A yeast infection is simply an overgrowth of candida, a fungus found naturally in your vagina, says Pari Ghodsi, M.D., an ob-gyn and women’s health expert practicing in LA. A fungus? In your lady bits? Yep, it’s all part of the delicate microbiome of organisms that keeps things running smoothly downstairs. When all is working properly, the bacteria in your vagina keep the fungus in check, but if something throws off the balance you can end up with an overgrowth of bacteria (bacterial vaginosis) or candida (a yeast infection), she explains.
In people with weakened immune systems, oral, vaginal, and skin candida infections usually can be diagnosed by visual infection. When a person becomes sick, the health care practitioner may perform more invasive tests to confirm the diagnosis. Specimen collection may be necessary to check for Candida in the blood and urinary tracts. People with catheters may have their catheters changed and the catheter tips sent for culture. If a CT scan or MRI indicates candidiasis of the brain, health care practitioners may take a biopsy to distinguish between Candida and other diseases. Usually health care practitioner give IV medications for serious systemic infections.
One-fourth to one-half of babies experience diaper rash. Of these, 15%-50% are due to yeast. Yeast diaper rashes tend to decrease as children get older and end when the infant stops using diapers. The air exposure afforded by underwear lessens the establishment of an infection on macerated skin surfaces. This explains the tongue-in-cheek opinion of pediatricians that a quick cure for diaper rash (contact or infectious) is successful toilet training.
Once treatment starts, most candidiasis infections get better within about 2 weeks. Recurrences are fairly common. Long-lasting thrush is sometimes related to pacifiers. The infection is much more difficult to treat in children with catheters or weakened immune systems. The catheter usually must be removed or replaced and tests are done to determine whether infection has spread to other parts of the body. Antifungal therapy may need to be given for weeks to months.
The probiotics, found in yogurt, can also help. The live bacteria is good bacteria and helps fight bad bacteria. Live bacteria yogurt is also fantastic applied DIRECTLY. Yup, smear yogurt on your baby's crotch. Sugar free and no fruit, obviously! Berries in the crotch aren't going to cure anything. My daughter's doctor told me not to keep up the yogurt when she pointed out the skin looked like it was drying out, meaning the yeast was going away. Yay!
Oral thrush is another common type of yeast infection that occurs frequently in babies, especially during the first 6 to 12 months of life. This yeast infection appears as white or yellowish patches in a baby’s mouth. They may appear on the tongue, gums, roof of the mouth or the inside of the cheeks. Patches caused by a yeast infection in the mouth cannot be wiped away easily, unlike formula or breast milk that may coat the tongue. With thrush, bleeding may occur if the patches are wiped off. A baby may experience some discomfort or difficulty eating as a result of oral thrush, leading to poor feeding or fussiness during feeding. An antifungal solution may be prescribed to treat oral thrush.
The healthy vaginal ecosystem requires just the right balance of bacteria flora. The vaginal mucosa, which protects against pathogens, is made up predominantly of healthy bacteria called lactobacillus. These bacteria make hydrogen peroxide, which keeps unhealthy bacteria from getting out of hand. This, in turn, keeps the amount of yeast at a normal level. Too much douching can disrupt the bacterial balance and lead to infection.
A girl usually notices certain things if she has a vaginal yeast infection. She may have itching and irritation in the vagina; swelling and irritation of the vulva (the folds of skin outside the vagina); pain or burning when peeing or having sex; or thick, white vaginal discharge that looks a bit like cottage cheese. Some girls will have several of these symptoms; others may only notice one or two.
Some people worry that using actual yeast infection medications will further upset the microbial balance in the vagina, leading to more discomfort. But Leena Nathan, M.D., an ob/gyn at UCLA Health, says this concern isn’t necessary because these drugs are only affecting your yeast overgrowth. “It's OK to go ahead and treat it and not worry about trading one [infection] for another,” she tells SELF. You might experience side effects such as a bit of burning or irritation, and if you choose vaginal suppositories they could weaken the latex in condoms (so use a different form of contraception if necessary)—but antifungals aren’t going to somehow create a different vaginal infection.
Try it: If you have a yeast infection that won’t quit, talk to your doctor about going on fluconazole. Two 150-milligram pills taken three days apart “is a common treatment” for a yeast infection, says Sherry Ross, MD, an ob-gyn in Santa Monica and author of She-ology. For milder infections, your doctor may recommend one 150-milligram dose, but “for severe or chronic infections, treatment regimens using fluconazole can be taken daily or weekly for six months,” she says.
My baby had a terrible yeast infection in his mouth and his diaper area when he was about 7 months old. The doctor gave us some medication for his mouth that we applied religiously 3x a day for a couple of weeks. The symptoms would abate only to return full force a day later. Finally, someone suggested giving him yogurt. We did so and both the mouth infection and diaper rash went away within a couple of days, never to return (that was over 3 months ago). Hope this helps. ST
Some studies have indicated that preventing diaper rash may be done by applying barrier creams like zinc oxide (A+D Ointment, Desitin, Diaparene) or petroleum jelly (Vaseline, Aquaphor) to the diaper area after bathing. These products may help to decrease the ambient moisture in the diaper area after bathing or changing a diaper. Gentle cleaning to minimize skin breakdown may also be helpful. Air exposure (for example, no diaper) is also therapeutic.
If you’ve had a yeast infection before and you’re totally certain you’ve got one again, trying an over-the-counter medicine before checking with your doctor could be an acceptable treatment option. At best, you’ll be back in optimal vaginal health in a few days. At worst, if symptoms return, you’ll need to set up an appointment and pursue better treatment. The choice is yours—may the Lactobacilli be with you.
Though the fungal infection known as thrush shows up in baby's mouth, it probably started in your birth canal as a yeast infection, and that's where your baby picked it up as she made her way into the world. Candida is an organism that normally hangs out in the mouth or vagina and is typically kept in check by other microorganisms. But if you get sick, start using antibiotics or experience hormonal changes (such as in pregnancy), the balance can be upset, allowing the candida to grow and cause the infection.
Anti‐fungals are available for oral and intra‐vaginal treatment of uncomplicated vulvovaginal candidiasis (thrush). The primary objective of this review was to assess the relative effectiveness of oral versus intra‐vaginal anti‐fungals for the treatment of uncomplicated vulvovaginal candidiasis. The secondary objectives of the review were to assess the cost‐effectiveness, safety and patient preference of oral versus intra‐vaginal anti‐fungals. No statistically significant differences were observed in clinical cure rates of anti‐fungals administered by the oral and intra‐vaginal routes for the treatment of uncomplicated vaginal candidiasis. No definitive conclusion can be made regarding the relative safety of oral and intra‐vaginal anti‐fungals for uncomplicated vaginal candidiasis. The decision to prescribe or recommend the purchase of an anti‐fungal for oral or intra‐vaginal administration should take into consideration: safety, cost and treatment preference. Unless there is a previous history of adverse reaction to one route of administration or contraindications, women who are purchasing their own treatment should be given full information about the characteristics and costs of treatment to make their own decision. If health services are paying the treatment cost, decision‐makers should consider whether the higher cost of some oral anti‐fungals is worth the gain in convenience, if this is the patient's preference.