Question Pertaining To Jack's Medication

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Dee
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Question Pertaining To Jack's Medication

Post by Dee »

I don't know if anybody can answer this, but there is always hope!!
He is on Clindamycin - 300mg. - 4x a day for a lung abcess.
The bacteria that he has is one that doesn't require oxygen to survive.
He has started with the diarrhea and he CAN'T stop taking this med.. It is the only and best one for that specific bacteria.
Does anybody know if a probiotic would be beneficial and what kind, or anything else that would ease up the D?????
In between a rock and a hard place here!!
His doctor told us that he will be on this med for at least a month and a half.
Thank You

Love
Dee~~~~~
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tex
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Post by tex »

Hi Dee,

Wow! He certainly is between a rock and a hard place. A month and a half is a long time to have to endure that.

I wish I had an answer, but I don't know enough about the mechanics of how antibiotics cause diarrhea, in the first place. If it's an inflammatory response, maybe your doc could prescribe Entocort, (or even prednisone - though I would be reluctant to go that far), for the duration of the treatment, but he may not want to allow the immune system suppressing effect that the corticosteroids have.

Maybe Polly can offer some insight, if she sees your post.

Have you tried something like Loperamide, (Imodium)? Sorry I can't be of more help.

Love,
Tex
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It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
Dee
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Post by Dee »

Thanks Wayne for your quick reply!
Here's where we stand at this point.
Called his pulmonary doctor.
Jack is to stop the Clindamycin for now.
The next time he has a bowel movement he is to go in a plastic container and take it to the hospital so it can be checked for C-Diff..
His doctor called Vancomycin, as a precautionary measure, into our pharmacy.
The doctor will check the results this weekend .....
I'm praying that it isn't C-Diff , for Jack's sake and it scares the bejeeebies out of me, that if it is, I'll get it!!!!
This lung problem has really taken a toll on Jack and he has and still is losing weight, no appetite, and is so weak and tired..
I've been trying to get him to eat even if it is a small amount and I'm having him supplement with Ensure..
Really worried about him!!

Love
Dee~
CAMary
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Post by CAMary »

They should probably do a stool test for c-diff. Clindamycin is known to cause it more than many other antibiotics. It can become life-threatening if it progresses, so it needs to be ruled in/out. If it is just *regular D* from the antibiotics - pushing probiotics such as Culturelle or eating yogurt containing live cultures may help...

Definitely stuck between a rock and hard place...and anti-diarrheals are *not* recommended if D is bacterial in nature, such as c-diff - it will make things worse, since retaining the stool for longer will allow bad bacteria to multiply.

I'd really push for a stool culture...

Good luck - hope Jack feels better soon!

Take care,

Mary
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tex
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Post by tex »

Dee,

I'm glad to see that his doctor is on the ball. If Jack is passing any blood with his stool, the odds are very high that C-diff is present. Mary's right, of course, if C-diff is the problem, Imodium would be contraindicated.

You might want to start taking a probiotic, (or yogurt), if you know of one that you can handle, without any problems.

Back when I was down to hide and bones, and weak as a kitten, I tried Ensure, and a couple of other "energy" supplements. Boost was my favorite, by far, and I'll bet you can get Jack to drink much more of it, than anything else on the market, because Boost has a great flavor, (at least I really liked it), and it gave me energy, when nothing else would.

Love,
Tex
:cowboy:

It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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barbaranoela
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Post by barbaranoela »

Dee-----I cant give U much info------and I am sorry that I am not that well educated on ALL this stuff---but I will say that I took VANCO---when first diagnosed with MCC--of course I am no way comparing with what your Jack is going thru--
Just a little word here and there might help--to add---a stool culture would be most beneficial too---

I am so sorry Jack is feeling so badly---and I hope he gets to mending fast---and I know how worried U are for him--

Please do keep us updated--

luve Barbara
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Polly
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Post by Polly »

Oh Dee,

I agree with what CAMary said above. Is he having any blood in his stools?

The ENT doc I have been seeing for my chronic sinusitis wanted me to take Clindamycin. I bargained with him to take Cipro instead. I took it for 3 weeks and the infection returned. The doc really wanted me to take Clindamycin at that point, but I insisted that the 2nd 3-week course again be with Cipro. If that doesn't do the trick, I'll need sinus surgery. Sigh. But I'd rather do the surgery than take a chance on Clindamycin.

I hope as Mary said that it's just the run-of-the-mill D from the antibiotic. Will keep my fingers crossed.

Love,

Polly
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kate_ce1995
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Post by kate_ce1995 »

and anti-diarrheals are *not* recommended if D is bacterial in nature, such as c-diff - it will make things worse, since retaining the stool for longer will allow bad bacteria to multiply.
Well, that little piece of info irritates me! Not that it isn't a good little piece of info, but rather the fact that when Geoff's mom had C-Diff last year she had called her doc regarding D that developed from being on antibiotics from toe surgery (I think that was the trip through the hospital). Anyway, she just called in anti-D meds and within a couple days she was in intensive care.

Jack sure doesn't need that. I'm glad to hear his doc understands this situation and is trying to work around it. I suppose if C-Diff is ruled out then he can pick a treatment for the D and attack the infection with the antibiotic of choice.

Good luck.
Katy
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Gloria
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Post by Gloria »

A year ago I took Levaquin and Flagyl one week for a Diverticulitis attack. I had taken Levaquin before without a problem, but with the addition of Flagyl, I began having D immediately. This was my first experience at having continual D. I called my internist to report the D and he told me that it couldn't have been related to the Flagyl. I'm sure it was related and I'll always wonder if it precipitated the problems I'm having now. I reluctantly finished the dosage, per his recommendation, and continued having D for 4 weeks after I finished the antibiotics. I took my daily yogurt along with probiotics, but nothing helped it. I returned to having normal BMs for about 2 months but began having constant D last January and was subsequently diagnosed with LC.

I remember reading in a post by Polly (here or at the old site?) that she felt that a long-term regimen of antibiotics was responsible initially for her D problems. Do you still think it was related, Polly?
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