Thrush

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What is Thrush?

  • Thrush is a yeast infection of the mucus membrane lining the mouth and tongue. Thrush is caused by forms of a fungus known as Candida. Small amounts of the candida fungus are present in the mouth, digestive tract, and skin of most healthy people and are normally kept in check by other bacteria and microorganisms in the body. When the immune system is weak, the fungus can grow. Other factors which increase chances of getting thrush are:
  •  Being in poor health
  •  Being very old or very young
  •  Having an HIV infection or AIDS
  •  Receiving chemotherapy for cancer or drugs to suppress immune system
  • Taking steroid medications

People who have diabetes and have high blood sugar levels are more likely to get thrush in the mouth (oral thrush), because the extra sugar in saliva acts like food for Candida. Thrush is commonly seen in infants. It is not considered abnormal in infants unless it lasts longer than a couple of weeks. Antibiotics kill some of the healthy bacteria that help keep Candida from growing too much, taking high doses or long term of antibiotics increases the risk of oral thrush. Thrush is not limited to the mouth; it can occur in other parts of the body as well, causing diaper rash in infants or vaginal yeast infections in women.

Signs and Symptoms

  • A common sign of thrush is the presence of creamy white, slightly raised lesions in the mouth (usually on the tongue or inner cheeks, but sometimes on the roof the mouth, gums, tonsils, or back of throat). The lesions, which may have a “cottage cheese” appearance, can be painful and may bleed slightly when scraped. In severe cases, the lesions can spread into esophagus, or swallowing tube and causing:
  •  Pain or difficulty swallowing
  •  A feeling that food gets stuck in the throat or mid-chest area
  •  Fever, if the infection spreads beyond the esophagus

Test & Screening

  • Doctor or dentist can almost always diagnose thrush by looking at the mouth and tongue. The sores have a distinct appearance.
  • It also can be diagnosed by the culture of mouth lesions or microscopic examination of mouth scrapings.

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Self-Care

The following can help you prevent thrush:

  • Follow good oral hygiene practices. Brush the teeth at least twice a day and floss at least once a day.
  • Avoid mouthwashes or sprays which can destroy the normal balance of microorganisms in the mouth.
  • Visit dentist regularly. Especially for people with diabetes or wear dentures.
  • Limit the amount of sugar and yeast-containing foods intake. (Bread, beer, and wine encourage candida growth).
  • Quit smoking.

Traetment

  • For thrush in infants, treatment is often NOT needed. It usually gets better on its own within 2 weeks.
  • Use a soft toothbrush and rinse your mouth with a diluted 3% hydrogen peroxide solution several times a day.
  • An antifungal suspension (nystatin) can be use for severe case of thrush. These products are usually used for 5 – 10 days.
  • Stronger oral medications such as fluconazole or itraconazole may be use if the infection has spread throughout the body or in a weakened immune system auch as HIV/AIDS.

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Sexually Transmitted Diesease (STD) HPV

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Role of Pharmacist

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Prostate Problem

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Prostate Problem

  • Prostate gland is found at the base of the bladder in men, which produces fluid which forms part of the semen and helps carry sperm
  • As a man gets older the size of the prostate may get bigger. It can squeeze the urethra (like pinching a straw) and this can upset normal urine flow

Signs & Symptoms

  • If a man has a prostate problem the way he passes urine changes slowly. Changes may not be noticeable at first or may occur from time to time. Changes include:
    • Difficulty or delay in starting urine flow
    • Stopping and starting in the middle of urine flow
    • After you feel you have finished, a little more urine dribbles out
    • A smaller, weaker urine flow
    • Taking longer to urinate than before
    • Feeling that you have not quite emptied your bladder
    • Getting up more often at night to go to the toilet
    • Going to the toilet more often during the day
    • Sudden strong urges to urinate
  • There are three main prostate problems. You may have any one, or a combination of these:
    • Prostate cancer – lumps that become hard and stony. If the cancer is detected early there is a better chance of it being successfully treated.
    • Enlarged prostate (Benign Prostatic Hyperplasia) – as men get older the prostate gland may grow bigger and can upset normal urine flow, causing some of the mentioned symptoms

Inflamed prostate (Prostatitis) – prostate becomes sore and swollen. May be treated with antibiotics .

Causes

  • Prostate enlargement occurs gradually
  • The result of hormonal changes associated with ageing, such as the conversion of testosterone to a more potent form called dihydrotestosterone and this causes an overproduction of prostate cells, which in turn causes the prostate to enlarge
  • As the prostate enlarges, it obstructs the urethral canal, interfering with urination and the ability to completely empty the bladder

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Self care

  • Consult a doctor if you have any symptoms of prostate problems
  • If 50 years of age or older, ask a doctor about having regular prostate checks
  • If anyone in your family has had prostate cancer, you should start having regular checks after 40 years of age
  • Talk to a pharmacist or doctor about taking medicines that work best for you
  • Smoking, alcohol, caffeine and junk food have all been associated with prostate problems. Avoid these, and try a diet rich in whole, unprocessed foods (wholegrains, vegetables, fruits, nuts and seeds)

Medicine

  • For Benign Prostatic Hyperplasia (BPH)
    • Change hormone levels or relax the prostate
    • Some medicines need to be taken for some time before symptoms improve
    • Certain supplements can relieve the symptoms of BPH. Check with a pharmacist or doctor before trying these.
    • Surgery can enlarge the part of the urethra that passes through the prostate; laser therapy may also be used
    • For cancer
      • Medical treatment will be required to stop the cancer growing or spreading. No supplements should be used for prostate cancer without medical advice
      • Surgery will be another treatment option by removing the prostate.

Supplements/Vitamins

  • Saw Palmetto – can help to reduce the size of enlarged prostate and hence improve urination problems.
  • Nettle root – reduce obstruction of urinary flow.
  • Pygeum – improves urinary symptoms associated with an enlarged prostate.
  • Vitamin C – makes urination easier and reduce swelling
  • Zinc – zinc deficiency is associated with enlarged prostate;. can help to promote a healthy prostate.

*Consult a pharmacist at Lovy Pharmacy when choosing a supplement for your condition.

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