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Clinical Evaluation of Superficial Fungal Infections in Children

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Superficial fungal infections; dermatophytes and yeasts. Distribution of dermatophytes; country and geographical area, lifestyle, climatic conditions and migration varies depending on various reasons (1-3). Common fungal infections in children and adolescents; tinea capitis, tinea corporis, tinea pedis, mucocutaneous candidiasis, onychomycosis and pityriasis versicolor. Risk factors include being an infected family member or immunosuppressive factors such as human immunodeficiency virus (HIV) infection, chemotherapeutic use, long-term antibiotic and systemic corticosteroid use. Fungal infections in children are usually similar to adults, but are sometimes atypical and may cause difficulty in diagnosis. Fungal infections in children can be confused with many diseases such as seborrheic dermatitis, psoriasis, alopecia areata and trichotillomania. In immunocompromised people, systemic treatment is preferred over treatment instead of topical, and systemic treatment is also required for tinea capitis and onychomycosis (4).

This work; The aim of this study was to determine the prevalence, distribution, clinical variants, frequency and treatment approaches of superficial mycoses in children and adolescents with dermatophyte infection.


methods
Fifty-one patients diagnosed with superficial fungal infection in the pediatric dermatology outpatient clinic of Erciyes University, Faculty of Medicine, Department of Dermatology within the last year, who were diagnosed with the diagnosis, clinical appearance, direct microscopy, and in some cases, confirmed by fungal cultures. were evaluated retrospectively.

Records of all patients including age, sex, complaints, family history, concomitant diseases, duration of disease, clinical location and type of lesions, and treatment information were reviewed. Data were analyzed by Student's t-test and Chi-square test.


Results
Of the patients with superficial fungal infection, 33 (64.7%) were male and 18 (35.3%) were female. The mean age was 6.24 ± 4.4 (4 months-17 years) (Table 1).

Eighteen patients (35.3%) had scalp, five (9.8%) trunk, four (7.8%) tongue, four (7.8%) toenail, three (5.9%) both hands Fungal infection was observed in both the toenail and two (3.9%) hand nails. In others; three (5.9%) patients in the face area, three (5.9%) patients in the genital area, one (2%) patient in the upper extremity, two (3.9%) in the foot area and two (3.9%) in the dorsal area patients (Table 2). One patient had trunk and upper extremity involvement, the other had trunk and face involvement, and another had face, tongue, trunk and nail involvement.

In 10 patients with tinea capitis profunda (19.6%), tinea capitis superficialis eight (15.8%), tinea versicolor eight (15.8%), candidiasis eight (15.8%), tinea unguium eight (15.8%) ), tinea corporis two (3.9%), tinea pedis two (3.9%), tinea facial two (3.9%), tinea cruris one (2%) and tinea incognito in one (2%) (Table 3). Tinea incognitive patient was found to be the site of involvement. One of the children had tinea pedis and tinea unguium together. In this study, tinea capitis (35.3%) was found to be the most common clinical type of dermatophytosis.

In the family history of the patients, superficial fungal infection was found in 10 (19.6%) near first degree and two (3.9%) near second degree. The remaining 39 (76.5%) patients did not have a family history.

The most common symptom was pruritus. Concomitant diseases; Pulmonary tuberculosis, extrofia vesica, ectodermal dysplasia, epilepsy, growth retardation, hypospadias, obesity, diabetes, pachyonychia congenita, prematurity, rhinosinusitis, tinea amiantecea and telogen effluvium.

Twenty-one patients received systemic antimycotic treatment (terbinafine or itraconazole) and 30 patients received topical treatment in the whole patient group. Four of the patients in the systemic treatment group were tinea unguium and fourteen were tinea capitis. The other three patients who received systemic treatment were diagnosed as; Candidiasis, tinea incognito and tinea corporis were confirmed nail involvement confirmed by direct mycosis examination. Four were onychomycosis and four were tinea capitis (Table 3).

Four (44.4%) of nine patients with nail involvement were treated topically and five (56.6%) were treated with systemic antimycotics. All patients receiving topical treatment resulted in complete recovery, while four of the five patients receiving systemic treatment had complete recovery. One of them did not come to the controls. It was found that all patients with superficial tinea capitis superficialis received systemic antimycotic treatment, while four of the patients diagnosed with tinea capitis profunda received topical antimycotic treatment (Table 3). While the mean disease duration of the patients receiving systemic treatment at the time of admission to the outpatient clinic was 5881 days, the mean disease duration of those who preferred local treatment was 1738 days.


Discussion
Skin infections caused by dermatophytes and yeasts have become an important problem affecting children and adolescents over the years (3). Most of the patients were male patients aged 5-7 years. In the literature, it has been reported that tinea capitis infection is more common in men. In this study, tinea capitis was found in 13 patients in men and five patients in women, in line with previous information. In previous studies, tinea pedis and tinea unguium were reported to be more common in men than in women, whereas in our study two of the three children with tinea pedis were found to be women (5). This finding may be due to the insufficiency of the number of patients and suggests that more comprehensive studies are needed.

In our study, a history of superficial fungal infection and concomitant immunosuppression in a family of risk factors was also evaluated. It is known that prematurity increases both fungal infections and also predisposes to other infections and increases the use of antibiotics and leads to immunosuppression (6,7). The prevalence of opportunistic superficial fungal infections such as candida is increasing in diseases such as obesity and diabetes. In addition, superficial fungal infections are the most common skin infections detected in patients with diabetes. Fungal infections have been reported to occur in 10-60% of patients with diabetes (8). In epilepsy patients, the use of antibiotics is much higher in this population due to infections frequently accused in the etiology (9). In our patients, it was seen that there were concomitant diseases such as pulmonary tuberculosis, extrofia vesica, ectodermal dysplasia, epilepsy, growth retardation, hypospadias, obesity, diabetes, pachyonis congenita, prematurity and rhinosinusitis. Although none of the patients in our study had concomitant immunosuppressive diseases such as hereditary immunosuppressive disease or chemotherapy, frequent antibiotic use secondary to concomitant diseases was found to be a risk factor for the disease.

In this study, tinea capitis was found to be the most common type of superficial fungal infections in Kayseri. Similarly in the literature, tinea capitis infection is the most common fungal infection in the world in children and adolescents (4,10). The clinical types of tinea capitis and the distribution of agents vary from region to region in the world and in our country. Turkey's Aegean and Mediterranean regions in the western part of tinea capitis superficialis more frequent, although in Kayseri in central Anatolia, East Anatolia, we observed similar to the tinea capitis profunda more often. The reason for this is that the distribution of tinea capitis agents in Central Anatolia is similar to that of Eastern Anatolia (11). Because previous studies have shown that Trichophyton verrucosum is the most isolated agent from patients with tinea capitis in both Central and Eastern Anatolia (12,13).

Unlike adults, many previous studies have reported that onychomycosis is rare in children (14). In various studies conducted in different parts of the world, rates ranging from 0% to 2.6% have been found in children. In parallel with the study conducted by Lange et al. (15) in 2006, it was observed that onychomycosis was not as low as expected in children and adolescents. In our study, onychomycosis was found to be 15.8% of superficial mycoses diagnosed in children under 17 years of age. Therefore, when nail disorder is detected in children, it should be emphasized that onychomycosis should be considered at the forefront of diagnosis. In our study, because of the presence of superficial fungal infection in the family of 12 out of 51 patients, it was seen that family transmission was important in pediatric patients. If superficial fungal infection is detected in children and adolescents, we think that relapse can be prevented by questioning the presence of fungal infection in the family and providing appropriate treatment to family members with fungal infection.

Although the first treatment of superficial fungal infections is topical antifungals, systemic antifungal drugs should be preferred when severe or chronic. Terbinafine, itraconazole and fluconazole are oral antifungals that are effective in the treatment of superficial fungal infections (16). General strategy for the management of superficial fungal infections in children; the most appropriate treatment option, including systemic treatment, without considering the profit / loss ratio and avoiding systemic antifungals as much as possible, but without hesitation in the presence of appropriate indications. In children, drug transfer is easier because nail plate has a thinner structure than adults (17). In this study, 30 patients in the pediatric age group were treated with topical antifungal and 21 patients with systemic antifungals such as terbinafine or itraconazole. In addition to the diagnostic difficulties experienced by primary and secondary care physicians, systemic treatment is preferred in children due to unconfirmed use, possible systemic side effects and difficulty in use in children. it was thought that this could cause the disease duration to be much longer.


Result
Tinea capitis is the most common clinical type of superficial fungal infection in children and adolescents. Superficial dermatophyte infections are more common in male sex. We also believe that onychomycosis should be kept in mind in the differential diagnosis of nail disorder in children due to the high rate of onychomycosis in our patient group. In the majority of patients with onychomycosis, only topical treatment was sufficient. It is stated that family history is an important risk factor in superficial fungal infections, which is often missed by physicians. In the treatment approach, especially the experience of the physician and the correct determination of the predisposing factors such as additional disease are the guiding factors in choosing the most appropriate treatment for tinea capitis, tinea unguium and other superficial fungal infections.


Author Contributions
Ethics Committee Approval: Approval was obtained from Erciyes University Faculty of Medicine Ethics Committee, Informed Consent Form was obtained from all patients included in our study, Concept: Retrospective study, Design: Ragıp Ertaş, Demet Kartal, Serap Utaş, Data Collection and Processing : Ragıp Ertaş, Analysis or Interpretation: Serap Utaş, Ragıp Ertaş, Demet Kartal, Literature Search: Demet Kartal, Written by: Ragıp Ertaş, Referee Assessment: Reviewed by the editors' board, Conflict of Interest: No conflict of interest was declared by the authors. Financial Support: No financial support was received from any institution or person for our study.


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Fish smelling vaginal discharge will cause pain and burning if there is

Vaginal discharge causes how is it treated? Fish-scented discharge, which is common in women, is often among the unnatural currents. If you have a fish-smelling vaginal discharge, you're experiencing a bacterial infection. For the treatment of fish-smelling discharge you need to use antibacterial medication.
Fish-smelling vaginal discharge is one of the main reasons for women to consult a doctor. Vaginal discharge is a common problem in gynecology in general. However, not every vaginal discharge is a sign of disease. Vaginal discharge is vital for the correct wetness of the vagina, comfort in sexual intercourse, and the correct reproduction of the female reproductive organs. However, sometimes bacteria, sometimes fungus spores, and sometimes some medications may damage the moisture balance of the vagina and change the flora. In such a case, vaginal discharge may increase or have a bad smell and color. Among the vaginal discharge, the most common type of discharge experienced by women is fish-scented discharge. If you have a vaginal discharge that smells like fish, you are experiencing an unnatural vaginal discharge problem. This disease, which is called bacterial vaginosis, is accompanied by malodorous, abundant gray-white foam with a slightly yellowish vaginal discharge. The vaginal discharge typically has the smell of fish. Severe pain is also felt during sexual intercourse. Oral and vaginal antibacterial drugs should be used in the treatment of fish-smelling vaginal discharge.

What should be normal vaginal discharge and how to smell?

In order to understand whether your vaginal discharge is a symptom of the disease, it is useful to first learn how normal vaginal discharge should be. Under normal conditions, your vaginal discharge should be clear and the egg should be like the flux. It is also important that there is no dominant smell. The amount of normal vaginal discharge does not cause you discomfort such as itching. It facilitates sexual intercourse and does not cause pain or pain.

The amount and color of normal vaginal discharge may vary in some special cases. The amount of vaginal discharge may increase during periods before menstrual bleeding, sexual arousal, pregnancy during which women are under hormonal effect. However, the smell should be normal and do not bother you.

How is diseased vaginal discharge?

If the discharge is dark yellow, green, brown, bloody, foamy and smelly, it is accompanied by pain, burning while urinating, and abnormal bleeding.

Fungal infections: Odorless, cheesy or milk white currents from the vagina are associated with fungal infection. Patients have complaints of burning and itching. Medicated treatment is essential.

Sexually transmitted infections (Trichomonas) Trichomonas vaginalis microorganism is transmitted by sexual intercourse, leading to vaginal infection. It is characterized by abundant vaginal discharge and vaginal burning, yellow or greenish, foamy, bad smelling, and itchy findings in the vulva. Antibiotics are used in the treatment.

Gardnerella discharge: Similar to trichomonas, fragrant yellowish green color. But it is not sparkling like trichomonas.

Can vaginal discharge be a sign of cancer?

Brown vaginal discharge: It occurs in sexually transmitted diseases such as cervical cancer, pelvic inflammatory diseases (PID), perimenopause, menopause, or gonorrhea.

Thrush - Candida albicans: Yeast infection caused by fungal species. It occurs in moist areas of the body such as the vagina and mouth.

Vaginal discharge may also be due to a tumor formation. The character of the stream is slimy in consistency and abundant, with fine lines of blood on it.

Uterine cancer; Apart from the infection, although it is rare, the bad smell of the blood flow should bring to mind cervical cancer. The malodor here is caused by tissue destruction.

Cancer of the ovarian ducts: Broth colored discharge and lower abdominal pain in patients.

Diagnosis of vaginal discharge?

In order to make the correct diagnosis in vaginal discharge, the organism that changes the shape, color and smell of the discharge in the vagina must be correctly identified. For this purpose, physician examination, imaging and discharge from the patient and tissue samples are analyzed in the laboratory. Vaginal culture and smear test are the most commonly used test methods for diagnosis. When the organism causing the vaginal discharge is fully identified, the treatment of the vaginal discharge is carried out with appropriate drugs.


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FOOT FUNGUS AND TREATMENT

Foot Ringworm (Tinea Pedis) Picture of Athlete's foot, also called tinea pedis

Fungal infection of the foot. Peeling, redness, itching,

burning and sometimes causes blisters and wounds.



The athlete's foot is a very common infection. Mushroom type shoes,

Produces easily in hot and humid environments such as socks swimming pools,

dressing rooms and public shower floors. It is the most common in summer and hot, humid climates.

It is more common in people who use tight shoes and use community baths and pools.


What Causes an Athlete's Foot?

Athlete's foot, hair, toenails and outer skin layers

it is caused by a microscopic fungus that lives in dead tissue.

There are at least four types of fungus that can cause the athlete's foot.

The most common trichophyton rubrum of these fungi.


What are the Athlete's Foot Symptoms?

Signs and symptoms of athlete's feet vary from person to person.

However, common symptoms include:

Peeling, cracking and scaling of feet

Redness, blisters or smoothing and disintegration of the skin

Itching, burning or both

Types of Athlete's Feet

Interdigital: Also called toe web infection, this is the most common type of athlete's foot.

It usually occurs between the two smallest toes. This shape of the athlete's foot

It may cause itching, burning and death, and infection can spread to the sole of the foot.

Moccasin: A small irritation, dryness, a moccasin-type infection of the athlete's foot

It may begin with itching or scaly skin. As it develops, the skin may thicken and crack.

This infection may cover the entire sole of the foot and may extend to the sides of the foot.

Vesicular: This is the least used type of athlete's foot. This is usually under the skin.

It starts with the appearance of sudden bubbles filled with liquid. Most often, blisters develop on the underside of the foot.

However, they may also appear between the toes, on the heel or on the foot.

Peeling, cracking and scaling of feet

Redness, blisters or smoothing and disintegration of the skin

Itching, burning or both


How is the Athlete's Foot Diagnosed?

Not all itchy feet have athlete's feet. The best way to diagnose infection,

scrubbing the skin and examining the balance under a microscope for evidence of fungus.


How is the Athlete's Foot Treated?

The athlete's foot is often treated with topical antifungal medication (a medication placed directly on the skin).

In severe cases may require oral medications (those who take the mouth).

The feet should be kept clean and dry as fungi develop in humid environments.


How to Prevent Athlete's Feet?

Steps to prevent athlete's shoes, shower sandals in public shower areas,

shoes that allow the feet to breathe; and daily washing of the feet with soap and water.

It can help prevent the athlete's feet by drying the feet thoroughly and using a fine foot powder.


Jock Itch

The jock spoon, also called tinea cruris, is a common skin infection caused by a fungus called tinea.

The fungus grows in warm and moist areas of the body, and as a result infection can affect the genitals, inner thighs and hips.

Infections are more common in summer or in warm, wet climates.


Jock itch usually looks like an itchy red, itchy rash.

Is Jock Itch Infectious?

Jock itching is only mildly contagious. The condition can be transmitted from person to person by direct contact or indirectly from fungal-bearing objects.


What are the Symptoms of Jock Itch?

Symptoms of itching in Jock include:


Itching, chafing or burning in the groin or thigh

A round, red, fluffy rash with high edges

Redness in the groin or thigh

Skin peeling, peeling or cracking

How is Jock Itch Diagnosed?

In most cases, itching of the rash can be diagnosed based on the appearance and location of the rashes.

If you do not know for certain that the condition is itching, consult your doctor.

The doctor will ask for your symptoms and medical history and will perform a physical exam.

Microscopic examination of skin scales may confirm the diagnosis.


How Jock Itching Is Treated

In most cases, the treatment of jock itch involves keeping the affected area clean and dry, and administering topical antifungal drugs.

Jock itch usually responds to over-the-counter antifungal creams and sprays.

However, prescription antifungal creams are sometimes necessary. During Jock itch treatment, make sure:


Wash and dry the affected area with a clean towel

Apply antifungal cream, powder or sprays as required.

Change clothes - especially underwear - every day

ringworm

Fungus is also a worm, also called tinea corporis, but the fungal infection of the skin.

It can occur anywhere on the body and looks like a circular, red, flat wound.

It is usually accompanied by scaly skin. When the middle skin appears normal, the outside of the wounds can be removed.

Ringworm may look like a wolf, but it is usually not serious.


Is ringworm contagious?

Ringworm can spread by direct contact with infected people or animals.

It can also spread on clothing or furniture. Heat and moisture can help spread the infection.


What are the symptoms of ringworm?

Ringworm sometimes looks like a red, round, flat wound that comes with scaly skin.

There may be one or more patchworms on the skin and patches or red rashes may overlap.

It is possible to have ringworm without common red ring rashes.


How is Ringworm Diagnosed?

A doctor can diagnose ringworm based on the appearance of rashes or reported symptoms.

He will ask questions about exposure to humans or animals with ringworms.

The doctor can take skin scrapings or samples from the infected area and look under the microscope to confirm the diagnosis.


How is ringworm treated?

Ringworm treatment usually consists of antifungal drugs applied to the skin.

Many ringworm infections respond well to over-the-counter creams, including:


Lamisil

Micatin, Monistat-Derm

Lotrimin Restaurant Reviews, Mycelex

Prescription topical or oral medications may be prescribed for more severe ringworm cases.


Yeast Infections

Yeast infections of the skin are called cutaneous candidiasis and are caused by fungal-like fungi called candida.

When the yeast on the skin grows more actively and the skin is red, lime and itchy

spill. Yeast infections are not contagious.


Yeast infections can affect almost all skin surfaces of the body,

however, it most likely occurs in hot, damp, wrinkled areas, including underarms and groin.

Candida infection is particularly common among people who are obese or have diabetes. People taking antibiotics are also at risk.


Candida can cause redness in babies and may cause nail infections.

Oral thrush is a form of candida infection found in the mouth. Candida also causes vaginal yeast infections.


What are the symptoms of a yeast infection?

Symptoms of yeast infection in skin folds include:


Rash

Patches emitting clear liquids

Acne-like bumps

Itching or burning


Symptoms of yeast infection in nail beds are:

Swelling

ache

Pus

White or yellow nail separating from nail bed

Symptoms of thrush (oral yeast infection) include:


White spots on tongue and on cheeks

ache

Symptoms of vaginal yeast infection include:


White or yellow discharge from the vagina

Itching

Redness of the vagina outer area

burning

How are Yeast Infections Diagnosed?

When diagnosing a yeast infection, your doctor will need to take a medical history and perform a physical examination.

Your doctor may scrape the skin under the microscope to confirm the diagnosis.


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Comprehensive Guide to Symptoms and Treatment of Candida

What is Candida?
Many fungal species, including the yeast species known as Candida, live in the human body. Candida is typically present in small amounts in the mouth and intestines and skin. At normal levels, the fungus is not problematic. In this article we will examine all you want to know about the symptoms and treatment of Candida.

However, when Candida begins to grow uncontrolled, it may cause an infection known as candidiasis. In fact, Candida is the most common cause of fungal infections in humans. Typically, healthy bacteria in your body control Candida levels. However, if healthy bacteria levels are discontinued or the immune system is compromised, Candida may begin to overproduction.

Below are a few factors that can cause Candida to grow excessively.

Taking antibiotics
Eating a diet high in sugar and refined carbohydrates
High alcohol intake
Weakened immune system
Oral contraceptive
Diabetes
High stress levels
When Candida starts overproduction, it can cause various health problems. In this article, we will examine 7 Candida symptoms and treatment methods.

Talk to your Dietitian for a Candida Therapy Nutrition at the Touch of a Button:
You can talk to your dietician immediately via Appvice mobile app by pressing Start button.

What are the Symptoms of Candida Fungus?
1. Oral Thrush
Candidiasis developing in the mouth or throat is called “thrush”. It is the most common in neonates, the elderly and those with weak immune systems.
Individuals with poor oral hygiene or removable dentures are also at risk. People with oral thrush often develop white, ragged patches on their tongue, inner cheeks, gums, tonsils or throats.

The lesions may be painful and bleed slightly when scraped. Oral thrush is also often associated with redness or pain in the tongue and mouth. In very bad cases, it may spread to the esophagus and cause pain or difficulty swallowing.

SUMMARY
If there is too much Candida in the mouth, it can cause white, bumpy lesions in the mouth and throat, redness and pain. This is also known as oral thrush.

2. Fatigue and Exhaustion
One of the most common symptoms of Candida is fatigue. While there is no evidence that Candida causes fatigue, there are several ways in which it can contribute.
First, candidiasis is often accompanied by nutritional deficiencies such as vitamin B6, essential fatty acids and magnesium. In particular, magnesium deficiency is known to cause fatigue.

Second, Candida infections usually occur when the immune system is weakened. A low-functioning immune system can make you feel tired and exhausted in itself. One study suggests that prolonged intestinal candidiasis may be a potential cause of chronic fatigue syndrome.

SUMMARY
Candidiasis is most common in people with a weakened immune system and may be accompanied by various nutritional deficiencies. This can make you feel tired and exhausted.

3. Recurrent Genital or Urinary Tract Infections
Candida is found in most women's vaginal area. Its growth can lead to candidiasis of the vagina, also known as a fungal infection. It is estimated that 75% of all women will have at least one vaginal yeast infection during their lifetime and half of them will have at least one recurrence.

Males may also develop genital yeast infections, but are much less common. Symptoms of vaginal candidiasis include redness, swelling, itching, painful intercourse, and an intense white discharge from the vagina. Although much less common, Candida can also cause urinary tract infection (UTI).

Candida-related urinary tract infections are most commonly seen in elderly, hospitalized or immunocompromised individuals. UTI symptoms include burning sensation during urination, frequency of urination, cloudy, dark or peculiar urine, and pain or pressure in your lower abdomen. However, other bacteria, such as parental bacilli, are more likely to cause UTIs.
However, if you suffer from recurrent infections and believe they are a result of Candida growth, you can test your urine to find out.

SUMMARY
Candida can cause genital and urinary tract infections that can cause pain and discomfort.

4. Digestive Problems
The health of your digestive system is based on a good balance between “good” and “bad” bacteria living in your intestines. The “good ter bacteria normally found in your intestines are important for digestion as they help to process starches, fibers and certain sugars. When the bacteria in your bowel become unstable, you may experience digestive problems such as constipation, diarrhea, nausea, flatulence, cramping and bloating. Recent studies have shown that Candida overgrowth is associated with diseases of the gastrointestinal tract, including ulcerative colitis and Crohn's disease.

SUMMARY
It is normal to have small amounts of Candida in the intestines. However, if it starts to over produce, it can cause various intestinal symptoms.

5. Sinus Infections
Chronic sinus infections affect one in eight adults in the United States. Common symptoms include runny nose, nasal congestion, odor loss, and headache. Although short-term sinus infections are mostly caused by bacteria, many long-term chronic sinus infections are believed to be fungal. A study by Mayo Clinic looked at a group of 210 people with chronic sinus infection and found that 96% of them had fungal mucus.

Antibiotics are the usual method of treating sinus infections. This works for acute bacterial sinus infections, but it does not work for chronic fungal diseases. In fact, treating a chronic sinus infection with antibiotics may make it worse. If you have sinus infections lasting more than a month, Candida may be the culprit.

SUMMARY
Many chronic sinus infections are believed to be caused by fungi. If a sinus infection lasts more than a month, it may be caused by Candida.

6. Skin and Nail Fungal Infections
Just like your intestines, your skin contains bacteria that prevent Candida from growing uncontrolled. All bacteria grow under different conditions, including varying temperature, humidity or acidity levels. Therefore, a change in the environment around your skin may allow Candida to overproduction.

For example, cosmetics, soaps and moisturizers can alter skin conditions, particularly antibacterial variants. While skin candidiasis can affect any part of the body, hot and humid areas such as the armpit and groin are particularly prone to infection. Itching and a visible rash are the two most common symptoms of skin fungal infections.
Overgrowth of Candida can cause conditions such as athlete's foot, ringworm and toenail fungus.
Although not life-threatening, fungal infections can be very uncomfortable and can significantly reduce the quality of life.

SUMMARY
Excessive growth of Candida in the skin can cause conditions such as athlete's foot, ringworm and fungal infections.

7. Joint Pain
If Candida infection enters your bloodstream and circulates in your body, it can infect joints and cause arthritis. This typically occurs only after surgery or when Candida overgrowth is left untreated for a long time. Candida arthritis is associated with pain, stiffness and swelling in your joints.

Hips and knees tend to be most commonly infected. Candida may also cause bone infections or osteomyelitis that may cause pain and tenderness in the infected area. Bone and joint infections are not very common, but once infected they can be very difficult to recover.

SUMMARY
If excessive Candida growth is left untreated, it may enter your bloodstream and circulate throughout your body. When this happens, Candida can infect bones and joints, causing pain, stiffness, and swelling.

How to Treat Candida Fungus?
The best way to treat Candida fungus and prevent recurrent infections is to address the underlying cause. The food you eat plays an important role in maintaining the balance of “good” and “bad” bacteria in your intestines. Refined sugars, carbohydrates and high lactose dairy products can promote the growth of Candida and other “bad” microorganisms. If you have a suppressed immune system, eating too much of these foods can cause infection.

On the other hand, some foods have been shown to specifically promote “good” bacteria that inhibit Candida's growth. The following foods have been shown to help fight Candida infections:

Garlic: Garlic contains an antifungal substance called allicin, which has been shown to be effective against Candida yeasts in animal and test tube studies.
Coconut oil: Coconut oil is high in lauric acid, which has been shown to fight Candida infections in a multiple test tube study.
Curcumin: Test tube studies show that curcumin can kill or at least reduce growth of Candida yeasts.
Xylitol: In a scuba study, xylitol fought against Candida, reducing its ability to adhere to a surface and cause infection.
Aloe vera: Aloe vera gel can prevent Candida from growing in the mouth and prevent infections.
Pomegranate: A test tube study has shown that plant compounds in pomegranate are useful against Candida yeasts.
Kombucha: Kombucha tea is rich in polyphenols and acetic acid, which have been shown to kill Candida in test tube studies.
Probiotics: Probiotics such as Lactobacillus can reduce Candida growth and provide protection against infections.
Unfortunately, dietary changes may not always work, in which case antifungal drugs are the most common form of treatment. Candida is typically not life-threatening, but if left untreated, it spreads and eventually reaches the bloodstream. When the fungus travels through the body, it can affect vital organs such as the brain and heart, and cause more serious complications including death.

SUMMARY
Restricting your intake of refined sugar and carbohydrates can help prevent Candida from overgrowing. In case of infection, some foods, probiotics and antifungal drugs may help.

RESULT
Candida is the most common cause of fungal infections in humans. A few key symptoms can help you determine if Candida is overgrown.
The most common signs of infection include oral thrush, recurrent genital fungal infections, digestive problems, and fungal infections of the skin and nails.
Early treatment of candidiasis is important to prevent it from spreading and causing more serious complications.

This article has been reviewed and approved by the Appvice Dietetic Authorities based on scientific data.


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How to Use Apple Cider Vinegar to Treat Yeast Infection

Nowadays, the problem with yeast infection is extremely common. Men and women can be adults and teenagers. Even young children may be affected by yeast infection. If you suffer from such an infection, you know how frustrating it is. Easy and fast to treat is also very difficult.
Besides, the treatment is prone to come from yeast infection, sometimes returned. Therefore, the treatment should be very long and hard to get the best results. The problem with the fungal infection caused by Candida Albicans, in particular, is that if you do not behave properly, candida can infect several different organs and is a very dangerous situation that you should definitely avoid.

One of the most popular problems is vaginal fungal infection; Some data show that even 75% of women have had such an infection at least once in their lives. There may be several causes of vaginal yeast infection. There may be some hormone imbalance, oral contraceptives, too much sugar in your diet, weak immune system and very frequent antibiotic treatments, all of which create a great environment in your vagina to allow the candidate to grow.

You can try multiple treatments to treat yeast infection in different treatments. There are many standard pharmaceutical drugs and creams specific to yeast infection. You can go to the nearest pharmacy and ask for all options.

You will be surprised how many products you can try to use for infection. Of course, you should also consult your family doctor for the best advice on how to treat yeast infection effectively.

But before you talk to your doctor or waiting for an appointment in the meantime, you can try creams that can be taken without a prescription. For a vaginal infection problem, you should go to a gynecologist to see if your problem is a true yeast infection, because sometimes bacterial infection can give you similar symptoms.
Your yeast or bacterial infection is completely different from the treatment of vaginal infection.

But the good news for you is that you can try it. There are many natural and homemade methods to treat different types of fungal infections. But if your problem is exactly vaginal yeast infection, you need to know a great substance that will be like a miracle for your problem right now.

An apple that can help you reduce vinegar infection. You can use it in a directly affected area or drink solutions with apple cider vinegar so that it can help with other internal medical problems, such as diabetes or a weak immune system that will cause yeast infection.

Apple Vinegar Recipes to Treat Yeast Infection
First of all, you need to make sure you use it. Apple cider vinegar is not too hard for you and your skin. Before trying SO different apple cider vinegar recipes, you should do some skin test to see how it reacts. If apple cider vinegar is too strong, dilute with water or use a low acid version of apple cider vinegar (it may be less than 5%).

If you are ready to start using an apple cider, please take a look at the list below. Here you will find different methods of how to use an apple cider vinegar to treat yeast (especially vaginal) infection.

Apple Cider Vinegar Douche
It is a very simple homemade remedy and easy to use. For many people, the apple cider vinegar shower is very effective. It works by regulating a natural pH in a vagina and preserving the growth and formation of yeast.

How to prepare such a solution at home? All you need is high quality apple cider vinegar, water and shower set; If you cannot find such a kit, you can also use the enema kit.

You should mix 3 teaspoons of apple cider vinegar and a liter of warm clean water. It is best to use distilled or at least filtered water.
Pour the solution into the shower bag.
You can clean your vagina using light pressure in the bag and slowly pour the apple cider vinegar mixture into your vagina canal.
This cleans your vagina easily and cleanse this area from clean and pathogenic yeast. This cleaning process should be repeated twice a day. You should continue the treatment of apple cider vinegar once a day when you notice that the symptoms of vaginal infection begin to disappear.

And all the symptoms when you feel really good, you can only stop the treatment when it is gone. If you wash your vagina too often or for a long time, it can also clean up the good bacteria needed to grow in a vaginal canal.

Apple Vinegar Bath
Another method to treat vaginal yeast infection using an apple cider vinegar is to take a bath. It will help you remove all irritations and clean the affected areas.

Pour a lot of warm water into the bathtub.
Add 2 cups of an apple cider vinegar together with 1 cup of sea salt (iodine will be the best). If you want to get a better effect, you can also add a few drops of tea tree oil to the bathroom. This type of bath water will also help you relax.
Sit in the bath to let the water water your vagina a little.
You should remain in this mixture for approximately 15 to 20 minutes.
Dry yourself when complete.
Apple vinegar soaked bumper
Fungal infection in a vagina area is not much, you can try several different methods to heal. It may sound odd, but you can prepare the soaked apple cider vinegar so that you can directly contact the vagina walls with a direct solution. It will certainly help.


In less time you should be able to notice less itching and less irritation. You should already observe improvement after repeated 2 or 3 times of buffer application. To make such a treat at home, all you need is a tampon and good quality, raw apple cider vinegar and some water.

Mix the same amount of apple cider vinegar and juice.
Put a tampon into the mixture, allow it to wet properly, then place a tampon in the vagina and leave for about 10 to 15 minutes.
When finished, you should remove the pad and clean the affected area with warm water.
Dry thoroughly with a clean cotton towel; Remember, if this area remains wet, it may increase the growth of yeast infection.
If you're using apple cider vinegar soaked buffer, you should remember a few things.

It is not good to leave the tampon in the vagina for a long period of time as it may help the yeast that causes the infection to grow.
If you don't feel comfortable, or if you have the feeling that using such a tampon is too strong, you can play the amount or concentration of apple cider vinegar you are using.
If you use any cream such as clotrimazole or other vaginal medications, you cannot use a tampon method at the same time.
It is not recommended to use a tampon method while pregnant or pregnant.
Only odorless buffers should be used for this treatment.
Apple Cider Drinking Vinegar Solutions
Generally consume good and healthy in different products of apple cider vinegar. Regular drinking should reduce the likelihood of a yeast infection in the future. It can help you control and maintain the pH balance of your body every day. It's very simple to prepare.

All you have to do is mix 2 teaspoons of apple cider vinegar into a glass of fresh water. Mix correctly.
Drink a solution 3 times a day.
Of course you can consume apple cider vinegar. Mix apple cider vinegar with some fresh fruit or vegetable juice. You can also try fruits and vegetables as pickles using apple cider vinegar.

You can eat more of this kind of fruit or vegetables as often as you like. You can use it to prepare salads; For example, coleslaw will be a great ingredient. Apple cider vinegar can be added to the salad juice, but it is also poured into your daily meals on baked potatoes or some vegetables.

When you use apple cider vinegar often will prevent yeast infection from spreading throughout the organism.

Apple Cider Vinegar Spray
There is also another, maybe better method to use apple cider vinegar. If you have some yeast infections, feel free to use apple cider vinegar spray to treat the infection. You will certainly get rid of the annoying itchiness. However, it is best for a mild type of fungal infection by apple cider vinegar spray, more severe infections need to be treated with more severe methods.

To prepare this type of spray you need an apple cider vinegar, fresh water and a clean spray bottle. This small plastic bottle can be purchased at a pharmacy.

Add an apple cider vinegar to the water.
Prepare the spray bottle and pour the mixture inside.
Simply spray apple cider vinegar spray on infected vagina areas.
Allow to dry completely.
And repeat spraying as many times as you want, or still feel necessary.
You should already see and feel the difference after several spraying operations.

Apple cider vinegar
Instead of spraying method, you can also try use infusion of apple cider vinegar. As with the spraying solution, soaking apple cider vinegar should only be used to treat mild fungal infections.

The apple cider vinegar is soaked in yeast is prevented by controlling an appropriate pH level of growth in your vagina. All you need to prepare for an apple cider vinegar is a quality apple cider vinegar, fresh water and a wash cloth (cotton is the best).

Add apple cider vinegar to the water.
Soak the clean wash cloth in the water mixture.
Remove any excess cloth and gently insert it into the vagina.
Stay there for 15 minutes. If you think this is necessary, you can wait a little longer.
Remove the gland and allow the vagina to dry completely.
This wetting / infusion process can be repeated once or twice a day, depending on you.
However, this treatment will not be sufficient for a severe yeast infection; it should only be done for a mild, yet beginning fungal infection.
As you can see, vaginal infections are not very easy to heal. It can be very stubborn; yeast infection can take a long time to get rid of. It can also come back many times and you need to start treatment again.


This is a woman's problem most of the time. However, you should be aware that yeast infection can also occur in men. Yeast infection usually occurs around the penis. It is common for men to have a yeast infection, although they do not complain about anything and feel no symptoms.

You can also infect your woman while having sex. Therefore, it is very important to treat male yeast infection. Some of the popular ways to treat yeast infection in men. Of course you can use apple cider vinegar to treat male infection, just like in case of vaginal yeast infection.

You can prepare a bath with apple cider vinegar. You should add 2 glasses of apple cider vinegar to warm water and mix well. Sit in a bath and make sure your legs and penis are completely covered with apple cider vinegar juice. It is good to stay in the bathroom for 20 to 30 minutes to get the best result. To treat your penis correctly, you must pull back the foreskin to soak it well.
Another way is to prepare a party with 2 tablespoons of apple cider vinegar and 2 liters of warm water. All you need to do is to soak a swab and gently clean affected areas of yeast infection.
Of course you can drink cider vinegar. This will help reduce the problem of yeast infection. So you must dilute the apple cider vinegar first. Mix 2 teaspoons of apple cider vinegar in 8 oz of water. You can even drink 3 times a day.
How to use apple cider vinegar to treat vaginal yeast infection
When you already know how to treat a vaginal fungal infection with an apple cider vinegar, you should choose the method most appropriate for you. For a brief summary, please see when and how to treat different vaginal yeast infections.

Severe or moderate type of infection
Morning shower, bath and drink cider vinegar solution.
Night shower, bath, spray and drink cider vinegar solution.
If not, try a buffer method.
Mild or external infection
Apple cider vinegar drink 3 times a day, party and spray method
To prevent yeast infection from returning
Take apple cider vinegar twice a day

Best Apple Cider Vinegar in Yeast Infection Treatment
If you decide to try apple cider vinegar, you need to know some extra tips that will make the therapy the most efficient to quickly get rid of the fungal infection. For best results, it is important to choose quality apple cider vinegar quality.

When this is the case, you should buy organic, unfiltered and unpasteurized apple cider vinegar. You should choose a raw and pure apple cider vinegar. Do not take white or plain white apple cider vinegar. If you have a really good quality apple cider vinegar, the bottle contains something called the “mother in of the vinegar. It looks like something weird, cloudy inside.

It is full of useful substances such as enzymes, trace elements and good bacteria. It usually floats in one place or sticks to the bottom of the bottle, so it is necessary to shake the apple cider vinegar thoroughly before use.

Tips and Precautions for Treating Yeast Infections with Apple Cider Vinegar
Apple cider vinegar is a strong acidic substance. If it is not diluted, you should be aware that it can cause burns, so you should always use an apple cider vinegar diluted with water. Otherwise, it is very harmful to your skin and causes irritation and even burning. If you're allergic, it can be very powerful for you.
If you often suffer from yeast vaginal infections, you should take a look at your lifestyle and diet. You should avoid sugar and too much sugar as it is a perfect condition for sugar and yeast infections. You should eat many natural yoghurts and plant-based probiotics to help balance your good bacteria.
Of course, it's best to consume cider vinegar. But then you may feel some changes in your digestion. If you are not a big fan of apple cider vinegar flavor, you can try to get apple cider vinegar supplement. Various forms of apple cider vinegar are available on the market, such as tonic or pills. There should be no difference between drinking natural, raw apple cider vinegar and getting supplements.
You need to be aware that some strange symptoms may appear when you start using apple cider vinegar for some people. You can feel really bad for a few days. This is a natural reaction. It may feel worse for a few days, but it will get better soon.
When dealing with vaginal yeast infection, you should always remember to wear cotton panties to reduce not only hygienic but also all irritations.
An apple cider vinegar can also be used to treat intestinal yeast infections.
Any fragrant sanitary napkin, shower bath, bumper etc. Do not use. It may make your vaginal yeast infection worse.
If you are pregnant, you can safely treat it. Vaginal yeast infections with an apple cider vinegar. Instead of buffers soaked with apple cider vinegar, you can try all of the above methods. Never use a dangerous substance during pregnancy.
Yeast vaginal infections are very difficult to treat. In fact, it is not easy to overcome all fungal infections. However, if you find the method that works best for you, you should be patient and stick to this treatment.


As you probably know, look at the first conclusions. An apple cider vinegar is a very effective natural ingredient that can effectively treat yeast infections; It is especially useful to get rid of vaginal yeast infections.

But of course such methods are bad in your lifestyle. You should change your diet and take care of your body not only inside but also outside. Less sugar and more fruits and vegetables not only make you feel thinner, but also make you feel healthier. Using a better diet along with apple cider vinegar should give you the expected positive results.


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Yeast Infections: Causes and Risk Factors

Candida is the organism responsible for yeast infections, but usually lives in the vagina in equilibrium with bacteria and without causing any problems. Vaginal acidity and changes in the balance of organisms may be due to antibiotics, diabetes, pregnancy, hormonal therapy, contraceptive or impaired immune system. When this happens, Candida cells can multiply uncontrolled, resulting in yeast infection.

Common reasons
There are several causes of yeast infections, and some people may be in more than one game if an infection explodes.

Antibiotic Therapy
This is a common cause for a yeast infection. Lactobacilli, normally found in the vagina, produce yeast-inhibiting substances and an acidity level. Antibiotics kill some of these friendly bacteria that allow yeast to grow excessively.

Increased estrogen
Having an increased level of estrogen increases the risk of a vaginal yeast infection. Pregnant women, women taking high-dose estrogen birth control pills, and women receiving hormone replacement therapy are at higher risk than others.

Immunodeficiency
If your immune system is impaired by corticosteroid medication, cancer treatment, HIV infection, or other causes, there is a greater risk of yeast infections.

Diabetes
If you have diabetes, you are particularly sensitive to vaginal yeast infections.

Yeast cells that normally live in the vagina are kept under careful control with minimal nutrients in the acidic environment of the vagina. However, in women and girls with diabetes, vaginal secretions contain more glucose due to the higher amounts of glucose in the blood. Yeast cells are fed by this excess glucose, causing them to multiply and become a yeast infection.

High blood sugar also interferes with immune functions that help prevent yeast infections. It may indicate that blood glucose levels in women with diabetes are not well controlled or that an infection is brewing elsewhere in the body.

The presence of the yeast itself increases the risk in people with diabetes by preventing the body's natural defense mechanisms against other infections. In a person with diabetes, any infection is at risk because the blood sugar may be higher or lower than normal and the body tries to fight again.

If you experience four or more yeast infections per year, consult your healthcare professional to ensure that your diabetes is adequately managed.

Cancer treatment
Vaginal fungal infection is often seen as a side effect of cancer treatment. Your white blood cells, which normally contain yeast in your vagina and digestive system, can be reduced by chemotherapy and radiation therapy. Steroid medicines can also reduce your immune system's ability to maintain balance. High-dose antibiotics, sometimes used in the treatment of cancer, can also lead to yeast infection.

Sexual activity
Yeast infections occur without sexual activity and are therefore not considered sexually transmitted infections (STIs).

However, the yeast can be transferred between sexual partners by vaginal, oral or anal sex. You can use a condom or tooth dam to protect against this. If your sexual activity irritates the vagina, it can disrupt normal balance and promote overgrowth of yeast.

The male sex partner of a woman with a yeast infection may have a yeast rash on the tip of the penis. If a man has diabetes, he is more at risk. A doctor's assessment and treatment is required.

Lifestyle Risk Factors
You can change habits or practices that increase your risk of vaginal yeast infection. Follow these tips to reduce heat, moisture, irritation, and other risk factors.

What you wear can make a difference. The use of a cotton crotch underwear made of synthetic fabric is recommended. Loose-fitting skirts and trousers can help keep you cooler and dry. Avoid wearing tight pantyhose and any trousers that are tight in the groin. Wet or damp clothing should be changed as soon as possible, including swimsuits and workout clothing.
Change the pad, menstrual pad or panty liner frequently.
No wonder this will clean the beneficial bacteria and change the acidity of your vagina.
After a bowel movement, wipe from front to back so that you do not transfer the yeast from a stool.
Fragrant feminine hygiene products, bath products and sprays can irritate the vaginal area and it is wise to prevent them.
Use a vaginal lubricant during sexual intercourse to help prevent irritation. You may also want to use a condom or tooth dam to prevent the yeast from being transported between you and your partner.
Avoid very hot bathrooms and hot tubs.
If you have diabetes, try to maintain good blood sugar control.
When a yeast infection is treated, especially if you have diabetes, take the amount of medication recommended by your healthcare provider. If you wake up early because you feel the medicine earlier or the symptoms are gone, the infection may return and become stronger than before.


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Fungal Infections in Women. WHY HAPPENS

This infection is not a sexually transmitted disease, but sometimes occurs after sexual intercourse.Vaginal discharge is one of the most common causes.

Why?

Often the cause is a yeast fungus called "candida albicans". This microorganism normally lives on your skin, mouth, intestines and vagina without causing any harm to you. fungal cells proliferate rapidly and cause symptoms of fungal infection to occur.

· If you are pregnant

· If you wear tight clothes or fabric synthetic laundry

· If you are using some broad-spectrum antibiotics

· If you are receiving chemotherapy

· If you have uncontrolled diabetes

· If you have AIDS or similar illness that suppresses the immune system

· You are using products such as deodorant or excessive perfumed foam bath that will cause irritation to the vagina and surrounding tissues.

· Have sexual intercourse with someone with Candida infection

In some women, "stress" can be a triggering factor.

There is no clear evidence that birth control pills facilitate fungal infection.


What are the symptoms?

· Itching, redness and tenderness around the vagina, vulva or anus

· A white discharge from the vagina; this discharge can be fine viscous, but it can also be in the form of whey milk.

· Burning while urinating

· Pain during sexual intercourse
How do I know I'm a fungus?

This can only be confirmed by tests, so contact your doctor as soon as possible. If this condition has started after a suspected sexual intercourse, you should tell your doctor.

In order to confirm the diagnosis, your doctor will perform your examination first and send the sample to the laboratory for examination.

Sometimes pap-smear reports report fungal infection. In such cases, if you do not have any complaints, there is no need to provide treatment.
treatment
Fungal treatment is usually a discomfort that can be easily done.

· Antifungal creams, vaginal tablets, oral antifungal medications or various combinations of these may be recommended to you.

· It is important that you take these medications as recommended and do not discontinue treatment early.

· Some antifungal medications can cause latex condoms to pierce. If you use condoms for contraception, you should ask your doctor what to do.

· Tell your doctor if you are pregnant, or if you are likely to become pregnant.


How Successful Is Fungal Treatment?
· Antifungal creams, vaginal tablets and oral medications are usually effective and your complaints disappear within a few days.

· Your doctor may prohibit you from having sexual intercourse during the treatment process. This will speed up the healing process.

· If your treatment is not successful in the first place, your doctor may recommend different medications to you.
Do I need to be re-examined after treatment?
If your complaints have disappeared with the recommended treatment, you do not need to go for a check-up.

· If you have not been able to administer the treatment as recommended to you

· If symptoms have not disappeared

· If you think the condition recurred

It is correct to see your doctor again.

What can I do to avoid fungal infection?

In some women, certain conditions can trigger a fungal infection. To prevent this

· Stay as far away from the skirts and pants as tightly as possible. Do not choose underwear made of synthetic fabric. The most suitable underwear material is cotton.

· Keep away from perfumed soap, foam bath, spray and deodorant used in the genital area, disinfectant and antiseptic products.

· Before sexual intercourse, you should ensure that vaginal wetting is sufficient, if necessary use lubricant.

· After cleaning, wipe from front to back.

· If you have been prescribed antibiotics for another condition, tell your doctor that you have had a fungal infection after antibiotics and may be added to your prescription with an antifungal medication.
I have a frequent fungal infection. Is there anything I can do?
Fungal infections in some women tend to recur annoyingly frequently. If you have such a condition, you should contact your doctor.

· Diabetes (diabetes) can be investigated whether a condition such as

· You may be asked to use antifungal medications continuously

· In some cases, the cause of fungal infection may be a fungal species other than "candida albicans".

Is spouse treatment necessary?
If your spouse does not have any symptoms, there is no need to receive treatment.

What happens if the fungus is not treated?
Even without treatment, in most cases the body's immune system will clear the infection from the body.

Does fungal infection prevent me from getting pregnant?
There is no scientific evidence that yeast infection makes it difficult for you to conceive.

What happens if I get a yeast infection while pregnant?
The incidence of fungal infections during pregnancy may increase. This infection will not harm the baby. If you apply to your doctor, he will treat you with appropriate drugs.


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