Trying to recover from a c. diff infection (Clostridium difficile)

Posted by acres @acres, Apr 12, 2016

I am trying to recover from a c.diff infection. This started with taking clindamycin in mid January and 3 days later I became ill with diarrhea and felt sick, loss of appetite etc...Went to the er twice, tested negative for c.diff on my 2nd visit. The Dr. told me to take imodium to rest my colon since I tested negative. That evening I had diarrhea and took the Imodium. Became constipated with pain lower right side. I went to a GI dr. pleading for help, I did another stool test and it came back positive for c.diff. I tried flagyl but could not tolerate the side effects. Tried vancomycin for 10 days. Did not work. Tested positive again, Went to a new gi doctor who prescribed dificid for ten days. I am 31 days post dificid and I have almost constant gut rumbling and urge to go. My 1st bm in the morning is usually semi normal, but after that they are always either pencil thin and or small pieces (2 to 5 times a day). This has been my routine since the vancomycin. I do not get dull blown diarrhea..... My dr. wants me to have a colonoscopy but I an scared that the cleansing will wipe out all my good flora. I currently take 2 florastor pills and 1/2 vsl3 per day. I eat fermented pickles for the probiotics as well..... I have many food intolerances since this whole mess began (fiber, many vegatables, dairy). I also have a strange taste in my mouth most of the time, have very little energy and fight with depression. My primary gave me Xanax .25 but I only take them at night when I cannot sleep...... Went to a nutritionist who put me on a no wheat, soy, dairy, gluten diet. Does not seem to be helping or hurting. I lost 20 pounds and cannot gain any weight (I weigh 120 at 5'7")... I am thinking it might be sibo, or candida but cannot find a dr. to test for these....I am in the right place for help or advice ? The urge to go is awful and limits my once active lifestyle.....
Thank you, Scott

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@pb50

So…. After I finished the course of antibiotic for Yersenia and then for C -Diff, the diarrhea didn’t stop and by that point it had been going on for six months. So based on a hunch of the GI doc, I had a colonoscopy with random biopsies taken - and learned I had something called collagenous microscopic colitis. That was resolved with almost 4 months of a steroid that is processed in the colon so no systemic effects - although I had symptomatic relief only days after starting it.

GI doc thinks the stool sample showing Yersenia was a red herring because so many people are carrying it around with no symptoms. And of course the C-Diff was triggered by the treatment for Yersinia. So almost a year to get proper diagnosis and treatment but it has taken some people longer.

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That is so interesting. I just had a colonoscopy at Mayo and the GI besides removing polyps also noted that mucous was granular so he took biopsies throughout the entire colon for possible microscopic colitis. Fortunately I was negative for it.
And what I now tell everyone is that even if you are near "aging out" from colonoscopies, do them!!! In 2010 I had 2 10mm precancerous polyps, but in 2013 and 2018 I only had 1 and 2 polyps found and they were not precancerous. So that period was eight years and no cancerous polyps.
Then in 2024 - 14 years from 2010 and 5+ years from last colonoscopy, they find 3 polyps - each a different type and all precancerous!!! And one even 12mm!!!

Am also impressed that Bactrim caused you C-diff as I have been given it more than once with the statement that it is relatively safe.

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@vic83

"Yersiniosis is an infection caused most often by eating raw or undercooked pork contaminated with Yersinia enterocolitica bacteria."
So first you tested positive for Yersiniosis and then later positive for C-diff? What a mess!
Bactrim is considered to have low risk for C-diff.

Google search:
Clindamycin and fluoroquinolones are some of the worst offenders. The list of antibiotics that could cause C.Diff includes:
• cephalosporins
• clindamycin (Cleocin)
• ciprofloxacin (Cipro)
• levofloxacin (Levaquin)
• moxifloxacin (Avalox, Vigamox)
• amoxicillin (Amoxil)
Which antibiotics are less likely to cause C.Diff?:
• azithromycin (Zithromax, Z-Pak)
• clarithromycin (Biaxin)
• doxycycline (Oracea, Vibramycin)
• erythromycin (Eryped)
• fidaxomicin (Dificid)
• minocycline (Minocin, Solodyn)
• metronidazole (Flagyl

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So…. After I finished the course of antibiotic for Yersenia and then for C -Diff, the diarrhea didn’t stop and by that point it had been going on for six months. So based on a hunch of the GI doc, I had a colonoscopy with random biopsies taken - and learned I had something called collagenous microscopic colitis. That was resolved with almost 4 months of a steroid that is processed in the colon so no systemic effects - although I had symptomatic relief only days after starting it.

GI doc thinks the stool sample showing Yersenia was a red herring because so many people are carrying it around with no symptoms. And of course the C-Diff was triggered by the treatment for Yersinia. So almost a year to get proper diagnosis and treatment but it has taken some people longer.

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@pb50

Same thing happened to me - I had diarrhea and stool sample was positive for Yersinia - which my PCP treated with Bactrim - which made it
better and then it got worse again -and that proved to be C-Diff - And Vancomycin cured that. What an ordeal.

Jump to this post

"Yersiniosis is an infection caused most often by eating raw or undercooked pork contaminated with Yersinia enterocolitica bacteria."
So first you tested positive for Yersiniosis and then later positive for C-diff? What a mess!
Bactrim is considered to have low risk for C-diff.

Google search:
Clindamycin and fluoroquinolones are some of the worst offenders. The list of antibiotics that could cause C.Diff includes:
• cephalosporins
• clindamycin (Cleocin)
• ciprofloxacin (Cipro)
• levofloxacin (Levaquin)
• moxifloxacin (Avalox, Vigamox)
• amoxicillin (Amoxil)
Which antibiotics are less likely to cause C.Diff?:
• azithromycin (Zithromax, Z-Pak)
• clarithromycin (Biaxin)
• doxycycline (Oracea, Vibramycin)
• erythromycin (Eryped)
• fidaxomicin (Dificid)
• minocycline (Minocin, Solodyn)
• metronidazole (Flagyl

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@vic83

thanks for your reply. What drug gave you c-diff?

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I was given Augmentin, a penicillin type antibiotic. I think doctors should warn patients about the possibility of C-Diff when taking antibiotics. I never heard of C-Diff until I got it.

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Same thing happened to me - I had diarrhea and stool sample was positive for Yersinia - which my PCP treated with Bactrim - which made it
better and then it got worse again -and that proved to be C-Diff - And Vancomycin cured that. What an ordeal.

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thanks for your reply. What drug gave you c-diff?

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@vic83

I had C-diff back in 2011 caused by 10days of Amoxicillin prescribed by my dentist. Since then I had not touched antibiotics except second half of 2023 I had to take some for lung infections . I took 10days of Doxycycline Monohydrate, and 4 weeks of Bactrim. These are not high risk antibiotics for C-diff. Fortunately, I had no problems. But because of my lung problems I know I am always at risk of needing antibiotics and I will not have a choice since lung issues can be life threatening.
I am wondering if anyone has been prescribed something like Vancomycin as protection when they are in a position of really needing a strong antibiotic.

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I recently had C-Diff from taking an antibiotic. My infectious disease doctor in Boston told me that if I ever needed to take an antibiotic again I would have to take it with Vancomycin. I would certainly do that. I don't want to go through that nightmare again!

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I had C-diff back in 2011 caused by 10days of Amoxicillin prescribed by my dentist. Since then I had not touched antibiotics except second half of 2023 I had to take some for lung infections . I took 10days of Doxycycline Monohydrate, and 4 weeks of Bactrim. These are not high risk antibiotics for C-diff. Fortunately, I had no problems. But because of my lung problems I know I am always at risk of needing antibiotics and I will not have a choice since lung issues can be life threatening.
I am wondering if anyone has been prescribed something like Vancomycin as protection when they are in a position of really needing a strong antibiotic.

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@nardone08

How’s your son doing now?

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He is great! He gained weight and has excelled in life. He weights 235 lbs now! Thanks for asking.

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@tammy1pike

Hello everyone! I thought I would update you on my son’s progress. As I stated, he had a Fecal Microbia Transplant on Dec. 21, 2017. On our way home from this procedure he ate a steak dinner after not eating for weeks. He then would eat one meal per day, most days until about January 15, 2018 (11days ago)! Suddenly his appetite returned full force! This gave his body much needed fuel! He returned to Varsity Baseball Practice last weekend and has gone everyday since! He now feels much better! His focus is on catching up on his school work and on rebuilding muscle that he lost dyring this C-DIFF illness! He is down 40 lbs. from the first 7 weeks of showing C-DIFF symptoms. He lost muscle and was severely malnourished. However, this should give hope to anyone else out there with C-DIFF! Get control of your/your child’s treatment plan! Get involved! Pray for wisdom and for guidance! This helped me find Dr. Keta Vaidya at Digestive Disease Center in Huntsville, AL! Other doctors planned to keep prescribing multiple rounds of Flagyl and Vancomycin after my son’s C-DIFF reoccurrence. My son had no weight left to lose! He was skin & bones! My point is, you have the right to change your child’s treatment plan if you need to! Prayers and best regards to you all! Thank you to those who private messaged me about C-DIFF! It is nothing to take lightly!

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How’s your son doing now?

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