Disease: Antibiotic-associated colitis

Pseudomembranous colitis is inflammation of the colon that occurs in some people who have taken antibiotics. Pseudomembranous colitis is sometimes called antibiotic-associated colitis or C. difficile colitis. The inflammation in pseudomembranous colitis is almost always associated with an overgrowth of the bacterium Clostridium difficile.

Severe pseudomembranous colitis can be life-threatening. However, treatment is usually successful.

Source: http://www.mayoclinic.com

Signs and symptoms of pseudomembranous colitis include:

  • Diarrhea that can be watery and sometimes bloody
  • Abdominal cramps and pain
  • Fever
  • Pus or mucus in your stool
  • Nausea
  • Dehydration

Symptoms of pseudomembranous colitis can begin within one to two days after you begin taking an antibiotic, or several weeks after you discontinue taking the antibiotic.

When to see a doctor

Contact your doctor if you're taking or have recently taken antibiotics and you develop any of the signs or symptoms associated with pseudomembranous colitis, including constant diarrhea, abdominal pain, and blood or pus in your stool.

Source: http://www.mayoclinic.com

Pseudomembranous colitis occurs when harmful bacteria in your colon — usually C. difficile — release strong toxins which irritate the colon. Harmful bacteria are normally kept in check by the healthy bacteria in your digestive system, but the balance between healthy and harmful bacteria can be upset by antibiotics and other medications.

Virtually any antibiotic can cause pseudomembranous colitis. Antibiotics most commonly associated with pseudomembranous colitis include:

  • Quinolones, such as ciprofloxacin (Cipro) and levofloxacin (Levaquin)
  • Penicillins, such as amoxicillin and ampicillin
  • Clindamycin (Cleocin)
  • Cephalosporins, such as cefixime (Suprax)

Other causes

Although antibiotics are the drugs most associated with the development of pseudomembranous colitis, other medications may be responsible. Chemotherapy may sometimes disrupt the bacteria within the intestines of people being treated for cancer and trigger the development of pseudomembranous colitis. It can also develop in people with diseases that affect the colon, such as ulcerative colitis or Crohn's disease.

C. difficile spores are resistant to many common disinfectants and can be transmitted from the hands of health care professionals to patients. Increasingly, C. difficile has been reported in people with no known risk factors, including people with no recent health care contact or use of antibiotics.

Source: http://www.mayoclinic.com

Tests and procedures used to diagnose pseudomembranous colitis include:

  • Stool sample. Tests of one or more stool samples often can determine whether C. difficile is present in your colon.
  • Blood tests. They may reveal an abnormally high white blood cell count (leukocytosis), which may indicate pseudomembranous colitis.
  • Colonoscopy or sigmoidoscopy. In both of these tests, your doctor uses a tube with a miniature camera at its tip to examine the interior of your colon for signs of pseudomembranous colitis. If you have pseudomembranous colitis, the exam may show raised, yellow plaques (lesions) in your colon, as well as swelling.
  • Imaging tests. Your doctor may obtain an abdominal X-ray or an abdominal CT scan if you have severe symptoms to look for complications such as toxic megacolon or colon rupture.

Source: http://www.mayoclinic.com

By the time your doctor detects pseudomembranous colitis, you may already be seriously ill. If the condition isn't successfully treated when diagnosed, a number of complications can develop, including:

  • Abnormally low levels of potassium in your blood (hypokalemia), due to the loss of potassium during excessive diarrhea
  • Dehydration leading to abnormally low blood pressure (hypotension), related to significant loss of fluids and electrolytes due to diarrhea
  • Recurrence of pseudomembranous colitis, days or even weeks after initial treatment
  • Kidney failure, due to severe dehydration resulting from diarrhea
  • A hole in your bowel (perforated colon), which can lead to an infection of your abdominal cavity
  • Toxic megacolon, a rare but serious swelling of the colon, leaving it incapable of expelling gas and stool, which could cause your colon to rupture

Most people respond well to treatment. But pseudomembranous colitis can be fatal without effective treatment.

Source: http://www.mayoclinic.com

To cope with the diarrhea — and subsequent dehydration — that can occur with pseudomembranous colitis, try to:

  • Drink plenty of fluids. Water is best, but fluids with added sodium and potassium (electrolytes) also may be beneficial. Avoid beverages that are high in sugar or contain alcohol or caffeine, such as coffee, tea and colas, which can aggravate your symptoms.
  • Choose soft, easy-to-digest foods. These include applesauce, bananas and rice. Avoid high-fiber foods, such as beans, nuts and vegetables. If you feel your symptoms are improving, slowly add high-fiber foods back to your diet.
  • Eat several small meals, rather than a few large meals. Space the smaller meals throughout the day.
  • Avoid irritating foods. Stay away from spicy, fatty or fried foods, and any other foods that make your symptoms worse.

Source: http://www.mayoclinic.com

Factors that may increase your risk of pseudomembranous colitis include:

  • Taking antibiotics
  • Staying in the hospital or a nursing home
  • Increasing age, especially over 65 years
  • Having a weakened immune system
  • Having a colon disease, such as inflammatory bowel disease or colorectal cancer
  • Undergoing intestinal surgery
  • Receiving chemotherapy treatment for cancer

Source: http://www.mayoclinic.com

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