Nearly seventy-five percent of all women will suffer at least one episode of candida or vaginal thrush during their lifetime. Most of these women experience infrequent attacks and respond well to drug therapy that performs an effective candida cleanse, however in some cases the infection is persistent and is resistant to most candida treatment options.
The yeast Candida albicans causes Ninety-five percent of genital candidiasis with the remaining five percent being caused by the yeast Candida glabrata; infections with Candida glabrata, symptoms tend to be milder. Candida albicans has been isolated from vaginal swabs in women who do not complain of symptoms and who do not have clinical signs of disease. This suggests that some change in the vaginal environment needs to occur for the yeast to cause disease. These factors are unknown, but vaginal candidiasis is associated with pregnancy, diabetes and antibiotic treatment. Considering the statistics of candida infections, it is more than obvious an affective candida treatment is needed an actual candida cleanse.
Symptoms of candida include vaginal discharge, intense vaginal and vulval itching, painful or difficult urination and difficult or painful sexual intercourse. In women who are not pregnant infection tends to begin the week before menstruation. Candida is so common that often a woman can obtain a candida treatment from a doctor without genital examination. If symptoms persist despite the prescribed candida treatment it is necessary to undergo a genital examination where the physician will obtain specimens for laboratory diagnosis. This allows the doctor to eliminate other causes of disease such as bacterial infection and to test for drug resistance in any isolated candida yeasts that prevent the complete candida cleanse.
Most women with thrush respond to topical candida treatment with the antifungal drug nystatin or an antifungal drug from the imidazole family - clotrimazole, econazole, isoconazole, ketoconazole or miconazole. Clotrimazole, econazole, ketoconazole and miconazole are sold as creams and clotrimazole, econazole, isoconazole and miconazole are sold as pessaries. The imidazole candida cleanse treatments have a higher cure rate than nystatin with shorter courses of treatment. Two other drugs, itraconazole and fluconazole are available in an oral form for the treatment of thrush. Fluconazole is given in a single oral dose and itraconazole in two doses 8 hours apart. Fluconazole and itraconazole are much more expensive than the other drugs, but are easier and less painful to administer. If a patient does not respond to one of these drug treatments, their doctor will try another.
Women with recurrent candida may suffer from depression and psychosexual problems so it is important to obtain an effective candida treatment as quickly as possible. It is often helpful for the patient to consider the factors that may trigger the infection. It is also important for a patient to consider that their sexual partner may be infected with candida yeasts and not exhibit any signs or symptoms permitting the infection to be passed on during sexual intercourse. It is not necessary to investigate oral or intestinal infection with candida yeasts. In the past doctors thought women had recurrent candida infections because they were reinoculated from a persistent intestinal reservoir; this been confirmed through research to be false.
Recurrent candida infections can be controlled in most women using doses of oral candida treatments combined with topical candida treatments. After symptoms of candida have been suppressed for six months, it's thought that the cleanse is complete and the candida treatments are discontinued and the patient is reassessed. Many women do not revert to the previous pattern of recurrent disease. Some women find that yogurt douches or special diets help them gain control over candida infections. It is also recommended that women with recurrent candida infections wear loose fitting cotton underwear and do not wear tights or tight fitting hosiery. Finally, it is very important to take candida treatments exactly as prescribed by your doctor; this greatly improves the chances that the candida cleanse will be successful in eliminating the candida infection.
Penile candidiasis - Most men with penile candidiasis experience an inflamed penis apex and foreskin and sometimes they have a discharge from underneath the foreskin. The apex of the penis is often red with spots and the skin on the penis and in the groin is sometimes itchy and scaly. A specimen will often be taken for laboratory diagnosis as these symptoms can result from other infections. Penile candidiasis is treated with candida treatments that may include saline washes or application of antifungal cream. Female partners should be examined in the event they are the source of the infection. If a man has a persistent candida infection, he should be investigated for diabetes, as diabetes sufferers are prone to penile candidiasis. In addition men who have a penile catheter inserted for a long period time are prone to recurrent penile candidiasis infections.
Oral candidiasis - Newborn bottle-fed infants and individuals taking antibiotics are most susceptible to oral thrush which is caused by candida yeasts. Oral candidiasis appears as curdy, white patches or membranes covering the inside of the mouth. Sloughing of the membrane exposes a reddened, irritated surface. Oral thrush responds well to candida treatments that typically include oral nystatin, ketoconazole, fluconazole or amphotericin B. For an all-natural candida treatment option, Yeast No More by Forces of Nature might be considered.
Chronic Mucocutaneous Candidiasis (CMC) is a rare condition caused by the yeast candida. Most people can fight off candida infections with the use of an antifungal candida treatment, but in a small number of people these infections recur and are difficult to treat much less cure. CMC is a disease in which individuals have frequent, usually continuous oral thrush that is difficult to treat. Most cases of CMC are recognized in childhood where babies or children have repeated episodes of oral thrush and sometimes thrush of the esophagus.
The immune cells (lymphocytes) of these children can be tested and are found not to respond candida yeast. When CMC is found in children it is usually genetic, although the exact genetic defect has not been identified it is thought that affected children have two copies of a defective gene, one from each parent. Occasionally there are other reasons for recurrent thrush. Blood tests are needed in order to eliminate these possibilities. In those individuals with genetically acquired CMC other health problems occur, as the children get older. The immune systems of these people, although unable to fight off candida, are overactive in certain body tissues. Damage to endocrine organs like the adrenal glands, ovaries and also to the skin can occur in adolescence or early adulthood. Some patients develop patches on their skin, this is typically referred to as vitiligo and others lose some or all of their hair, other patients need various forms of hormone replacement. The exact reason for these additional problems is not known.
Although most cases of CMC occur in childhood, there are some cases that first appear in adults even as late as the age of fifty. These cases are not so clearly linked to a genetic defect and the cause(s) of CMC in adults is unknown. People who develop chronic candida, as adults are unlikely to experience the additional problems that people who develop recurring infections as children can experience.
Chronic candida infections are usually treated with courses of oral candida treatments such as fluconazole and itraconazole. Often long term therapy with these drugs is required, but the drugs have few side effects and patients have been treated with them for many years at a time quite safely. A slight concern is that anti-fungal drug resistance may occur over time, although this is very uncommon in chronic candida patients. With more research into this disease it may be possible to identify the exact genetic abnormality permitting researchers to develop a gene replacement therapy and possibly even a cure.
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