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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have C Diff, Treated For Flagel. Diagnosed With Kidney Infection And Bloody Diarrhoea. Suggestion?

I have had C diff recently. It was treated with Flagle and I improved but continued to have symptoms. I then was diagnosed with a kidney infection . I took an antibiotic for 3 days and the kidney infection cleared up. I have an appointment with a gastroenterologist on Feb 20th. Today I have had diarrhea and the last couple of times going it has been fleshy/bloody. Not a great deal of blood but definitely blood. Should I make an appointment with my family physician to reassess for the c diff or wait to see the GI on the 20th. Just a note that prior to having the C diff I had not been on an antibiotic for 2 years and had not been in the hospital or exposed to c diff that I know of. Thanks
Sat, 9 Feb 2013
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Nephrologist,  's  Response
Community acquired Cdiff is becoming more commonly seen in practice in the United States. Since you recently had Cdiff and now have recurrent gastrointestinal symptoms after short course antibiotics for urinary infection, the primary concern would be for recurrent cdiff. Untreated cdiff can result in complications more serious than diarrhea and cramps such as megacolon. I would suggest that you see your primary care doctor as soon as possible, repeat stool studies and consider another course of treatment for cdiff. Certain labs also offer cdiff strain analysis therefore being able to determine if you have a resistant strain that may benefit from treatment with other agents such as oral vancomycin.
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Have C Diff, Treated For Flagel. Diagnosed With Kidney Infection And Bloody Diarrhoea. Suggestion?

Community acquired Cdiff is becoming more commonly seen in practice in the United States. Since you recently had Cdiff and now have recurrent gastrointestinal symptoms after short course antibiotics for urinary infection, the primary concern would be for recurrent cdiff. Untreated cdiff can result in complications more serious than diarrhea and cramps such as megacolon. I would suggest that you see your primary care doctor as soon as possible, repeat stool studies and consider another course of treatment for cdiff. Certain labs also offer cdiff strain analysis therefore being able to determine if you have a resistant strain that may benefit from treatment with other agents such as oral vancomycin.