C. diff 2 months after 10 weeks of flagyl

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i am so frustrated with my 10yo's treatment right now. i feel as though since he's been diagnosed and treated (july '14) things have only gotten worse.

he was started on pred, 6mp, and flagyl in aug--with the flagyl to treat a perianal fistula. the initial change once he started pred was miraculous. as another poster noted on here, i really did not realize how sick he was until i saw him better. it was like i finally had my baby back for the first time in 2 years. like i'd be looking at a partial ghost of him up until that time. i keep trying to remind myself of that.

he stopped taking both pred and flagyl in november. around that time, he started getting low grade fevers, very mild diarrhea, and the common cold. i called the doctor about this, and they said it sounded like it was just a virus. they were taking blood work for the 6mp, however, and said that his inflammatory markers were a little elevated.

in december, he got an ear infection. inflammatory markers were still slightly elevated, yet they kept telling me he "looked good". he still had very mild diarrhea, smaller apetite, less energy, etc. with no sense of urgency or interest, they told me i could do a stool study to rule out infection. then when we went to clinic they said he "looked good" so not to bother with the study.

a month and more blood work (for the 6mp) later, my son still had these symptoms. he started complaining of his stomach hurting. again, when i called, they seemed less than concerned and suggested a stool study. having a very stubborn child and strict, limited schedule as a working single mother of 3, it took me a couple weeks to collect the sample within the right time frame.

yesterday, the nurse called me and said he tested positive for c. diff. now we're back on the flagyl. we're going to clinic on feb. 4 so i suppose we have yet to find out how we'll be treating the c. diff moving forward, as googling this thing makes it appear as though we've got a pretty bad demon on our hands.

looking at the big picture thus far, my son had diarrhea, low energy, a poor apetite for a while. amidst emotionally traumatizing preliminary testing, he spent about 2 months being normal (while on pred), and now he's been sick for the past 2 months or so. the medicine that was making him better has only made him sick. i'm so frustrated. i feel like quitting the treatment. my son doesn't handle the treatment or tests well emotionally. i'm having a hard time seeing the light at the end of the tunnel. i don't plan to actually quit treatment but i'm definitely taking a closer look at all of the variables and treatment options.

aside from the 6mp, he's also been taking omega-c and vitamin d supplements, as well as a probiotic.

http://www.crohnsforum.com/images/smilies/sign0085.gif
 
I’m so sorry to hear of all you and your lad have been going through hun. :ghug:

Have Thiopurine Metabolites been done since starting the 6MP?
You are now at the upper limit at which time the 6MP should have kicked in and controlled symptoms if it was working, but of course C Diff may be clouding the issue.

The priority right now is to get rid of the C Diff and then reassess where you are Crohn’s wise.
Tagging Jmrogers4 and Maya142 as I know off the top of my head that their kiddos have had C Diff. :(

If it is possible to get a second opinion I would pursue that course of action. You know your lad better than anyone and that needs to acknowledged and your concerns validated by the team that in charge of his care. “He looks good” is not a good enough appraisal of your son when you are telling them that he has symptoms, they need to back up that statement with robust objective and clinical data. I am never happy these days unless what I see in front me matches what the clinical data says, if either is out of sync then I keep looking for answers.

Good luck mum, you are in my thoughts. :heart:

Dusty. xxx
 
Are you at an improve care Ibd clinic?
Sorry your numbers and fatigue etc... Has been off .
We had this for D's the entire first year ( just not blood work -his blood shows next to nothing )
Things improved drastically with remicade
Can you ask the Gi what is the end pont for 6-mp to be considered a success .
X number of months and QOL of your kiddo .
Second opinons are essential IMO
They give the current Gi a fresh set of eyes and professional opinon vs mommy opinion .
Not sure of major Ped Ibd centers in your area .
Queen gothel and Farmwife might know .

Hugs
 
M was treated with Vancomycin for CDiff, but Flagyl is also widely used. In our case, she was lucky and it cleared up after one course of antibiotics. It took 4-5 days of antibiotics before she even started feeling better.
She had all the symptoms you describe with CDiff - lack of appetite (lost a lot of weight, abdominal pain, diarrhea). As Dusty said, it's hard to distinguish the symptoms of IBD from the symptoms of CDiff, so your best bet is treat the CDiff and then see what symptoms he still has.
A second opinion is also always helpful.

If your son is having a tough time, seeing a psychologist might be a good idea -- it really helped my daughter cope with having a chronic illness. She was VERY against going, but thankfully her GI insisted and M finally agreed to go. It's made a huge difference.

Hang in there,:ghug:
 
Jack was treated with Flagyl for c-diff. In our case he had been in remission for about 4 months when c-diff hit. It took about 4-5 days for him to start feeling better and only required one round. It did however effect his Crohn's and kicked off a flare he couldn't get him out of, he was put back on Imuran but it just wasn't enough and started remicade last January and has been fantastic ever since.
He was on Imuran for a few years when first diagnosed, it took us about a year of messing with dosage to get to a theraputic level. GI kept upping the dosage as he was still having issues we finally had to add allipurinol to the Imuran in order to achieve theraputic levels without raising his liver levels. We thought he was doing well but appetite never increased and growth/weight gain just stopped. Now looking back we realize it wasn't working as well as we thought it was.
But I would say as well treat the c-diff and then assess symptoms. For my son, he was good for about 3-4 weeks before the symptoms started again and thinking it was c-diff again did the stool test and came back negative so we had to assume it was Crohn's causing issues. Hope C-diff is taken care of quickly and that is what is causing all the problems.
 
thank you all for your kind words and advice. I am planning on taking him for a second opinion. We're in Chicago, and he's currently being treated at Lurie Children's, which many people believe is fancy-schmancy around here (overrated IMO). Going to try our more local hospital as well and see what they think. My fingers are crossed that we treat the c. diff within 1 round of antibiotics and then have 6mp completely in gear which would mean hopefully no more flares or infections moving forward! hopefully we never have to think of Crohn's again!

I've come to the conclusion that the treatment of Crohn's (and all it's lovely complications) has been harder for him to cope with than the symptoms of Crohn's. I had a child life specialist (got the idea from the sticky here!) attend his last visit (was actually an eye exam to check for uveitits) and that helped him tremendously. I am planning to have them come to every visit. However I wonder if it'd be a good idea for him to see a psych anyway. I have been in therapy myself for years for relationship-related issues. I can't imagine trying to deal with a chronic disease on my own! Another appointment to remember though.

Any tips on making flagyl taste better? He has the tablet form but still complains of the taste.
 
My son took Flagyl for a few months. In our case it depended which brand he got how it tasted. We found a brand that seemed to have a better coating on the tablet which didn't have a taste. After that we asked specifically for that brand
 
This was a tip posted in the parent's forum a while ago:

Tip for covering up the bad taste of certain medicine tablets: (Flagyl, Prednisone, etc)

My son was prescribed the dreaded Flagyl after his MRE yesterday. He hates how it tastes. And its 3x a day.
So today I searched some tips and I found this. I had to post this:

To wrap the pill in a piece of Fruit by the Foot or a piece of a Fruit Rollup. We just did it. It worked so GREAT that I had to post it.

Worth a try!
 
I guess so? We never actually tried it. Brian'sMom posted the tip, I believe her son was able to do it.
 
Hi Lindseyw4. My son has had several rounds of flagyl for c-diff and other. He used to take a mouthful of water, drop the pill in, and then swallow. This way the pill never touches his mouth. Your story sounds so familiar... the doc kept saying he was doing well on the 6mp and was on it for over a year. I had to push for more tests and got second opinions. It sounds like you are on top of it and agree with Maya that counselling is good idea....I wish I had done that for my son when he was young.
I hope your son gets to feeling better really soon....this is hard on everyone.
 
My son was on Flagyl or 6 months and found the generic brands horrendous due to the powdery finish on the tablets. In Oz they are marketed as Metronidazole, Metrogyl...

T0017303.gif


He had no issues at all with the actual brand Flagyl…

T0123205.gif


Dusty. xxx
 
They can still swallow it this way?

I guess so? We never actually tried it. Brian'sMom posted the tip, I believe her son was able to do it.

Our KC and Mayo GI confirmed that it was ok to wrap it in a piece of fruit rollup. It covers the taste. Then dissolves in the stomach. My son even has his large bowel diverted so some pills need to dissolve quickly. But of course, do what Your GI says is best for your child :)
 
My son was on Flagyl or 6 months and found the generic brands horrendous due to the powdery finish on the tablets. In Oz they are marketed as Metronidazole, Metrogyl...

T0017303.gif


He had no issues at all with the actual brand Flagyl…

T0123205.gif


Dusty. xxx

So the bottom is the actual brand flagyl? The ones we have look like the bottom, but the bottle says metronidazole. Think it's generic. We have medicaid so we usually get the cheapest 😕 however he finally stopped complaining about the taste after a tantrum and then being with grandpa (a doctor, although unfortunately not a ped) all weekend. Interestingly, i tasted it and did not notice any flavor. I guess everyone is different.

As an update, not noticing much of an improvement of symptoms. His symptoms are not severe, thank god, but he's still not normal. I feel so bad this is taking such a toll on him. The Dr. said his inflammation inflammatory markers are normal and 6mp is working according to blogs, so it should jUst be c. Diff. However, still not happy with the care as he still did not appear to be receptive to my concerns, behaved defensively in regards to his treatment plan for Cameron, then asked me to be "patient" with his nurse because apparently she complained about me insisting she tell me what my son's diagnosis was and how he got it and so on. Um, if she's rushing me off the phone shouldn't she be more patient with me? Don't see why i should have patience with heath care workers--think it's the other way around.

Also feeling desperate for a therapist now since Cameron broke down crying in the doctor's office trying to talk about his symptoms, and spent the evening tonight crying about how he just be stupid since he was frustrated with his math homework 😢 feel like a bad mom.
 
Our Gi office says "patience and patient" are harsh words. They totally get it. I am so sorry you are not at a more compassionate clinic.

YOU ARE NOT A BAD MOM! We have all been there and I hope you know that it is just worry and concern that are making you feel this way. You are doing an excellent job caring and advocating for your boy. There are brighter days ahead...just keep pushing on and you will get there:ghug::kiss:

And if those hugs and kisses don't work :drink:
 
So the bottom is the actual brand flagyl? The ones we have look like the bottom, but the bottle says metronidazole. Think it's generic. We have medicaid so we usually get the cheapest 😕 however he finally stopped complaining about the taste after a tantrum and then being with grandpa (a doctor, although unfortunately not a ped) all weekend. Interestingly, i tasted it and did not notice any flavor. I guess everyone is different.

As an update, not noticing much of an improvement of symptoms. His symptoms are not severe, thank god, but he's still not normal. I feel so bad this is taking such a toll on him. The Dr. said his inflammation inflammatory markers are normal and 6mp is working according to blogs, so it should jUst be c. Diff. However, still not happy with the care as he still did not appear to be receptive to my concerns, behaved defensively in regards to his treatment plan for Cameron, then asked me to be "patient" with his nurse because apparently she complained about me insisting she tell me what my son's diagnosis was and how he got it and so on. Um, if she's rushing me off the phone shouldn't she be more patient with me? Don't see why i should have patience with heath care workers--think it's the other way around.

Also feeling desperate for a therapist now since Cameron broke down crying in the doctor's office trying to talk about his symptoms, and spent the evening tonight crying about how he just be stupid since he was frustrated with his math homework 😢 feel like a bad mom.

He sounds like J when she does math! It's HARD to raise these kids when we want so much better for them! Hang in there!!
 
Awww, I do think most of us have been there, watching our kids deal with this disease is heart wrenching at times. But you are doing everything you can to get to the bottom of
this and make things better for him,and he knows it. Things WILL get better. Sometimes I've thought that we could do with a therapist ourselves!!! Or, there is always what crohnsinct said...... Hang in there and hope each day you see a little improvement. One thing about flagyl, is that it can make you feel kinda lousy, so maybe when he is done he'll really pick up. How many more days does he have on it?
 

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