The idea of a fecal transplant is daunting, to say the least. But the truth is, it’s becoming an increasingly popular medical procedure for treating certain illnesses. But how is a fecal transplant done?
Fecal transplants are used to restore the balance of healthy bacteria in your gut, which can help treat conditions like inflammatory bowel disease and recurrent Clostridium difficile infections. In this blog post, we will explore how a fecal transplant is done and discuss why it may be an effective treatment option for some people.
What is a Fecal Transplant?
A fecal transplant is a medical procedure in which stool from a healthy donor is transplanted into the intestine of someone who has a gastrointestinal (GI) infection. The hope is that the healthy stool will help to restore the balance of good and bad bacteria in the GI tract and clear up the infection.
Fecal transplants are not new; they have been used for centuries to treat a range of GI disorders. In recent years, though, they have become more mainstream as a treatment option for certain conditions, such as Clostridium difficile (C. diff) infections.

The process of a fecal transplant begins with finding a healthy donor. This person must be free of any GI or other diseases and must undergo screening to ensure that their stool is safe to transplant. Once a donor is found, they will provide a fresh sample of stool, which will be mixed with saline solution and transplanted into the recipient through a colonoscopy or enema.
After the transplant, it is important for the recipient to take care of their gut health by eating a healthy diet and taking probiotics. In most cases, people will see an improvement in their symptoms within a few days or weeks after the transplant.
Why is a Fecal Transplant Done?
A fecal transplant is done in order to replace the bad bacteria in the gut with healthy bacteria. The procedure is also known as a:
- Stool transplant
- Microbial transfer
- Bacterial microbiota transplant (BMT)
Fecal transplants are used to treat a number of conditions, including:
1. C. difficile infection
This infection is caused by a type of bacteria called Clostridium difficile. This bacteria can cause severe diarrhea, abdominal pain, and fever. Fecal transplants have been shown to be very effective in treating C. difficile infection, with up to a 90% success rate.
2. Irritable bowel syndrome (IBS)
IBS is a disorder that affects the large intestine. Symptoms of IBS include abdominal pain, bloating, constipation, and diarrhea. A fecal transplant may be an effective treatment for IBS, although more research is needed in this area.

3. Crohn’s disease
Crohn’s disease is an inflammatory bowel disease that can cause symptoms such as abdominal pain, diarrhea, fatigue, and weight loss. There is some evidence that fecal transplants may be helpful in treating Crohn’s disease, but more research is needed.
4. Ulcerative colitis
Ulcerative colitis is another inflammatory bowel disease that can cause symptoms such as abdominal pain, bloody stools, diarrhea, and weight loss. There is some evidence that fecal transplants may be helpful in treating ulcerative colitis but more research is needed.
How is a Fecal Transplant Done?
Fecal transplants, also called stool transplants, are a type of procedure where stool from a healthy donor is transferred to the intestine of someone who has a digestive disorder. The goal is to introduce healthy bacteria into the recipient’s gut in order to help them with their condition.
Fecal transplants are usually done by mixing the donor stool with saline solution and then inserting it into the recipient’s intestine through a tube. The tube is usually inserted through the nose or rectum.
The procedure can be done in a hospital or clinic setting, and it typically takes less than an hour. The person receiving the transplant may need to stay in the hospital for a day or two afterward so that doctors can monitor their progress.

There are several potential benefits of fecal transplants, including reducing symptoms of:
- Clostridium difficile (C. diff)
- Inflammatory bowel disease (IBD)
- Irritable bowel syndrome (IBS)
Fecal transplants have also been shown to be effective in treating other conditions such as liver disease and multiple sclerosis.
There are the following methods available through which fecal transplant is done:
1. Capsule form
Fecal matter is collected, processed and freeze-dried, and then put into capsules. The patient then swallows the capsules, which dissolve in the gut and release the beneficial bacteria.
2. Nasojejunal tube
A tube is inserted through the patient’s nose and into the small intestine, where the beneficial bacteria are delivered.
3. Stool bank
Stool samples are collected from healthy donors, screened and processed, and stored in a centralized bank. Patients can then receive the processed stool as a treatment.
4. Microbial suspension
An extract of the donor’s microbiota is created and enriched with the desired bacteria. The suspension is then delivered to the patient.
5. Fecal Microbial Implant (FMT) device
This is a compact, disposable medical device designed to make FMT easier, safer, and more consistent. The device is designed to deliver the processed stool to the patient’s gut.
These methods are still being researched and may not be widely available yet. It’s important to talk to a doctor to determine the best method for a particular patient.

What are the Risks of a Fecal Transplant?
A fecal transplant is a medical procedure in which stool from a healthy person is transplanted into the intestine of a person with a digestive disorder. The hope is that the healthy stool will help to restore the balance of bacteria in the intestine and alleviate symptoms.
However, there are risks associated with this procedure. For example,
- The transplanted stool may contain harmful bacteria or other organisms that could make the recipient sick.
- There is also a risk that the transplant may not be successful in restoring the balance of bacteria in the intestine, and that symptoms may persist or even worsen.
- Finally, as with any medical procedure, there is always a risk of complications, such as infection.
Fecal Transplant Success Stories
Fecal transplants are an incredibly effective treatment for a variety of gut disorders, and there are many success stories out there. One such story is that of a young woman with ulcerative colitis who was able to find relief from her symptoms after just one fecal transplant.
Another success story comes from a man with Crohn’s disease who had been dealing with the condition for over 20 years. After undergoing a fecal transplant, he was finally able to achieve remission and has now been symptom-free for over two years.
There are many other stories like these, which show that fecal transplants can be life-changing for those suffering from gut disorders. If you or someone you know is struggling with a gut disorder, don’t hesitate to ask your doctor whether a fecal transplant could be right for you.
Here are some references of success stories of fecal transplant:
- “Fecal Microbiota Transplant for Recurrent Clostridium difficile Infection: Systematic Review and Meta-analysis” by Elisabeth PD. N. de Vries et al. (2016)
- “The use of Fecal Microbiota Transplantation in Gastrointestinal Disorders” by Colleen R. Kelly and Alexander C. Khoruts (2015)
- “Fecal Microbiota Transplantation: Current Status and Future Directions” by Purna C. Kashyap and Alexander C. Khoruts (2017)
- “Successful treatment of severe ulcerative colitis with fecal microbiota transplantation” by M. Bretagne et al. (2015)
- “Fecal microbiota transplantation for recurrent Clostridium difficile infection” by J. E. Johnson et al. (2011)
Conclusion
Fecal transplants are a safe and effective way to treat certain types of infections. Although there is still much research that needs to be done, fecal transplantation has already helped countless people in their battle with C. difficile, IBS, Crohn’s disease, and more. With its minimal risks and potential for positive outcomes, the process of undergoing a fecal transplant may be just what you need to start feeling better soon. So if you think a fecal transplant might benefit you or someone close to you, don’t hesitate to ask your healthcare provider about it today!