![]() ![]() ![]() Rarer forms of thrush such as Candida Glabrata often require more specialised treatment and do not respond to the usual treatment that you get over-the-counter for Candida Albicans. If you have vulval skin thrush, then the combination of Clotrimazole with hydrocortisone used twice a day for at least one week will be extremely effective. It is often useful to use oral fluconazole of one 150 mg tablet together with a course of Clotrimazole pessaries or Clotrimazole cream to the vagina. How To Treat ThrushĬommon thrush or Candida Albicans is effectively treated by using over-the-counter preparations. ![]() One of these and the most common is called Candida Glabrata often associated with a thin grey discharge, which is often associated with symptoms of vaginal irritation or discomfort. Small white spots on the vulva or within the vaginaġ0% of cases of thrush are not due to Candida Albicans but are due to other Candida species.Itchiness within the vagina and/or vulva.Common symptoms associated with thrush include: Somewhere between 50-60% of all women will have at least one episode of thrush during their lifetime. Some patients require prophylaxis or prevention which may involve taking an antibiotic every evening. Congenital abnormalities of the urinary tract system.Occasionally urinary tract infections are recurrent, especially those associated with menopause or intercourse and in this case, it may be important to get an ultrasound or another x-ray procedure performed to outline the kidneys and bladder to ensure that there are no abnormalities leading to recurrent urinary tract infections. The problem is that these organisms are becoming increasingly resistant to antibiotics, which is why a great deal of care is needed to choose an antibiotic that has a low incidence of side effects but is effective in eradicating the organism. It is important in all cases of cystitis to get midstream urine to elucidate the actual organism involved and the laboratory will tell us what antibiotic kills that particular organism. Simple cystitis or infection of the bladder can become more complicated if the organism involved travels up the ureter to the kidneys or more rarely enters the bloodstream and causes a condition called septicaemia or blood poisoning. The base of the bladder or trigone is made up of oestrogen dependent mucosa or lining tissue which can be affected by being postmenopausal. Urinary tract infections can be exacerbated in patients who have had to have a catheter or tube to pass urine, have had other generalised diseases or have acquired the infection related to having intercourse or being postmenopausal. For that reason, the commonest urinary tract infection in a woman is due to E.coli, a common bowel organism. This is an infection often acquired by germs that live in the bowel extending up to the vagina and then the urethra and from there up into the bladder. The commonest urinary tract infection in women involves an infection within the bladder also known as cystitis. Urinary tract infections are most commonly associated with pain, irritation and burning on passing urine. Recurrent bacterial vaginosis may require prolonged treatment and maintenance therapy and it is important to discuss this with your doctor. Lowering the pH or making the vagina more acidic with a gel called Aci-Jel is also a legitimate treatment for bacterial vaginosis. It can also be treated using a cream called clindamycin – though it’s important to realise that the use of vaginal or oral probiotics have been shown to be ineffective. The exact treatment of bacterial vaginosis involves the use of a specific antibiotic called metronidazole. Though thankfully, bacterial vaginosis is primarily treated because of the unpleasant symptoms that can be associated with it, as it’s not harmful to the body in any other way. If the vagina becomes more alkaline this promotes the growth of anaerobes and can result in bacterial vaginosis.īacterial vaginosis results in unpleasant symptoms, primarily excess discharge which often has a fishy odour and the discharge itself can be irritating when it contacts the vulval skin. Usually, the vagina is acidic due to the release of acidic discharge associated with lactobacilli. Lactobacilli prevents the multiplication of an abnormal number of anaerobes within the vagina and prevents the symptoms of bacterial vaginosis.īacterial vaginosis results in the acidity of the vagina being reduced. These are germs that do not require oxygen for their multiplication and are counteracted by the healthy germs within the vagina called lactobacilli. The exact cause of bacterial vaginosis is unknown but what we do know is that it is due to an overgrowth of germs that exist normally in the vagina called anaerobes. Bacterial vaginosis is the commonest vaginal infection in women post-puberty and pre-menopause. ![]()
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