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THRUSH

Oral thrush is the accumulation of the fungus candida albicans on the lining of your mouth.

It appears as creamy white lesions, usually on your tongue or inner cheeks. They can be painful and may even bleed slightly when you scrape them. Occasionally it can spread to the roof of your mouth, your gums, your tonsils or the back of your throat. In severe cases, the lesions may spread downward into your esophagus. possibly causing difficulty swallowing or making one feel as if food is getting stuck in your throat.


Although oral thrush can affect anyone, and can have a number of different causes, for those of us with COPD, using inhaled corticosteroids is most common. Oral thrush is a minor problem for the healthy person. If you have a weakened immune system, the symptoms of oral thrush may be more severe and difficult to control.

SYMPTOMS
Initially, the symptoms may go unnoticed. Signs and symptoms may also develop suddenly and persist for a long time. The symptoms can include:

  • Creamy white lesions on tongue, inner cheeks, the roof of  your mouth, gums and/or tonsils

  • Lesions with a cottage cheese-like appearance

  • There may be pain

  • They may bleed slightly if rubbed or scraped

  • There may be cracking or redness at the corners of your mouth

  • You may have a cottony feeling in your mouth

  • There may be a loss of taste

  • Eating may be difficult and even painful

  • Unchecked, it can spread to your digestive tract, lungs and  liver

TREATMENTS

  • For basically healthy people,
              Eating unsweetened yogurt
              Taking acidophilus capsules or liquid

  • For advanced or severe cases
               Antifungal medication. which may be in lozenges, tablets or a liquid.
               Amphotericin B. used when candida albicans becomes resistant to antifungal medication


  • PREVENTION
    If you have to use a corticosteroid inhaler, be sure to rinse your
    mouth with water or brush your teeth after taking your medication.

    Try using fresh-culture yogurt containing Lactobacillus acidophilus or
    bifidobacterium or take acidophilus capsules when you take
    antibiotics.

    Dietary note: Try limiting the amount of sugar and yeast
    containing foods you eat which tend to encourage the growth of candida.

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    Last modified:
    02/06/2013
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