Can you say more? I have never heard about any diet modifications for c. diff. other than probiotics.

There appears to be nothing that is really current in relation to diet and C dif. I am making an assumption that you know about the most current research which suggests there is a correlation between the use of proton pump inhibitors and C dif.

We used to advise patients to limit milk and dairy foods, to avoid high fat dishes. Grill, poach, steam rather than frying or adding extra fat to any meat or fish. High fibre carbohydrates may make diarrhoea worse so try white bread etc. Might be sensible to avoid citrus friut and soft fruit with high pip content. Also some vegetables, nuts and pulses might increase bloating and should be eaten in small quantities or avoided.

This advice was to aid recovery from C.diff until the diarrhoea stopped then to reintroduce the "normal" diet slowly again. This advice was provided by a dietician, but we can't find any research to back it up therefore we have had to stop giving it. The informal feedback we recieved from patients was positive.

So I hope that someone might have some research that will help clarify the situation.

I'm a Nurse practitioner, working in a medical department in Finland. We are also using probiotics and advise patients to limit milk products. But I have never heard or readed about any researches about it. But from my experience (30 years) I shoud say that it help. The once I think you can find is about to limit milk when the patient has diarrhoea (not only from clostridium).

I find two different articles about C. difficile and diet and especially probiotic agents. Both are not very recent (1997, 2001) but they seems to be answering your question.

1) Nonfunctional gut? Try a probiotic food.

Vogelzang JL.

Home Healthc Nurse. 2001 Aug;19(8):467-8.

2)Dynamics of Clostridium difficile infection. Control using diet.

Ward PB, Young GP.

Adv Exp Med Biol. 1997;412:63-75.

Tell me if you need help to get the free full text.

Lozupone, C.A., Stombaugh, J.I., Gordon, J.I., Jansson, J.K., Knight, R. (2012)

Diversity, stability and resilience of the human gut microbiota Nature 489 (7415) , pp. 220-230; Cabré, E., Domènech, E. (2012) Impact of environmental and dietary factors on the course of inflammatory bowel disease World Journal of Gastroenterology 18 (29) , pp. 3814-3822; Neuman, M.G., Nanau, R.M. (2012) Inflammatory bowel disease: Role of diet, microbiota, life style Translational Research 160 (1) , pp. 29-44 ;

I am a nurse I am very interes lecturer with psyvhiatric nursing if your friends have psychiatric nursing article send it to me thanks