Monday, January 16, 2012

Page 16 of 366

6:00 am: TB Meds, 3tabs
8:00 am: ARV: zido/lami

4:00 pm: snacked on a bacon and egg sandwich
7:00 pm: dinner, just after dinner, went to wash room to pee, when I came out, I threw all of what I have eaten out including sandwich.
8:00 pm: arv: zido/lami, efav (finished bottle). Prophylaxis: cotrimazol.

Thrush is an infection of the mouth caused by the candida fungus, also known as yeast. Candida infection is not limited to the mouth; it can occur in other parts of the body as well, causing diaper rash in infants or vaginal yeast infections in women.

Thrush can affect anyone, though it occurs most often in babies and toddlers, older adults, and people with weakened immune systems.

Small amounts of the candida fungus are present in the mouth, digestive tract, and skin of most healthy people and are normally kept in check by other bacteria and microorganisms in the body. However, certain illnesses, stress, or medications can disturb the delicate balance, causing the fungus candida to grow out of control, causing thrush.

Medications that upset the balance of microorganisms in the mouth and may cause thrush include corticosteroids, antibiotics, and birth control pills. Illnesses or medical situations that make candida infection more likely to develop include uncontrolled diabetes, HIV infection, cancer, dry mouth, or pregnancy (caused by the hormonal changes that occur with pregnancy). People who smoke or wear dentures that don't fit properly also are at increased risk for thrush. In addition, babies can pass the infection to their mothers during breast-feeding.

Symptoms are:
  • Creamy white lesions on your tongue, inner cheeks and sometimes on the roof of your mouth, gums and tonsils
  • Lesions with a cottage cheese-like appearance
  • Pain
  • Slight bleeding if the lesions are rubbed or scraped
  • Cracking and redness at the corners of your mouth (especially in denture wearers)
  • A cottony feeling in your mouth
  • Loss of taste
In severe cases, the lesions may spread downward into your esophagus — the long, muscular tube stretching from the back of your mouth to your stomach (Candida esophagitis). If this occurs, you may experience difficulty swallowing or feel as if food is getting stuck in your throat.

Thrush can spread to other parts of the body, including the lungs, liver, and skin. This happens more often in people with cancer, HIV, or other conditions that weaken the immune system.

Oral thrush is seldom a problem for healthy children and adults, although the infection may return even after it's been treated. For people with compromised immune systems, such as from HIV or cancer, however, thrush can be more serious.

If you have a compromised immune system:

  • Thrush is more likely to spread to other parts of your body, including your digestive tract, lungs and liver.
  • You may have especially severe symptoms in your mouth or esophagus, which can make eating painful and difficult.
  • The infection can spread to the intestines, making it difficult to receive adequate nutrition.

For adults with weakened immune systems
Most often, your doctor will recommend the following:
  • Antifungal medication. This comes in several forms, including lozenges, tablets or a liquid that you swish in your mouth and then swallow.
  • Amphotericin B. Candida albicans can become resistant to antifungal medications, especially in people with late-stage HIV infection. This drug may be used when other medications aren't effective.
Some antifungal medications may cause liver damage. For this reason, your doctor will likely perform blood tests to monitor your liver function, especially if you require prolonged treatment or have a history of liver disease.

These suggestions may help during an outbreak of oral thrush:
  • Practice good oral hygiene. Brush at least twice a day and floss at least once daily. Replace your toothbrush frequently until your infection clears up. If you have problems with strength or dexterity in your hands, an electric toothbrush can make brushing easier. Avoid mouthwash or sprays — they can alter the normal flora in your mouth. Don't share toothbrushes.
  • Try warm saltwater rinses. Dissolve 1/2 teaspoon (2.5 milliliters) of salt in 1 cup (237 milliliters) of warm water. Swish the rinse and then spit it out, but don't swallow.

The following measures may help reduce your risk of developing candida infections:
  • Rinse your mouth. 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.
  • Treat any vaginal yeast infections that develop during pregnancy as soon as possible.
  • See your dentist regularly — especially if you have diabetes or wear dentures. Ask your dentist how often you need to be seen. Brush and floss your teeth as often as your dentist recommends. If you wear dentures, be sure to clean them every night.
  • Watch what you eat. Try limiting the amount of sugar- and yeast-containing foods you eat. These may encourage the growth of candida.

You don't want this... mainly kasi super mahal yung gamot, antifungal meds are super mahal, yung fluconazole, sabi nung twitfriend was 425.00, my brother remember it as more than 700 isa... na nung nasabi ko sa doctor ko, yung doctor din nagulat, di kasi makatarungan yung presyo, tipong pwede naman na kasing pakainin ang isang pamilya sa 700... eh iinomin mo yan once a day  in 10 to 14 days... di ba, sakit sa bulsa... kahit yung gurgle lang, you are still looking at almost 400 pesos a day.

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