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Oral Thrush

Causes, Symptoms and Treatment of Oral Thrush

From About.com

Updated: December 27, 2006

About.com Health's Disease and Condition content is reviewed by Kate Grossman, MD

Oral thrush is caused by yeast called candida albicans which is present with many other organisms in the mouth. 50% of the population has candida in their mouths. Under normal circumstances candida albicans is kept under control by bacteria.

Causes of Oral Thrush
Sometimes the growth of Candida albicans spirals out of control and oral thrush develops. The most common cause is the use of antibiotics. Oral thrush can also be due to:
Long term use of corticosteroids
Immune disorders, such as HIV
Diabetes Mellitus
Men with long term illness
Men who wear dentures will have candida in their mouths. This usually happens when the dentures do not fit properly and damage the mucous membranes.
Small infants can often get it but it is not usually associated with any disease. (Frequent oral thrush should always be investigated in infants to find out cause).

Signs Symptoms of Oral Thrush
Signs and symptoms usually include:

  • White, creamy or yellow raised spots on the surface of the pink mucous membranes in the mouth. Often described as a curd like or cottage cheese appearance.

  • Spots can be scraped off, leaving a red tender area beneath, which can bleed.

  • Spots are usually only in the mouth but may spread down into the throat and into the cheeks.

  • Uncomfortable but not usually painful. Oral thrush often causes a burning or soreness in the mouth, the throat, or at the corners of the lips.
  • Diagnosis of Oral Thrush
    Diagnosis is usually made through observation or through laboratory sample.

    Treatment of Oral Thrush
    Antifungal medications are used to control the growth of candida albicans in oral thrush. A course of antifungal medication is given from between 5 to 10 days which are taken into the mouth an held as per instruction by the pharmaceutical company.
    These antifungal medications include clotrimazole and nystatin.

    A single dose medication is available called Diflucan.

    Prognosis for Oral Thrush
    Eating can be difficult and uncomfortable. The infection can spread to other parts of the body in some cases. Oral thrush usually responds quickly to treatment.

    If oral thrush persists then checks by your doctor will be needed to see if there is an underlying illness that could be causing oral thrush.

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