Which Specialist to Consult for Oral Candidiasis Testing? - Otolaryngology

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Oral bacterial examination


Hello, doctor.
I would like to know if there is a Candida infection in my oral cavity.
Which specialty should I see, and where can I get tested? (I am willing to pay out of pocket).
Thank you.

Pa Pa, 30~39 year old female. Ask Date: 2018/12/13

Dr. Zheng Jueyi reply Otolaryngology


Hello: You can go to the ENT department or the Infectious Disease department at the hospital for examination.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the ENT Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2018/12/13

More Info


If you suspect that you have an oral candidiasis infection, the best specialist to consult is an oral and maxillofacial surgeon or a dentist with experience in oral diseases. Additionally, an ear, nose, and throat (ENT) specialist can also be helpful, especially if you are experiencing symptoms that extend beyond the oral cavity.
Oral candidiasis, commonly known as thrush, is a fungal infection caused by the overgrowth of Candida species, particularly *Candida albicans*. This condition can manifest as white patches on the tongue, inner cheeks, gums, or tonsils, and it may cause discomfort or pain. Individuals with weakened immune systems, those taking antibiotics, or those with certain health conditions such as diabetes are at a higher risk for developing this infection.

To diagnose oral candidiasis, the specialist will typically perform a clinical examination of your oral cavity. They may also take a sample of the affected area to send for laboratory testing, which can confirm the presence of Candida. If you are willing to pay out of pocket, many dental clinics and ENT offices can perform these tests, and they may also provide treatment options.

In terms of testing, a swab test is commonly used to collect a sample from the lesions in your mouth. This sample is then cultured in a laboratory to identify the specific type of Candida present. In some cases, a biopsy may be performed if there are atypical lesions or if the diagnosis is uncertain.

If you are experiencing symptoms such as persistent soreness, difficulty swallowing, or if the lesions do not respond to initial treatment, it is crucial to seek medical attention promptly. The specialist may prescribe antifungal medications, which can be topical (like lozenges or mouth rinses) or systemic (oral pills), depending on the severity of the infection.

In addition to consulting a specialist, it is also important to maintain good oral hygiene to help prevent the recurrence of oral candidiasis. This includes brushing your teeth at least twice a day, flossing daily, and using an antibacterial mouthwash. If you wear dentures, ensure they are cleaned regularly and removed at night to reduce the risk of fungal growth.

If you have any underlying health conditions, such as diabetes or a compromised immune system, managing these conditions effectively can also help reduce your risk of developing oral candidiasis.
In summary, for testing and treatment of oral candidiasis, consult an oral and maxillofacial surgeon or a dentist experienced in oral diseases. They can perform the necessary examinations and tests to confirm the diagnosis and provide appropriate treatment. If you have further concerns or symptoms, don’t hesitate to reach out to a healthcare professional for guidance.

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