Diarrhea, low fever, rectal bleeding, fatigue

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New Member

Date Joined Oct 2009
Total Posts : 1
   Posted 10/4/2009 2:09 PM (GMT -7)   
I am a 22-year-old female diagnosed with IBS 5 years ago. I find my IBS is best controlled by a gluten and dairy free diet, but that celiac disease runs in my family, so that could be why. "Normal" for me now I guess is ~5 bowel movements a day, sometimes diarrhea consistency, but never persistently, several times a day, for two months straight.
Very early in August I came down with a fever of 102+, diarrhea, and nausea. I was taken to the ER for IV fluids since I got so dehydrated. The fever and other symptoms improved, but the diarrhea did not. After a couple weeks I went back to Family Medicine where a doctor (not my PCP) deemed my diarrhea infectious. I was given a week of Cipro.
Then my diarrhea became very watery, which was abnormal for me. I went back to the doctor and a stool test confirmed I had C diff.
I took 14 days of Flagyl until September 10th or so. But the diarrhea continued, several times. So did abdominal pain. Though it was no longer as watery, for a week or too is was very soft, ill-formed, pale with bits of green and orange, looked like undigested food. very strange, and not normal for me. Then for a week or so it was a solid brown color, but still very soft and long, thinner than normal, still frequent, still with belly pain.
Now it's back to the paler, orange-ish color.
I've been really tired the past few weeks.
And starting recently started having rectal bleeding and low fever of 99.5 or so.

Any advice for me? I have an appointment with a GI doctor in two weeks, but is that too long to wait, given my symptoms?
I went to the health services at my university and they did a blood test, and my RBC count was low, my RBW was high. They referred me to the GI doc, but GI docs are hard to get an appointment with soon.
oh, also Flagyl gave me bad acid reflux. I have NEVER had acid reflux before, but my sister has. It went away when I finished the antibiotics, but it came back on Wednesday (just that day though).

Additional health history: had my appendix out when I was 9. it was technically unnecessary though: my lymph node near the appendix was what was swollen, but they were unable to tell until they operated. still, the surgeons decided to remove my appendix then anyway! may or may not be relevant in this case. But yes, I'm a bit concerned about Crohn's..

Veteran Member

Date Joined Dec 2006
Total Posts : 559
   Posted 10/4/2009 2:44 PM (GMT -7)   
Hi allienyc,

Your list of symptoms sounds complicated enough that I don't want to hazard a guess as to what's causing it. You do need to have a GI doc follow up with tests. I'm sure you realize that C.diff problems are caused by use of antibiotics, so maybe that's an avenue to explore.

about the only useful thing I can tell you is that I'm sure having your appendix removed 13 years ago is certainly not the problem. The appendix is a vestigial organ - serves no useful purpose. Indeed, it's sole purpose seems to be causing fatal infections.


best of luck with your GI visit,
Crohn's since 1988
3 resections

Veteran Member

Date Joined May 2006
Total Posts : 1177
   Posted 10/4/2009 5:15 PM (GMT -7)   

You should get yourself re-tested for c-diff. Sometimes, people can relapse, and get it again because the c-diff bacteria is a spore forming bacteria. The antibiotics cannot kill the spores, only the live bacteria. So, after you stop the antibiotics, there is a chance that you can relapse because the spores hatched. Only way to tell for sure is with a stool test.

Also, probiotics such as VSL#3, Culturelle, and Florastor help keep the flora in your gut balanced, and can help prevent a relapse of c-diff. So, please start taking some probiotics if you aren't already.

If the c-diff tests come back negative, you probably need more diagnostic tests. After a c-diff infection some people (roughly 1 in 5) can develop post infectious irritable bowel syndrome, which can also cause symptoms similar to both c-diff and celiac's disease. I am not sure if you have blood from hemorrhoids or what. But I can tell you that blood is not a symptom of IBS. You need to get yourself to medical care soon to get stool tests and a colonoscopy to check out the bleeding. Also, fever is a sign of either inflammation or an infectious process. So, please go see a doctor very soon to get a control on this.

Also, they recently discovered that the appendix does serve a purpose - it replenishes your system with flora after a stomach bug.

But even so, I am pretty sure your appendix surgery has little to do with your current condition. You need to have medical care, and we cannot provide that on this board. Do go see your doctor, and get a colonoscopy and stool tests to figure out what's going on.

I hope you get to the bottom of this soon, and you feel better real quick.

Husband with Crohn's
Diagnosed March 2003 Ulcerative Proctitis
Diagnosed March 2008 Crohn's & C-diff, hospitalized 45 days
Canasa, Lialda, Remicade, VSL#3, Florastor
In Remission since June 2008
Stopped vancomycin for c-diff Jan 1 2009
C-diff free, until Sep 2, 2009
Fighting c-diff, I guess for life

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