Stool consistency while on vancomycin and its significance

Posted by wty2020 @wty2020, Jan 17, 2021

I apologize up front if this is not the right “board” to ask this question, but can anyone share with me what I should expect regarding my stool consistency while on vancomycin? I am on my second course (actually in the first week of a four week taper right now) and the consistency of my stools seem to have regressed back to what they were after I had been on vancomycin a few days. When I started the vancomycin, my stools were watery diarrhea with small flecks in it. After a few days, I had formed but very soft loose stools that did not stay intact when flushed. Then they progressed to firmer but still soft stools that partially stayed intact. After I started Florastor (saccharomyces boulardii) 10 days into that 14 day course, my stools started firming up to well-formed small stools (usually three or four at a time). I thought that was a sign of curing cdiff. Then I read that saccharomyces boulardii can cause constipation, and figured that could be the cause of the firm stools. I was dejected. Then about the time I started on the taper, I started having softer looser, stools, like a step or two better than watery diarrhea. Then a couple days of firm stools, then back to very loose, soft “stools” nearly the consistency of diarrhea. Is this a sign of recurrence? If so, how can that be when I am still on vancomycin, albeit a lesser dose?

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@mhi

Absolutely not one doctor can give you the answer. I had to explore a lot of things on my own. I will keep you guys posted with what my GI tells me. I was told to stay away from dried fruits as they are higher in sugar. So focusing on fresh fruits and raw and cooked vegetables. Started drinking lactose free kefir coconut kefir. And I started eating lactose free cheeses. But this is only all now that I introduced. Good luck to you I will pray for you that you don’t relapse. As I discussed with @wty2020 did you think of seeking the help as well from a naturopathic doctor?

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Haven't seen one yet as money is right. But will try that kefir

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@dilly69

Haven't seen one yet as money is right. But will try that kefir

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Kefir has good bacteria in it. Get the lactose free one and try gradually and see how you do with it. Is your stool formed now? And what’s the frequency?

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@mhi

@dilly69 and how is your stool now? Formed? And frequent?

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Formed and usually go twice a day. If l didn't have fissures, life wouldn't be so bad. Tried one cream, diltazem 2%, didn't work. Know just put some vaseline up there to ease pain.

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@dilly69

Formed and usually go twice a day. If l didn't have fissures, life wouldn't be so bad. Tried one cream, diltazem 2%, didn't work. Know just put some vaseline up there to ease pain.

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Did you notice that your bowel habits changed? How were you prior to cdiff?

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@dilly69

Formed and usually go twice a day. If l didn't have fissures, life wouldn't be so bad. Tried one cream, diltazem 2%, didn't work. Know just put some vaseline up there to ease pain.

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How long have you been on vanco this time, has it been 125mg 4 times a day, and how long after you started vanco this time did your stools go to formed? Have you had any loose stools or diarrhea since they started to become formed?

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@mhi

Did you notice that your bowel habits changed? How were you prior to cdiff?

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I was pretty regular once a day but effected by what l ate.

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@wty2020

How long have you been on vanco this time, has it been 125mg 4 times a day, and how long after you started vanco this time did your stools go to formed? Have you had any loose stools or diarrhea since they started to become formed?

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So, l've only been off vanco for a few weeks once or twice in the last 8 months due to UTI's.

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@dilly69

So, l've only been off vanco for a few weeks once or twice in the last 8 months due to UTI's.

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Are you taking Vanco as precaution or you had a cdiff reoccurrence? I was told if I need an antibiotic for any reason within a year of developing cdiff to take as well vanco as precaution.

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Yes, that's what l was doing.if l could l would just keep taking vanco everyday

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@dilly69

Yes, that's what l was doing.if l could l would just keep taking vanco everyday

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So you never relapsed from cdiff?

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