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What causes oral thrush in a 25 year old woman?

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Posted on Thu, 5 May 2016
Question: Hi, I just had a check up and found out that I have oral thrush. I am a 25 year old female and I heard this type of thing is more common in infants or the very elderly. I know that I have not been eating the best or drinking much water lately because of my busy work schedule, but would that cause it? Should I go visit a doctor again?
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Answered by Dr. Bonnie Berger-Durnbaugh (1 hour later)
Brief Answer:
About oral candidiasis:

Detailed Answer:
Hello and welcome,

Sorry you are having problems with thrush. While it is more common in babies, elderly, and immune suppressed (chemo, organ transplants, HIV), it is not that uncommon in otherwise healthy adults.

Things that can predispose an adult to oral candidiasis are antibiotics, and corticosteroid inhalers such as for asthma, and corticosteroid oral medication. Cigarettes can do this too, as can excessive amounts of alcohol or sugar consumption. Anemia can be a risk factor too.

If none of that applies to you, it would be reasonable to go to your doctor and get a CBC with differential to make sure you are not anemic, and to see if your white blood cells, in particular T-lymphocytes, are adequate. Also to get a blood sugar check.

But please do not worry that something serious is going on as oral candidiasis happens more often than you would expect and without any serious underlying pathology.

In the meantime, get adequate sleep if possible, avoid alcohol, and decrease sugar and refined carbohydrates.

I hope this information helps. Please let me know if I can provide further information or clarification.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 3134 Questions

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What causes oral thrush in a 25 year old woman?

Brief Answer: About oral candidiasis: Detailed Answer: Hello and welcome, Sorry you are having problems with thrush. While it is more common in babies, elderly, and immune suppressed (chemo, organ transplants, HIV), it is not that uncommon in otherwise healthy adults. Things that can predispose an adult to oral candidiasis are antibiotics, and corticosteroid inhalers such as for asthma, and corticosteroid oral medication. Cigarettes can do this too, as can excessive amounts of alcohol or sugar consumption. Anemia can be a risk factor too. If none of that applies to you, it would be reasonable to go to your doctor and get a CBC with differential to make sure you are not anemic, and to see if your white blood cells, in particular T-lymphocytes, are adequate. Also to get a blood sugar check. But please do not worry that something serious is going on as oral candidiasis happens more often than you would expect and without any serious underlying pathology. In the meantime, get adequate sleep if possible, avoid alcohol, and decrease sugar and refined carbohydrates. I hope this information helps. Please let me know if I can provide further information or clarification.