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Oral Thrush

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Oral thrush, also known as oral candidiasis, is a fungal infection that occurs in the mouth and throat. It is caused by an overgrowth of Candida fungus, particularly a species called Candida albicans. Candida is normally present in the mouth, but when there is an imbalance in the oral environment, such as a weakened immune system or an increase in the fungus, it can lead to oral thrush.

 

Oral Thrush

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Oral Thrush FAQs (1)

Here is some detailed information about oral thrush and its treatments:

Symptoms:

  1. White, creamy lesions: The primary symptom of oral thrush is the presence of white or creamy, raised lesions on the tongue, inner cheeks, gums, or roof of the mouth. These lesions may resemble cottage cheese and can be easily scraped off.
  2. Redness and soreness: The affected areas may appear red and inflamed, and they can sometimes bleed when scraped or brushed.
  3. Loss of taste: Oral thrush may cause a temporary loss of taste or an unpleasant taste in the mouth.
  4. Difficulty swallowing: In severe cases, the lesions can extend into the throat, causing discomfort and difficulty swallowing.
  5. Cracking and redness at the corners of the mouth: This can occur in some cases, known as angular cheilitis.

Causes and Risk Factors: Several factors can contribute to the development of oral thrush:

  1. Weakened immune system: People with compromised immune systems, such as those with HIV/AIDS, cancer, or undergoing chemotherapy, are more susceptible to oral thrush.
  2. Medications: Certain medications, such as antibiotics or corticosteroids, can disrupt the balance of microorganisms in the mouth, promoting the overgrowth of Candida.
  3. Poor oral hygiene: Inadequate oral hygiene can lead to the accumulation of yeast and bacteria in the mouth, increasing the risk of oral thrush.
  4. Dry mouth: Saliva helps to control the growth of Candida, so conditions that cause dry mouth, such as diabetes or the use of certain medications, can contribute to oral thrush.
  5. Dentures: Ill-fitting dentures or improper cleaning can create an environment that promotes the growth of Candida.

Treatment: The treatment of oral thrush typically involves antifungal medications, such as:

  1. Nystatin: Nystatin is commonly prescribed for oral thrush. It is available as an oral suspension or in lozenge form. The medication is swished around the mouth and then swallowed or allowed to dissolve in the mouth.
  2. Fluconazole: In more severe cases or when Nystatin is ineffective, an oral antifungal medication like fluconazole may be prescribed.
  3. Clotrimazole: Clotrimazole is an antifungal medication available in lozenge or mouthwash form, which can be used to treat oral thrush.
  4. Gentian violet: In some cases, a healthcare professional may recommend gentian violet, an antiseptic dye, to treat oral thrush. It is applied topically to the affected areas.

In addition to medication, the following measures can help manage and prevent oral thrush:

  1. Maintain good oral hygiene: Brush your teeth twice a day with a soft toothbrush and fluoride toothpaste. Clean dentures thoroughly and remove them at night.
  2. Rinse your mouth: Use a saltwater rinse or an antifungal mouthwash prescribed by your dentist or doctor to help reduce the growth of Candida in the mouth.
  3. Practice healthy habits: Avoid smoking, limit alcohol consumption, and maintain a balanced diet to support your immune system.
  4. Treat underlying medical conditions: If an underlying medical condition or medication is contributing to oral thrush, it is important to address and manage that condition.