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Suggest Treatment For Chronic C Difficile Infection
Question: My 27 year old daughter has chronic c difficile. Her pain, nausea and diarrhea are signifacant. She's been on vancomycin for two years. We're trying desperately to get her accepted for a fecal transplant. Because of little intestines, they're pretty sure she won't qualify. She went to her obgyn yesterday who said her anus has fallen into her vginal wall from the c diff. What else can happen? Is the bacteria so fierce that it's eating through her GI tract? We're worried to death that were not doing enough for her.
Brief Answer:
Fecal therapy is very effective
Detailed Answer:
Hi,
Thanks for your query.
Fecal therapy is a new and very effective treatment. I strongly suggest that you get to a tertiary center ( med hospital w/residency) find a good gastroenterologist to advocate for you and get into either a clinical trial or otherwise qualify for the medication.
Meanwhile I think what you really are asking me is about the rectocele. My guess is that it will largely resolve once her chronic diarrhea is resolved. I would not let the your local gynecologist intervene until all of her G.I. symptoms have completely resolved. Just because it is present now under significant stress doesn't mean it will be present later. A rectocele is essentially a hernia or muscle weakness. It may be secondary to the strain. It may resolve once normal function is restored. It is not necessarily an irreversible condition.
Regards,
Fecal therapy is very effective
Detailed Answer:
Hi,
Thanks for your query.
Fecal therapy is a new and very effective treatment. I strongly suggest that you get to a tertiary center ( med hospital w/residency) find a good gastroenterologist to advocate for you and get into either a clinical trial or otherwise qualify for the medication.
Meanwhile I think what you really are asking me is about the rectocele. My guess is that it will largely resolve once her chronic diarrhea is resolved. I would not let the your local gynecologist intervene until all of her G.I. symptoms have completely resolved. Just because it is present now under significant stress doesn't mean it will be present later. A rectocele is essentially a hernia or muscle weakness. It may be secondary to the strain. It may resolve once normal function is restored. It is not necessarily an irreversible condition.
Regards,
Above answer was peer-reviewed by :
Dr. Raju A.T
It seems that the fecal transplant my not happen as the FDA chooses you can/cannot receive it, in XXXXXX's case short gut. We're dealing with one of main hospitals in Houston, XXXXXXX Thank you very much for responding with advice. I guess we need to have a strong advocate in place.
Brief Answer:
Houston has great medical centers.
Detailed Answer:
Hi,
I agree that finding an app kit is extremely important. Medical care is changing in this country and seven argue the accesses improved individual care especially for complicated cases is suffering. Having a strong advocate is a member of the faculty of a prestigious medical center should help you a great deal.
I hope your daughter is on the mend soon and the rectocele resolves I think it likely it will. If however she does need additional therapy do not think of surgery first. There are excellent pelvic floor physical therapists that can help strengthen the supporting muscles and often produce satisfactory results without surgery. Surgery should always be a last resort.
Regards,
Houston has great medical centers.
Detailed Answer:
Hi,
I agree that finding an app kit is extremely important. Medical care is changing in this country and seven argue the accesses improved individual care especially for complicated cases is suffering. Having a strong advocate is a member of the faculty of a prestigious medical center should help you a great deal.
I hope your daughter is on the mend soon and the rectocele resolves I think it likely it will. If however she does need additional therapy do not think of surgery first. There are excellent pelvic floor physical therapists that can help strengthen the supporting muscles and often produce satisfactory results without surgery. Surgery should always be a last resort.
Regards,
Above answer was peer-reviewed by :
Dr. Raju A.T
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