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Colitis (Expert Forum)
C-diff with an ileostomy
Answered by
Ratnakar Kini, MD - Gastroenterology, Pediatrics, acid reflux, gerd, colitis
Gastroenterologist & Hepatologist
India
This forum is for questions and support regarding Colitis issues such as: Causes, Constipation, Diagnosis, Diarrhea, Drugs and OTC Medications, Fever, Living with Colitis, Loss of Appetite, Preventing Flare-ups, Research, Symptoms, Support, Surgery, Tests, Treatments, Types of Colitis
C-diff with an ileostomy
by sparker25, Sep 03, 2008 03:41PM
I have had my ileostomy for a year and a half and have been treated three times for C-diff due to use of antibiotics. Now I read many times that without a colon you cannot get C-diff well I have tested postive each time and suffered terrible bouts of diarhea (diarrhea). I lost my colon due to an accident with a semi and loss of my bladder function but have a Medtronic Inter-Stim neurostimulator that is implanted in my left hip that corrected the bladder function but the colon stopped working and i became ill so an ileostomy had to be performed. I am in the midst of another C-diff infection that yes tested positive for both A & B toxins.
I am for the third time on vancomycin which is the only drug to stop the diarhea (diarrhea) Flagyl just doesn't work. My question is how besides no antibiotics which some of my infections were very serious can I prevent this? Why do so many believe an ileostomy patient cannot get C-dff. I was warned of this right after my surgery. All the ileostomy patients I know have all experienced it and the colostomy patients I know haven't. Even the J pouch patients suffer from C-diff. Why are there so many contradictions?
This time was the worst and i had a tooth that had formed a cyst on the outside of the gum full of infection and I am having a root canal done. I have lost three teeth since my ileostomy due to infections. I had excellent dental practices and health until the ileostomy. My GI specialist wants me to have all my teeth extracted to prevent further infections that lead to antibiotics but that is just to ratical for me. I have great looking teeth. these were molars that i have lost.
Any advice would be greatly appreciated. I must mention I have no feeling in my abdominal area so I cannot feel cramping or pain just distention which is very uncomfortable.
Sincerely
Sue P
I am for the third time on vancomycin which is the only drug to stop the diarhea (diarrhea) Flagyl just doesn't work. My question is how besides no antibiotics which some of my infections were very serious can I prevent this? Why do so many believe an ileostomy patient cannot get C-dff. I was warned of this right after my surgery. All the ileostomy patients I know have all experienced it and the colostomy patients I know haven't. Even the J pouch patients suffer from C-diff. Why are there so many contradictions?
This time was the worst and i had a tooth that had formed a cyst on the outside of the gum full of infection and I am having a root canal done. I have lost three teeth since my ileostomy due to infections. I had excellent dental practices and health until the ileostomy. My GI specialist wants me to have all my teeth extracted to prevent further infections that lead to antibiotics but that is just to ratical for me. I have great looking teeth. these were molars that i have lost.
Any advice would be greatly appreciated. I must mention I have no feeling in my abdominal area so I cannot feel cramping or pain just distention which is very uncomfortable.
Sincerely
Sue P
Doctor's Answer
by Ratnakar Kini, MD, Sep 06, 2008 01:44PM
, Sep 06, 2008 01:44PM
Hi,
C-diff infection can occur in patients who have undergone proctocolectomy along with ileostomy.
This is due to the involvement of the small bowel and is called c-diff enteritis.
But this very rare. Only about 15 cases have been reported so far.
So not much is known about this entity.
It is believed that a reservoir for c-diff may exist in the small intestine and antibiotic therapy in colectomy patients cause c-diff overgrowth in small bowel causing symptoms.
So treat the c-diff infection completely and try to avoid antibiotics that may predispose to c-diff infection.
================================================================
The information provided is for patients’ education only and is not a medical advice. Always consult your personal physician for complete evaluation of your health problem.
- Ratnakar Kini M.D.
C-diff infection can occur in patients who have undergone proctocolectomy along with ileostomy.
This is due to the involvement of the small bowel and is called c-diff enteritis.
But this very rare. Only about 15 cases have been reported so far.
So not much is known about this entity.
It is believed that a reservoir for c-diff may exist in the small intestine and antibiotic therapy in colectomy patients cause c-diff overgrowth in small bowel causing symptoms.
So treat the c-diff infection completely and try to avoid antibiotics that may predispose to c-diff infection.
================================================================
The information provided is for patients’ education only and is not a medical advice. Always consult your personal physician for complete evaluation of your health problem.
- Ratnakar Kini M.D.
Thank you again for your helpful information and time.
Sue P.