Saturday 1 September 2018

Yeast Infection (Candidiasis): Causes, Symptoms & Treatment


Yeast infection, or Candidiasis, is produced by a fungus called Candida. Yeast infection can occur in the vaginal area, being the first thing women think about when they hear about the term 'vaginitis'. Candida naturally inhabits the vagina but also the oral cavity and the digestive tract in both women and men.

In the case of a healthy body, microorganisms with protective role in the vaginal, oral, or digestive flora maintain an acidic environment that stops the development of pathogenic bacteria and fungus.

Yeast Infection (Candidiasis): Causes.


The culprit for yeast infection is a fungus named Candida.

Normally, Candida exists on the skin and mucous of the body. Yeast infection (Candidiasis) occurs when the immune system is unbalanced (diminished). The candida saprophytic flora (which is naturally found in the body) turns into a pathogenic flora.

Yeast Infection (Candidiasis): Symptoms


In women, Candida infection is manifested by:

l  Pronounced pruritus (itching)
l  Burns during urination
l  Pain during sexual intercourse
l  Creamy-whitish leakage
l  Redness and swelling of small labia

These symptoms intensify before menstruation.

In men, fungal infection with Candida is manifested by:

l  Pronounced pruritus (itching)
l  Redness and inflammation
l  Whitish and branched deposits on the gland
l  Small red blisters on the gland (irritation)

Whitish secretion can extend to the perineum, in the inguinal envelope, where the tissues may become inflamed.

Often, yeast infection causes cystitis, pellets, or urethritis.

Candida can be transmitted during sex. Even if the partner does not show symptoms, treatment should be followed because there is a risk of reinfection. Sexual contact (even protected) should be avoided during treatment.

Yeast Infection (Candidiasis): Risk factors


Risk factors can be:

l  A recent antibiotic treatment - For example, during an antibiotic treatment for an infection, the saprophytic flora that keeps the candida balance in the body is destroyed. Thus, it develops too much and causes an infection to occur.
l  Uncontrolled diabetes due to the persistence of high blood glucose levels in the blood and urine is favoring this condition.
l  Pregnancy with changes in hormone levels.

Other factors involved are:

l  Oral contraceptives
l  Immune system disorders
l  Endocrine or thyroid disorders
l  Costicosteroid therapy

Yeast Infection (Candidiasis): Treatment


Vaginal Yeast Infection or Vaginal Candidiasis is usually treated by intra-vaginal administration of various medicine. It can be in the form of a cream or a so-called ovule.

In many cases oral administration of antimycotic drugs is also required.

Drugs will be used in local applications. The following drugs are effective in the treatment of candidal vaginitis:

Clotrimazole, which can be given as a cream (one application per day for 7 days, extending up to 14 days in cases of refractory treatment) or vaginal ovules (one ovule per day for 7 days or 2 ovules per day for 3 days)

Miconazole, which may be given as a cream (an intra-vaginal daily application for 7 days) or ovules (1 egg per day for 5-7 days)

Ketoconazole, given either orally (1 capsule per day for 5 days - the benefit of oral treatment is to eradicate the candida reservoir from the gastrointestinal tract) or in the form of an ovule (one intra-vaginal ovule per day for 5 days)

Nistatin, which can be given as an ovule (one ovule per day for 7-14 days) or orally.

Generally, vulva's yeast infection responds to cream administration, while for vaginitis (vagina's infection with Candida) intra-vaginal rinsing and so-called ovules treatment are preferred.

Recurrent vulva-vaginitis patients are difficult to treat. Recurrent infections are the result:

l  Decreased immunity
l  Reinfection

There is no fixed therapeutic regimen for recurrent infections. Some studies have suggested the need for oral treatment to destroy candida from the digestive tract, thus reducing the incidence of recurrences.

In principle, in recurrent candidal vulvo-vaginitis is recommended:

l  Local therapy immediately before menstruation, for two successive menstrual cycles
l  Oral Nistatin or oral Ketoconazole
l  Local therapy with one of these preparations for 7-14 days
l  Increasing an acid environment in the vagina to kill the fungus
l  Treating your partner with local creams 1-2 times a day because Candida is transmitted

Treatment is done concurrently with both sex partners. Antimycotic treatment should also be supported by good local hygiene by daily washing (even several times a day) with soaps that are neutral or basic, soaking the affecting area with sodium bicarbonate, and by applying antiseptic solutions for vaginal washings.

Yeast Infection (Candidiasis) - Prevention


l  Wear light clothes made of natural materials (cotton, wool, silk) and avoid moisture in the genital area
l  Avoid wearing too tight pants
l  Do not use the vaginal irrigator (it destroys the bacterial saprophytic flora)
l  Limits the use of feminine deodorants
l  Limits the use of tampon only to menstrual periods when they are strictly necessary
l  Change your wet clothes (especially your bathing suit) as often as possible
l  Avoid baths with hot water
l  Follow a well-balanced diet
l  Consume yogurt and avoid bread and bakery products
l  If you suffer from diabetes, keep your blood sugar as close to normal as possible.

If you notice the occurrence of repeated candida infections, consult your doctor. Tests are required to exclude certain conditions.

Yeast Infection (Candidiasis) – Yeast infection in babies.


The oral or oropharyngeal Candidiasis is a common infection in babies and young kids caused by the Candida Albicans fungus.

It is manifested by the appearance of whitish lesions located on the tongue, mucosa of the cheeks and in the pharyngeal-amygdalian area.

The Yeast infection in babies is uncomfortable and make the baby become irritable, because the lesions are painful.

Mycotic infections often occur in people who have a weakened immune system. Newborns and young kids have incomplete immunity, which makes them vulnerable to the development of infection.

In the first three months of life, the baby is exposed to germs and viruses by the antibodies received from the mother. It is only after this period that the body begins to produce antibodies and fight more effectively against infections.

The baby can be infected with Candida Albicans fungus from anywhere. Natural births favor transmission of the disease to newborns if the mother is a carrier of the fungus because the vagina is a contaminated environment with Candida Albicans.
But it is not the only source of contamination.

Babies can also contract the fungus from the pacifiers or baby bottles that are inappropriately sterilized and even from the mother's breasts during breastfeeding.

Attention, the infection can also be transmitted from the baby to the mother during breastfeeding, so it is important to protect yourself during that period and to take therapeutic measures if necessary.

Among the most important symptoms are:

l  Whitish lesions on the tongue and deposits of the same color of bransionary texture.
l  Pain and discomfort that may cause other symptoms such as inattentiveness and inability to swallow food.
l  Bleeding lesions.
l  Sense of altered taste.
l  Irritability.

If you notice the presence of oral yeast infection symptoms at your baby, go to the doctor for a correct diagnosis.

The treatment can only be prescribed by the doctor and often consists of antifungal medicines administration, but also in the use of ointments with local action, to relieve the symptoms present at the mouth's level.

If you breastfeed the baby, it is recommended to apply antifungal ointments to the nipples as well.

It is important that the condition is treated in parallel, both in mother and in the baby, if both are diagnosed with this fungus, in order to avoid reinfection or recurrence of the disease to one of them.

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