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CDiff Smell?

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by student456 student456 (Member)

Cat_RN, ASN, BSN, RN

Specializes in Med/Surg, Geriatric, Hospice. Has 12 years experience.

That "neuro smell" or "stroke smell" DEFINITELY comes form the mouth! I think it has to do with poor control over oral secretions, but like the previous poster said, you can do oral care q 15 min and still not get rid of it!

And thank goodness for in-line suction, remember that prevalent psedomonas smell when suctioning......yuck!

Also, is it just me, but whenever I smell bile I want to instinctively barf....like it's coming from some evolutionary refex??? (not to be confused with refux, har har!)

The 'neuro' smell is the same as the 'trach' smell for me! I always think people with trachs smell like bleach.

Callisonanne

Specializes in Psych.

During my nursing clinicals I was blessed to meet a doctor who loved teaching us interesting things. We had a patient who was there very often due to his liver failure. He was not a candidate for organ transplant because as he stated often "I drank my liver to death and I don't deserve it." He also had a very loud heart murmur and we went in to assess him. Right before going in the room the doctor told us to get close to his mouth and smell his breath. I was shocked by the jaundice this man had but I will never forget that smell. After leaving the room the doctor told us "from now on you can spot liver failure from the first wiff". Thanks doc!

Wrench Party

Specializes in Cardiology, Cardiothoracic Surgical. Has 3 years experience.

I worked in a lab too for nearly a decade, and I can instantly smell when someone has candida (sweet, rotting milk smell) or E. coli. We worked with the innocuous version of these bugs. I can also smell Pseudomonas infection in lung patients (has a weird phlegmy/cabbagey/mustardy death smell that corresponds with its horrible green color on plates, and was ridiculously hard to get rid of from cultures and strain plates). Still makes me gag even when I have a mask on and toothpaste under my nose to help with the smell.

C diff really doesn't bother me on the Scale of Blergh, minus the contact precautions. Reminds me of rotting compost crossed with chicken manure.

quiltynurse56, LPN, LVN

Specializes in LTC and Pediatrics. Has 3 years experience.

These are smells that once you smell them, you will never forget them.

MHDNURSE, BSN, MSN, RN, NP

Specializes in Pediatrics, Community, and School Health. Has 21 years experience.

A question that I have been wanting to ask - but, didn't know how to bring it up (and this thread gave me the perfect opportunity) - Is it inappropriate to gag when dealing with these smells (stool, vomit, etc)? How do you control gagging? Or do you "just get used to it" and you eventually don't have those kinds of reactions?

Vick's vaporub under your nostrils helps a LOT. Keep a little jar of it in your locker

I have never been able to smell CDiff. Ever. I have taken care of countless CDiff + patients and can't smell it (not complaining!!)

GI bleeds? Yup, like someone else said, a mouth full of nickels. GI bleeds I can smell a mile away :bag:

amoLucia

Specializes in LTC.

Dialysis pts seem to have a distinct smell to me.

Didn't read all the other posts so I don't know if dialysis was mentioned. They also tend to have a 'color' that I can detect.

I found your thread here and thought you might be able to answer a question that has been nagging me for a while. What causes some stools to smell like perming lotion/hair remover? I have run into this one with family and always wondered.

amoLucia

Specializes in LTC.

Just noting this late - might your pt have an elevated serum ammonia level?

excuse me, i know its an old thread and the board is mainly for nurses... but i have a gross odor question that i hope you all can help me with as i know it's got to be related to some kind of internal sickness. in the last few months i have noticed at times a pungent "spoiled raw hamburger" smell about my father. i've spent hours trying to find an answer for this smell, which is how i've come to your board. i hope someone will respond with their experience with this smell-- i am not looking for DX, i am only trying to learn what others have learned in their own experience. it would help me better know how to approach him about it, because i'm concerned it may be a sign of something going very wrong internally. Dad is 79, type 2 diabetic with some level of kidney failure, and he just passed another round of kidney stones. i think the smell shows up around his periodic attacks of kidney stones. he's also not eating well for his condition, for at least the past couple months he's opted mostly for those liquid meal replacement drinks. i don't know why he's skipping meals suddenly but i am worried. i think knowing what the smell might be about could help me better understand. please, i hope someone will find my question resonates with an experience they are willing to share here.

btw-- i too know that C.Diff smell, my sister in law had it in the hospital when she was dying of cancer. Nastiest piggy/sour chicken barnyard smell ever, with the colour to match!! i about fell out of my chair laughing at all your descriptions - Yech!!

I just moved in with a 21 year old kid and his mother died with C Diff i guess she got it in the hospital the bad one, she passed away at 59, my concern is my roommate's breath is horrible. He does have a bad tooth in the back but it still seems really bad. Should i be concerned? The other thing is one of his mothers friends were here one time and she went number 2 i never smelled anything like it, it was awful. what should i do? Move? lol

I recently moved in with a 21 year old kid and his mother died with C Diff i guess she got it in the hospital the bad one, she passed away at 59, my concern is my roommate's breath is horrible. He does have a bad tooth in the back but it still seems really bad. Should i be concerned? The other thing is one of his mothers friends were here one time and she went number 2 i never smelled anything like it, it was awful. what should i do? Move? lol

We share a bathroom, can I catch it if he has it and if he has a bad tooth in the back could that be the smell i mean its bad, he was across from me in the car and it almost knocked me out, either his tooth is filled with pus, or he also has C Diff.

Hi Pom Pom:

I have a roommate I just moved in with he is 21 and his mother died with C diff at Chippenham Hospital in richmond Va about 5 months ago, now I moved in here, he is my roommate. im concerned, his breath is terrible, he denies diarrhea, we share a bathroom so im very concerned. He does have a bad tooth that could be making his breath bad, but what im smelling is really bad. He was sittng next to me in the car and i could smell something awful when he turned to talk to me. What should i do? I am looking for another place now. We do share a bathroom. I wipe everything down with Bleach comet and moved my personal stuff all into my room. What is the best test he can get to test for this? He is uninsured at the moment? One place Health First told him 300.00 plus dollars.