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Medical Forum / Diseases and Disorders / Sinusitis / August 2007Might I have a yeast infection?
For just over two weeks now I have had the following symptoms--sores on tongue, sore throat, and chills (including in hot weather). When I've taken my temperature, I've sometimes (not always) had a slight fever. (The highest was 99.3, usually less.) I wonder if I might have a candida infection, due to the tongue sores, etc. (They don't look like the pictures I have seen of "thrush", however, with the white patches. Mine are not so obvious to the eye, you have to look for them.) (I feel them all the time though.) I regularly take long-term macrolide (clarithromycin-biaxin) to prevent sinus infections, as has been recommended here. But now I read that antibiotic use can cause such yeast infections, killing the beneficial bacteria that keep the candida in check. (I am taking a probiotic supplement though.) I also wonder if my gargling with peroxide and Listerine, and irrigating sometimes with betadine and peroxide mixed in the solution, might not be a good idea, also killing essential beneficial bacteria. Do my symptoms sound like a possible yeast infection, that might clear up with an anti-fungal med? Is there a way to be tested for that? I wonder, if I go to my doctor about it, whether he'll just pooh-pooh the idea. I should mention another symptom. There has been a strange smell in my nostrils for the last couple weeks. I'll also mention that I am aware that there is a lot of quackery and nonsense regarding candida. However, I am wondering if there is a real disease that might explain my symptoms. I got the idea from asking a pharmacist whether he had a medication that would help with sores on the tongue. He replied nothing OTC, but that there is a prescription med called Nystatin that is prescribed for that symptom. I looked up Nystatin, see that it is used to treat candida, so wonder if it or another anti-fungal might help my condition. > For just over two weeks now I have had the following symptoms--sores on > tongue, sore throat, and chills (including in hot weather). When I've [quoted text clipped - 18 lines] > with an anti-fungal med? Is there a way to be tested for that? I wonder, > if I go to my doctor about it, whether he'll just pooh-pooh the idea. I forgot to mention that I have been a regular user of nasal steroid spray (Rhinocort Aqua) for decades, and I have read that this could also be a risk factor for candida. >I should mention another symptom. There has been a strange smell in my >nostrils for the last couple weeks. [quoted text clipped - 31 lines] >> with an anti-fungal med? Is there a way to be tested for that? I wonder, >> if I go to my doctor about it, whether he'll just pooh-pooh the idea. >I forgot to mention that I have been a regular user of nasal steroid spray >(Rhinocort Aqua) for decades, and I have read that this could also be a [quoted text clipped - 36 lines] >>> wonder, if I go to my doctor about it, whether he'll just pooh-pooh the >>> idea. Between the regular Biaxin and Rhinocort usage it is certainly possible that you have candida or thrush. Does you tongue burn or feel hot? feel like you are coming down with a sore throat? Have small sores in the mouth or tongue that feel similar to a newly developed canker sore? If some or all of this is true then it is possible that you have gotten your beneficial bacteria out of balance and now have thrush/candida. Whether you need to quit the biaxin and rhinocort while you treat the thrush is something that a physician would have to tell you. If it was me, at a minimum I would back off the dosage for both and cut back to no more than half your current dosage. You may need to stop both for a while - I do not know. I'd also stop the H2O2 and peridex until you had cured the mouth problem. I do know that using nystatin internally along with any other antibiotic can kill off the bacteria in your digestive system and put you at risk of clostridium. Get an RX for USP Nystatin powder which comes in a 22 gram bottle. You will have to order this as most phamacies will not carry it. Keep it refrigerated - not frozen. This is powerful stuff so be careful with your intake or you can really throw your bacteria balance off plus make yourself sick at the stomach. Be very careful about only using a clean utensil to remove about a quarter tsp or less of the powder and mix in 3-4 oz. of water. The powder is yellow and tastes kinda like cardboard. Take one mouthful and swish around in mouth and if possible gargle without swallowing. Repeat. Do this 3-4 times daily for a week and if you have thrush your mouth should feel better after only a couple days. This is how to treat superficial thrush. While you are doing this lay off any juices, drinks containing corn sweeteners and any other high sugar foods or drinks. A 22 gram bottle of Nystatin will last you for months even if you need to continue treatment daily. To treat systemic candida you would start swallowing some of the mixture after rinsing. This internal consumption will initially cause yeast die off which can make you very ill for a few days if you are full of yeast or still eating sugary foods. Treating candida to my mind is very different than treating thrush which is often a minor thing. I'm not going to get into how to treat candida because like you say this is a very controversial subject. If you decide you have candida you have lots of personal research to do before jumping into treating the systemic candida. AW > Between the regular Biaxin and Rhinocort usage it is certainly possible > that you have candida or thrush. Does you tongue burn or feel hot? feel > like you are coming down with a sore throat? Have small sores in the mouth > or tongue that feel similar to a newly developed canker sore? If some or > all of this is true then it is possible that you have gotten your > beneficial bacteria out of balance and now have thrush/candida. Sore throat-yes. Sores on the tongue--yes. However, as mentioned, the sores don't look like the pictures I've seen and descriptions I've read about thrush. There is no white coating. As mentioned, I've also felt chilled a lot in the last couple weeks, even when the weather is hot. Sometimes a slight fever, not always. Can that also be a symptom of candida? Perhaps it's a virus I have, rather than candida. Viruses can cause cold sores, no? But colds don't usually last over two weeks, as this has. (If it's a virus the gargling with peroxide and Listerine is probably a good thing.) I really don't know. Just wondering, due to the tongue sores, and the duration, whether it might be candida. > Whether you need to quit the biaxin and rhinocort while you treat the > thrush is something that a physician would have to tell you. If it was me, [quoted text clipped - 29 lines] > personal research to do before jumping into treating the systemic candida. > AW >> Between the regular Biaxin and Rhinocort usage it is certainly possible >> that you have candida or thrush. Does you tongue burn or feel hot? feel [quoted text clipped - 18 lines] > I really don't know. Just wondering, due to the tongue sores, and the > duration, whether it might be candida. You can't always look at internet photos as good comparison photos because they tend to use severe cases of whatever for their photo examples. Thrush will usually not improve by itself. If you post back in two weeks with the same or worsening throat symptoms, then you probably do have thrush. A Dr could probably tell you for sure with a glance. AW > You can't always look at internet photos as good comparison photos because > they tend to use severe cases of whatever for their photo examples. Thrush > will usually not improve by itself. If you post back in two weeks with the > same or worsening throat symptoms, then you probably do have thrush. A Dr > could probably tell you for sure with a glance. AW I saw a doctor today about the condition. He looked in my mouth (now there's sores on my lip as well as the tongue), and said it was not thrush, because thrush involves those white patches, which as I said, one doesn't see in my mouth. Since it has lasted two and a half weeks now, he doesn't think it's just a virus. Therefore, he thinks it's a bacterial infection, and prescribed me ten days of Levaquin. I hope it works. This certainly doesn't seem like the bacterial (sinus) infections I normally get. My nose isn't any worse than my usual rhinitis, the phlegm is mostly clear, etc. Seems more viral, but it's lasting long for a viral infection. Let's hope this works. I guess I can go back to the anti-infective gargles, etc. > I forgot to mention that I have been a regular user of nasal steroid spray > (Rhinocort Aqua) for decades, and I have read that this could also be a risk > factor for candida. *I use steroid spray on an as-needed basis over long term and find it very effective for treatment of symptoms. I also use Loratidine (Claritin) which seems to lessen the mucus quantity slightly. > >I should mention another symptom. There has been a strange smell in my > >nostrils for the last couple weeks. *I had a mildew smell in my nose for about two years until about a week after I started probiotics. > > I'll also mention that I am aware that there is a lot of quackery and > > nonsense regarding candida. However, I am wondering if there is a real [quoted text clipped - 10 lines] > >> taken my temperature, I've sometimes (not always) had a slight fever. > >> (The highest was 99.3, usually less.) *It could be thrush or it could also be virus lesions which I get maybe once a year usually only one or two spots in back of throat, with slight fever. It only lasts a week or so and goes away. The virus lesions are slightly sore though. > >> I wonder if I might have a candida infection, due to the tongue sores, > >> etc. (They don't look like the pictures I have seen of "thrush", however, [quoted text clipped - 9 lines] > >> the solution, might not be a good idea, also killing essential beneficial > >> bacteria. *With long term antibiotic use you are killing of a lot of good and bad bacteria so it's very difficult to maintain (normal) balance. I can't tell you what to do but bacteria can evolve over time and come back to bite you harder with resistant strains. I did only a ten day antibiotic which didn't have any noticeable effect. The steroid spray is the most effective for me, but the cause of sinusitis can vary a great deal, I also have nasal polyps. > >> Do my symptoms sound like a possible yeast infection, that might clear up > >> with an anti-fungal med? Is there a way to be tested for that? I wonder, > >> if I go to my doctor about it, whether he'll just pooh-pooh the idea. *I think that there might be a blood test for candida which is much less trouble than trying to treat it with diet because if you're anything like me there is no way I can eliminate sugar and the other yeast feeding foods. |
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