How Does Fecal Transplant Work?

Fecal transplantation is a term synonymous to bacteriotherapy. In a rough description, fecal transplantation is the transfer of a healthy stool of a healthy individual in a patient’s intestinal tract. This healthy stool will help in the treatment of C. difficile colitis.

fecal matter held in a tube

Fecal transplant is a term synonymous with bacteriotherapy. In a rough description, a fecal transplant is the transfer of a healthy stool of a healthy individual in a patient’s intestinal tract. This healthy stool will help in the treatment of C. difficile colitis.

Fecal transplant also helps in regaining back the bacterial balance in your intestinal tract. The deficiency of good bacteria in your intestinal tract has a lot of varying reasons but the most common reason is the intake of too many antibiotics that it kills the majority of good bacteria in your intestinal tract.

Fecal Transplant Gives Hope Against Terminal Colon Disease

Fecal transplant is a procedure done to prevent the recurrence of the difficult C. difficile colitis. This phenomenon can be aptly described as an imbalance in the bacterial ecosystem in the intestinal tract. An imbalanced bacterial ecosystem in the intestinal tract means infection and myriads of digestive system issues like diarrhea, cramps, dehydration, fever, and so on and so forth.

What is Cdifficile infection

The C. difficile colitis phenomenon is due to an antibiotic therapy that kills a number of good bacteria in your intestinal tract. Too much immersion in antibiotics might lead to an imbalance of good bacteria in your intestinal tract. This is especially prevalent for people that are already 65 years of age. This is diagnosed through stool sample testing.


If you are diagnosed with C. difficile colitis, you will be recommended for different options for treating it. One of these options will be fecal transplantation.

This procedure though is quite extensive and most expensive. So, some patients prefer other options like antibiotic therapy. Antibiotic therapy might leave room for recurrence of the C. difficile colitis infection. Other patients who undergo this therapy do not experience recurrence, but some do. The antibiotics used are mostly metronidazole, vancomycin, and fidaxomicin.


If you are looking forward though to a more effective and potent procedure that will not leave any room for the recurrence of C. difficile colitis infection, you can turn your head in the fecal transplant procedure. A study made in England in 2013 attests to the effectivity of the fecal transplantation and the prevention of recurrence.

More About The Fecal Transplant

Fecal transplant is a procedure that is looked at as a last resort if the C. difficile colitis is constantly recurring and seems like there is no hope for it to ever stop. On the onset of the C. difficile colitis infection, it is best to under antibiotic therapy first and sees then see for yourself if the C. difficile colitis infection will recur. If it does not recur then chances are, you do not need the pains and complications of undergoing the fecal transplantation procedure.

Expectations on the Fecal Transplant Procedure

So what will you expect on the day and before the day of your fecal transplant procedure? The procedure and steps for fecal transplant slightly differ from each doctor to another or hospital. The steps and processes that I will mention below are the basics and the rough estimate of what’s going to happen.

1. Find a Fecal Donor

The first most likely, step that you would do is look for a healthy fecal donor. This donor of yours should have the following characteristics:

  • Your donor did not take any form of antibiotic in the last six months
  • His or her immune system is not compromised
  • Have not done piercing or tattoo in the last six months
  • No history of drug abuse
  • Not engaged in multiple sex partners
  • Free from incarceration
  • Has not traveled in endemic places
  • No intestinal or digestive illnesses

If you find a perfect candidate for fecal donorship, he or she will undergo the following test:

  • Blood Test
  • Stool Test

Donors may get financial aid for all the tests in their health insurance companies. With that, they have to check first with their health insurance company if these tests are amenable for financial aid.

2. Before the Actual Procedure

Before the actual procedure of fecal transplant your doctor will discuss to you the following things that you must follow:

  • Stop taking any antibiotic medication two days before the procedure;
  • You will only have a liquid diet the day before your actual procedure;
  • Let your doctors know about your allergic history
  • Take note of the prescription drugs your doctors will oblige you to take

Bring your loved ones or anyone capable of assisting you and bringing you home after the procedure.

3. The Actual Procedure

First, you will be inserted by a needle with fluids and sedatives on it. The actual fecal transplantation is quite simple. The procedure is done through colonoscopy. The colonoscopy device will deliver the feces from your healthy donor up to your colon. Upon withdrawal of the device, the feces is already inside your colon. There is another method of fecal transplant but is less commonly used. This method is called a nasoduodenal tube.

4. Post Procedure

After the procedure, you will only rest to get over with the sedatives inserted into your system. You do not need to stay for an extended period of time in the hospital. After you have recovered from the effects of the sedative, your doctor will give you his or her findings and will remind you again of the things that you need to take note of. Then, you may leave and resume rest to your home. Make sure you have a guardian beside you when you go home or somebody that can drive you home.

Immersing yourself in sedatives is a tricky business. At times, you thought you have got over the effects of sedatives, but later you find out that the sedatives have not completely worn off. With this, it is always a good idea to have someone beside even in the comforts of your home; you still need a guardian to assist and guide you through everything. The procedure might also feel weird at first.

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