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Thrush

more about Thrush


Oral candidiasis




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:
    1. Nystatin troches (tablets made to dissolve in the mouth) 5 times a day.
    2. Mouth rinses with Nystatin (the medicine is swished around the mouth and then swallowed) 3 times a day for 7-14 days.
    3. Clotrimazole troches 5 times a day for 7-14 days
    4. Ketoconazole -- 200 mg once a day for 7-14 days
    5. Fluconazole -- 100 mg once a day for 7-14 days
    6. Hydrogen peroxide (diluted to half strength) can be used to rinse the mouth.  This often provides relief from the pain associated with this disease.
    7. 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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