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Intestinal fungal infection - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Infections
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2584 Questions
User :   Hi Doctor
Doctor :   Hi
User :   I am from singapore , i have been dignosied to have candida over growth
Doctor :   How ca I help you ?
Doctor :   Ok.
User :   hi doctor , nice we spoke already
User :   i told that , ihave been treated with , fluconozole single dosage
Doctor :   YES
Doctor :   How is the infection now ?
User :   but i do have some kind of digesion problems , so i went to the same doctor , and he said may ur candida would hv reached ur intestine
Doctor :   Ok
User :   and he gave me some ani fungal tablets call ketoconazole for 10 days and asked to take 2 tables daily
Doctor :   Ok.
User :   and he gave me probiotic called combif AR and asked me to continue this for 6 months.....
User :   and he told the we could conduct another test after 6 months.
Doctor :   May I ask you if you have had any unprotective sexual intercorse any time with any unknown person ?
User :   is it safe to use these mediines
User :   no doctor , i only had sex with m wife
Doctor :   Ok.
User :   but we do sometime have nalsex
User :   anal sex
User :   would that be a problem ??
Doctor :   Ok, Please abstain from it .
Doctor :   It leads to unnecessary problems.
User :   would that be the reason for this cadida
User :   bcoz i hv read this is in some artice , saying there may be yeast present in fecal region that would aid in candida overgrowth
Doctor :   I cannot rule out , it could be one .
User :   ok
User :   OK doctor , is it safe to be on this medication
Doctor :   To answer your query on medication : Doctor :   Ketoconazole is very safe .
User :   what about the probiotic Combif AR
User :   ??
User :   can i continue tis for 6 months
Doctor :   it is very good and helps in the growth of help ful bacteria or yeast.
Doctor :   Both are very safe.
Doctor :   you can go ahead .
User :   IS digesion problem any advanced stage of candida ??
Doctor :   It would be a problem, but it would get well now, Dont worry.
User :   i have already given flucanazole , again taking this antifungal(ketaconazole) is safe ??
Doctor :   Yes, it is fine, do you have any side effects like nausea,vomitings,fever ?
User :   no doctor , i have taken these medicine one for a day
User :   i dint have any , but i did have some dizziness
User :   after 3 to 4 hrs of taking this
Doctor :   Ok.
User :   is that fine??
Doctor :   How many times have you had this ?
User :   2 tablets daily , morning and night
User :   200 mg each
Doctor :   I mean dizzines ?
User :   shightly during evening , after that i slept and today morning i had one , and still now there is nothing
User :   may be day before yesterday i dint sleep properly , may be bcoz of that also
User :   i am not sure
Doctor :   Dizziness is rare in antifungal treatments .
Doctor :   Please continue the medications, unless you have sever side effects.
User :   ok doctor , its a ten day course .....
User :   i have been done blood test to confirm that i have candida .... i donoo what figure i got for confirming that , but could u tell me which value is considered high ??
Doctor :   Usually it shows up in ESR .
Doctor :   This is a value which shows up for any infection in highre levles
Doctor :   For candida, blood test , you need to do culture and sensitivity.
User :   Is curing candida in intestine very difficult to cure ?? will it reoccur ??
Doctor :   No, 99% of times it doesnt recur.
User :   thats good news
User :   how can i find out how intense is my candida ??
Doctor :   You can get a swab culture and sensitivity
User :   bcoz my doctor said that it might have gone to intestine thats y ur having this digestion problem , but he dint tell me how seriour it is??
User :   ok
User :   Do u think will it be cured after this 6 months of proper medication ??
Doctor :   Uusually here we do a colonoscopy to see any infection and also a swab test
User :   Do u think will it be cured after this 6 months of proper medication ??
Doctor :   6 months of medication , you have told me only for 10 days, how come 6 months ?
User :   no doctor , the anti fungal is for 10 days , and he asked me to contiue the probiotic for 6 months
User :   and after 6 months he asked me to come for another candida test
Doctor :   How did he do your Candida test ?
User :   i gave my blood to get tested for all STD and he said i have none but candida
User :   i donoo what specific testing is done for candida
Doctor :   Ok,He might have got an antigen test done, could you copy-paste the results ?
User :   i dont have the result with me now doctor , may be ll mail you if u could give me ur mail id
Doctor :   YYYY@YYYY
User :   ok doctor ill mail u the result
Doctor :   Please send across to this mail id addressing it to Dr AAAAAAA Bharadwaj.
User :   ok doctor
User :   but could u tell me whether my problem will be cured by taking tis anitfungal for 10 days and probiotic for 6 months ?
Doctor :   Yes.
Doctor :   Absolutely.
User :   Will i get any side effect by continuing the probiotic for 6 months ??
Doctor :   Probiotic is to help you increase your digestion properly and help in helpful flora of the gut.
User :   should i have to limit my sugar intake ?? i dont hv diabetis
Doctor :   Yes, please do not over dose yourself with sugar
Doctor :   But normal intake is fine, as in tea or cofee
Doctor :   no problem with that.
Doctor :   have fooods with lots of fruits, veggies, and juices
Doctor :   and lots of nuts & sprouts
User :   i mean rice is my major food , but its rich in carbohydrates , should i have to stop eating rice
Doctor :   and more fiber diet
Doctor :   no
Doctor :   you can go ahead
User :   hi doctor
User :   i do smoke 2 to 3 sticks daily , does it have any impact on my medication ??
Doctor :   Hi
User :   i do smoke 2 to 3 sticks daily , does it have any impact on my medication ??
Doctor :   Surely nicotine smoking has drug interaction with every medication.
Doctor :   It dries up mouth.
Doctor :   it causes decrease in saliva secretion.
Doctor :   And may be the major cause for Oral Candidiasis
Doctor :   Please quit smoking.
User :   ok doctor.... and is it ok to take alchol once a month
User :   bcoz i usually take
User :   once a month
Doctor :   That is absolutely fine.
Doctor :   Just dont binge drink.
Doctor :   Even once a week, of 120ml is fine.
Doctor :   But not more than that.
User :   i will not usually go more than 3 roungs i mean not more than 180 ml per month
Doctor :   That will never be a problem.
User :   now i had sex with my wife , before this testing , and i suspect that she would hv also infected back by this?? , so i am talking her to the same doctor
User :   and she also has some digestive problem , i guess he would give her the same medication ? would that be safe for ladies too
Doctor :   Antifungals can be give to any gender.
Doctor :   But what are the exact symptoms ?
User :   she has constipation , stomach bloating , but she doesnt have thraushes or vaginal itch
Doctor :   Ok.
User :   and one more thing , i dont have thraushes , does it mean thraushes are extereme cases for candida??
Doctor :   Has she been on any hormonal drugs >
User :   no
Doctor :   IS it thrush, which you are mentioning ?
User :   thrush , thats wat i meant , ur correct
Doctor :   Thrush is oral candidiasis
Doctor :   Yes it occurs in severe immuno compromised states.
Doctor :   like HIV, immuno modultor usage, sterida treatment, etc.
Doctor :   That is not your case, so dont worry.
User :   ok ok
User :   i heared , pennis cadidiasis , oral and intersinal cadidiasis , is intersinal candidiasis also due to sex ??
Doctor :   It can be due to anal,several factors which can allow Candida albicans to overgrow in the lower intestinal tract. Frequent courses of steroidal drugs and antibiotics can depress the intestinal bacterial population which permits the overgrowth of yeast. The hormonal changes which occur when oral contraceptives are used or which can accompany pregnancies, have been implicated in increasing susceptibility to PCC in women.
User :   OK
User :   bcoz my doctor said this is mostly a problem for women , men usually wont get this so much
User :   thats y i asked
Doctor :   Food allergies are a major problem for 75% of the people with chronic yeast. Years of eating the wrong foods that trigger antibody production unknown to the person going thru this, weakens the immune system over time. Add an antibiotic at one time or another and bingo, the candida yeast is off to the races.
User :   ok , i suspect some months before i was paranoid of having HIV (i dint do any unprotected sex ) went to doctor for testing and i had a shigh fever , and he gave me some antibitics to prevent lymph gland swellings , i think that anitbiotic could have started this.... if its not from my wife
Doctor :   Yes, it could be that.
User :   Thanks doctor , thanks for clarifying all my queries
User :   i feel much better
Doctor :   Thank you for consulting me, wish you all the best.
User :   i feel better bcoz of ur words that said that ill be cured in 6 months
Doctor :   Take care, bye for now.
User :   Thank u very much
User :   ill send u my test results to ur mail
Doctor :   Ok.
User :   Thanks
Doctor :   And once i have seen , we shall revert back to you, take care , bye for now.
User :   ok doctor
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