Doctor insights on:
Working With A Patient With C Diff While You Are Pregnant
Dangerous in elderly: Older age is a well established risk factor for having a more severe case of c diff, as well as dying from it. This is likely because being older is a surrogate marker for having other diseases that can suppress your immune response, such as diabetes, cancer, etc. The very young (2yo and under) have not been shown to have more severe cases of c diff. In fact, many infants are colonized with it! ...Read more
When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more
If I took Macrobid while I was pregnant, did that cause for my newborn to be positive for toxigenic c. Diff?
Going to be tested for C diff after antibiotic use. If I end up being tx for it, is it okay to try for pregnancy next month? Recurrence risk? Worried!
I am not a patient but I have c-diff. Am on 500 mg metronidazole every 12 hrs For 5 days and still sick. How long before I can feel better. How long?
C diff: Based on best evidence the dosing for c diff if your pretty symptomatic should be every six to eight hours. Also you should be taking probiotics about three times a day, again good evidence supports this. Usually it takes 5-7 days for symptoms to subside with adequate treatment. How ever can last up to 2 weeks. If not improved or getting worse see your doctor again to go over treatment options ...Read more
I'm 27 wks. Pregnant have a GBS uti colony of 100, 000 (again). Ob prescribed Clindamycin without testing it, and ignored my concern of c-diff.?
No urgency to treat: Unless you have symptoms of UTI (frequent urination, pain or urgency to urinate), you do not have to rush into taking antibiotics. Clindmycin is rarely used for UTI. You may be better of seeking a second opinion from a primary care doctor (Family Practice or Internist) who can be more careful in making a decision whether you have UTI or a contamination and which antibiotic is safer in pregnancy. ...Read more
Daughter reported to head doctor that nursing home staff didn't wash hands; worried since they care for c diff patient. Now staff won't cooperate w/ her?
10 weeks pregnant tested positive for Clostridium Difficile. Needing second opinion on treatments recommended please.
Second opinions: The HealthTap forum that you are currently using is for informational purposes only, and it is not appropriate for us to diagnose or suggest treatments here (this is for your safety!). If you request a personal consult with one of our HealthTap Prime physicians, a second opinion with advice can be offered. ...Read more
Have you encountered a patient with a cryptic pregnancy? How common is it? How did they discover it?
My patient at work is 9 months pregnant but had negative tests/periods the whole time. How is that possible?
It isn’t: Something about this story is not correct. People can have bleeding during pregnancy but this is not a menstrual cycle (period) and it is never normal. Bleeding in pregnancy should always be evaluated. If someone is pregnant then a home test will be positive except in the very early days when the levels are too low. ...Read more
Ob gyn: You can schedule a visit as soon as you know you are pregnant. ...Read more
See below: During pregnancy the kidney actually works harder and increases function and this results in a lower serum creatinine than before pregnancy. Having a higher creatinine means there has been damage to the kidney in the past and the kidney cannot increase its functioning capacity and needs to be investigated. ...Read more
Both: The mom and baby are both important. That's why high risk obstetricians are called maternal-fetal medicine specialists. ...Read more
Lots of choices:
Depends on the type of infection, the location of the infection.
There are lots of choices for patients with a pen allergy. ...Read more
PPD testing serially: Serial PPD (tuberculosis skin testing) should be performed to determine if this pregnant woman had been previously exposed to tb, or if this exposure was enough to convert her PPD from negative to positive. New PPD conversions to positive should be assessed for active TB with chest x-ray and treated fully with anti-tb medication (s) as Isoniazid for 6-9 months. See a maternal-fetal medicine doctor! ...Read more
The weight of the uterus may compress and even occlude the large vein in the abdomen
Be in the Left lateral position to avoid it
Gabor Racz MD ...Read more
How do MFMs determine whether to perform a transcervical or transabdominal CVS for a pregnant patient?
Experience: MFMs do what they are most experienced in: some in transcervical cvs, others in transabdominal; some have experience in both. ...Read more
How far into an uncomplicated pregnancy can you clear a patient to safely run a half marathon? When do complications typically occur during pregnancy?
Exercise in pregnanc: Exercise in pregnancy has been accepted as a positive thing as it makes labor easier and may make it easier to recover your pre pregancy weight. Late in pregnancy, the change in weight alters balance and makes some athletic activities difficult. Regarding running some concern has been raised regarding temperature elevations of the fetus in the first trimester as causing potential problems. ...Read more
I am a pco patient, weight 80kg, my doc put me on oosure capsules and fertyle super, I want to know whether can I become pregnant by these medication?
I have my appointment for blood test in a week, 14 days after my et, trying to be patient, but any symptoms that can give me a hint of being pregnant?
All will be revealed: Patience. All will be revealed in due time. To raise a happy, healthy child requires great patience in both parents. This is a great time to practice patience. Enjoy life, take a walk in the park, watch a movie, and don't think about pregnancy nor of babies at all... Until the doctor's appointment. ...Read more
I am a pco patient, weight 80kg, my doc put me on oosure capsules and fertyle super, I want to know wheather can I become pregnant by these medication.?
Not sure: In pcos one main culprit is high insulin. Working metformin up to 1500 mg per day, go slow and use the er version, will help 30% of women to ovulate spontaneously. I will use birth control during that time and give the ovaries a rest. Women with pcos have 2x the rate of mood and stress issues, make sure you're sleeping at night and awake during the day. Are these vitamin supplements? ...Read more
Yes: PCOS may need treatment in order to get pregnant. Some can't despite treatment. Each case is different and requires evaluation ...Read more
Non-fetal sonogram: There are many gynecological problems that can be diagnosed with pelvic sonogram, such as uterine fibroids, leiomyomatous uterus, ovarian cysts, adenomyosis (endometriosis of the uterus), uterine/fallopian tube/ovaian cancer and endometrial polyps are just a few diseases that can be diagnosed or ruled out with pelvic sonogram. Ask your gynecologist - communication with your doctor is healthy! ...Read more
Would a D&C be performed if a mother is miscarrying at 37/38 weeks pregnancy? And if so, how soon before the patient is discharged?
At that point, the pregnancy is full term and will be "stillborn." A sad situation and I feel for her.
She will likely have her labor induced and deliver vaginally if possible. The length of stay in the hospital will be similar to one for a regular birth. This assumes the mother doesn't have a complication such as an infection. ...Read more
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