Com/7r27abk. ...Read more

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What can transmit clostridium difficile?

What can transmit clostridium difficile?

Fecal contamination: C diff may be transmitted from one patient to an other on the hands of hospital workers if they do not wash hands between patients. ...Read more

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Why are clostridium difficile infections hard to treat?

Why are clostridium difficile infections hard to treat?

It produces spores: Partly it is the persons immune system and general health that makes it recur more often. The main problem is it comes back after treatment. Clostridium produces endospores. Endospore is is a tough structure in which the bacteria is dormant and not reproducing. Antibiotics don't affect the spores so after the symptoms are gone, the spores activate and then cause reinfection. ...Read more

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How is colitis diagnosed? Stool sample?

How is colitis diagnosed? Stool sample?

Colonoscopy helps : Usually an imaging exam like a CT scan will show an inflamed colon and stool studies can check for certain infectious causes but a colonoscopy can determine if it is chronic colitis like ulcerative colitis or crohns. ...Read more

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Bleeding in rectal, exam shows blood in stool & hemorrhoids, have loose stool, rare for solids. Can I use miralax (polyethylene glycol) safely to help loosen impacted stool?

Bleeding in rectal, exam shows blood in stool & hemorrhoids, have loose stool, rare for solids. Can I use miralax (polyethylene glycol) safely to help loosen impacted stool?

Yes you can: Use a dose (17 gm packets) daily, but also recommend you start taking supplemental fiber (like metamucil or equivalent) along with. This will help you be more regular naturally. Once you feel you have "cleaned out" somewhat - stop the MiraLAX (polyethylene glycol) but continue the fiber on a daily basis. Also try warm soaks on your hemorrhoids, and topical creams with steroid (hc) may help, too. ...Read more

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What is the immune response to clostridium botulinum, clostridium tetani or clostridium perfringes?

What is the immune response to clostridium botulinum, clostridium tetani or clostridium perfringes?

Do your homework: Your instructors will expect you to answer your homework questions from the assigned reading. The wording and jargon will be recognizable and you will be dinged if you do not.This information site is not set up to provide a shortcut for homework answers. ...Read more

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Have ulcerative colitis in sigmoid and ascending colon/cecum (just confirmed by colonoscopy). Will enema treat this (allergic to NSAIDs)?

Have ulcerative colitis in sigmoid and ascending colon/cecum (just confirmed by colonoscopy). Will enema treat this (allergic to NSAIDs)?

Consider allergy ref: Thanks for your question. Depending on the NSAID allergy, sometimes it can be desensitized through introduction of small amounts initially, then gradual increase in dose under supervision by an allergy specialist. However, would discuss the side effects/risks/benefits with a specialist. ...Read more

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Clostridium difficile toxin b gene present clostridium dificile antigen presen. Would u no how severe the c diff is?

Clostridium difficile toxin b gene present
clostridium dificile antigen presen. Would u no how severe the c diff is?

Have diarrhea or no?: C.Difficile is pathogenic in older children & adults (whose colonic microflora are altered by antibiotics, chemotherapy, salmonella/shigella). C.Diff causes diarrhea w/pseudomembranous & other colitis, complicates inflammatory bowel disease, causes fulminant transmural extension, perforation with peritonitis, toxic megacolon. Treatment, & confirmation of post-treatment eradication, is recommended. ...Read more

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Intractable constipation, not colonic inertia. Non-medication treatment options?

Intractable constipation, not colonic inertia. Non-medication treatment options?

Fiber,fiber,and more: Fiber as well as adequate daily hydration.Have you been evaluated by a board certified gastroenterologist?If not, do so.There may be more to the story , of which, you are yet unaware. ...Read more

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Can chronic constipation cause a false normal fecal elastase stool test level? Sample only achieved after high dose bisacodyl laxative (25mg).

Can chronic constipation cause a false normal fecal elastase stool test level? Sample only achieved after high dose bisacodyl laxative (25mg).

No: However, fecal elastase is famously neither sensitive nor specific for anything. It is helpful but only as one small part of a workup along with other indicators to determine whether to treat. ...Read more

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Safe/reccommended to use fleet enema (sodium bisphosphate) before anal sex?

Safe/reccommended to use fleet enema (sodium bisphosphate) before anal sex?

Yes: I'm sure your partner would appreciate it. However, there are some contraindications to use of fleets enemas due to the phosphate (such as kidney disease). Therefore, talk with your physician. ...Read more

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Enema (Definition)

An enema is the introduction of liquid into the rectum to evacuate the bowels[ principly the colon/ large ...Read more