Why Ulcerative Colitis Puts You at Risk for C. Diff and What to Do About It

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Fever, nausea, cramping, and diarrhea — if you person ulcerative colitis, you astir apt cognize that those symptoms awesome a flare . But sometimes, there’s different culprit astatine enactment that tin trigger those aforesaid symptoms: a Clostridioides difficile ( aka C. diff) corruption . C. diff is simply a highly contagious bacterium that infects the ample intestine and causes inflammation successful the colon. People with inflammatory bowel illness (IBD) are peculiarly susceptible to the infection. Research published successful the diary Gastroenterology recovered that radical with IBD are astir 5 times arsenic apt arsenic radical without IBD to make C. diff . “The narration betwixt C. diff and IBD isn’t good understood, but what immoderate probe is starting to uncover is that inflammation contiguous successful the gut tin perchance … make a much supportive situation for C. diff to thrive,” says Megan Hilbert , a registered dietitian with Top Nutrition Coaching successful Madison, Wisconsin. Unlike different bacterial infections that impact the ample intestine, C. diff tin origin superior complications, particularly for radical with ulcerative colitis. Understanding Your Risk of C. diff C. diff (formerly known arsenic Clostridium difficile ) is simply a bacterium that’s contiguous successful people’s intestines and tin dispersed done the stool, specified arsenic erstwhile idiosyncratic doesn’t lavation their hands aft utilizing the bathroom. If you ingest this bacterium by mouth, the spores are released into your body, causing inflammation successful the cells lining the ample intestine. Not everyone is alert that they’re carrying C. diff , which causes them to unknowingly dispersed the bacterium to others. In fact, for galore people, the bully bacteria usually contiguous successful the gut tin assistance support C. diff from spreading unchecked, according to Cleveland Clinic . The occupation usually comes aft radical instrumentality a people of antibiotics , which kills disconnected bully bacteria and causes C. diff to dispersed quickly, causing inflammation and different symptoms, explains Kelley Shackelford, MD , an interior medicine specializer astatine Orlando Health Physician Associates successful Florida. An estimated fractional cardinal infections hap successful the United States each year, according to the Centers for Disease Control and Prevention (CDC) . Having IBD is 1 hazard factor. Others see being 65 oregon older, having a weakened immune strategy (which tin hap successful radical who are taking immunosuppressive drugs), and having antecedently had a C. diff infection. One successful 6 radical who’ve had C. diff volition get it again successful the pursuing 2 to 8 weeks, says the CDC. What are the symptoms of C. diff ? The symptoms of a C. diff corruption tin mimic those of a flare. According to the CDC, they tin include: Watery diarrhea Blood successful the stool Abdominal symptom and swelling Fever Nausea Loss of appetite What to bash if you deliberation you person a C. diff corruption Anytime you’re experiencing “ symptoms of watery diarrhea, abdominal pain, oregon nausea, consult your doc immediately,” says Dr. Shackelford. Often, doctors volition privation to instrumentality a stool illustration to marque definite you person C. diff alternatively than a flare. If you trial affirmative for C diff. , your attraction volition beryllium connected the severity of the infection. Your doc volition astir apt prescribe you an antibiotic to instrumentality astatine location that tin termination C. diff bacteria specifically. Other cases of C. diff necessitate much superior treatment. “If you person terrible symptoms, specified arsenic signs of dehydration oregon fever, I urge going to the infirmary to beryllium monitored intimately with antibiotics and IV fluids,” says Shackelford. If you necessitate hospitalization, your doctors volition usage procedures that tin assistance bounds the dispersed of the bacteria (such arsenic wearing gloves oregon giving you a azygous room), arsenic good arsenic springiness you IV hydration and electrolyte replacement. Severe cases whitethorn necessitate surgery, which involves removing a ample portion of the colon and performing an ileostomy, says Shackelford. People who person recurring C. diff whitethorn beryllium candidates for fecal transplantation , successful which stool from a steadfast donor is introduced into the GI tract (usually via a colonoscopy), wherever it volition assistance reconstruct steadfast bacteria to the gut, according to Johns Hopkins Medicine. If you deliberation you whitethorn person a C. diff infection, don’t hesitate to interaction your doctor, adjacent if you’re unsure what’s causing your symptoms. A elemental stool trial tin wide up the disorder and constituent you toward the close treatment.
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