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Disastrous Diarrhea Was Almost Lethal

Q. Recently I needed to have a tooth extracted. The periodontist prescribed amoxicillin and on the tenth day I came down with severe diarrhea (like the prep for a colonoscopy).

This started on Friday night and by the time I got through to my doctor on Monday morning, she sent me straight to the ER. I had a C diff infection. My potassium was 2.2, which is a life-threatening low level.

I spent seven days and nights hooked up to an IV, and I’m not out of the woods yet. There is a 25 percent chance C diff might recur, which means I will need to take vancomycin for an additional month. What upsets me most is that the periodontist did not warn me about this hazard.

A. Antibiotics like amoxicillin, clindamycin and cefuroxime are valuable in preventing or treating serious infections. Unfortunately, they may also increase the risk for a Clostridium difficile (C diff) infection of the digestive tract.

The diarrhea that can result may indeed be life threatening. Dehydration can lead to low levels of potassium and magnesium, which can cause dangerous heart rhythm abnormalities. Anyone who is prescribed such antibiotics should be warned about the serious diarrhea that might result.

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About the Author
Terry Graedon, PhD, is a medical anthropologist and co-host of The People’s Pharmacy radio show, co-author of The People’s Pharmacy syndicated newspaper columns and numerous books, and co-founder of The People’s Pharmacy website. Terry taught in the Duke University School of Nursing and was an adjunct assistant professor in the Department of Anthropology. She is a Fellow of the Society of Applied Anthropology. Terry is one of the country's leading authorities on the science behind folk remedies..
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