Wednesday, September 2, 2009

Consult with Naturopath

Before I see my naturopath and request another prescription for vancomycin, I decided to briefly describe my history with bacterial dysbiosis (bacteria, parasites and candida). He has my lab results and prescription records, but may not remember our correspondence about my symptoms, results of treatment or my reasons for more stool tests during he past 3 years. After experiencing 3 recurrences of c-diff and reading about treating recurrences, I believe I need to continue vanco for at least another week before tapering off. I still awoke with cramping gut pains this morning. Here's my bacterial dysbiosis 'history':

8/06 Klebsiela Oxytoca 4+ DD stool test, treated w/ Caprilic Acid (6) & HLC probiotic(1) daily; Candida 1+ considered normal

11/06 Bifido and Lacto both 0+ DD Stool test, treated b4 results w/ Phytofuge
12/06 started HLC Synbiotic for a week to restore B&L

6/07 Bifdo 0+, Lacto 1+ DD Stool test, started betaine HCl (less constipation)

3/08 Enterobacter Cloacae 3+ DD Stool test, treated w/ CA (6) 4 weeks total, HLC as needed (symptoms began 1/08, treated Candida with nystatin 6 weeks w/ no improvement b4 taking stool test on 3/15)

6/08 Cryptosporidum sp. +, Candida +1, DNA Microbial test. Treated w/ nitazoxanide 500x2 (3 days) and Nystatin (6 daily for 60 days), (Treated Enterobacter 4 weeks with no improvement b4 taking DNAM test on 5/09, declined Tummy Temple suggestion)

1/09 Moldy mayonnaise and hummus, headache, nausea, cramps. Emergency antifungal treatment with Nystatin and Caprylic acid for one week.

4/09 Reported continued constipation (also had fecal urgency, bloating and cramping symptoms); declined suggestions for tummy message, acupuncture and ED therapy; requested DNAM test.

5/09 Collected and sent DNA Microbial stool test

6/5/09 Clostridium difficile 9.7E+005 HIGH, Unidentifiable parasite (NO candida)

6/8/09 Started Flagyl (500 x 3) 10 days, HLC Intensive 1x daily.

6/19/09 Started HLC synbiotic 7day packets

6/24/09 Finished HLC symbiotic, started HLC Intensive 1x daily

6/29/09 Symptoms (cramping, bloating, gas, constipation) slowly increased

7/25/09 Reported symptoms (cramping pain after every meal, lots of bloating, even more constipation, some nausea and fatigue) via email

7/27/09 Began another 10 days of flagyl (500 x3) with 1 HLC daily

8/3/09 Called to report new symptoms on day 7 of flagyl: chills in a 75 degree house, headache, extreme nausea, cramping pain, bloating, metallic taste (flagyl)

8/05/09 After 48 hour break from treatment, began vancomycin (125x4) for 7 days plus 1 HLC daily;

8/11/09 Ended 7 days of vanco

8/12/09 Began 7 days of HLC synbiotic high dose probiotic packets

8/18/09 Finished HLC symbiotic packets

8/20/09 Return of symptoms (cramping pain, bloating and fecal urgency)

8/21/09 Symptoms changed from cramping pain and bloating on 8/20 to overwhelming nausea, dizziness, chills and passing mucus this morning; called IBSTC to report new symptoms and probably c-diff recurrence

8/21/09 Began Vanco (125x4) for 14 days

8/28/09 Noticed symptoms of dizziness, nausea and chills after long period between vanco doses (11+ hours from late night to breakfast doses)

9/2/09 IBSTC Consult to continue vanco and then try tapered doses

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