C. Diff Colitis?
I was treated for an URI with an antibiotic and developed a C. Diff infection. Was treated with Flagyl and the infection came back three days after stopping therapy. I was given another 2 weeks of Flagyl and ended up in the hospital with C. Diff colitis. Treated with Flagyl and Vancomycin. I have about a week left, but am still having pain in Lower left quadrant along with nausea and fatigue. The pain is worse if I bend forward or squat down because it puts pressure on my abdomen. My doctor wants to do a colonoscopy. I still feel that this infection is not totally resolved and am afraid I'll get worse again once the treatment is done. What happens if I don't get well after this treatment? Will I need surgery? Could diverticulitis( had twice before) or irritable bowel (struggle with now) be making it so I am not getting well?
Thank you.
A stool sample can be checked to see if the C. Diff is still present. Two courses of flagyl plus vancomycian should do it! But it's a simple matter to check for sure.
The pain you're describing could very well be diverticulitis or IBS, which can be diagnosed with a colonscopy.
Having the colonscopy won't affect the C-diff at all, whether it's resolved or not.
Good luck.
CDiff can be associated with inflammatory bowel disease. This could be making it worse for you.
In general, relapse is common and occurs in 5-50% of cases. Relapse typically occurs 3 days to 3 weeks after treatment is discontinued. Possible reasons for relapse include failure to eradicate the organism from the colon and reinfection from the environment. Patients who relapse once are at an even greater risk of further relapses. The relapse rate for those with 2 or more relapses is 65%
Fulminant colitis is a rare form of C difficile infection, occurring in only 3% of patients but accounting for most of the serious complications. These include toxic megacolon or colonic perforation.
Toxic megacolon is diagnosed clinically in a patient with signs and symptoms of severe toxicity, the presence of a tender abdomen, and a dilated colon on plain radiograph of the abdomen.
Colonic perforation is usually accompanied by abdominal rigidity, involuntary guarding, rebound tenderness, and absent bowel sounds. Free air may be revealed on abdominal radiographs. Any suspicion of perforation in this setting should prompt immediate surgical consultation.
As far as the colonoscopy: Sigmoidoscopy and colonoscopy in patients with fulminant colitis may be contraindicated because of the risk of perforation. Limited proctoscopy, with minimal air insufflation, may be a useful diagnostic tool.
I hope you get rid of it with this course of antibiotics. I know you must be miserable,
Get well soon 
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