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Gastroenterology (Expert Forum)
RELAPSES
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.
RELAPSES
by laci, Nov 07, 2005 12:00AM
WHY IS CDIFF HARD TO ERADICATE. I READ THAT PEOPLE EXPERIENCE CONTINUAL RELAPSES. DOES THIS MEAN THAT SOMETHING ELSE IS GOING ON, DESPITE NORMAL BLOODWORK, COLONOSCOPY, AND CT SCAN. BUT THEIR STOOL SAMPLE, SHOWS EVIDENCE OF C DIFF. HOW LONG DOES IT TAKE FOR GOOD FLORA TO GAIN CONTROL IN THE BOWEL.
Doctor's Answer
by Kevin Pho, MD, Nov 08, 2005 12:00AM
, Nov 08, 2005 12:00AM
Relapses of C Diff most likely comes from reinfection. Sometimes the bacteria can "hide" deep within the diverticula, where it may not be exposed to adequate levels of antibiotics.
There can be several treatment options. One would be to try oral vancomycin. "Pulsing" antibiotics in stronger doses can also be tried. Other options would be to try binding resins, such as cholestyramine in conjunction with the antibiotics. Another option would be the concurrent use of probiotics.
These options can be discussed with your GI specialist.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
http://www.straightfromthedoc.com
There can be several treatment options. One would be to try oral vancomycin. "Pulsing" antibiotics in stronger doses can also be tried. Other options would be to try binding resins, such as cholestyramine in conjunction with the antibiotics. Another option would be the concurrent use of probiotics.
These options can be discussed with your GI specialist.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
http://www.straightfromthedoc.com
