Candidal stomatitis in children and adults. Causes and treatment of candidal stomatitis I cannot cure candidal stomatitis

Candidal stomatitis is quite rare in medical practice. This disease tends to affect the oral mucosa.

To eliminate candida stomatitis, doctors recommend resorting to complex treatment, which includes taking medications, as well as the use of traditional medicine.

If therapy is coordinated with the doctor, the patient can count on recovery in the near future. Causes of the pathology

An incorrect diet can affect the development of candidal stomatitis. If it lacks the necessary minerals and vitamins, it is likely that against a similar background candidiasis will begin to develop in the mouth.

The cause of candidal stomatitis can be a stressful environment. If a person is very worried, a white coating of a cheesy mass may form on the tongue.

In such situations, until the mental state is completely balanced, you should not count on recovery.

Viral infection or bacteria can become the causative agents of candidal stomatitis.

If the immune system fails even the slightest, Candida mushrooms will immediately begin to act, having a detrimental effect on a person’s health.

When the oral cavity, or more precisely the mucous membrane, is injured, candidiasis can also develop.

Very often, people with this type of pathology note that the progression of the disease began after biting the tongue or cheek.

This can also happen when eating hard foods or wearing a crown on the teeth.

The wound may subsequently heal without drug intervention, but sometimes it may be necessary to consult a doctor in order to avoid complications of trauma to the oral mucosa in the future.

People with pathologies such as diabetes mellitus, Sjögren's syndrome, as well as pregnant women are more susceptible to candidal stomatitis than others.

This is due to an increased amount of sugar in the blood, severe dry mouth, as well as changes in hormonal levels.

In cases with increased dry mouth, you should not use mouth rinses on an ongoing basis. Such products will further dry out the mucous membrane, as well as the surface of the tongue, thereby provoking the disease.

Of course, we should not forget about the importance of personal hygiene measures. In particular, this should apply to those people who wear dentures on a regular basis.

Candidal stomatitis in adults can be triggered by long-term use of antibacterial therapy.

Such cases occur very often in practice. The thing is that antibiotics and corticosteroids lead to the development of an atrophic form of candidal stomatitis.

Candidal stomatitis in adults is accompanied by a strong burning sensation in the mouth, dryness, and a lack of proper functioning of taste buds.

Upon examination, the doctor will find that the oral cavity has acquired a blood-red color and has a glossy surface.

The mechanism of pathology development

The disease is caused by fungi called Candida. They are present on the oral mucosa on a permanent basis, but their number is small.

When the body's strength weakens, their active growth is observed. A similar phenomenon accompanies a decrease in immune defense, hormonal changes, HIV infection, tuberculosis and diabetes. Stomatitis is characterized by extensive rash and plaque.

The consistency will resemble cottage cheese. As the pathology develops, erosive foci will appear under the resulting cover. They will bring pain and discomfort to the patient.

Against the background of such a lesion, the mucous membrane will become hyperemic and will also swell greatly. In the future, erosion will spread throughout the tissue membrane of the mouth, lips, and the area around these places.

Symptoms of pathology

Doctors distinguish between acute candidal stomatitis and chronic stomatitis. In fact, the pathologies are very similar to each other. They are distinguished by only a few manifestations.

In the acute form of candidal stomatitis, a white coating will be present on the tongue and oral cavity (cheeks, gums). You can see it even with an untrained eye.

If there is a white coating, you can try to remove it with a cotton swab.

It will be removed very simply, but under the mass there will be a mucous membrane that has obvious symptoms confirming that there is inflammation in the body.

It will be bright scarlet and may swell. Most people note that with candidal stomatitis, eating is very painful, and there is discomfort in the mouth.

If a child suffers from an illness, he will be very capricious, easily succumb to irritation, sleep poorly, and even refuse to sleep completely.

It is worth knowing how important it is to approach therapy correctly if you are diagnosed with candidal stomatitis.

Treatment of adults and children will be complex and quite labor-intensive. Otherwise, the disease easily becomes chronic. The patient will experience a burning sensation in the mouth, pain, and a feeling of difficulty swallowing.

The risk that the disease will become chronic is also high if one of the pathologies such as AIDS or diabetes is present.

In this case, the oral cavity will undergo significant changes. It will acquire not only a red color, but also large foci of erosion, covered with a coating like a curdled mass.

When candidal stomatitis is observed, treatment for adults will be lengthy. The importance of therapy under the supervision of a doctor should not be underestimated, since other organs, for example, the intestines, esophagus or larynx, can be affected by the disease.

Diagnostic measures

Only after examination by a specialist will it become clear how to treat candidal stomatitis. It is not always possible to do just this procedure. Sometimes laboratory tests are required.

The patient should go to a local dental clinic. The doctor will conduct an examination and find out about the patient’s complaints.

The dentist will then take a swab of your mouth. A PCR test, a test for Candida antigens, which is an allergic intradermal test, and histology may be required.

If the desired result is not achieved after a sufficiently long therapeutic treatment, the dentist can refer the patient for consultation with an immunologist and therapist. In the case of children, the help of a pediatrician will be required.

Therapeutic effect

The main goal of therapy will be to eliminate the source that provoked candidal stomatitis.

Treatment for adults also involves eliminating symptoms and restoring the mucous membrane that has been affected by the fungus.

The doctor prescribes a comprehensive course, including medications, therapeutic methods and home treatment.

It begins with the treatment of the oral mucosa. The dentist will numb the area using a gel or spray.

This procedure does not involve an injection. Subsequently, the plaque is removed; for this purpose, the doctor uses a special swab that is soaked in antiseptic.

The purpose of application is to restore the mucous membrane. Subsequently, the patient will be prescribed a treatment regimen, which should not cause difficulties when carried out independently.

The next visit can only be after a course of treatment at the hospital, so that the doctor can assess how much candidal stomatitis has been eliminated.

Treatment for adults allows you to independently treat the affected area, and therefore you will not need to visit the doctor every day until complete recovery.

The failure of the immune system has a direct relationship with candidal stomatitis, and therefore, to achieve success in treatment measures, it is worth resorting to a balanced diet.

It is necessary to saturate the patient’s menu with vitamins and useful minerals. If possible, then the diet should not include harmful chemical components.

Treatment course for stomatitis in children

If a child is diagnosed with a mild form of candidal stomatitis, the use of yolinol, soda, and also aniline dye, but with a 1% composition, is provided.

It is important to note that even after eliminating obvious signs of candidiasis, you should not stop treating your mouth.

It is necessary to extend the treatment for a couple of days; after consultation with the doctor, the procedure can be stopped. This will avoid relapse of candidal infection with stomatitis.

For acute candidal stomatitis, you need to use modern antifungal agents.

There is no need to resort to self-medication for the child. Such an arrogant act will not bring the desired effect, and can even harm the baby.

Only a doctor can, after a face-to-face consultation, prescribe the drug and determine the dosage. The course of treatment will be determined individually.

When treating candidal stomatitis in older children, just like in adults, it is customary to use various antifungal agents.

They are prescribed by a doctor, because self-medication will not bring the desired effect. Some types of drugs from the pharmacy are accompanied by a number of contraindications, and therefore can provoke complications in a person’s health if used incorrectly.

The course of treatment also includes means to improve immunity. You will need to maintain oral hygiene.

If you follow the doctor’s correctly selected course of treatment and follow all his recommendations, then such measures will be enough to get rid of the pathology completely within 2 weeks.

In case of severe and moderate pathology, Fluconazole, Mikosist, Irunin, Itraconazole are prescribed.

But you need to understand that only an experienced doctor is able to select an effective treatment that will not harm the patient even more.

For candidal stomatitis that affects the lips, you will need to use an antifungal ointment.

This may be Levorin or Nystatin ointment. When applying, use a small amount to cover the affected area with a thin layer.

You should not apply the ointment more than 2 times a day. It is necessary to exclude the possibility of getting the product into the mouth, and therefore after use it should not be eaten for an hour and it is contraindicated to drink water for the same amount of time. The course of treatment will be 12 days.

Using topical antiseptics will also help fight Candida. This is Dimexide, Miramistin or Furacilin.

Such solutions successfully remove fungus, but do not dry out the oral mucosa too much. You need to rinse your mouth 8 times a day. But in the case of Miramistin - no more than 4 times.

When considering the use of dentures, the patient must follow hygiene recommendations.

The denture must be washed with special products using a toothbrush. At night it is better not to wear it at all, even if during this time the prosthesis is in a special solution of Chlorhexidine, you can easily buy it at the pharmacy, and even at a very reasonable price.

Undoubtedly, treatment of candidal stomatitis requires both effort and time. But with the right attitude, recovery will come 100%.

1. During the treatment of stomatitis, you do not need to drink tea and coffee, as well as any other hot drinks. The emphasis should be on clean water, cool compote, juice. It is best to consume drinks using a straw;
2. Priority will be given to soft foods that are easy to swallow. We need to forget about fast food. It is better to eat meat mousses, boiled vegetables and porridges. These dishes should be included in your diet;
3. It is recommended to rinse your mouth with salted water. This must be done carefully;
4. Those people who have suffered from the candidal form of stomatitis at least once have forever included themselves in the risk group. You cannot neglect preventive measures to prevent thrush; you need to adhere to a healthy diet, observe oral hygiene measures, and also not expose yourself to stressful situations;
5. When the first symptoms of the disease appear, you should not postpone your visit to the doctor. Only with the support of your doctor can you achieve a speedy relief from such an unpleasant illness as stomatitis caused by Candida fungus.

Active herbal treatment of candidal stomatitis

To eliminate the manifestation of unpleasant symptoms of pathology, it is recommended to use herbal infusions and preparations in complex therapy.

These products have a lot of beneficial effects. They can relieve inflammation, help wounds in the mouth heal faster, and also restore the immune system, filling the body with strength.

Collection of herbs for rinsing No. 1

The most popular herbs are string, chamomile, celandine and sage.

To make a useful solution, you need to take 20 grams. of the above herbs and mix with 1 tbsp. boiling water The tincture should stand until it cools completely.

Afterwards it should be strained. That's all, you can rinse your mouth with this useful mixture 8 times a day for candidal stomatitis.

Collection of herbs for rinsing No. 2

In order to regenerate the tissues of the oral cavity, it is recommended to make a decoction of the herbs oregano, rose hips and birch in an amount of 2 tbsp. each and 1 liter of boiling water.

The broth should be allowed to stand for 24 hours. Only after this does it need to be strained. It is also used to rinse the mouth.

Collection of herbs for rinsing No. 3

A decoction of St. John's wort, cinquefoil and bluehead is famous for no less good reviews. Herbs should be taken 1 tsp. and mix with 500 ml of boiling water.

Let the tincture stand for 2 hours and then strain it. It is worth rinsing in the same way as in the two previous cases 8 times a day.

Traditional medicine recipes

Despite the fact that there are a lot of folk ways to relieve inflammation in the oral cavity, these are the recipes that stand out among them.

They can be used for candidal stomatitis, but keep in mind that this should be done after consulting with your doctor.

Each organism is individual, and therefore it is unknown what effect can be expected from the irrational use of traditional medicine recipes.

Recipe 1

To stop the symptom and the development of candidal stomatitis, it is worth treating the mucous membrane with the juice of carrots, cabbage or viburnum.

The composition should be applied to the resulting erosions 4 times a day.

Recipe 2

Applications based on sea buckthorn or rosehip oil will be useful. Such events should be carried out 6 times a day.

Recipe 3

To speed up the healing process of the oral mucosa, you need to take a gruel made from garlic, honey and onion. All this will help destroy pathogenic microorganisms that provoke the development of the disease.

The paste is applied to the surface of the wounds for 15 minutes. This should be done 2 times a day. But there is no need to exceed the specified dosage, this will only harm the patient.

Recipe 4

You can make a paste. It will contain honey, xeroform and fish oil. The components must be used in equal proportions.

You should use the paste 3 times a day. The course of treatment is designed until the erosions are cured.

Recipe 5

You can apply aloe pulp to the inflamed cavity or apply plant juice. The procedure takes 30 minutes. It should be performed no more than 2 times a day.

Recipe 6

You can dry the wounds with blue, iodine or brilliant green. These agents have an antibacterial effect.

However, despite all the positive properties of these products, they should be used with great caution, since irritation of the mucous membrane cannot be ruled out.

Recipe 7

To treat severe forms of candidal stomatitis, it is worth using a propolis solution. You can buy it at the pharmacy.

The product is fast-acting, and therefore relief is possible in the first hours of use.

Thanks to propolis, you can relieve inflammation and anesthetize pain in the mucous membrane.

Recipe 8

Alum is an ancient folk remedy. For stomatitis, it should be diluted in water. In this case, you will get a miraculous mouth rinse solution.

If your mouth is affected, you can make lotions with alum. This will allow the wounds to heal quickly.

Summing up

The candidal form of stomatitis is transmitted through household and sexual contact. It is for this reason that you should not come into contact with a person who is sick with an illness. You must use separate household and cutlery.

An infant can contract the disease from a mother who is infected with vaginal thrush or has had this disease during pregnancy.

Children can become infected by playing with an infected child's toys, and an adult can acquire the disease from a baby if he licks his pacifier. In the same case, there is a risk of infecting the child with stomatitis.

Do not forget about disease prevention measures and at the first manifestation of symptoms, the right decision would be to see a doctor.

Useful video

Stomatitis is one of the most common diseases of the oral cavity. It can be traumatic, bacterial, viral, but the most common form of the disease is candidiasis. This is due to the fact that it is caused by opportunistic microorganisms that are contained in the healthy microflora of the oral cavity. A minor disruption in the body is enough for fungi to begin to actively multiply and lead to the development of fungal stomatitis.

Treatment of candidal stomatitis in adult patients and children consists of taking antifungal drugs, local treatment of the affected mucosa and increasing immunity. The therapeutic course should be supervised by a specialist.

Symptoms of candidal stomatitis in adults

Stomatitis is an inflammatory process in the mouth. If an opportunistic fungus becomes a provocateur of inflammation, doctors diagnose the candidiasis form of the disease, the second name of which is oral thrush. Young children and adults with weakened immune systems are most susceptible to the disease.

The first symptom of candidal stomatitis is the appearance of redness on the mucous membranes of the gums, the inner surface of the cheeks, palate and tongue. The lesions react to cold and hot, and when you touch them, a burning sensation and pain occurs. Gradually, the ulcers acquire a white border around the edges and become covered with a coating in the form of curdled flakes.

The patient faces the following problems:

• discomfort while eating;
• violation of taste perception;
• constant pain;
• signs of intoxication;
• bleeding

If treatment for candidal stomatitis is not started in time, the inflammation can spread to other tissues and organs. In adults, the fungal infection often spreads to the skin, larynx and genitals; in young children, the intestines and esophagus are affected.

Symptoms of candidal stomatitis largely depend on its form. The most common is acute pseudomembranous. With it, the mucous membranes of the mouth are covered with a whitish coating, similar to a film or plaques. At the beginning of the disease, they can be removed, then traces of hyperemia will remain on the damaged area, which heal quite quickly.

The severe form of the disease is characterized by a large number of plaque foci. They can merge and affect almost the entire oral mucosa. It is difficult to remove whitish spots on your own, but if the patient manages to do this, large bleeding erosions remain at the site of the plaque, causing serious discomfort.

If candidal stomatitis is not treated in time, the acute form of the disease can become chronic. With it, the characteristic whitish plaques are absent, but other unpleasant symptoms persist - the mucous membrane dries out, and noticeable pain appears when swallowing.

Causes of candidal stomatitis in adults

Candida fungus is an opportunistic microorganism, that is, it lives in the mouth of even a healthy person. Each person has their own quantitative norm for the content of fungus in the microflora of the oral cavity. The disease begins only when the balance is disturbed due to the active proliferation of microorganisms.

It can be provoked by:

• Weakening of the immune system: “extra” fungus is destroyed by the body’s defenses if they are working at full strength. But small health problems are enough for control to cease.
• Wearing dentures: unsuitable dentures injure soft tissues, which provokes an inflammatory process.
• Alcohol and tobacco abuse.
• Age: most often children and the elderly suffer from stomatitis, since in children the immunity is at the stage of formation, and in adulthood it gradually begins to weaken.
• Long-term use of antibiotics: tablets kill not only harmful bacteria, but also beneficial ones. The usual composition of the microflora is disrupted, and dysbiosis often becomes the cause of the activity of pathogenic microorganisms.
• Hormonal problems: when hormones are imbalanced, both the natural microflora and the strength of the immune system are affected.
• Exacerbation of chronic diseases: the greatest danger is diabetes mellitus, accompanied by a failure of carbohydrate metabolism, and diseases of the digestive system, leading to a decrease in the acidity of gastric juice.
• Poor hygiene: poor brushing of teeth or lack thereof leads to the activity of fungi and various bacteria that attack sensitive areas of the mucous membrane. If there are microdamages in the mouth, they become a source of infection.

If a pregnant woman is sick with genital candidiasis, during childbirth the pathology is transmitted to the child. Oral thrush in this case can begin in the first days of the baby’s life.

It is impossible to completely cure candidal stomatitis in the mouth without knowing the cause of its occurrence. If the predisposing factor is not eliminated, the risk of recurrent stomatitis is high, and then the treatment process will have to start all over again.

Medicines for the treatment of candidal stomatitis

If in the initial stages of the disease you can limit yourself to local treatment of rashes, advanced candidal stomatitis needs to be treated with more serious pharmaceutical agents. Taking antibiotics for this disease is useless; general antifungal drugs are used to fight fungi.

Diflucan

Diflucan is a capsule for oral use whose active ingredient is fluconazole. They are used to treat any fungal diseases, including oral candidiasis. After using the drug, fluconazole penetrates into all liquids and protects the entire body from fungus.

The dosage is determined individually, depending on the patient’s age and general clinical picture. Noticeable relief often occurs after the first day of treatment, but stopping the medication prematurely is prohibited: the disappearance of symptoms does not indicate the cessation of the inflammatory process.

Nizoral

Nizoral is an antifungal drug with ketoconazole. It stops the synthesis of the fungus and prevents its reproduction. After use, ketoconazole is quickly absorbed and distributed throughout the tissues of the body.

The dosage depends on the age and weight of the patient. Children over three years old weighing up to 30 kg can take half a tablet once a day. For adults weighing more than 30 kg, a whole tablet is prescribed per day. To cure candidiasis, you need to take Nizoral for at least a week.

The product is not suitable for people suffering from liver problems or individual intolerance to the components. Possible side effects are nausea, vomiting, stool disturbances, signs of allergies and dizziness.

Ithrakon

Itracon is a capsule based on itraconazole, an antifungal component. It destroys the fungus and eliminates the symptoms of candidal stomatitis in adults. With long-term use of the drug, its therapeutic concentration remains in the tissues and nail keratin.

The duration of therapy is 15 days, during which you need to drink one capsule per day after meals. Itracon is prohibited in case of acute heart failure; it is used with caution in case of problems with the kidneys and liver. In case of an allergic reaction, further use is cancelled.

Local medicinal treatment for stomatitis

For local action on the fungus, local agents are used - gels, ointments and solutions. They are designed to alleviate the course of the disease, stop the proliferation of microorganisms, disinfect the oral cavity and promote the speedy healing of injured areas.

Eludril

Eludril is a local solution that has anti-inflammatory, antifungal and bactericidal effects and is a mild anesthetic. When used correctly, the product is non-toxic and quickly removes white plaque and other signs of infection.

Eludril is used to rinse the mouth: 2–4 teaspoons of the product are diluted in half a glass of boiled water at room temperature. The procedure must be repeated 2-3 times a day.

The Eludril solution contains ethyl alcohol, so the drug is not recommended for the treatment of children. If it is used, care must be taken to ensure that the baby does not swallow it.

Daktarin

Candidal stomatitis in adult patients and adolescents can be treated with Daktarin oral gel, an antibacterial and antifungal drug for local and external use. The active ingredient of the drug is miconazole. The drug is suitable for prophylactic use.

Treatment of mucous membranes with gel is carried out 3-4 times a day; half a teaspoon of the product is needed for one application. It is applied to problem areas of the mucous membrane using a soft swab made of bandage or cotton wool. It is recommended to keep the gel in your mouth for some time; do not immediately swallow or spit it.

Contraindications to the use of Daktarin are renal or liver failure, diabetes mellitus, pregnancy, lactation and age under 12 years. With prolonged use (more than two weeks), stool disorders and allergic skin reactions are possible.

Treatment of candidal stomatitis in the mouth in adults with folk remedies

Treatment of candidal stomatitis with folk remedies is most effective in the initial stages of the disease. It is recommended to use them in combination with traditional methods of therapy. Various decoctions and solutions are well suited for local treatment of ulcers. The simplest option is to rinse your mouth with a solution of soda and salt, for the preparation of which you take a teaspoon of each substance in a glass of warm water. The liquid is thoroughly mixed and applied at least once an hour. With its help, you can quickly relieve inflammation, relieve pain and destroy bacteria that multiply on the mucous membrane.

Chamomile decoction has an antibacterial and anti-inflammatory effect. A tablespoon of dry herb is poured into a glass of boiling water and brought to a boil. When the liquid has cooled, it needs to be strained. You should rinse your mouth with chamomile decoction as often as possible.

For local treatment of plaque, a special ointment is prepared. It includes:

• 50 g olive oil;
• 20 g calendula flowers.

The oil is heated in a water bath, then calendula is added to it, and the mixture simmers for another 15 minutes. The mixture is removed from the stove and infused for at least four hours. Ready-made calendula oil is applied to the plaques using a cotton swab; during the procedure, care must be taken not to remove the plaque.

Diet

Throughout the treatment, it is advisable to adhere to a certain nutritional system. Some foods, for example, carbohydrates and sweets, promote the growth of fungus - they create an environment in the mouth that is favorable for the activity of dangerous microorganisms.

You will have to exclude from the diet:

• simple carbohydrates;
• semi-finished products;
• fast food;
• snacks;
• salty;
• fat;
• spices;
• spices and seasonings;
• White bread;
• any sweets.

The basis of the diet should be fresh and boiled vegetables, cereals and legumes, crackers, boiled meat, non-acidic fruits and vegetables. A prerequisite is the consumption of fiber. It is advisable not to use oil when cooking.

Candidal ulcers are very sensitive to temperature changes, so food should not be cold or hot. Also, during the period of illness, it is better to refrain from eating too harsh foods, which can further injure the mucous membranes.

Prevention

To protect yourself from stomatitis, you need to monitor your health. A proper balanced diet rich in vitamins and microelements will help support the immune system. During the cold season, when access to fresh vegetables and fruits is limited, it is recommended to take vitamin-mineral complexes and immunomodulators.

It is important to carefully follow all the rules of oral hygiene - brush your teeth at least twice a day, and after eating, rinse your mouth with a balm-rinse or at least running water. Once every six months you should visit the dentist for preventive purposes, even if nothing bothers you.

Despite the fact that Candida fungus remains in the body forever, stomatitis is curable. With the right approach to therapy, the recovery process will take only a few days. In the future, you just need to adhere to preventive health care to prevent a relapse.

Candidal stomatitis is a disease of the oral mucosa that occurs in children, adults and the elderly. Candidiasis has several types of pathogens and various causes, which determine treatment tactics.

Pathogen

Candidiasis is a disease caused by yeast-like fungi of the genus Candida.

The most common of them are: C. albicans, C. tropicalis, C. parapsilosia, C. glabrata.

• C. albicans is found in the oral cavity in 60% of healthy adults, and it is this that in most cases causes candidal stomatitis.
• C. glabrata is often the cause of oral candidiasis in older people, and C. parapsilosia detected in 50% of candidiasis-carrying infants.
• Candidal stomatitis in HIV-infected people, patients with diabetes mellitus and cancer patients is caused by rare species - C.sake, C.rugosa.

Video: candidiasis

Causes

Fungi of the genus Candida belong to the conditionally pathogenic flora, and the incidence of candidal stomatitis depends on the condition of the body.

• Weakening of the immune system. The main role in the development of candidiasis is played by the state of the immune system. A weakened or imbalanced immune system, including after chemotherapy and radiation therapy, reduces the body's ability to fight off infection.
• Age. Newborns and infants are often affected by the disease. The reasons for this are that the balance of microflora in the oral cavity is not fully formed, as well as due to the immaturity of the immune system. The occurrence of the disease in older people is facilitated by age-related decline in immunity.
• Long-term use of antibiotics. Recently, uncontrolled use of antibiotics has become commonplace. When taken for a long time, the composition of the microflora of the oral cavity is disrupted, and dysbacteriosis occurs. Resident microflora is suppressed, while the virulence of pathogenic microorganisms increases sharply.
• Dentures. Dentures often lead to the development of denture stomatitis, as a result of which the soft tissues of the oral cavity and gums become inflamed and irritated. These conditions are ideal for fungal growth.
• Smoking. It has been established that smokers are more susceptible to oral candidiasis than non-smokers.
• Oral contraceptives. Taking oral contraceptives promotes the growth of the fungus.
• Pregnancy. Pregnancy is accompanied by sudden changes in hormonal levels, which contributes to the activation of infections.
• Work in hazardous production. Long-term exposure to various chemicals (benzene, pesticides) weakens the immune system and increases the risk of developing infections.
• Immunodeficiency. Carriers of HIV infection are susceptible to severe forms of candidal stomatitis, as the virus destroys cells of the immune system. In this case, thrush can spread to the esophagus and intestines. Often recurrent candidal stomatitis is the first sign of HIV infection.
• Gastrointestinal diseases. Diseases of the digestive system, especially achylia and reduced acidity of gastric juice, often provoke the development of oral candidiasis. A favorable background for the disease is carbohydrate metabolism disorders (diabetes).
• Insufficient oral hygiene. Insufficient oral hygiene promotes the proliferation of fungus and various microorganisms.

Types and symptoms

Manifestations of the disease can be very diverse and depend on the state of the immune system, the age of the patient, concomitant diseases, and the cause of candidiasis. In addition, different clinical pictures are observed in acute and chronic processes.

According to the clinical course, acute and chronic candidal stomatitis are distinguished. The acute form without correct treatment can become chronic.

Spicy

In an acute process, the symptoms are pronounced. General complaints may occur, such as weakness, fatigue, fever.

According to morphological characteristics, acute candidiasis is divided into pseudomembranous and atrophic.

Pseudomembranous

Acute pseudomembranous candidiasis - thrush - is one of the most common forms of the disease.

Mostly infants, weakened by infectious diseases, bronchitis, as well as premature babies suffer. Adults get sick if they have concomitant diseases: diabetes, blood diseases, cancer.

In infants, mothers note the appearance of white spots or white plaque on the mucous membrane of the lips, tongue, cheeks, palate, which accumulates in the form of plaques or film.

Photo: Candidal stomatitis in a child

With a mild degree of candidiasis, the plaques are easily removed, leaving a focus of hyperemia in its place.

In severe cases, plaque foci merge and spread to the entire mucous membrane of the mouth. When scraped, such plaque peels off with difficulty, and erythema or bleeding erosions are found underneath.

Sick children become lethargic, moody, sleep poorly, and refuse to eat. Adults complain of dryness, swelling of the mucous membrane, discomfort and pain while eating. Untreated pseudomembranous candidiasis can develop into an atrophic form.

Atrophic

Acute atrophic candidiasis most often develops as a result of long-term use of antibiotics and hormonal drugs.

The disease is characterized by severe pain, burning and dryness of the oral mucosa. There is no plaque. Sometimes crusts form on the red border of the lips. The general condition is usually not affected. The taste may be distorted.

On examination, the mucous membrane is fiery red, dry, shiny. The filiform papillae of the tongue are atrophied.

Video: how to treat oral thrush

Chronic

Untreated acute processes can develop into chronic stomatitis. Symptoms are usually scarce.

Hyperplastic

The disease develops in people who take cytostatics, antibiotics, in patients with tuberculosis, blood diseases, and in HIV-infected people.

Upon examination, white plaques merging with each other are noticeable on the hyperemic mucous membrane. Over time, they flatten and become yellowish in color. Distributed throughout the mucous membrane, in the throat. When scraped, the plaque peels off heavily, leaving in place a hyperemic bleeding erosion.

Depending on the location of the lesion, candidal glossitis, cheilitis, angular cheilitis (seizures), palatinitis, and pareitis are distinguished. Patients complain of burning and dry mouth. If erosions are present, pain is noted.

Atrophic

Chronic atrophic candidiasis often occurs in people who wear removable laminar dentures.

Objectively, the mucous membrane under the dentures is hyperemic, swollen, and dry. Plaque can only be seen in deep folds and on the lateral surfaces of the tongue. Patients complain of dry mouth, burning and pain when wearing a prosthesis.

Diagnostics

The diagnosis is made based on the patient's typical complaints and clinical picture. Most often this is enough. In some cases, laboratory tests are necessary.

The diagnosis is confirmed when fungi of the genus Candida are detected in scrapings from the surface of the affected areas of the oral mucosa. Normally, Candida fungi are present in the oral cavity in small quantities.

On microscopic examination they are found in the form of single yeast-like cells. In case of candidal stomatitis, the test specimen reveals clusters of budding and non-budding cells, as well as thin, branching filaments of pseudomycelium.

In acute candidiasis, the scraping specimen is dominated by cellular forms, round and partially budding. In chronic cases, there are chains of rounded elongated budding cells and filaments of pseudomycelium.

The diagnosis of this disease can be confirmed by conducting an allergy test with the polysaccharide antigen of various fungi.

Photo: Threads of pseudomycedlia of the Candida fungus under a microscope

There is a rapid diagnostic method. To do this, incubate Candida fungi with epithelial cells in a ratio of 1:100 for 1.5-2 hours in a thermostat. With a concentration of 16 or more fungal cells on one epithelial cell, the diagnosis is confirmed.

In addition to these laboratory tests, a general analysis and blood glucose may be required, as well as consultations with other specialists.

How to treat

Treatment involves:

• complex etiotropic therapy of candidiasis,
• concomitant diseases,
• correction of the immune system,
• improving oral hygiene,
• symptomatic therapy.

Mild forms of candidiasis can be treated at home.

Drugs

To treat candidiasis, general and local medications are used. How to treat candidal stomatitis in a particular case is determined by a dentist, mycologist or infectious disease specialist.

For general treatment

General-action drugs are prescribed for chronic, erosive-ulcerative, granulomatous, hyperplastic candidiasis, which is combined with lesions of the skin and nails, as well as when local therapy is ineffective.

For treatment, fluconazole, intraconazole, ketonazole, and nystatin are used in tablet form for a course of 5-7 days.

Photo: Diflucan (fluconazole) and nystatin

To reduce dryness in the mouth and have a fungicidal effect, a 2-3% solution of potassium iodide is prescribed. Iodine stimulates salivation and also destroys fungus, released through the skin and mucous membranes.

Vitamins B, C and PP, calcium gluconate and iron supplements are prescribed as a general strengthening effect.

For local exposure

Drugs for local treatment of candidiasis are used in most cases. They are available in the form of rinses, ointments, gels, sprays, chewable tablets and caramels, and are divided into antimycotics and antiseptics.

Local polyene antimycotics include levorin, nystatin, and amphotericin. Imidazole drugs include econazole, clotrimazole, and miconazole.

Topical tablets should remain in the mouth for as long as possible, that is, they should be chewed and kept in the mouth. Gels and ointments work best in the form of applications. The course of therapy is 2-3 weeks.

Antiseptics used for rinsing are a solution of potassium permanganate, boric acid and iodine water.

Photo: Potassium permanganate solution

Of the modern drugs that have a good effect: chlorhexidine bigluconate, Hexoral, suspensions of Levorin, Natamycin, Amphotericin.

You should rinse at least 3 times a day, after meals.

Folk remedies

Among folk remedies, the most effective and affordable are herbal decoctions that have an astringent and anti-inflammatory effect. They can be used to rinse the mouth or use them as lotions.

Carrot, raspberry, cranberry and viburnum juice also work effectively as a rinse.

Applications with olive oil, rosehip and sea buckthorn oil quickly cure candidiasis, as they have wound-healing, anti-inflammatory and analgesic effects.

During the treatment of candidiasis, traditional medicine recommends eating onions, garlic, and spices, as they contain substances that inhibit the growth of the fungus.

Diet

A diet during oral candidiasis is needed to relieve pain, fight the fungus itself, and also to increase the body's defenses.

Basic principles of nutrition:

• Eliminate or minimize the consumption of simple carbohydrates;
• Avoid eating canned food, processed foods, fast food, and alcohol;
• Avoid products containing yeast (bread, baked goods, beer);
• Fill your diet with fermented milk products and foods containing fiber;
• The basis of the diet is boiled meat, vegetables, legumes, cereals, stale bread.

Prevention

Prevention of candidal stomatitis involves avoiding factors that provoke the disease.

Important:

• maintain the immune system at a high level;
• take antibiotics rationally;
• regularly brush your teeth and mouth;
• undergo regular medical examinations, including dental ones;
• avoid traumatizing the oral mucosa;
• Keep your dentures clean and remove them at night.

To prevent oral candidiasis in patients with immunodeficiencies, antifungal drugs are prescribed.

To prevent fungal infection in newborns and children under one year old, mothers should adhere to the following principles:

• treat candidiasis during pregnancy, especially in the last month;
• regularly wash and sterilize baby bottles, nipples, pacifiers;
• breastfeed your baby (strengthens the immune system);
• Wipe nipples with a clean towel before each feeding.

The human oral cavity contains many microorganisms, and therefore it is rightfully considered the dirtiest organ of the human body. Food particles remaining between the teeth and gums provoke the proliferation of pathogenic microorganisms that disrupt the acid-base balance in the oral cavity and cause the development of dental problems, including candidal stomatitis.

Although this disease most often affects children mainly in infancy, it is not uncommon for people of other age categories. How to determine candidal stomatitis in adults, what symptoms indicate the presence of the disease, and what modern drugs are used to treat it?

Candidal stomatitis - thrush develops on the surface of the oral mucosa. Its causative agent is the yeast-like fungi Candida, which are present on the mucous membranes and skin of all healthy people.

There are several varieties of mushrooms:

• Candida albicans is present in the mouths of more than half of healthy people and is the most common cause of thrush;
• Candida glabrata most often becomes the causative agent of candidal stomatitis in elderly people;
• Candida parapsilosia causes oral thrush in half of infants;
• Candida sake and Candida rugosa are less common types of pathogens that cause thrush in people with diabetes, cancer, or HIV carriers.

What reasons contribute to the development of the disease?

As mentioned above, Candida mushrooms are not foreign. These microorganisms are companions of all healthy people. They are found on the mucous membranes of the mouth, vagina and intestines, without causing any health problems. Only normally they are present in small quantities. And any manifestation of the activity of this opportunistic microorganism is suppressed by the cells of the immune system.

If the immune system weakens, the body’s protective functions decrease, and the fungi begin to actively multiply, growing over the surface of the mucous membrane. Moreover, most often people have to deal with candidal stomatitis.

Other internal and external factors also contribute to the development of fungal infection:

• age characteristics of the body;
• long-term treatment with antibacterial drugs;
• wearing dentures;
• smoking;
• taking hormonal medications;
• pregnancy;
• exposure to chemicals;
• AIDS virus;
• diseases of the stomach and other digestive organs;
• endocrine diseases;
• poor oral hygiene.

Most often, symptoms of candidal stomatitis are found in infants and the elderly. And here the same immune system becomes the decisive factor in the development of the disease. In children, the immune system has not yet been formed, and therefore is not able to resist pathogenic microorganisms. In addition, children have not yet fully formed the acid-base balance in the oral cavity.

Antibiotics are one of the provoking factors for the proliferation of Candida fungi. People who take antibacterial drugs without first consulting a doctor, without knowing it, contribute to the development of thrush. After all, any antibiotics destroy not only pathogenic microorganisms, but also beneficial ones, disturbing the balance of bacteria in the oral cavity.

Wearing dentures often causes stomatitis in adults and the elderly. Moreover, the cause is insufficiently clean dentures, under which food gets clogged, promoting the proliferation of pathogenic microbes, creating ideal conditions for fungus.

Lifestyle influence

Smoking and taking hormonal medications also contribute to disruption of the microflora in the oral cavity. In people who smoke, candidal stomatitis develops many times more often than in non-smokers. Often, thrush in the mouth becomes a companion for women taking oral contraceptives.

Exposure to harmful substances on the human body contributes to the suppression of the immune system, increasing the risk of developing infectious diseases. It is no wonder that Candida fungi are active in the oral cavity of people working in hazardous industries or living in areas with unfavorable environmental conditions.

The human immunodeficiency virus destroys cells of the immune system. Therefore, a fungus most often develops in the mouth of people who are HIV carriers, affecting the esophagus and intestines. Such people, as a rule, suffer from severe forms of thrush. In such cases, candidal stomatitis is practically untreatable.

Diabetes mellitus, as well as diseases of the digestive tract, characterized by reduced acidity of gastric juice, are ideal conditions for increasing the activity of fungal infection. Elevated blood glucose levels contribute to the development of fungus in the same way as low acidity.

Types and signs of the disease

In medical practice, candidal stomatitis is divided into two types:

• spicy;
• chronic.

The disease in its acute form can go away on its own, despite pronounced symptoms. For this reason, people are in no hurry to treat it. Thus, they provide an invaluable service to the fungal infection, which is able to multiply unhindered. Having suffered an acute illness once, it is unlikely that you will be able to forget about the illness forever, since after a while it flares up with renewed vigor. Thrush takes a chronic form, characterized by alternating periods of exacerbations and remissions.

Features of the acute form

Acute candidal stomatitis is divided into two types:

• pseudomembranous;
• atrophic.

Pseudomembranous stomatitis most often affects children. Moreover, this form of thrush, as a rule, develops against the background of previous infectious diseases and bronchitis.

In adults, this form of the disease develops against the background of chronic diseases. These include:

• diabetes;
• oncological processes in the body;
• blood diseases.

In infants, a white coating appears on the mucous membrane of the lips, cheeks, surface of the tongue and palate. In this case, the plaque can visually resemble a film or plaques, which are easily removed, leaving behind inflamed lesions.

Children also exhibit other signs:

• lethargy;
• sleep disorders;
• decreased appetite;
• children become very capricious.

In adults, this form of the disease is accompanied by swelling and dryness of the mucous membranes. Getting food or liquid into the mouth causes pain and burning.

The development of the atrophic form of the disease is facilitated by long-term use of antibacterial and hormonal drugs. The mucous membrane of the oral cavity dries out, and the patient experiences constant severe pain and burning. This damages the taste buds located on the surface of the tongue.

Features of the chronic form

If candidal stomatitis in adults is not treated, it becomes chronic. Chronic candidal stomatitis is also divided into two types:

• hyperplastic;
• atrophic.

People who take drugs that suppress the growth of tumor cells, as well as antibacterial drugs, are most susceptible to hyperplastic candidiasis. It is very often found in people who are carriers of HIV, suffering from tuberculosis and blood diseases.

In the hyperplastic form of the disease, the mucous membrane of the oral cavity always swells, taking on a bright red tint. It becomes covered with white plaques, which, merging with each other, form large lesions. Over time, the plaques thicken and their color changes from white to yellowish. The plaque is very difficult to remove, and after it, bleeding wounds remain on the swollen surface of the mucous membrane.

The chronic form of atrophic candidiasis is characteristic of people wearing dentures. The tongue and the area of ​​the oral cavity located under the dentures are affected by a fungal infection. The mucous membrane swells, taking on a bright red hue. Sick people feel dry mouth, and wearing a denture is accompanied by pain.

Treatment options

Treatment of candidal stomatitis in adults is carried out in several stages:

• the diet is adjusted, from which foods that create a favorable environment for the development of fungus are excluded;
• medications that strengthen the immune system are prescribed;
• Work is underway to improve the quality of oral hygiene.

At an early stage, the disease does not require systemic treatment. It is enough for the patient to exclude from the diet all foods rich in carbohydrates and starch. It is also recommended to exclude sugar and other sweets from your diet.

If the disease has taken on a more severe form, the following treatment measures are taken:

• stop taking medications that provoke the development of thrush;
• treatment of chronic diseases that could cause damage to the oral cavity is carried out;
• the use of antimicrobial drugs, both orally and externally, is prescribed;
• Preventive rinsing with furatsilin solution is prescribed;
• vitamin complexes are prescribed;
• Dental diseases are treated.

Medicines containing the following substances can act as antifungal drugs:

• fluconazole;

• intraconazole;

• ketonazole;

• nystatin.

Tablet forms of drugs are taken in a course of 5 to 7 days. The use of potassium iodide helps eliminate dry mouth and provide additional protection against fungus.

To increase the protective functions of the body, patients are prescribed vitamins C, PP, as well as B vitamins. Taking iron supplements and calcium gluconate is also indicated.

Systemic treatment involves the use of oral medications in combination with drugs that have a local effect on the lesions. Various ointments, gels, sprays, rinses, and chewable tablets that have an antifungal effect help achieve these goals.

Pharmaceutical preparations and herbs can be used as rinsing solutions. These include:

• a weak solution of potassium permanganate, boric acid and iodine;
• chlorhexidine;
• herbal decoctions with anti-inflammatory and astringent effects;
• juice from carrots, raspberries, viburnum and cranberries.

Applications with rosehip and sea buckthorn oil help relieve pain and inflammation. Olive oil also has a powerful anti-inflammatory effect.

Preventive actions

Compliance with the following rules will help you avoid an unpleasant disease in the form of candidal stomatitis:

• You can take antibiotics only on the recommendation of a doctor;
• morning and evening you need to thoroughly brush your teeth, not forgetting to clean your gums;
• do not injure the oral mucosa;
• visit the dentist regularly;
• thoroughly clean dentures and remove them at night, placing them in a glass with a chlorhexidine solution.

A strong immune system is the best defense against fungal infection. Therefore, it is very important to lead a healthy lifestyle, eat right and increase physical activity.

Candidal stomatitis belongs to fungal infections that can be localized on the oral mucosa. The disease is characterized by a strong white coating on the mucous membranes and teeth, and spots may appear that are characteristic specifically of classic stomatitis. Most often, the disease is registered in young children, especially infants, but due to the characteristics of the body, candidiasis of this type can also occur in adult patients. With proper treatment, you can get rid of the symptoms of the disease in the first week of therapy.

Causes of candidal stomatitis

In the table you can see the main provoking factors of the disease. For greater convenience, the table shows the frequency of their occurrence and the speed of cure with correctly selected drugs.

The disease can also occur against the background of frequent gastrointestinal pathologies, due to smoking and drinking alcohol. Frequent oral sex is also one of the most common causes of candidal stomatitis in adults. Those patients who have problems with diabetes mellitus should be careful and carefully monitor oral hygiene.

Attention! It is worth understanding that the yeast-like fungus Candida is constantly present in the oral cavity. But its quantity is very small. With the slightest decrease in immunity, the disease can manifest itself in the first few days.

In adult patients, the symptoms of the disease are somewhat different from those that appear in young children. Similar symptoms of candidal stomatitis in the age group of patients include:

• mild or severe burning sensation in the mouth and throat, given the complications of the disease, the discomfort will increase;
• gradually a white coating will appear in the oral cavity;
• the oral mucosa will become red, bleeding may occur, especially when trying to clean the leucorrhoea with a toothbrush;
• There will be a constant unpleasant taste in the oral cavity; some patients note a complete loss of taste buds, as well as a metallic taste.

As soon as the disease enters the chronic stage, the mucous membrane becomes very dry, severe pain may appear, and problems with swallowing even soft food and drinks will appear. With the development of candidiasis against the background of diabetes mellitus and diseases associated with a significant decrease in immunity, the pathology usually immediately passes into the chronic stage.

Attention! A harmless disease, according to many, can cause a number of unpleasant complications. If the patient has caries, the presence of thrush increases its spread and can cause inflammatory processes on the gums. Chronic infections of the larynx, significant loss of appetite and dysbiosis may also occur.

Treatment of mild forms of candidal stomatitis

At this stage of the disease, you can overcome the disorder yourself at home. To do this, it is enough to use special lollipops and rinses that kill pathogenic microflora. Typically, two weeks of treatment are required to completely eliminate the symptoms of candidal stomatitis.

Listerine

A comprehensive oral care product. Has good anti-inflammatory and antibacterial effects. Listerine destroys the walls of bacteria and prevents them from attaching to the mucous membrane, which significantly reduces the symptoms of the disease and candidiasis gradually recedes.

To obtain the desired result, you will need to use the rinse aid twice. To do this, pour 20 ml of liquid into the cap for one-time use. The solution must be used until complete recovery.

Eludril

This rinse solution also has a good antifungal effect. At the same time, it destroys almost all gram-positive and gram-negative bacteria. To use, you will need to take 10-20 ml of solution per 100 ml of clean water. After stirring thoroughly, rinse your mouth for 2-5 minutes. The rinsing procedure is repeated 3 times a day in the first week and twice in the second. The duration of therapy is 14 days.

Diflucan

An antifungal drug that is taken orally. Has a quick effect, relieving itching and irritation. When used at the same time as rinses, it shows faster results, relief comes already in the first day. To relieve the symptoms of candidal stomatitis in adults, you need to take 50 mg of the main substance, regardless of meals. Treatment is continued for two weeks. Oral administration allows you to completely get rid of candida locations in the digestive tract and reduce the manifestation of bacteria.

Ithrakon

The medication is also most often used at the initial manifestation of candidal stomatitis; the best effect is shown with proper care of the oral cavity and with the use of rinses. The dosage of intraconazole is 100 mg of the active ingredient daily. The duration of therapy is 15 days.

Attention! In the presence of confirmed HIV or AIDS, rinses can be used on an ongoing basis as a preventive method for candidal stomatitis.

Treatment of moderate and severe forms

The drug is available in gel form. When it enters the body, it is quickly absorbed into the blood, which makes it possible to destroy harmful organisms not only in the stomach, but also in the oral cavity and other locations. To obtain a lasting result, adult patients are prescribed ¼ spoon of syrup strictly 4 times a day. After a week of regular use, the dosage can be reduced to two doses. Treatment of moderate and severe forms can last for three weeks, further use only in consultation with the attending physician.

Nizoral tablets

Medicines under this name have always been successful among patients who have encountered various manifestations of fungal infections. To relieve acute symptoms, you need to take 200 mg of the active substance orally. The main active ingredient of Nizoral tablets is ketoconazole. If necessary, this medication can be replaced Sostatin And Oronazole. The dosage of all drugs is the same. The duration of therapy can be three weeks.

Imudon

The drug is available in the form of tablets for resorption in the oral cavity. The dosage depends on the stage of candidiasis and the degree of its spread to the mucous membranes of the mouth and throat. To obtain a lasting effect, it is recommended to take 4-8 doses of the main substance for 20 days. It is also possible to use the drug in the initial stage of development of candidal stomatitis; in this case, to achieve the desired effect, take 4 Imudon tablets for six days.

Mikosist

The dosage of the drug depends on the severity of the symptoms of candidiasis. Typically, patients are prescribed 50 mg of the main substance for moderate forms of the disease and 100 mg for more severe forms of candidal stomatitis. The duration of therapy in both cases can be 7-14 days. If a patient is diagnosed with AIDS or HIV, after the main course of therapy it is necessary to take 150 mg of Mikosist weekly for three months.

Flucostat

When an infection of the mucous membranes of the oral cavity occurs, it is recommended to take the drug for 2-4 weeks, it all depends on the severity of the disease. The classic dosage of the drug is 50-100 mg of Flucostat. The medication is taken after meals to reduce irritation of the intestinal mucosa. If there are concomitant problems such as AIDS and HIV, the amount of Flucostat can be 150 mg, but only on the recommendation of a specialist. This group of patients, after the main course, is required to take 150 mg of the active substance for 2-3 months as a prophylaxis. Reception is carried out weekly.

Attention! The prescription of any oral medications can only be made by the attending physician. This is necessary to avoid possible complications in the form of severe intestinal disorders and breathing problems. It is important to exclude pregnancy when using these medications, since during this period treatment only in exceptional cases involves the use of oral antifungal agents.

Antiseptics for candidal stomatitis of any form

Yox

The solution contains iodine, which has a good antibacterial effect, allows you to disinfect all tissues and prevent complications in the development of candidal stomatitis. For treatment, you will need to dilute a teaspoon of Yox in 100 ml of water. Rinsing is required up to five times a day, taking into account the severity of the lesion. Treatment involves using the solution for 7-14 days. Instead of Yox, you can use Betadine, Vocadine and Povidone-Iodine in the same dosages.

Hydrogen peroxide

The product is also a local antiseptic that helps stop the spread of many groups of bacteria, including candida. To carry out the rinsing procedure, you will need to take 30 ml of peroxide solution at a concentration of 3% and dissolve the substance in 200 ml of water. You can rinse your mouth in this way up to three times a day. You should not resort to using hydrogen peroxide, even in small quantities, if the patient has tooth sensitivity. The substance may increase pain and irritate the gums. Treatment is continued with normal tolerance until symptoms disappear completely.

Rotokan

An excellent broad-spectrum antiseptic. To prepare a solution for rinsing in the presence of candidal stomatitis, Rotocan is diluted in the ratio of a teaspoon to a glass of water. It is necessary to rinse the affected cavity up to five times a day. Treatment continues for two weeks. If symptoms persist after this time, after consultation with a doctor, you can extend therapy for another seven days. Rotokan should not be combined with other antiseptic drugs.

Attention! If strict doses are observed, treatment with these antiseptics can also be carried out during pregnancy. But at the same time, it is recommended to exclude medications with iodine, since during the period of bearing a child, the female body can be very sensitive to this component.

Antifungal antibiotics

Pimafucin

The main active ingredient of the drug is natamycin, an antibiotic that kills the vast majority of fungi. It also allows you to kill candida locations in the gastrointestinal tract. Treatment involves using 1 tablet 2-4 times a day. During the period of exacerbation, namely the first seven days, it is better to take the maximum dose of Pimafucin. Well tolerated in combination treatment.

Nystatin

In the chronic form of candidal stomatitis, you need to take the medication for three weeks. The dosage may be 8-12 tablets in severe cases. If a milder form of candidal stomatitis is observed, therapy continues for 10-14 days. The dosage of the main substance is 3-4 tablets of Nystatin. Quite often, when using the drug, patients complain of acute abdominal pain and diarrhea.

Attention! Antibiotics should be used only for persistent or complicated forms of candidal stomatitis. It is advisable to select dosages strictly individually, taking into account the patient’s weight and the extent of the diseased areas.

When the first signs of the disease appear, you need to seek help from a specialist. It will be important to confirm the exact diagnosis and prescribe appropriate treatment, which may include several medications at once. To avoid a possible relapse of the disease, it is advisable to completely change dental accessories, maintain a proper diet and cure the candida outbreak in the stomach. With the right treatment strategy, you can quickly get rid of the problem and minimize the chance of its reoccurrence.

Video - Candidal stomatitis: treatment, symptoms and diagnosis of the disease, features of prevention

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