C diff advise for gay men, wait, what is C Diff??? | PULSE CLINIC - Asia's Leading Sexual Healthcare Network.
C diff advise for gay men, wait, what is C Diff???

C diff advise for gay men, wait, what is C Diff???


What is Clostridium difficile (C. diff.)?

Clostridium difficile (C. diff.) is a type of bacteria that lives in many people’s intestines. C. diff. is part of the normal balance of bacteria in your body. It also lives in the environment, such as in soil, water, and animal feces.

Most people never have problems with C. diff. However, if there is an imbalance in your intestines, C. diff. may begin to grow out of control. The bacteria start to release toxins that irritate and attack the lining of your intestines. This is what leads to symptoms of a C. diff. infection.

C. diff (also known as Clostridioides difficile or C. difficile) is a germ (bacterium) that causes severe diarrhea and colitis (an inflammation of the colon). It's estimated to cause almost half a million infections in the United States each year.

What is C. difficile?

C. difficile or C. diff is a bacteria that lives in the soil, air, and water we breathe. It is passed via fecal contamination between humans, including handballers.


Who is at risk for contracting C. diff?

While historically this is an infection that older people were likely to catch in the hospital after an extended antibiotic treatment, younger, non-hospitalized individuals, are now infected with greater frequency.
While those having a recent treatment of antibiotics are more at risk due to a diminished natural intestinal flora, those that douche excessively (deep and frequent) are also at risk. If you are in either of these categories, make sure you are practicing good hand hygiene and etiquette while fisting.

What are symptoms of C. diff?

Like many STIs, symptoms can be all across the board—from nothing (asymptomatic), to diarrhea 15-20 times daily. C. diff can also cause life-threatening inflammation of the colon. Once established inside the colon, C. diff produces toxins that attack your intestinal lining. It forms large colonies that create barriers to antibiotics.

Is it possible to know who gave it to me?

It can develop into a problem within hours or months of initial contact. Trying to track down a vector is difficult and impossible. Additionally, because the bacteria exists all around us, exposure could have come from a safe session (two partners, no fluid exchange) where the top inadvertently picked up the bacteria from a door knob, hand rail, or steering wheel. Or you might have picked it up from a non-sexual or non-puppeteering activity.


Who should I notify?

Once diagnosed, mention it to your playmates from the last two months (if you know who they are). Let them know that if they show unexplained symptoms, they should see their health care provider.


How long should I quarantine?

If you are topping and using good hand hygiene, ten to fourteen days is probably sufficient once symptoms cease. If you are a bottom, take the month off from bottoming, and improve your topping skills.

How can I decrease my risk?

There are several ways to decrease risk:

  • Never bottom while on antibiotics. Wait seven days after your treatment ends to bottom.
  • Add pre- and probiotics to your nutritional routine.
  • Eat sufficient fiber or take fiber pills.
  • Stay hydrated.
  • Insist your playmates perform hand hygiene before entering your fist chasm.
  • Wipe down your play area with a diluted bleach solution after play.
  • Once your top's hands are washed, encourage him to avoid touching things that haven’t been cleaned before and during his sojourn in your hole. In the play area, this includes sling chains, foot straps, sling frames. It might also include other household fixtures and furniture.
  • Avoid hand to foot contact as your feet may have picked up C. diff on the floor around you.
  • Never share lube.
  • Disinfect the inside and outside of your lube bottle after use.
  • Discard lube that isn’t anti-microbial within 24 hours of mixing, especially J-lube.
  • At events hosted in bars, bath houses, and sex venues, insist your tops wash their hands between bottoms. Since many venues have inappropriate hand washing facilities, bring hand sanitizer to apply at the play station.
  • Observe your top apply the sanitizer to exposed areas (hands if you are shallow; biceps, forearms, and elbows if you are deep).

Should I be worried about this disease?

It’s relatively uncommon, however, if you have a compromised immune system, or are on extended antibiotics, or are fifty-five and older, you should keep in mind this disease if experiencing extended distress of your bowels.