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Oral Candidiasis

more about Oral Candidiasis


Thrush




Normal

Abnormal
  • Thrush is an infection of the mouth caused by a yeast like fungus known as Candida albicans.  Usually, it appears as white, painful, patches in the mouth, and is treated successfully with various medicines.

  • The infection usually causes thick, white patches to develop in the mouth.  These white patches can be easily scraped off.  Underneath, there is usually a red rash.
  • The infection is usually painful.  It may cause pain in the mouth, and may eventually cause pain while swallowing.

  • Thrush is due to a Yeast Infection.
  • It is seen most often in people with diabetes, HIV, those taking steroids or antibiotics, and in people who wear dentures.  It is also common in people receiving radiation therapy or chemotherapy.

  • Examination of the rash by a doctor is usually enough to make the diagnosis.  Occasionally, a sample is taken and sent to the laboratory for analysis.
  • Rarely is a biopsy (in which a sample of the tissue is cut out and sent to the laboratory to be examined under the microscope) needed.

  • There are multiple treatment options:
  • Nystatin troches (tablets made to dissolve in the mouth) 5 times a day.
  • Mouth rinses with Nystatin (the medicine is swished around the mouth and then swallowed) 3 times a day for 7-14 days.
  • Clotrimazole troches 5 times a day for 7-14 days
  • Ketoconazole -- 200 mg once a day for 7-14 days
  • Fluconazole -- 100 mg once a day for 7-14 days
  • Hydrogen peroxide (diluted to half strength) can be used to rinse the mouth.  This often provides relief from the pain associated with this disease.
  • People with dentures who develop this problem can use Nystatin powder 3-4 times a day.  They usually have to keep doing this for several weeks.




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