Fecal Microbiota Transplantation Resources

Patients play an important role in maximizing the success of fecal microbiota transplantation (FMT) to treat C. difficile infections. The attached preprocedure and postprocedure guides outline the steps you can and should take for the best chance of successful treatment.

We've also included our patient intake questionnaire here to give you a preview of the information we'll capture at your first visit. These details will help us make the best recommendations for your care.

It is critically important to clean C. difficile out of your bathroom before returning home after FMT. Follow these steps to prepare your home. At a glance:

Ask a family member or friend, or hire a cleaning service to clean your bathroom while you are having your FMT procedure. If you must do the cleaning yourself, do it just before you leave for your treatment. Once the bathroom is clean, you should not use it again until after your FMT.

A thorough cleaning requires the following items:

• Bleach, such as Clorox
• Water
• Bucket
• Measuring cup
• Clean rags
• Clean sponge
• Trash bag
• Rubber gloves

Follow these steps carefully:

• Wear rubber gloves throughout this process.
• Prepare the cleaning solution. Mix 1 cup of bleach with 9 cups of water in the bucket.
• Wipe away any stool you can see with the clean rag. Throw the rag away when done.
• Wet the sponge in your cleaning solution and scrub everything – hard!
• Continue to wet the sponge as necessary while cleaning.

• If you do not feel better within 4 days of your FMT, let your doctor know.
• If you do feel better, but then diarrhea returns, contact your doctor. This does not necessarily mean the C. difficile has returned.
• Nausea, bloating and mild cramping often occur after FMT, but usually last no longer than 24 hours. If these side effects persist for more than 24 hours, call your doctor.
• It is important to keep the 8-week follow-up appointment your doctor will schedule.
• Consult with your doctor before taking any probiotics. Diets high in fiber seem to support healthier bacteria.
• Wash your hands often with soap and water. Hand sanitizer is acceptable, but should be used only when soap and water are not available.
• If a doctor prescribes antibiotics in the future, be sure to mention you have had C. difficile and FMT.

Download the complete guide.