How Long Does Oral Candidiasis Take to Heal Without Treatment?

How long does it take for oral candidiasis to fully heal?

Hello, Doctor: Today I found out that I have Candida in my mouth during a check-up.
The doctor prescribed me medication to apply, but also mentioned that it would likely resolve on its own without treatment.

1.
I would like to ask how long it would take to heal without medication, as the medication is very bitter and causes some pain during and after application.

2.
I also want to know if Candida is contagious.
On June 6, I had a spontaneous moment with my girlfriend while cooking fried rice and performed oral sex on her.
I noticed something unusual in my mouth on June 13, and after visiting the doctor on June 20, I discovered it was Candida.
Could this have been transmitted from my girlfriend? Is this considered a sexually transmitted infection?
3.
Additionally, before June 16, I was taking traditional Chinese medicine to adjust my constitution for about two months.
I also followed a vegetarian diet for a month between May 15 and June 13, during which I lost 5 kilograms.
Could my use of traditional Chinese medicine and weight loss have contributed to a weakened immune system, leading to the Candida infection?
Thank you for your assistance, Doctor.

Xiao Zhi, 20~29 year old female. Ask Date: 2010/06/20

Dr. Chen Jianzhi reply Otolaryngology

Dear Inquirer,
Hello, based on your literal question, there are several points that need clarification in order to answer your inquiry:
1.
What do the lesions in your oral cavity look like? Are they hard or soft? Are they white, red, or another color? Approximately how large are they? Are they located on the buccal mucosa, lips, gums, or elsewhere?
2.
You mentioned that the oral lesions appeared on June 13, after having fried rice with your girlfriend on June 6.
There seems to be a causal relationship, but I would like to know if you have engaged in oral sex with your girlfriend during previous occasions when you cooked together?
3.
What were your original weight and height?
Sincerely,
Chen Jian-Zhi, Lecturer at Fu Jen Catholic University

Reply Date: 2010/06/20

More Info

Oral candidiasis, commonly known as oral thrush, is a fungal infection caused by the overgrowth of Candida species, particularly Candida albicans. It can manifest as white patches in the mouth, soreness, and difficulty swallowing. When it comes to healing without treatment, the duration can vary significantly depending on several factors, including the individual's immune system, overall health, and the extent of the infection.

1. Healing Time Without Treatment: If left untreated, mild cases of oral candidiasis may resolve on their own within a few weeks, typically around 1 to 2 weeks. However, in individuals with weakened immune systems or underlying health conditions, the infection may persist longer and could potentially lead to more severe complications. It’s important to note that while some cases may resolve spontaneously, treatment is often recommended to alleviate symptoms and prevent recurrence. The antifungal medication prescribed by your doctor can help expedite the healing process and reduce discomfort, especially if the infection is causing significant pain.

2. Transmission and Contagion: Oral candidiasis is not classified as a sexually transmitted infection (STI). While Candida can be present in the oral cavity of healthy individuals without causing any issues, it can be transmitted through intimate contact, such as oral sex. However, it is more likely that factors such as changes in your immune system, diet, or antibiotic use contributed to the overgrowth of Candida rather than direct transmission from your partner. If your girlfriend is asymptomatic, it is less likely that she is the source of the infection.

3. Impact of Diet and Immune System: Your dietary changes and weight loss could potentially influence your immune system. A significant reduction in caloric intake or a drastic change in diet can affect your body’s nutritional status, which in turn may impact your immune response. Additionally, if you were taking traditional Chinese medicine (TCM) that may have altered your body's balance, it could also play a role in your susceptibility to infections. Stress, lack of sleep, and other lifestyle factors can further compromise immune function, making one more prone to infections like candidiasis.

In summary, while oral candidiasis can resolve on its own, treatment is often beneficial for symptom relief and to prevent complications. If you are experiencing significant discomfort, it is advisable to continue with the prescribed antifungal treatment despite its unpleasant taste. If symptoms persist or worsen, follow up with your healthcare provider for further evaluation. Maintaining a balanced diet, managing stress, and ensuring adequate sleep can also support your immune health and help prevent future occurrences of oral thrush.

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