Navigating the Risks: The Dangers of DIY Faecal Microbiota Transplants

Poo transplants, officially known as faecal microbiota transplants (FMT), have emerged as a potential remedy for debilitating gut conditions. Despite being a treatment option available through the NHS for specific cases, a concerning trend has surfaced as individuals attempt the procedure at home, raising alarm among experts.

FMT involves the collection of faeces from a healthy donor, treated in a lab, and then transferred to patients. While officially sanctioned for treating conditions like Clostridioides difficile (C. diff) infection and ulcerative colitis, the DIY approach has gained popularity on social media platforms.

Individuals are resorting to using the faeces of friends or family members, creating syringes or pills to self-administer the treatment. Dietitians stress that this DIY method is not only "incredibly dangerous" but also poses a risk of "life-threatening" infections.

The official medical process includes collecting faeces from a healthy donor, filtering it to remove undigested particles, testing for diseases, freezing it, and then transferring it to the patient. Administration methods range from colonoscopy to nasal tubes and even encapsulation.

While the NHS restricts FMT to certain conditions, research hints at its potential effectiveness for a broader spectrum of gut issues, including Crohn's disease, irritable bowel syndrome, and even conditions like diabetes, cardiovascular disease, and neurological problems.

The surge in DIY attempts is exemplified by stories like that of Saffron Cassaday, who detailed her unconventional self-treatment for ulcerative colitis using her husband's faeces. Social media platforms are flooded with videos showcasing homemade FMT products and claims of curing various ailments, further fueling the trend.

Experts caution against such practices, emphasizing the associated risks, from undetected pathogens to potential damage during the transfer process. The lack of proper screening and testing, even with known donors, amplifies the danger, leading to infections that could be life-threatening.

Guts UK, a charity specializing in gastroenterology, strongly discourages DIY FMT, urging individuals not to succumb to the trend. Julie Thompson, an information manager at the charity, highlights the dangers of attempting FMT without proper oversight and screening. Animal studies even suggest the potential transfer of mental health conditions through faecal matter.

The official FMT process within the NHS involves specialized professionals and licensed stool banks, with donors undergoing a thorough screening process. The message from experts is clear: if struggling with digestive symptoms or conditions, seeking professional medical advice is crucial, and attempting a DIY FMT is strongly discouraged. Guts UK and healthcare professionals are available for support and guidance, emphasizing the importance of controlled clinical trials in testing new therapies.