Oral Fungal Infections: Treatment and Probiotics - Otolaryngology

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Oral fungal infection


Hello Doctor: I have been diagnosed with a fungal infection in my mouth, and I am experiencing a sensation of something stuck in my throat, swollen tonsils, and a thick white-yellow coating on my tongue.
The doctor prescribed Clotrimazole troche 10 mg to be taken five times a day for ten days.
I would like to know if I need to complete the entire course of treatment, or if I can stop taking it if I no longer have symptoms.
Can I take probiotics during the treatment?

QQQ, 20~29 year old female. Ask Date: 2020/04/12

Dr. Zheng Jueyi reply Otolaryngology


Hello: Please use the medication as directed by your physician.
If symptoms recur, it is advisable to continue monitoring and check for any immunological issues.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2020/04/12

More Info


Oral fungal infections, particularly those caused by Candida species, are relatively common and can manifest with symptoms such as a sore throat, swollen tonsils, and a thick white or yellow coating on the tongue. The treatment prescribed, Clotrimazole troche, is an antifungal medication that is typically effective in treating such infections.
Regarding your question about whether you need to complete the entire treatment course, it is essential to follow your doctor's instructions. Even if symptoms improve or resolve before the treatment is completed, it is generally recommended to finish the entire course of medication. This is because stopping treatment prematurely can lead to a resurgence of the infection, as not all fungal cells may have been eradicated. Completing the full course helps ensure that the infection is fully cleared and reduces the risk of developing resistance to the antifungal medication.

As for taking probiotics during the treatment, there is no contraindication to using probiotics while on antifungal medication. In fact, probiotics may help restore the balance of healthy bacteria in your body, particularly if the fungal infection was exacerbated by antibiotic use or other factors that disrupt the normal flora. However, it is advisable to consult with your healthcare provider before starting any new supplements, including probiotics, to ensure they are appropriate for your specific situation.

In addition to medication, maintaining good oral hygiene is crucial in managing and preventing oral fungal infections. This includes brushing your teeth regularly, using a soft toothbrush, and rinsing your mouth with water after meals. Avoiding irritants such as tobacco and alcohol can also be beneficial, as these substances can further compromise oral health and contribute to fungal overgrowth.

If you experience recurrent infections or if your symptoms do not improve despite treatment, it may be necessary to investigate underlying causes. Conditions such as diabetes, immunosuppression, or other systemic issues can predispose individuals to fungal infections. In such cases, further evaluation by a healthcare professional may be warranted.

In summary, it is important to complete the prescribed course of Clotrimazole troche, even if symptoms improve. Probiotics can be taken during treatment, but always consult your healthcare provider first. Good oral hygiene practices and monitoring for any underlying health issues are also key components in managing oral fungal infections effectively. If you have any concerns or questions about your treatment plan, do not hesitate to reach out to your healthcare provider for personalized advice.

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