Wednesday, November 20, 2019

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What is vaginal yeast infection? Symptoms, causes and treatment


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Vaginal fungal infection is a very common type of infection in women. It occurs with symptoms such as localized burning in the vagina, itching, an unusually intense white discharge, frequent urination and pain during sexual intercourse. The most common germs causing this problem is a yeast cell called Candida albicans. Vaginal fungal infections are generally defined as vaginal candidiasis, since more than 90% of cases are identified to be caused by this fungus. A healthy vagina contains some bacteria and yeast cells. However, when the balance of bacteria and fungi changes, yeast cells can multiply and cause infection. Stress, pregnancy, diseases affecting the immune system, the use of antibiotics, some birth control pills, the use of improper hygienic products and underwear can cause Candida yeast cells to increase.

Vaginal fungi are not in the category of sexually transmitted diseases. Women who are not sexually active may also experience this problem. Although this disease is known as a female disease, it can be seen in men and can be treated with medication as in women. A man suffering from this disease can infect his sexual partner with this fungus.

Vaginal fungal infection is easy to treat and can be treated effectively with medications. The treatment results in relief within a few days, but in some severe cases it may be a little longer. If you have recurrent fungal infections - four or more in one year - you may need a longer treatment cycle and a care plan. If you think you have a vaginal infection, you should consult a specialist for proper diagnosis and treatment.

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Because the symptoms of vaginal yeast infection are similar to other vaginal infections and sexually transmitted infections. If you have a more serious infection, not a fungal infection, this can lead to significant health problems.

Symptoms of Vaginal Fungal Infection
Vaginal itching
Swelling around the vagina
Pain or burning during urination or during sexual intercourse
Redness
Vaginal rash
Vaginal pain
Whitish gray and intense vaginal discharge
In some women vaginal discharge may look like cheese
These symptoms are more likely to be the week before the menstrual period. Symptoms may exacerbate when yeast infection is not usually treated

Symptoms of complicated vaginal yeast infection
You may have a severe and complicated yeast infection and you should see a qualified doctor as soon as possible:

If your redness, swelling and itching symptoms are very intense and uncomfortable
If cracks or wounds have occurred
If you have four or more fungal infections per year
If the infection is caused by another fungus other than Candida albicans fungus
If you are pregnant
If you have uncontrolled diabetes
If your immune system is weak, HIV infection is weakened by certain medications or conditions you are using
When should I see a doctor for vaginal infection?
When you first see the symptoms of yeast infection
If you are not sure whether you have had a yeast infection
If your symptoms do not disappear after treatment with non-prescription antifungal vaginal cream or suppositories
If you are observing the symptoms of complicated yeast infection mentioned above
or other symptoms
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Do men experience fungal infections and what are the symptoms?
Candida albicans yeast cell, which causes vaginal yeast infection in women, may cause a similar infection in the penis head in men. Men with diabetes, long-term use of antibiotics or uncircumcised men are more prone to this infection. Uncircumcised men should clean the foreskin underneath properly. The warm, moist folds of the foreskin are the perfect environment for the growth of the fungus. Keeping the area clean and dry can help prevent an infection, but if symptoms occur, a specialist should be consulted.

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A man with a yeast infection may not have any symptoms, but sometimes the following symptoms may occur:

Redness or itching on the tip of the penis
Slight discharge
Pain when urinating

What are the causes of vaginal fungal infection?
Candida albicans fungus, which causes vaginal fungus, is a naturally occurring microorganism in the vaginal region. Lactobacilli (milk bacillus) bacteria control the growth of these fungi. But if there is an imbalance in your system, these beneficial bacteria will not work effectively. This causes overgrowth of the fungi of candida albicans. The factors that may cause this imbalance in your system are:

Use of antibiotics to reduce lactobacilli in your vagina
Pregnancy
Uncontrolled diabetes
Spiral use
Weak immune system
Birth control pill or hormone therapy to increase estrogen levels
Chemotherapy
Cortisone treatment
Consume sugary food and poor eating habits
Obesity
Hormonal imbalance near your menstrual cycle
Stress
Lack of sleep
Use perfumed vaginal hygiene sprays or similar products
Underwear or some pads that may prevent the vagina from breathing
Vaginal yeast infection can occur after some sexual activities, especially oral-genital sexual intercourse. However, this disease is not a sexually transmitted infection. Even sexually inactive women may develop yeast infections.

What specialization is involved in vaginal fungal treatment?
Primary care practitioners, including family physicians, internists, and pediatricians, can all treat fungal infections. However, if you get a vaginal yeast infection, you can see a gynecologist. If you have received treatment for a yeast infection in the past and are going to the same doctor, your doctor may repeat the treatment by telephone without seeing you again.

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Useful procedures before going to the doctor

Make a list of the symptoms you are observing and note how long you have experienced these problems
Write down the names and medical information you think is important if you have different treatments and medications, vitamins or supplements you use
Do not use tampons. So your doctor can evaluate your vaginal discharge
Consider your doctor's time limit and select the most important questions you want to ask and make a list
What can you ask your doctor?
How can I prevent fungal infections?
What symptoms should I pay attention to?
Do I need medication?
Should my partner or sexual partner be involved in the diagnosis and treatment?
Are there any non-prescription products that will cure my illness?
What can I do if my symptoms return after treatment?
How is vaginal yeast infection diagnosed?
Diagnosis of fungal infections is simple. Your doctor will ask you some questions in order to diagnose your disease correctly and apply effective treatment. The next step is pelvic examination. Your doctor will examine your external genitalia and observe signs of infection. It then places a speculum in your vagina to keep the vaginal walls open so that you can examine the vagina and cervix. It will also look at the area around the vagina to see if there is any contamination.

Depending on what you see in your physical examination, your doctor may take some samples from your vagina and send them to the laboratory. Laboratory tests are generally preferred in patients who have had regular infections or who have not responded to treatment. Determination of the fungal type in such patients is important for effective treatment.

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How is vaginal yeast infection treated?
In the treatment of vaginal fungus, oral tablets, suppository drugs applied to the vaginal region and antifungal creams applied to the external genital area are used. You may only treat yourself with non-prescription products without your doctor's diagnosis and advice if:

If you have mild symptoms and no pain
If you are not pregnant
If you are sure that your symptoms are caused by a vaginal yeast infection
If you have never been diagnosed with vaginal yeast infection, consult your doctor.
You have not been exposed to a sexually transmitted infection (STI)
You do not have multiple recurrent infections
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Self-treatment can be risky at times. Because the symptoms of vaginal yeast infection may be similar to the symptoms of other sexually transmitted diseases, in which case a different treatment will be required. Therefore, it is more beneficial to see a doctor in any case. Each fungal infection is different, so your doctor will recommend the best treatment for you.

Simple fungal infections
For simple yeast infections, your doctor will usually prescribe an antifungal cream, ointment, tablet or suppository for 1-3 days. These drugs can be prescription or non-prescription. In general, treatment methods are as follows:

Short-term vaginal therapy: Antifungal drugs include creams, ointments, tablets and suppositories. An antifungal treatment course lasting one, three or seven days usually clears a yeast infection. It has been observed that a number of drugs including butoconazole (Gnazol-1), clotrimazole (Gyne-Lotrimin), miconazole (Monistat 3) and terconazole (Terazol 3) are effective in treatment. Some of these are prescription and others are non-prescription drugs.
Single dose oral medication: Your doctor may prescribe an antifungal medication to be used orally. Or, you may recommend using two single doses at three separate intervals to relieve severe symptoms.
ATTENTION! Oral antifungal drugs should not be used by pregnant women. In addition, oral medications may have side effects such as nausea, headache, or abdominal pain.

Treatment with cream or suppository: Over-the-counter antifungal vaginal suppositories and creams are effective for many women and are a safe choice during pregnancy. Treatment usually lasts between three and seven days.
During the course of treatment, drugs may have side effects such as mild burning or irritation. Since suppositories and creams are oil-based, they can potentially weaken latex condoms and diaphragms. Therefore, your doctor may recommend an alternative contraceptive method.

Patients with simple fungal infections should follow the treatment process with their physician. If your symptoms return within two months, you will need to monitor them.

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Severe vaginal yeast infections
If your symptoms are severe, your doctor will choose a different treatment for you. Possible treatments for severe fungal infections include:
Prolonged vaginal treatment: A treatment course containing azole for seven to 14 days can successfully clear a yeast infection.

14-day cream, ointment, tablet or suppository vaginal treatment
Two or three doses of fluconazole (Diflucan)
Long-term use of fluconazole (Diflucan) six days a week for six weeks
Long-term use of topical antifungal drugs
If your infection recurs 4 times after 2 months or within 1 year: a long treatment can last from 6 months to 1 year
It may be necessary to test your sexual partner for fungal infections
Use a condom during sexual intercourse if you suspect anything
Herbal and alternative therapies for vaginal yeast infection
What natural and alternative therapies are available? If you do not prefer to use prescription medication for vaginal yeast infection, you can try treatment with natural drugs with the consent of your doctor. It is also important for your doctor to confirm that some herbs may interfere with the medications you may take or cause unwanted side effects.

Natural products for the treatment of vaginal yeast infection
Yoghurt: Yoghurt, vagina in a healthy amount of probiotic lactobacilli are abundant. However, studies have not been able to effectively prove any benefit to the treatment of vaginal yeast infection when you eat a cup daily. However, in a recent Italian study, it was observed that when the probiotic tablet was inserted directly into the vagina (once a day for 7 nights, then every 3 nights for 3 weeks and then once a week), it treated 87% of the fungal infection.
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Preparation of yogurt wick: Put yogurt on the fingers of a plastic glove and freeze. Apply every night as a suppository before going to bed

Coconut oil: Coconut oil is a natural antibacterial agent used topically in India for centuries. To apply the oil into the vagina, immerse a sterile tampon in the oil and insert it into the vagina. You can do this 4-5 times every night. Also use natural coconut oil in your meals.
Tea tree oil: Today it is an approved method for the treatment of yeast infection in Italy. 10 drops can be added to a bucket of water to wet the pelvic area. Alternatively, it may be applied by buffer as in coconut oil. When picking up tea tree oil, make sure the oil is not diluted with alcohol
Boric acid vaginal suppositories: Some experts may recommend vaginal boric acid capsules as a treatment option, especially for infections that cannot be treated with prescription or over-the-counter antifungal yeast infection drugs. Boric acid is a white crystalline chemical with antifungal and antiviral properties. It is used in various pharmaceutical products and is also available without a prescription.
Garlic: If none of the above suggestions solve the problem, you may have to intervene more seriously. Before bed, take a peeled clove of raw garlic, damage the entire surface with a fork and apply it to the vagina as a suppository.

Prevention and methods of vaginal fungal infections
Eat a balanced diet with fruits, vegetables, whole grains and skim milk products
Keep your blood sugar under control
Avoid unnecessary antibiotic use
Eat yogurt or use probiotic supplements
Wear natural fabrics such as cotton, linen or silk
Wash underwear with hot water
Avoid tight clothes such as tight pants, pantyhose and tights.
Do not use feminine deodorant or scented tampons or pads
Avoid sitting in a bathtub filled with hot water or taking frequent hot showers
Keep your vaginal area clean. Use mild, odorless soap and water for cleaning
Then wipe the toilet from front to back to avoid spreading fungi or bacteria from the anus to the vagina or urinary tract.
Wear cotton underwear that helps keep your vaginal area dry and does not retain heat and moisture. Try to sleep without underwear.
Replace your wet swimsuit now
Replace pads or pads frequently
Do not use vaginal deodorant spray or powder. These substances can alter the normal balance of organisms in your vagina


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What is a vaginal fungus? What are the symptoms and treatment methods?


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Vaginal yeast infection, also known as candidiasis, is a common health problem in women. Normally, some bacteria and fungal cells are found in the vaginal flora. However, when the balance of bacteria and fungi changes, yeast species called candida fungal cells can multiply. In this case, vaginal yeast infection, called candidiasis, which develops with severe itching, swelling, discharge and irritation. Symptoms usually relieve in a few days with medication. For more serious infections, complaints may take up to two weeks. Once a vaginal yeast infection has occurred, the likelihood of recurrence is increased.

What is a vaginal fungus?
Vaginal fungus is a common infection that causes irritation, discharge and excessive itching in the tissues called vagina and its surrounding vulva. This condition, also called vaginal candidiasis, affects 75% of women in the community at least once. Vaginal fungal infections are not considered sexually transmitted infections because they are more common in sexually inactive women, although they may spread sexually. However, regular sexual activity increases the risk of vaginal yeast infection.

Causes Vaginal Fungus?
Candida, which causes vaginal yeast infection, is a naturally occurring microorganism in the vaginal region. Lactobacillus bacteria in the vaginal flora control the number of candida. However, if there is an imbalance in the body that reduces the number of these beneficial bacteria or prevents them from functioning effectively, the number of candida can increase and cause infection. The use of antibiotics decreases the number of beneficial bacteria, Lactobacillus, which are naturally present in the vagina, and paves the way for the development of fungal infection. Other factors that may cause vaginal yeast infection may include:

Pregnancy
Diabetes
Weak immune system
Unhealthy eating habits including excessive consumption of sugary foods
Hormonal imbalance seen before menstrual cycle
Use of birth control pills or hormone therapies that increase estrogen levels
Stress
Insomnia
Vaginal yeast infections are most commonly caused by a yeast strain called Candida albicans. The infections caused by this yeast are easy to treat. In recurrent or treatment-resistant fungal infections, the agent may be a different version of candida. Candida species causing infection can be identified with a laboratory test.

What are the Symptoms of Vaginal Fungus?
Vaginal yeast infections can cause a series of signs and complaints as follows:

Vaginal itching
Itching in the tissue around the vagina called Vulva
Swelling around the vagina, pain, redness, rash
Whitish-gray and lumpy vaginal discharge can be seen. Some women say this stream looks like cottage cheese. Sometimes a watery discharge can also be seen.
Burning during urination or during intercourse
Pain during intercourse
Sometimes the symptoms go away without treatment, even after a certain time. This time is directly related to the severity of signs and symptoms.

Protection from vaginal fungus
To reduce the risk of vaginal fungus, cotton and tight underwear should be preferred. In addition, avoiding the following can also help reduce the risk of yeast infection:

Pants, tights and jeans
Perfumed products such as foam bath, pad and pad
Bathrooms with jacuzzi or hot water
Unnecessary antibiotic use in viral infections such as colds
Wet clothes such as swimwear and sportswear should not be removed for a long time.
How is vaginal fungus diagnosed?
Diagnosis of vaginal yeast infections is easy. The doctor first questions the patient's medical history. In addition to listening to the patient's complaints, she also asks whether she has had a vaginal yeast infection before. The next step is a gynecological examination, including examination of the cervix, vaginal wall and external genital areas. Depending on the examination findings, in the next step, some cells are collected from the vagina and sent to the laboratory. Laboratory tests are often ordered for women with recurrent or treatment-resistant fungal infections.

How is vaginal fungus treated?

Each fungal infection is different. Therefore, the doctor recommends the most appropriate treatment option for the patient according to the severity of the symptoms. For simple fungal infections, they usually prescribe antifungal creams, ointments, tablets or suppositories. Symptoms may be reversed within two months of treatment in women with a simple fungal infection. In this case, it is useful to consult a doctor again. The treatment of complicated infections is different. Complicated signs of infection include:

Complaints of severe redness, swelling and itching that cause wounds, cracks or tears in the vaginal tissue
Four or more fungal infections in one year
Infection caused by a different species of candida other than Candida albicans
In addition, treatment is planned differently in the presence of the following conditions:

Pregnancy
Uncontrolled diabetes
Having a weak immune system caused by the drugs used
HIV positive patients
Possible treatments for serious or complex yeast infections include:

14-day cream, ointment, tablet or vaginal suppository treatment
Two or three doses of oral medication
Oral or long-term local antifungal medication once a week for six weeks
In the presence of recurrent infections, sexual partner should also be investigated for fungal infection. Condoms should be used during sexual intercourse if any of the spouses is suspected of having a yeast infection. Consult a doctor if:

Symptoms of yeast infection
Lack of symptoms despite treatment
Adding new symptoms that do not already exist
Herbal treatment options for vaginal fungus
In many cases, yeast infections can be treated easily and successfully at home. Some herbal treatments that may be preferred in the treatment of vaginal fungus include:

Tea tree oil: Antifungal properties of tea tree oil have long been known. Studies have confirmed the ability of this essential oil to kill fungi. In most studies, tea tree oil has been tested on candida albicans, one of the most common yeasts in vaginal infections. Vaginal suppositories containing tea tree oil have been shown to treat vaginal yeast infections. Some women have reported that their infections have passed when they put a tampon soaked in diluted tea tree oil into the vagina and spend the night. However, care must be taken as tea tree oil can irritate the skin and the vaginal walls are particularly sensitive. Tea tree oil is an essential oil and must therefore be mixed with a carrier oil. When moistening the buffer, 30 grams of warm coconut oil and 3-5 drops of tea tree oil can be used together. It is important that the buffer used is changed regularly. Before using oil, drop 1 drop into the forearm and wait for 12-24 hours.
Wild thyme oil. Studies have shown that it is possible to stop the growth of Candida albicans by using wild thyme oil. For this purpose, capsules containing thyme oil can be inserted into the vagina at night. Alternatively, they may be applied to a buffer prior to insertion. Essential oils should be mixed with carrier oils before use and should not be applied directly to the skin. 30 grams of sweet almond oil, warm coconut oil or olive oil can be mixed with 3-5 drops of essential thyme oil.
Probiotic supplements. Some probiotic supplements may offer a natural remedy for yeast infection. Vaginal suppository forms may be preferred for fungal infections.
Natural yogurt. Natural, sugar-free, unsweetened yogurt contains beneficial bacteria called probiotics. These beneficial bacteria help to improve the yeast balance in the body.
For women who think they may have contracted vaginal yeast infection, the right decision is to contact a health facility immediately.


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How Is Fungal Infection Treated?


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Fungal (yeast) infections are one of the most common diseases seen in women. Yeast is a fungus found in small amounts in the vagina and settled there. Vaginal fungal infection, also known as vaginal candidiasis, can occur when there are too many fungal cells in the vagina. [1] Although the symptoms range from uncomfortable to unbearable, most fungal infections can be easily treated. All you have to do is carefully observe the symptoms of pain, ache, itching, rash and burning.

Method
one
Diagnosing Infection

one
Check for signs of infection. There are several physical symptoms that may indicate fungal infection. The most common symptoms are: [2]
Itching, pain and general discomfort in the vagina.
Pain or burning during urination or sexual intercourse.
Thick (such as precipitate cheese), white discharge in the vagina. Remember, this symptom will not be seen in every woman.

2nd
Think about possible reasons. If you're not sure if you have a yeast infection, think about the most common causes of yeast infection:
Antibiotics - Most women may experience a yeast infection after using antibiotics for several days. [3] Antibiotics kill some good bacteria in the body, including bacteria that prevent overgrowth of yeast and cause fungal infection. These bacteria include those that prevent overgrowth of the fungus. [4] If you've been on antibiotics recently, if it starts burning and itching in your vagina, they may be a sign of yeast infection.
Menstruation - Fungal infections are common in menstrual periods. If you observe the above symptoms and your period is close, you may have a yeast infection. [5]
Birth control pills - Birth control pills and one-off "next day" pills cause changes in hormone levels. This may cause fungal infection. [6]
Current health status - Certain diseases or disorders, such as HIV or diabetes, can also cause fungal infections. [7]
Pregnancy - Fungal infections are likely to occur due to hormonal changes during pregnancy. [8]
General health status - Disease, obesity, poor sleep habits and stress may increase the likelihood of fungal infection. [9]

3
Buy a pH test suitable for home use. There are tests that can help you understand what's going on in your vagina, like the tests you use for pregnancy. The normal pH of the vagina is around 4. This is a slightly acidic pH. Follow the instructions on the test package. [10]
While performing the pH test, hold a piece of pH paper on the vagina wall for a few seconds. Then examine the color of the paper according to the chart that came with the test. The number opposite to the color that most closely matches the color on paper is the pH value of the vagina. [11]
If the test result is above 4, you should see a doctor. This is not an indication of fungal infection, but may be a sign of another infection. [12]
If the test result is below 4, you probably have (not certain) a yeast infection.

4
Confirm the diagnosis with the doctor. If you have never had a yeast infection or are not sure about the diagnosis, you should make an appointment with a gynecologist. After a short vaginal examination, the doctor will take a sample of the vaginal discharge using a cotton swab to perform a fungal count. This is called a wet mount. The doctor may ask you to take additional tests to rule out other causes that may cause symptoms. [13]
Fungal infections are common in women, but it can be difficult to accurately diagnose on their own. In one study, it was shown that only 35% of women with a history of yeast infection can correctly diagnose yeast infection based on symptoms only. [14] [15] Allergic reactions caused by herpes formation and contact with laundry detergent are often mistaken for fungal infections.
Remember that many conditions, such as bacterial vaginosis or trichomoniasis, can lead to abnormal vaginal discharge and vaginal discomfort. For example, many of the symptoms of yeast infection are very similar to those of sexually transmitted diseases. [16] If the fungal infections recur, the doctor may ask you to have a culture test to determine if it is caused by other Candida species other than Candida albicans.
Pregnant women should not treat yeast infection without consulting a doctor. [17]

Method
2nd
To use medicine

one
Use caution when applying treatment on your own. You should only treat fungal infection if you are absolutely sure of your diagnosis. Remember that women who have had a yeast infection have difficulty diagnosing it. See your doctor if you have the slightest doubt.

2nd
Use prescribed oral medicine. The doctor may prescribe fluconazole (Diflucan), a single-dose antifungal drug taken orally. [18] [19] Relaxation is expected within the first 12-24 hours.
This is the quickest and most effective treatment of fungal infection. If you are experiencing serious symptoms, see your doctor immediately to determine if the treatment you have chosen is correct.

3
Use topical treatment. This is the most common form of treatment. Topical treatments are available both over the counter and over the counter. These include antifungal creams, ointments and suppositories applied to the vagina. Over-the-counter creams and ointments can be found in many pharmacies and supermarkets. If you have problems applying a treatment, consult a pharmacist who can help you directly. [20] [21]
Drugs used in the treatment of these infections belong to the class of drugs called azole. These include clotrimazole (Mycelex), butaconazole (Gynezol or Femstat), miconazole nitrate (Monistat) and thioconazole (Vagistat-1). These products may be purchased for different periods of use (eg, one-off administration, three-day administration, etc.) for the treatment of infection. You should consult a doctor or pharmacist before deciding which treatment is the best option for you. [22]
Be sure to carefully read all instructions contained in the package. These instructions will guide you to understand how to apply the cream and / or insert the suppository into your vagina. It is important that you follow the instructions. If you are unsure about what to do, consult a doctor or pharmacist for information.

4
Complete the treatment. Stop using these drugs immediately if you have not observed any symptoms. Use according to the instructions for the duration you need to use. [23]
If you are using an over-the-counter product and there is no relief from symptoms within 2-3 days, make an appointment with the doctor to apply one of the alternative treatment options.
If you use antifungal cream or suppository, be careful about the condom. Fat found in some drugs may thin the latex of the condom. [24] [25]

5
Remember that the treatment depends on the infection. Mild fungal infections can pass within a few days, while more serious infections may take longer to fully resolve. The doctor may prescribe a medication for you to use for two weeks.
If the infections recur, you should discuss this with your doctor. This may indicate an imbalance in your hormones or a change in your diet.
The doctor may prescribe a medication (such as Diflucan or Fluconazole) that you can use once or twice a week for up to six months to control the fungus level. Other doctors may prescribe clotrimazole as a vaginal suppository instead of an oral drug once a week. [26]

Method
3
Home Treatment

one
Drink unadulterated, 100% blueberry juice. Blueberries can treat and prevent fungal infections and urinary tract infections. [27] Make sure you buy 100% blueberry juice because it will get worse if there is sugar in the blueberry juice.
You can also take blueberry supplements in pill form. [28]
Blueberries, which are used as a mild treatment, are especially useful if you think you may catch a fungal infection. It may be useful as a supplement for other treatments if you already have a fungal infection. [29]

2nd
Eat plain yogurt or use it. Eat the yogurt or drive to the vagina. You can also inject the yogurt directly into the vagina using a needle-free syringe, or fill and freeze the yogurt into the plastic tampon applicator and then apply it to the vagina. [30] Yogurt contains live bacterial cultures (lactobacillus acidophilus), which ensure that the number of healthy bacteria in the vagina is as good as before. [31]
Some women have reported success with eating yoghurt containing lactobacillus, but this method has not been scientifically approved. [32] [33] Some studies suggest that eating or using yogurt as a treatment method has almost no benefit. [34]

3
Take a probiotic. You can also use oral supplements containing lactobacillus acidophilus culture, commonly known as probiotics. You can buy them at many major convenience stores, pharmacies and healthcare stores. Some women also use probiotic suppositories to help treat fungal infection. However, the effect of these suppositories is controversial and requires further research. [35]
In general, probiotics are safe to use because probiotics are like good bacteria found in our body system. Some probiotics have even been used for centuries. These are fermented products, fermented beverages and cultured milk. Nevertheless, further research is needed to determine the safety of probiotic intake in poor immune groups such as the elderly and children.
ALWAYS consult a doctor before placing probiotic suppositories into the vagina or before applying the probiotic product. Many doctors recommend taking probiotics orally rather than applying it to the vagina.

4
Reduce sugar and caffeine intake. Chocolate, sugar and even sugar contained in the fruit can cause a significant increase in blood sugar, which can increase the growth of fungi. Caffeine can also exacerbate the effects of sugar by increasing the rate of rise in blood sugar. [36]
If you have a constant fungal infection, you should consider reducing the amount of sugar and caffeine you consume regularly.

5
Watch what you're wearing. Avoid body-covering pants and cotton underwear so that the vagina can "breathe" and not sweat. Mushroom spreads in a humid, warm environment. The clothing should allow the vagina to breathe and remain dry so that you can prevent the increase in the fungal population in the vagina. [37]
Change your underwear every day and wear wide pants, shorts and skirts. [38]
If you have a wet suit on, change it as soon as possible. This may be a swimsuit or training suit. [39]
Avoid mushrooms filled with hot water or showers with very hot water because the mushroom loves hot, wet environments. [40]

6
Use Alka Seltzer tablets. Although these tablets have been marketed for abdominal pain, hangover and body pain (not marketed for yeast infection), the citric acid contained therein can treat the initial fungal infection.

7
Use apple cider vinegar. When the apple cider vinegar is diluted with clean water and used as antiseptic water, it can help alleviate the fungal infection and even eliminate the infection. You can use this mixture as antiseptic water once or twice a day. You can also apply apple cider vinegar directly to the vagina with the help of cotton. This can reduce the sensation of vaginal burns and help you get rid of itching.

8
Use coconut oil. Coconut oil can be an excellent treatment option if you have vaginal yeast infection. Regularly, if you apply it around the vagina at least twice a day, it can kill Candida and help you get rid of infections completely. [41]

9
Use garlic. Garlic is another effective way to treat fungal infection. Divide a clove of garlic in half and place it into the vagina at night. Repeat this for a few nights to see the result. Since garlic can burn a little in your vagina, you have to be careful and there will be an odor that may disturb you.

Warnings
Wait until the yeast infection has passed before you have sex. Infection is not transmitted by sexual contact, but men may experience symptoms such as pruritus after coexistence with an infected person. [42]
If you have had a fungal infection more than four times a year (known as vulvovaginal candidiasis), you should see a doctor as this may be a sign of a more serious health condition, such as diabetes. [43]
If the symptoms have not disappeared with treatment, make an appointment with the doctor again. Over-the-counter medications may not be effective in all women. [44]


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What is Vaginal Fungus? How is it treated?


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In women, vaginal fungus is a very common type of infection that is encountered at least once in life. Most of the time it is eliminated with a simple medicine or herbal treatment. However, sometimes it repeats frequently, drug resistance develops, becomes a chronic fungal infection and may adversely affect the quality of life of a woman.

What are the Symptoms of Vaginal Fungus?
Burning in the genital area
Itching of the genital area
An unusually intense white discharge
Frequent urination
It occurs with symptoms such as pain during sexual intercourse.
What is vaginal fungal discharge?
Vaginal fungal discharge is often;

White cream color.
Sometimes it can be as thick as cream.
The precipitate can be a bitter, like a cheese cut.
Vaginal fungus usually does not cause smelling discharge, but may rarely have a sour smell.
What Causes Vaginal Fungus?
The most common cause of vaginal fungi is a yeast cell called Candida albicans. Nine out of 10 women with vaginal yeast infection have this yeast cell. Normally, this yeast cell is found in the vaginal flora in our body. It is seamlessly in balance with other bacteria.

For some reason, disruption of this balance leads to an excessive proliferation of yeast cells that do not cause any complaints that are normally silent. The balance is disrupted and the patient begins to show signs of yeast infection.

Stress,
Pregnancy,
Diseases affecting the immune system,
Antibiotic use,
Some birth control pills,
False hygiene rules,
Improper genital cleaning
The use of soaps that break the flora called intim liquid,
The use of tight tight nylon underwear
Stay in the pool with wet swimsuit after the sea
Candida can cause increased fungal cells.
Which doctor should be consulted for vaginal fungal treatment?
For vaginal fungi, usually seen in the summer, you should visit your Obstetrician and Gynecologist. In general, diagnosis can be made with the complaints of the patient. However, the doctor may request additional tests if necessary.

What is good for vaginal fungal itching?
For vaginal fungal itching, vaginal cream treatment and herbal treatment of vaginal fungus should be preferred.

However, in vaginal fungal itching, using only cream or herbal treatment often does not provide a solution alone. Because the infection is caused by the inside of the vagina.

Suppository treatment if the woman with vaginal yeast infection is sexually active
If you have not had sexual intercourse before, you should use oral medication called vaginal fungus.
Vaginal fungal creams are used to support the treatment.
In addition, natural and herbal treatment options for vaginal fungus can also be used as support for treatment.
What is vaginal fungal treatment?
Vaginal fungal drug therapy, most commonly caused by Candida albicans yeast cell, can easily be removed. The important thing is not to chronicize vaginal yeast infection. Because chronic vaginal yeast infection affects the quality of life of the patient quite negatively and may not be easy to treat.

The most important factor to prevent chronic infection is the elimination of the causative agent of vaginal fungal infection. For example, antibiotic treatment should be avoided as much as possible if antibiotic use has caused fungi. If wearing nylon clothes causes vaginal fungus, choosing cotton underwear may be part of the treatment.

It should not be forgotten that the medicines provide temporary or partial remedies, and for permanent and permanent health and treatment, the woman should know herself, pay attention to hygiene rules and avoid situations that cause vaginal yeast infection.

Methods used in vaginal fungus treatment;

Vaginal fungal cream treatment,
Vaginal fungal suppository treatment,
Vaginal fungus,
Vaginal fungus can be listed as natural herbal treatments.
Is vaginal fungal cream treatment effective?
Vaginal yeast infection often causes vaginal itching, redness and burning stinging. Vaginal fungal cream treatment often reduces these complaints within 2-3 days. However, cream treatment alone may not be enough. Because the infection is caused by the inside of the vagina. Unless the actual infection is resolved, the patient's vaginal pruritus, discharge, redness will recur.

Is vaginal fungal suppository treatment necessary? How is it done?
Vaginal fungal suppository treatment should be preferred primarily in sexually active patients. The use of suppositories is very effective in the treatment of vaginal fungi. It acts locally, that is, medication does not spread unnecessarily throughout the body and does not affect the liver. Most of the time, a short-term treatment is achieved.

The suppositories are preferably advanced to the vagina as much as possible by means of an oily cream with a glove while lying at night.

After vaginal fungus suppository treatment, discharge may increase slightly. There may be a burning sensation. Part of the vaginal suppository may come out. All of these situations are normal.

To whom is vaginal fungus recommended?
Vaginal yeast infections in children
Sexually inactive women
Patients with vaginismus problems
For patients who cannot be treated with vaginal suppository treatment and vaginal cream treatment
Vaginal fungal treatment is recommended for women with chronic vaginal yeast infection.
Can vaginal fungus be treated with natural herbal treatment methods?
Most patients tend to treat vaginal fungus at home. Therefore, many different natural herbal treatment methods have been tried to date. There are many studies called phytotherapy in Europe and USA. There are many studies on the natural and herbal treatment of vaginal fungus.

When natural and herbal methods are used in the treatment of vaginal fungi, it is seen that different methods have been tried.

Vaginal Mushroom Vinegar
Vaginal Mushroom Tea Tree Oil
Vaginal mushrooms in lemon juice
Vaginal Mushroom Cranberry
Vaginal Mushroom Garlic
Vaginal Mushroom Olive Oil
Vaginal fungus honey
Vaginal fungus aloe vera
Vaginal Mushroom Probiotic Yogurt
Vaginal Fungus Ozone Oil
Vaginal fungus kefir
Vaginal cork parsley cure
Vaginal Mushroom Nigella
Vaginal Mushroom Coconut Oil
Vaginal cork onion cure
17 scientific studies have been conducted on vaginal cork oil in medical literature.
In some studies, it was stated that the patient was treated with vinegar in the treatment of vaginal fungus. In this case report published in Altern Ther Health Med in 2017, a 32-year-old married woman who had a chronic vaginal fungal infection that had not responded to medication for 5 years was given the opportunity of complete treatment with apple cider vinegar.

As a result, the treatment options for natural herbal treatments of vaginal fungus are quite long. In light of the above-mentioned publication, apple cider vinegar may be useful in the treatment of vaginal yeast infections and may be tried.

However, natural and herbal treatments can be tried as complementary or supportive treatments in vaginal fungal treatment because of unwanted side effects, not easy to use, lack of a standard dose such as prescription drugs and natural and herbal treatments are not approved by the health ministry.

Undesirable side effects of natural and herbal therapy may occur. When such problems occur, you should consult your doctor immediately.

Can vaginal fungus be treated at home?
In the light of the information listed above, home treatment of vaginal fungi can take time alone. Therefore, it seems more reasonable for patients with vaginal fungal discharge to receive appropriate medication after gynecological examination.

However, patients who prefer to be treated at home before going to the Obstetrician and Gynecologist can try the natural treatment of apple cider vinegar. It should be remembered that side effects may occur in such treatments. If an undesirable side effect is observed, a doctor should be consulted.

What is the best vaginal fungicide?
Vaginal fungicide may vary depending on the condition of the patient and the extent of the condition. For this reason, the best vaginal fungicide is the drug treatment that the patient will prescribe as a result of the evaluation by the obstetrician. There is no disease in medicine, there are patients. Treatments should be patient-specific.

Is there a vaginal fungal surgery?
Vaginal fungal infectious disease. It is treated with medication. There is no vaginal fungal surgery.

Can vaginal fungus be treated by drinking plenty of water?
Vaginal fungal infections may affect the urinary tract. When urinating, it can cause burning leakage and frequent urination. In the prevention and treatment of these complaints, drinking at least 2 liters of water per day is beneficial to consume plenty of fluids.

However, drinking water alone does not precisely treat the vaginal fungus.

Is there a vaginal fungal diet?
The human body is a whole. Sleep, eating habits, stress and sports directly affect the immune system. Poor immune system and susceptibility to diabetes cause frequent and prolonged vaginal yeast infections. Patients who have vaginal fungal infection consume plenty of vitamins (especially vitamin C) and fruits that strengthen the immune system, prefer natural, less processed foods, be away from unhealthy products such as fast food, sweet, oily, pastry, cake, cookies, excessive sweet fruits, stay away from foods that increase blood sugar such as ice cream will contribute to the treatment.

What causes vaginal fungus during pregnancy? How to treat vaginal fungus during pregnancy?
As in all women, pregnant women may have vaginal fungal infection. Even with the change of hormones, vaginal flora changes. The woman becomes more prone to vaginal fungus during pregnancy. Especially pregnant women with low risk and therefore using vaginal suppositories and creams are more likely to develop vaginal fungal infections. Oral medications are not preferred for the treatment of vaginal fungi during pregnancy. Vaginal suppositories and creams that do not harm the disposable baby should be preferred.

If there is frequent vaginal fungal infection during pregnancy, culture test should be performed and blood tests should be performed for pregnancy diabetes.

Vaginal fungus in infants and treatment of vaginal fungus in infants
Vaginal yeast infection can sometimes occur in infants.

Antibiotics used for other reasons
Not changing the diaper for a long time
Allergic diaper use
Baby clothes not well rinsed
Or soaps may cause vaginal yeast infection in infants and girls.
In the treatment of cream harmless to the baby is appropriate treatment.

What is vaginal fungal treatment in nursing mothers?
Vaginal fungal cream is one of the ideal treatments for breastfeeding mothers. Vaginal fungus therapy is recommended in nursing mothers. If necessary, suppository treatment can be performed.

Does diabetes cause vaginal yeast infection?
Blood sugar monitoring and control is very important in diabetes. Healthy eating and sports are important in this. Gynecology and Obstetrics-prescribed diabetes medications should be taken regularly.

Vaginal fungal infections increase in diabetes patients with high blood sugar levels for a long time. In addition, recurrent vaginal yeast infection is more common in diabetic patients.

Therefore, patients with recurrent vaginal fungal problems should also be examined for diabetes.

Causes chronic (recurrent) or persistent vaginal fungus?
As long as the causative agent of the vaginal fungus is not eliminated, the infection does not go away or repeats frequently. Therefore, whatever the underlying discomfort that causes the vaginal fungus is important to prevent or not to do so.

Chronic - in patients with non-persistent vaginal yeast infection;

Detailed examination
Culture and smear tests
Diabetes should be examined in terms of diabetes
It is important to perform blood count urine tests, vitamin deficiency tests, and tests for the presence of viral infections, such as HIV, to see if there is a disease that adversely affects the immune system.
Why does vaginal fungus repeat?
The microorganism that causes vaginal fungi is constantly present in the body. So there is no need to get an external infection. This microorganism, called Candida, starts to multiply rapidly when the opportunity arises or the necessary conditions occur and causes vaginal fungus. Therefore, preventing the weakening of the immune system is of great importance in preventing recurrence of the vaginal fungus.

Does vaginal fungus cause pain in sexual intercourse?
Vaginal fungus is important for sexual health. Causes irritation and redness. Therefore, edema occurs when the skin cracks. In these, vaginal fungus causes pain in sexual intercourse.

Is vaginal fungus contagious?
Vaginal fungus can be transmitted through common areas such as toilets, baths, saunas and sexual intercourse.

Does vaginal fungus cause menstrual delay?
Vaginal fungal disease does not cause menstrual delay.

Is it harmful to have menstrual periods with vaginal fungus? Does vaginal fungus pass when menstruation occurs?
Menstruation does not provide a solution when there is a vaginal fungus. So vaginal fungus does not pass when menstruation. Maybe a temporary relief during menstruation. But often caused by the occurrence of moisture and frequent pad change, the painful stinging burning sensation increases.

Another problem of menstruation when vaginal fungus is present is the need to stop the suppository treatment used for treatment. Vaginal fungus suppositories should be discontinued during menstruation. At the end of menstruation, treatment is resumed.

Does vaginal fungus cause ovarian pain?
The vaginal fungus, which is very important for sexual health, does not suffer from ovarian pain.

Does vaginal fungus prevent pregnancy?
Vaginal fungus alone does not prevent pregnancy. However, if pain, burning and stinging occur during sexual intercourse, healthy intercourse required for pregnancy may not occur.

Does vaginal fungus cause infertility?
Vaginal fungal disease does not cause infertility.

Does the vaginal fungus go away spontaneously?
As with many infectious diseases, if a person's immune system is strong and the cause of the vaginal fungus has disappeared, the vaginal fungus can spontaneously pass. However, this often takes a long time. Sometimes the disease may progress further in this waiting period. Therefore, it should not be expected to pass spontaneously if there is a vaginal fungus.

Does the vaginal fungus spread to the breech?
If vaginal fungus is not treated in time or if cortisone creams are used, it may spread to the breech and spread.

Can I swim with a vaginal fungus?
When there is a vaginal fungus, you can swim. You don't mind. However, after the sea shower should be taken, wet swimwear should not stay, the outer genital area should be thoroughly dry and dry comfortable clothes should be worn.

How is a doctor's examination of a vaginal fungus?
In diagnosing vaginal fungi, it is very important that the Obstetrician and Gynecologist see and evaluate the discharge. For this reason, it is very important to evaluate the doctor at the gynecology desk during a non-menstrual period. If the doctor deems necessary, the culture will perform a smear test.

Does vaginal fungus cause cervical cancer?
There is no relationship between vaginal fungal cervical cancer. Vaginal fungus does not cause cervical cancer.

Does antibiotic use cause vaginal fungus?
Antibiotic use frequently causes vaginal fungus. Therefore, unnecessary antibiotic use should be avoided.

Does vaginal fungus cause sore throat?
There is no direct relationship between vaginal fungus and sore throat, but sore throat is often a harbinger of respiratory system diseases. Respiratory tract infections can weaken the immune system, causing vaginal fungi.

Does the vaginal fungus pass through the man?
Fungal infection likes moisture. Therefore, it appears more frequently in women. During sexual intercourse may pass to the man. However, the man may not give as intense symptoms as in women.

What are the symptoms of fungi in men?
Fungal infection in men often does not show symptoms. The most common symptoms are itching, redness and exfoliation of the external genitalia. The discharge is often absent. Irritation, scratches due to cracks in the skin occurs if there is a feeling of pain.

What happens if the vaginal fungus is not treated?
Untreated vaginal fungal disease may spread to the hips of the breech. If the treatment is delayed, it may become a chronic - incomplete infection. Therefore, as in all diseases, early diagnosis and treatment is important for vaginal yeast infections.

Is vaginal fungus contagious?
Especially after sexual intercourse may be transmitted.
Towels are common
Common areas (toilet, sauna hammam.) Are other infectious ways.
Does vaginal fungus cause leg pain?
Vaginal fungal disease does not cause leg pain.

Does vaginal fungus cause pain?
In general, vaginal fungus does not cause pain. However, if there is concomitant urinary tract infection, it may cause pain and groin pain while urinating.

How long does the vaginal fungus pass?
If the vaginal fungus is treated appropriately, complaints begin to diminish within 1-2 days. Full recovery is expected within 7-10 days.

What should be done to prevent vaginal fungus?
In the prevention of vaginal yeast infection;

Stress control, peaceful life,
Avoidance of antibiotic treatment as much as possible,
Healthy eating and sports
Compliance with hygiene rules,
No use of intestinal genital cleansers,
No vaginal douching, genital cleaning from outside to back with normal water,
Use of cotton underwear
Wet swimsuit for long periods,
Since public toilets, hair removal centers and saunas can be a source of infection, it is of utmost importance to take maximum care in the use of these areas.


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NutraBlast Boric Acid Vaginal Suppositories - 30 Count, 600mg - 100% Pure Made in USA - Boric Life Intimate Health Support …

Friday, November 15, 2019

Wet Ones Antibacterial Hands & Face Wipes, Citrus Scent, 20 Count Travel Pack (Pack of 6)

When and how to wash their hands


Wet Ones Antibacterial Hands & Face Wipes, Citrus Scent, 20 Count Travel Pack (Pack of 6)
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In crowded and crowded environments, infectious diseases such as Hepatitis-A, especially influenza, can spread rapidly due to unwashed hands. Regular hand washing habits and hand hygiene for 30 seconds to spare, especially in public transport, touching the touch of sick people can prevent diseases that can pass.

Memorial Antalya Hospital, Department of Infectious Diseases. Dr. Şirin Elmi gave information about the importance of hand cleaning and hand washing habit because of Ekim 15 October World Hand Washing Day ”.

Don't let your child get the disease

Hands that meet all needs in daily life can carry many infectious diseases. Even in clean-looking hands, thousands of disease-causing microorganisms can be found. Influenza, jaundice, diarrhea causing factors, hands through the mouth, and then spread to the body. Children are more easily ill because their body resistance is weaker. In particular, not to wash hands properly after the toilet, even in the exchange of items such as erasers and pencils made in school between children can transfer germs, coughing and sneezing infected with these items can be taken into the body through the hands of the disease-causing germs.

Fight diseases with your hands!

Personal hygiene habits play an important role in the control of many infectious diseases. The best, most effective and cheapest method to prevent diseases is hand washing habit. With the development of hand washing habit from a young age, diseases can be fought.

Especially after which conditions should the hands be washed?

Before and after dinner,
After using the toilet,
After touching raw meat, chicken, fish and eggs,
After touching spoiled food and garbage,
If the mouth is closed by hand during sneezing and coughing,
Public transport, money exchange, after the use of common telephone;
After contact with cats, dogs and other animals,
After coming home from work and school, it must be washed by hand in the right way.
Hand hygiene with the right technique

The hands are soaked with warm water, the soap is distributed to all surfaces of the hands and thoroughly foamed. Wrists, palms, fingers, between the fingers, back of the hand and nails are rubbed vigorously for at least 30 seconds. Rinse hands thoroughly. The hands are dried with disposable towel paper especially in public and bulk places. The paper towel used for drying is closed with the faucet and discarded in the trash.


50AXX
Wet Ones Antibacterial Hands & Face Wipes, Citrus Scent, 20 Count Travel Pack (Pack of 6)

PURELL Advanced Hand Sanitizer ES System Starter Kit, 1-450 mL Gel Sanitizer Refill + 1- PURELL ES Compact Push-Style Dispenser - 1450-D8

How to wash your hands the right way?


PURELL Advanced Hand Sanitizer ES System Starter Kit, 1-450 mL Gel Sanitizer Refill + 1- PURELL ES Compact Push-Style Dispenser - 1450-D8
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Proper washing of the hands is an important step to prevent disease. How to wash your hands to prevent disease?
Washing our hands is the cheapest and most reliable method to prevent diseases. For hand washing we only need water and soap or alcohol-based hand disinfectants (water-free cleaners). Our hands are the organ that provides all kinds of connections with the environment in our daily life and therefore contain the most bacteria. We must wash our hands frequently and correctly to protect the health of both ourselves and those around us.

When should you wash your hands?
After every activity we do during the day, we collect microorganisms that we cannot see visually around us. These microorganisms can be viruses, sometimes bacteria. We can get infection when we touch open places to microorganisms such as eyes, mouth and nose with our dirty hands. Although our hands are not completely germ-free, we can limit the transfer of bacteria, viruses and other germs by washing our hands frequently and correctly.
We have to wash our hands before we do this.

Before cooking and eating,
Before touching any wound, giving medication or caring for a sick person,
We must wash our lenses before inserting or removing them.

We should wash our hands after we do
After preparing and eating food, especially after touching raw meat and meat products,
After using the toilet,
After changing the diaper,
After touching an animal or its material
After sneezing, coughing,
After contact with an infected wound or patient,
After handling the garbage,
After handling chemical cleaning materials,
After shaking hands,
After the exchange,
In addition, we should wash our hands whenever it looks dirty.

How to wash hands correctly?
Generally, the most effective method is washing with soap and water. Remove the jewelry from your hands. Soak your hands under running, warm water. Rub your hands thoroughly with soap for 30 seconds to 1 minute and froth well.
Rub the palms, fingers, wrist area, nails and hands thoroughly. Rinse your hands thoroughly under running water. Dry your hands thoroughly with a disposable towel. If you are in a public place, close the faucet with the paper towel you use and throw it away.

When you can't find soap and water…
You can use hand disinfectants when traveling, at school, at work or in other situations where we cannot find water and soap. However, the effectiveness of the alcohol varies depending on the type, concentration, contact time and amount used. The alcohol content should be at least 60%. 3-5 ml hand disinfectant should be placed on the palm and spread over the entire hand surface. Continue rubbing until complete drying is achieved.
Washing hands does not require a lot of time or effort, it is cost-effective, but it has a strong effect on disease prevention.


49AXX
PURELL Advanced Hand Sanitizer ES System Starter Kit, 1-450 mL Gel Sanitizer Refill + 1- PURELL ES Compact Push-Style Dispenser - 1450-D8

PURELL Advanced Green Certified Hand Sanitizer Gel, 1200 mL Sanitizer Refill for PURELL LTX Touch-Free Dispenser (Pack of 2)- 1903-02

How to wash your hand against flu


PURELL Advanced Green Certified Hand Sanitizer Gel, 1200 mL Sanitizer Refill for PURELL LTX Touch-Free Dispenser (Pack of 2)- 1903-02
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Because of the flu epidemic, people began to wash their hands more. However, some errors are made when washing.
The flu epidemic has increased the habit of hand washing experts say that the washing, warm or cold water instead of warm water is recommended to use. Alcoholic disinfectant is not recommended because it increases skin irritation.

Because of the flu epidemic, people began to wash their hands more. However, liquid soaps and anti-bacterial products used when washing hands can irritate the hands. Dermatology Specialist at Göztepe Medical Park Hospital Canan Savaş İyigün advises those who wash their hands frequently to avoid very hot and very cold water. Dr. İyigün says that the use of alcoholic disinfectant can increase the irritation of the hands. Irritations at hand, dryness, peeling, fingerprints, wiping, cracks, tingling symptoms will occur in the form of iyigün, irritated skin allergic effects will occur more quickly, he says.

Itchy, juicy, reddened rashes that express the symptoms of hand eczema. Good day, to prevent eczema irritant and allergic substances to be avoided. According to İyigün's recommendations, those who wash their hands frequently should use warm water or cotton gloves. Hands removing gloves without sweating is important for skin health.

Emphasizing the importance of replacing the natural oils lost by washing the skin is important. Canan İyigün recommends applying a thin layer of moisturizing cream as the skin feels dry. Iyigun noted that the application would be more effective after washing the hands while moist, says that allergic patients should use the products recommended by dermatologists.


48AXX
PURELL Advanced Green Certified Hand Sanitizer Gel, 1200 mL Sanitizer Refill for PURELL LTX Touch-Free Dispenser (Pack of 2)- 1903-02