Fungal candidal stomatitis treatment. Candidal stomatitis: treatment with tablets and local remedies

Candidal stomatitis is a disease of the oral mucosa that occurs in children, adults and the elderly. Candidiasis has several types of pathogens and various causes, which determine treatment tactics.

Pathogen

Candidiasis is a disease caused by yeast-like fungi of the genus Candida.

The most common of them are: C. albicans, C. tropicalis, C. parapsilosia, C. glabrata.

C. albicans is found in the oral cavity in 60% of healthy adults, and it is this that in most cases causes candidal stomatitis.
C. glabrata is often the cause of oral candidiasis in older people, and C.parapsilosia detected in 50% of candidiasis-carrying infants.
Candidal stomatitis in HIV-infected people, patients with diabetes mellitus and cancer patients is caused by rare species - C.sake, C.rugosa.

Video: candidiasis

Reasons

Fungi of the genus Candida belong to the conditionally pathogenic flora, and the incidence of candidal stomatitis depends on the condition of the body.

Weakening of the immune system. The main role in the development of candidiasis is played by the state of the immune system. A weakened or imbalanced immune system, including after chemotherapy and radiation therapy, reduces the body's ability to fight off infection.
Age. Newborns and infants are often affected by the disease. The reasons for this are that the balance of microflora in the oral cavity is not fully formed, as well as due to the immaturity of the immune system. The occurrence of the disease in older people is facilitated by age-related decline in immunity.
Long-term use of antibiotics. Recently, uncontrolled use of antibiotics has become commonplace. When taken for a long time, the composition of the microflora of the oral cavity is disrupted, and dysbacteriosis occurs. Resident microflora is suppressed, while the virulence of pathogenic microorganisms increases sharply.
Dentures. Dentures often lead to the development of denture stomatitis, as a result of which the soft tissues of the oral cavity and gums become inflamed and irritated. These conditions are ideal for fungal growth.
Smoking. It has been established that smokers are more susceptible to oral candidiasis than non-smokers.
Oral contraceptives. Taking oral contraceptives promotes the growth of the fungus.
Pregnancy. Pregnancy is accompanied by sudden changes in hormonal levels, which contributes to the activation of infections.
Work in hazardous production. Long-term exposure to various chemicals (benzene, pesticides) weakens the immune system and increases the risk of developing infections.
Immunodeficiency. Carriers of HIV infection are susceptible to severe forms of candidal stomatitis, as the virus destroys cells of the immune system. In this case, thrush can spread to the esophagus and intestines. Often recurrent candidal stomatitis is the first sign of HIV infection.
Gastrointestinal diseases. Diseases of the digestive system, especially achylia and reduced acidity of gastric juice, often provoke the development of oral candidiasis. A favorable background for the disease is carbohydrate metabolism disorders (diabetes).
Insufficient oral hygiene. Insufficient oral hygiene promotes the proliferation of fungus and various microorganisms.

Types and symptoms

Manifestations of the disease can be very diverse and depend on the state of the immune system, the age of the patient, concomitant diseases, and the cause of candidiasis. In addition, different clinical pictures are observed in acute and chronic processes.

According to the clinical course, acute and chronic candidal stomatitis are distinguished. The acute form without correct treatment can become chronic.

Spicy

In an acute process, the symptoms are pronounced. General complaints may occur, such as weakness, fatigue, fever.

According to morphological characteristics, acute candidiasis is divided into pseudomembranous and atrophic.

Pseudomembranous

Acute pseudomembranous candidiasis - thrush - is one of the most common forms of the disease.

Mostly infants, weakened by infectious diseases, bronchitis, as well as premature babies suffer. Adults get sick if they have concomitant diseases: diabetes, blood diseases, cancer.

In infants, mothers note the appearance of white spots or white plaque on the mucous membrane of the lips, tongue, cheeks, palate, which accumulates in the form of plaques or film.

Photo: Candidal stomatitis in a child

With a mild degree of candidiasis, the plaques are easily removed, leaving a focus of hyperemia in its place.

In severe cases, plaque foci merge and spread to the entire mucous membrane of the mouth. When scraped, such plaque peels off with difficulty, and erythema or bleeding erosions are found underneath.

Sick children become lethargic, moody, sleep poorly, and refuse to eat. Adults complain of dryness, swelling of the mucous membrane, discomfort and pain while eating. Untreated pseudomembranous candidiasis can develop into an atrophic form.

Atrophic

Acute atrophic candidiasis most often develops as a result of long-term use of antibiotics and hormonal drugs.

The disease is characterized by severe pain, burning and dryness of the oral mucosa. There is no plaque. Sometimes crusts form on the red border of the lips. The general condition is usually not affected. The taste may be distorted.

On examination, the mucous membrane is fiery red, dry, shiny. The filiform papillae of the tongue are atrophied.

Video: how to treat oral thrush

Chronic

Untreated acute processes can develop into chronic stomatitis. Symptoms are usually scarce.

Hyperplastic

The disease develops in people who take cytostatics, antibiotics, in patients with tuberculosis, blood diseases, and in HIV-infected people.

Upon examination, white plaques merging with each other are noticeable on the hyperemic mucous membrane. Over time, they flatten and become yellowish in color. Distributed throughout the mucous membrane, in the throat. When scraped, the plaque peels off heavily, leaving in place a hyperemic bleeding erosion.

Depending on the location of the lesion, candidal glossitis, cheilitis, angular cheilitis (seizures), palatinitis, and pareitis are distinguished. Patients complain of burning and dry mouth. If erosions are present, pain is noted.

Atrophic

Chronic atrophic candidiasis often occurs in people who wear removable laminar dentures.

Objectively, the mucous membrane under the dentures is hyperemic, swollen, and dry. Plaque can only be seen in deep folds and on the lateral surfaces of the tongue. Patients complain of dry mouth, burning and pain when wearing a prosthesis.

Diagnostics

The diagnosis is made based on the patient's typical complaints and clinical picture. Most often this is enough. In some cases, laboratory tests are necessary.

The diagnosis is confirmed when fungi of the genus Candida are detected in scrapings from the surface of the affected areas of the oral mucosa. Normally, Candida fungi are present in the oral cavity in small quantities.

On microscopic examination they are found in the form of single yeast-like cells. In case of candidal stomatitis, the test specimen reveals clusters of budding and non-budding cells, as well as thin, branching filaments of pseudomycelium.

In acute candidiasis, the scraping specimen is dominated by cellular forms, round and partially budding. In chronic cases, there are chains of rounded elongated budding cells and filaments of pseudomycelium.

The diagnosis of this disease can be confirmed by conducting an allergy test with the polysaccharide antigen of various fungi.

Photo: Threads of pseudomycedlia of the Candida fungus under a microscope

There is a rapid diagnostic method. To do this, incubate Candida fungi with epithelial cells in a ratio of 1:100 for 1.5-2 hours in a thermostat. With a concentration of 16 or more fungal cells on one epithelial cell, the diagnosis is confirmed.

In addition to these laboratory tests, general analysis and blood glucose may be required, as well as consultations with other specialists.

How to treat

Treatment involves:

complex etiotropic therapy of candidiasis,
concomitant diseases,
correction of the immune system,
improving oral hygiene,
symptomatic therapy.

Mild forms of candidiasis can be treated at home.

Drugs

To treat candidiasis, general and local medications are used. How to treat candidal stomatitis in a particular case is determined by a dentist, mycologist or infectious disease specialist.

For general treatment

General-action drugs are prescribed for chronic, erosive-ulcerative, granulomatous, hyperplastic candidiasis, which is combined with lesions of the skin and nails, as well as when local therapy is ineffective.

For treatment, fluconazole, intraconazole, ketonazole, and nystatin are used in tablet form for a course of 5-7 days.

Photo: Diflucan (fluconazole) and nystatin

To reduce dryness in the mouth and have a fungicidal effect, a 2-3% solution of potassium iodide is prescribed. Iodine stimulates salivation and also destroys fungus, released through the skin and mucous membranes.

Vitamins B, C and PP, calcium gluconate and iron supplements are prescribed as a general strengthening effect.

For local exposure

Drugs for local treatment of candidiasis are used in most cases. They are available in the form of rinses, ointments, gels, sprays, chewable tablets and caramels, and are divided into antimycotics and antiseptics.

Local polyene antimycotics include levorin, nystatin, and amphotericin. Imidazole drugs include econazole, clotrimazole, and miconazole.

Topical tablets should remain in the mouth for as long as possible, that is, they should be chewed and kept in the mouth. Gels and ointments work best in the form of applications. The course of therapy is 2-3 weeks.

Antiseptics for rinsing include a solution of potassium permanganate, boric acid and iodine water.

Photo: Potassium permanganate solution

Of the modern drugs that have a good effect: chlorhexidine bigluconate, Hexoral, suspensions of Levorin, Natamycin, Amphotericin.

You should rinse at least 3 times a day, after meals.

Folk remedies

Among folk remedies, the most effective and accessible are decoctions of herbs that have an astringent and anti-inflammatory effect. They can be used to rinse the mouth or use them as lotions.

Carrot, raspberry, cranberry and viburnum juice also work effectively as a rinse.

Applications with olive oil, rosehip and sea buckthorn oil quickly cure candidiasis, as they have wound-healing, anti-inflammatory and analgesic effects.

During the treatment of candidiasis, traditional medicine recommends eating onions, garlic, and spices, as they contain substances that inhibit the growth of the fungus.

Diet

A diet during oral candidiasis is needed to relieve pain, fight the fungus itself, and also to increase the body's defenses.

Basic principles of nutrition:

Eliminate or minimize the consumption of simple carbohydrates;
Avoid eating canned food, processed foods, fast food, and alcohol;
Avoid products containing yeast (bread, baked goods, beer);
Fill your diet with fermented milk products and foods containing fiber;
The basis of the diet is boiled meat, vegetables, legumes, cereals, stale bread.

Prevention

Prevention of candidal stomatitis involves avoiding factors that provoke the disease.

Important:

maintain the immune system at a high level;
take antibiotics rationally;
regularly brush your teeth and mouth;
undergo regular medical examinations, including dental ones;
avoid traumatizing the oral mucosa;
Keep your dentures clean and remove them at night.

To prevent oral candidiasis in patients with immunodeficiencies, antifungal drugs are prescribed.

To prevent fungal infection in newborns and children under one year old, mothers should adhere to the following principles:

treat candidiasis during pregnancy, especially in the last month;
regularly wash and sterilize baby bottles, nipples, pacifiers;
breastfeed your baby (strengthens the immune system);
Wipe nipples with a clean towel before each feeding.

Candidal stomatitis is a disease caused by the Candida fungus. This yeast-like fungus, along with other microorganisms, is present in small quantities on the oral mucosa of a healthy person.

Due to an imbalance in the body caused by various factors, the fungus begins to multiply rapidly, forming a white coating on the tongue, gums, and mucous membranes of the cheeks. Oral thrush is easy to treat, but if the immune system is weakened, the disease can return again and again.

If you find red sores or white plaque in your mouth, you should immediately consult a doctor.

Causes

Factors influencing the development of candidal stomatitis are:

weakened immune system;
allergy to a certain product (reduced immunity can affect the occurrence of allergies);
dysbacteriosis (for example, after long-term use of antibiotics);
severe diarrhea, resulting in dehydration;
lack of a balanced diet and, as a result, a lack of vitamins A, B, C, E;
hormonal changes in the body (for example, during pregnancy in women);
gingivitis, periodontitis, caries, tartar;
using toothpaste with SLS (sodium lauryl sulfate), designed to intensely freshen breath, but dehydrating the oral cavity (according to statistics, people who use toothpaste without SLS suffer from stomatitis less often);
nervous stress;
genetic predisposition;
long-term chemotherapy in connection with malignant tumors.

All of the above circumstances create a favorable atmosphere for the development of yeast-like fungi Candida in the oral cavity, since as a result of diseases there is an outflow of lymphocytes designed to fight a large number of foreign microorganisms and fungi.

Very often, candidiasis in the mouth is a consequence of thrush throughout the body or damage to the vaginal mucosa of a woman by this fungus.

A child can become infected with thrush through the mother due to poor hygiene or during childbirth as a result of passage through the birth canal.

Stages of the disease

Symptoms of candidal stomatitis - both in adults and children - appear in a staged sequence. The disease gradually progresses as a result of its late detection.

1st stage. The first sign of oral thrush is the appearance of red ulcers on the mucous membranes of the cheeks, tongue, gums, lips, tonsils, and palate. At this stage, it is very difficult to notice and diagnose the disease, and such symptoms may persist for a very long time.
2nd stage. A white cheesy coating appears at the sites of ulcers. If you try to scrape it off, red, painful wounds will form in this place. At this stage, thrush rarely occurs with an elevated temperature.
3rd stage. The white coating is difficult to scrape off, the wounds bleed. A very dangerous period in which, if infection gets into open wounds, bacterial stomatitis can form - a very serious disease, accompanied by an extremely painful course and high temperature.
4th stage. A severe form of candidiasis is accompanied by high fever and, in some cases, damage to the upper respiratory tract. These symptoms are especially dangerous for children.

It is important to know: candidal stomatitis is a contagious disease transmitted through kissing or sharing utensils.

In adults

Correct and timely diagnosis is the key to successful and rapid cure for candidal stomatitis.

Antifungal drugs are prescribed, such as " Pimafucin", "Fluconazole", "Nystatin", "Levorin", which are taken 4-7 times a day depending on the form of the disease. The course of treatment is from 5 to 20 days until the last signs of thrush disappear.

Locally, it is necessary to rinse or treat the mouth with the following drugs of your choice at least 6 times a day and after each meal:

soda solution (teaspoon per glass of water);
Candide solution;
gel "Pimafucin";
nystatin drops;
cream "Clotrimazole";
a solution of sodium borate in glycerin;
Lugol;
aniline dyes;
lotions with potassium permanganate 1 to 10,000;
spray "Paradontocide".

Oral candidiasis requires you to follow a diet. It is necessary to exclude fatty, sweet, flour foods, as they promote the growth of fungi.

Sour and spicy foods can overly irritate the oral mucosa, leading to new bleeding sores. During illness, the diet should consist of boiled, ground dishes.

It is important to know: after all the symptoms of candidiasis have disappeared, medications for internal use must be taken for another 2-3 days to avoid recurrence of the disease.

In some cases, the doctor prescribes a single dose of an antifungal drug every month to avoid relapse.

Besides, it is necessary to strengthen the body with general hardening, drink a complex of vitamins and minerals.

In children

Candidal stomatitis in children is symptomatically no different from the course of the disease in adults. The disease is complicated by the fact that a small child cannot explain what is bothering him, he becomes capricious, refuses to eat, and sleeps restlessly.

It is very important to take a responsible approach to the treatment of newborns, who are usually infected from the mother. Feeding your baby can be difficult due to painful sensations in the mouth during feeding. Inflammation can cause a burning sensation and dry mouth.

In mild forms of oral candidiasis, the temperature is unlikely, in rare cases it reaches no more than 38 degrees. The white coating gradually turns into a film. If a nursing mother detects thrush in a timely manner, infection of the baby can be avoided. The main signs of infection of the mother's nipples by the Candida fungus are:

redness,
itching sensation,
flaky skin,
pain when feeding,
tingling sensation in the chest area.

After eating, be sure to give the child a few sips of clean water, then treat the oral mucosa locally with antifungal drugs. Cleaning your child's mouth is not difficult if he can rinse it on his own.

If candidal stomatitis affects the baby, then it is necessary to treat the entire oral cavity with a cotton swab moistened with one of the selected antifungal solutions. You can wrap your finger in a bandage or use a cotton swab. The main thing is to make the baby worry less.

A spray with an antifungal effect, for example, Daktarin, can also solve the problem of treating a baby’s mouth. This unpleasant procedure must be carried out at least 3 times a day for 7-10 days as prescribed by a doctor.

Typically, the treatment period depends on the recovery time based on the calculation plus 2-3 days from the moment the last symptoms disappear. If an infant is ill, the breast or pacifier must be treated with a soda solution before each feeding.

Preparations that can be used to treat a child’s oral cavity

It is important to know: you should not treat your child’s oral cavity with brilliant green or hydrogen peroxide, as they can aggravate the disease. Honey is also ineffective for candidal stomatitis, since sweets promote the proliferation of fungi.

Additionally, drug treatment is prescribed. Previously, it was usually nystatin. Currently, doctors' opinions about him are divided. The instructions for the drug indicate that it is permissible to take it from the age of 3, but many pediatricians do not advise doing this.

Currently very popular " Pimafucin", "Diflucan", "Levoril".

If oral candidiasis is caused by long-term use of antibiotics, then probiotics are prescribed to normalize the intestines. If the functioning of the gastrointestinal tract is not normalized, the disease may soon recur. Good drugs are Biogaia, Linex, Bifiform.

It is important to know: no medicine will help if you do not give your child plenty of fluids! Orange juice, herbal teas, cranberry and lingonberry fruit drinks are no less important than tablets and local treatment of the oral cavity.

Diet during illness is a necessary measure for recovery. Food for a child should be tender, non-acidic, non-spicy, gentle on the delicate skin of the oral mucosa. It could be puree soups, omelettes, curds, pates and meat purees.

Fermented milk products are required in the diet, but it is better to abstain from milk for now. It’s also better to forget about sweets and candies for now, as sugar promotes the development of fungi.

Additionally, during treatment and a month after it, it is advisable to take immuno-strengthening drugs, for example, “ Imupret", "Immunal", "Imunorix" and others as prescribed by a doctor.

We bring to your attention a video with advice from a dentist, and you will learn what to do if you notice signs of stomatitis in a child:

Folk remedies

You need to be as careful with treatment with folk remedies as with medications, because many herbs and natural products can aggravate the disease. However, for the treatment of candidal stomatitis in children, folk remedies are safer.

Honey, which is not beneficial in this case, can be replaced by propolis solution, which is effective even for an infant. Cabbage juice, aloe can be used instead of pharmaceutical creams and gels, treating the oral cavity 5-7 times a day.

Herbal decoctions of chamomile, sage, calendula, yarrow, oak bark For many years they have been indispensable helpers against many diseases, and candidiasis in the mouth is no exception. Tea tree oil is an extremely effective Candida killer.

It is important to know: traditional methods can be an auxiliary or independent measure to combat oral thrush.

Folk remedies are designed to:

relieve burning and dry mouth,
numb,
eliminate inflammation,
cure,
improve your well-being.

Folk remedies are good not only for local processing, but also for internal use. Thus, onions and garlic contain phytoncides that kill fungus in the body.

Apple cider vinegar Although it has a strong taste, two teaspoons a day, diluted with water, destroys a fungal infection no worse than medications.

Yogurt is a natural probiotic that restores an unbalanced body, thereby treating the source of the disease.

What can you do at home?

Treatment of candidal stomatitis is usually carried out at home. An important rule is timely detection of the disease and intensive treatment of the oral cavity. You should also not skip taking medications after a certain amount of time.

In the treatment of oral candidiasis, the main thing is to be patient, and then the disease will recede. For complete recovery, it is recommended to take a single dose of the prescribed antifungal drug a month after the last medication intake to avoid recurrence.

At home, bed rest for thrush may not be necessary, but you should adhere to hygiene measures, ventilate the premises, and do wet cleaning. It is advisable to wash your child’s toys with warm soapy water and a disinfectant.

The patient's utensils used should be boiled. It is better to boil your toothbrush and replace it with a new one after recovery. It is also advisable to change hand towels more often than usual.

Prevention of disease

Prevention of candidal stomatitis is, first of all, compliance with basic hygiene rules: wash your hands before eating, wet clean the premises every three days. A nursing mother should wash her nipples before each baby's meal.

Children need to be outdoors more often and lead an active lifestyle. However, at playgrounds you should be especially attentive to children, because children's sandboxes are not sterile.

Nutrition for both adults and children must be balanced, which is a necessary condition for human health. You should not overindulge in sweets and starchy foods, but fermented milk products, fruits and vegetables should become the most essential food for every day.

Candidal stomatitis is an unpleasant, but not fatal disease that requires special attention. Candida lives in the intestines and oral cavity of a healthy person.

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When the balance of microflora in the mouth is disturbed, candidal stomatitis may appear; treatment of adults and children with this pathology has its own characteristics. In addition to local therapy, adults need to take antifungal drugs, since their disease is often systemic in nature.

What is it and what does it look like

About 30 types of microflora constantly live in the mouth, forming a biological balance - a balance of microflora, which is controlled by saliva. When the protective functions of saliva are weakened, the rapid development of opportunistic organisms begins - these include a fungus like Candida Albicans, which accounts for 95% of candidal diseases.

Conditions for the development of Candida fungus

Candida albicans- a yeast unicellular fungus, under normal conditions it is harmless and even beneficial: it decomposes dead tissue and prevents intoxication. If there are foci of inflammation and tissue necrosis in the body, this will give impetus to an increase in the fungal colony of Candida. The optimal temperature for the life of the fungus is 37°, the nutrient medium is glucose; Excess sugar in the body can provoke its rapid reproduction. Lactobacilli and bifidobacteria, on the contrary, inhibit the development of Candida; the deficiency of these bacteria or their destruction by antibiotics creates conditions for candidiasis - the so-called damage to the mucous membranes and skin by overgrown colonies of the fungus. Candidal stomatitis is an inflammation of the oral mucosa caused by the proliferation of Candida fungi.

Why is candidiasis called thrush?

Candidal stomatitis in children, like vaginal candidiasis in women, is often called thrush. Colonies of the fungus form a white coating on the mucous membrane, curdled plaques have a sour smell - all this is associated with fermented milk products. Rashes with stomatitis are localized on the inner surface of the oral cavity, on the tongue. Signs of candidal stomatitis in adults (pictured below): cheesy plaque, limited foci of inflammation, the presence of ulcers and erosions, - make it possible to differentiate the disease from tonsillitis and other non-fungal inflammations.

Types of candidal stomatitis and their symptoms

Thrush in the mouth is considered a childhood disease; in adults it occurs rarely, with a very weakened immune system. In children, oral candidiasis occurs in an acute form. The first symptoms of inflammation of the oral mucosa are characteristic of all types of stomatitis: pain when eating, burning on the tongue, the appearance of plaque on the mucous membrane, bleeding wounds that can be localized in any part of the oral cavity. There are several forms of candidal stomatitis.

Pseudomembranous form

Acute pseudomembranous candidiasis is a fungal infection, which is called “baby thrush”. The disease begins with glossitis - an inflammatory process on the tongue, which becomes dry and shiny, then a characteristic cheesy coating appears on it.

Infants become infected with the fungus when passing through the mother's birth canal or when hygiene rules are violated in the maternity hospital and after discharge from the hospital. Already in the first days of life, stomatitis takes on a total character: a white coating covers the entire inner surface of the mouth, bleeds and causes pain. The temperature rises, and there is a danger of intoxication and infection of the body through ulcers. Severe forms of candidiasis in infants must be treated inpatiently.

Most often, thrush occurs in children aged 2 months to 2-3 years. The main reason for its development is the loss of saliva’s bactericidal properties, dry mouth, infection of the oral mucosa with contaminated objects, dirty hands, and infection through kissing. The disease occurs in an acute form and develops quickly: the mucous membrane becomes bright red, white cheesy formations are clearly visible, under which painful ulcers form. The child loses his appetite, becomes irritable, and sleeps poorly.

The chronic form of pseudomembranous candidal stomatitis is observed in adults. The main reason for its development is a sharp weakening of the immune system, which can be caused by:

age-related changes;

HIV infection;

diabetes mellitus;

oncology;

severe chronic diseases;

long-term depression.

A feature of oral candidiasis in adults is the sluggish nature of the disease, its relapses, the spread of infection to the entire inner surface of the mouth, and then to the entire gastrointestinal tract. The white coating on the mucous membrane is difficult to remove; underneath there are bleeding ulcers.

Atrophic fungal stomatitis

Atrophic candidiasis develops in people who take hormonal drugs, antibiotics, and corticosteroids for a long time. Antibiotics destroy beneficial flora that inhibits the development of fungus. The abuse of toothpastes and elixirs has the same effect. Changes in the body's hormonal levels lead to a decrease in the amount of saliva. Its ability to regulate the balance of microflora in the mouth weakens, it ceases to inhibit the vital activity of pathogenic microorganisms. The proliferation of candida fungus causes acute atrophic candidiasis, in which the taste buds of the tongue atrophy. The pathology is manifested by the following symptoms:

dryness of the mucous membrane, due to lack of saliva it becomes shiny;

burning and severe pain, especially when eating;

hyperemia of the mucous membrane;

taste buds on the tongue atrophy, it acquires a bright crimson color;

the white coating characteristic of classic thrush is almost invisible;

Painful cracks and jams appear in the corners of the lips;

taste sensations weaken, a metallic taste appears in the mouth.

People who wear dentures and other orthodontic devices develop chronic atrophic candidiasis. Burning, dry mouth and pain become constant signs, there is no white coating, the reddened mucous membrane is covered with ulcers and bleeds. The photo illustrates the change in color of the tongue with atrophic stomatitis.

Hyperplastic form of candidiasis

With hyperplastic candidal stomatitis, colonies of fungi penetrate into the mucous membrane and form dense grayish or yellowish plaques on it, which are difficult to scrape off from the surface, exposing bleeding ulcers. This type of candidiasis primarily affects the gums and mucous membranes in the lip area; smokers, as well as patients with tuberculosis, diabetes, and AIDS are susceptible to it. Hyperplastic candidiasis is dangerous because it can degenerate into a malignant tumor.

How long does fungal stomatitis last?

The duration of the disease depends on the stage at which the fight against it begins, on the state of the patient’s immunity and on the correct treatment regimen. In its development, the inflammatory process goes through several stages.

The early stage lasts 4-8 days: single ulcers appear on the inner surface of the mouth, and the lymph nodes enlarge. The disease is difficult to diagnose at this time.

At the 2nd stage, a cheesy coating forms, which is easily scraped off, and the temperature rises slightly. Timely treatment at this stage will allow you to defeat the disease in 10-14 days.

At a late stage, a cheesy plaque covers the entire oral cavity, is difficult to remove, and bleeding wounds under the plaque are easily infected with bacteria. Candidiasis is complicated by bacterial stomatitis with high fever and prolonged treatment - up to 3-5 weeks.

With advanced candidiasis, the infection spreads to the pharynx, esophagus, and stomach. In that case treatment takes months.

In adults with immunity weakened by serious diseases, stomatitis becomes persistently recurrent; they have to take antifungal drugs constantly throughout their lives.

Treatment regimen for candidal stomatitis

Before treating thrush in a child or an adult, an accurate diagnosis of the disease is necessary, because pathologies in the oral cavity may not have a fungal etiology at all. With a child, it is enough to come to an appointment with a pediatrician; an adult needs to visit a dentist.

In children

Parents often think that they know very well how to treat thrush. After treating the oral cavity several times with a 2% soda solution (boric acid, a solution of aniline dyes), they remove plaque - a visible symptom of candidiasis. But the main reason why stomatitis occurs in children remains - drying out of the oral cavity and loss of bactericidal properties by saliva. It is not surprising that the disease returns again and again.

Successful treatment of infant thrush comes down to simple but very important rules:

To moisturize the oral cavity, give the child plenty of fluids;

monitor the air humidity in the room where he spends time;

If the temperature rises and there is difficulty breathing, do not allow the child’s mouth to dry out;

food should not injure the mucous membrane - give all dishes to the child in the form of purees;

The optimal food temperature is no higher than 30°.

After eating, be sure to rinse your child’s mouth so that no food remains in it.

If such rules are implemented, the child’s body will cope with Candida fungus better than any medicine. In childhood, it is not recommended to treat thrush with oral antimycotic drugs.

Treatment in adults

Treatment of fungal stomatitis in adults is carried out comprehensively. Various means are used to suppress fungal colonies.

Medicines

Antimycotics in tablets and capsules: Nystatin, Diflucan, Clotrimazone, etc. The course of treatment is no more than a week and should be under the supervision of a doctor, since many drugs have unwanted side effects. Women carrying a child should be especially careful. Only a doctor knows how to treat candidal stomatitis in pregnant women.

Treatment of lesions with creams, gels, ointments: Levorin ointment, Amphotericin, Hexoral - they destroy the fungus and anesthetize the mucous membrane. Solcoseryl paste helps restore damaged tissues. Ointments and gels are applied 2-3 times a day for 2 weeks.

Sanitation of the oral cavity with rinses - Chlorhexidine, Cholisal, Lugol, Iodinol, which have an antiseptic and anti-inflammatory effect. Dentures should also be treated with them.

To increase immunity, vitamin therapy is carried out, immunomodulators are used: Interferon, Viferon. At the same time, the underlying diseases that provoke the growth of fungal colonies are treated.

Diet

Diet is of great importance in the treatment of candidiasis in adults. Onion and garlic destroy the fungus. The following foods are prohibited: they serve as a breeding ground for Candida:

sweets, including honey;

yeast-based flour products;

foods and drinks prone to fermentation: wine, beer, grapes, dried fruits;

foods high in starch (potatoes, for example);

fermented dairy products;

Home Remedies

The most accessible home remedies against fungus are:

hydrogen peroxide: dissolve 30 g in a glass of water, rinse 3 times a day for no more than 5 days;

solution of soda and salt: 1 tsp each. for 150 ml of water, rinse 4 times a day;

sea buckthorn/rosehip oil: lubricate the sores 6 times a day;

aloe leaf paste: apply to erosion sites 3 times a day;

collection of medicinal herbs: chamomile, sage, celandine, string - take 1 tbsp of each herb. l., pour a glass of boiling water, leave and rinse your mouth.

It is important to understand that the childhood disease thrush appears in an adult for a reason. It may be a symptom of a serious malfunction in the body. Instead of self-medication, it is worth conducting a thorough diagnosis and taking your health seriously, relying on qualified help from specialists.

The oral cavity is rich in various microorganisms that can inhibit the growth and reproduction of yeast-like fungi of the genus Candida. But under certain conditions, a new type of pathogenic microflora can settle in the oral cavity, which leads to an imbalance, provoking the proliferation of fungal bacteria. Long-term use of antibiotics also contributes to the active growth of the fungus.

Features of candidal stomatitis

As noted earlier, candidal stomatitis (thrush) is a fungal disease. Candida always lives in the mouth of patients in small quantities, without causing discomfort to the body. But under provoking factors, the amount of fungus increases sharply, infecting the soft tissues of the oral cavity.

Candidal stomatitis in infants develops due to an incompletely formed mucous layer and immune system, the acidic environment of the oral cavity and dysbacteriosis. Also, the reason may be violation of hygiene standards by parents when they chew food for the child or lick a fallen pacifier.

A baby may be born with candidiasis. In this case, infection occurs when it passes through the birth canal infected with these fungal microorganisms.

In the adult population, this pathology develops when the body’s immune response decreases or long-term antibiotic therapy. Thrush often appears in people suffering from systemic chronic diseases. A larger percentage among the adult population is recorded in older people.

Forms of the disease

The presented disease is classified according to a number of characteristics. According to clinical and morphological characteristics there are:

pseudomembranous;
atrophic;
erosive;
hyperplastic form.

Along the flow they distinguish:

spicy;
chronic candidal stomatitis.

A chronic process develops when the initial stage of the disease is not treated in a timely manner. Patients complain of pain in the mouth and a burning sensation. The diet is disrupted due to pain in the throat when swallowing.

If you look at the mucous membrane of a patient with a chronic form of thrush, you will see that it is dry and thinned. Its color also changes: the mucous membrane acquires a bright red tint and pathological foci are formed on the surface, covered with a cheesy coating.

Acute candidal stomatitis affects only the tissues of the tongue. The mucous membrane becomes dry, a burning sensation, swelling and redness appear. The muscular organ of the oral cavity becomes limited in movement. In the acute stage there is no plaque yet.

Over time, spots appear on the surface of the tongue, covered with films, which gradually peel off, giving the organ an unaesthetic appearance. While eating or eating, a sharp pain attack may occur.

Causes

A number of reasons can provoke the development of candidal stomatitis. Most often these are systemic pathological processes, namely:

Weakening of the immune system. This usually occurs after systemic diseases, infectious processes, or in elderly patients.
Candidal stomatitis in children develops due to incomplete formation of the immune system. The disease is usually diagnosed in infants in the first two weeks of life.
HIV infection.
High blood sugar level in the patient.
Dry mouth, which develops as a result of impaired functioning of the salivary glands or Sjögren's disease.
Hormonal imbalance and pregnancy.
Poor level of oral hygiene.
Long-term use of antibacterial drugs or corticosteroids.

To reduce the likelihood of illness, you need to carry out daily and high-quality hygienic manipulations. In addition, it is necessary to undergo specialized examinations from time to time to identify systemic diseases.

Diagnosis and symptoms of candidal stomatitis

Diagnosis of the disease is based on the patient’s complaints, clinical manifestations on the tissues of the oral cavity, as well as on laboratory examination data.

The material for research is scraping from the surface of the tongue or cheeks. The number of yeast-like fungi should not exceed the following figure - 104 CFU/ml/gram.

When diagnosing candidal stomatitis, the symptoms indicating this disease depend on its degree.

With pseudomembranous candidal stomatitis, there are three stages of the disease: mild, moderate and severe. With a mild degree, the patient’s general condition does not suffer and he usually does not present any complaints other than plaque formation. The amount of deposits on the tongue at the initial stage is small and they are easily removed without leaving any affected areas.

Moderate severity is more difficult. Plaque covers a large surface of the oral mucosa. It has a gray-white color and is difficult to remove due to ingrowth into the mucous membrane.

If the plaque can be removed, the bleeding surface underneath is revealed. When palpating regional lymph nodes, they may appear enlarged and painful.

A severe degree leads to a significant deterioration in the patient’s general condition. The plaque takes on a dark shade, and bleeding surfaces – ulcers – are visible underneath it. Cracks form in the corners of the mouth - jams.

Regional lymph nodes are greatly enlarged and painful on palpation. This form of the pathological process requires constant monitoring, so treatment is best carried out in a specialized clinic while in a hospital.

The atrophic form of thrush develops during therapy with antibiotics or corticosteroids. Patients complain of pain, dryness of the mucous membranes of the oral cavity and burning sensation.

Examining the oral cavity, the dentist discovers a bright red mucous base. Plaque accumulates in greater quantities in the folds. The atrophic form of the disease often develops after injury to the soft tissues of the oral cavity by a poorly manufactured orthopedic device.

Atrophic and pseudomembranous pathological process is classified as an acute form of the disease.

The hyperplastic form is characterized by the accumulation of plaque on the back of the tongue and on the palatal surface. The plaque layer is very thick and hard. If thrush is left untreated, fibrin forms in the deposits, leading to crusting. They are tightly woven into the mucous membrane and the tissues underneath it. Removing the plaque becomes problematic and a bleeding wound always appears underneath it. Patients also experience dryness and burning in the mouth.

The erosive form is rare. It is diagnosed in patients with diabetic ketoacidosis, as well as in chronic candidiasis against the background of autoimmune polyendocrinopathy. This form, in addition to plaque, is characterized by a large number of eroded surfaces.

Symptoms of thrush in children are: restlessness, constant crying, complete refusal to breastfeed. Having examined the oral cavity of a sick baby, you can find areas on the tongue and the inner surface of the cheeks covered with a cheesy coating.

Treatment of candidal stomatitis in adults and children

Candidal stomatitis is treated with a standard method, which is aimed at destroying yeast fungi and preventing relapse of the disease. The causative agent of the disease is destroyed using local and systemic agents.

When diagnosed with candidal stomatitis, treatment of adults is carried out with local preparations in the form of ointments, solutions and sprays. These agents are used to treat the affected areas of the oral mucosa for 10 days. Nystatin and Clotrimazole give good clinical results.

In severe cases of the disease, accompanied by a deterioration in the patient’s general condition, antifungal drugs are prescribed in the form of tablets.

The course of treatment is one week. In addition, anti-inflammatory therapy is prescribed. To speed up recovery, you need to add to the prescribed course products that strengthen the immune system and vitamin complexes.

How to treat candidal stomatitis in children is determined by the pediatrician after a thorough examination of the baby. Typically the treatment regimen is as follows:

The use of boric acid (2% solution) or borax in glycerin (20%).
Products in the form of gels, ointments or solutions for local treatment of the oral cavity. These drugs include clotrimazole, nystatin or natamycin.
Vitamins of group A, sea buckthorn oil.

The course of treatment, depending on the clinical picture, can last 7-10 days. At the same time, you need to treat the baby’s oral cavity 5 times a day. The pediatrician, if necessary, prescribes medications to restore normal intestinal microflora, strengthen the immune system, and vitamin complexes.

Prevention

Prevention of disease in children directly depends on the responsibility of the mother. If a woman is diagnosed with vaginal candidiasis during pregnancy, the disease must be completely eradicated before the birth process begins.

Before breastfeeding, the mother is required to perform breast hygiene. When the baby begins to be accustomed to adult food, feeding should be done using clean and pre-boiled tableware.

Before going to bed, the baby needs to wipe the mouth with a gauze swab, and as baby teeth appear, purchase a silicone toothbrush (first a finger one, and then a standard one). You also need to protect your child from contact with children with oral thrush.

As for prevention in adults, it should be carried out in three directions:

Maintaining high-quality oral hygiene using basic and additional hygiene products.
Use of medications only according to a doctor’s prescription with strict adherence to dosage and course.
Conducting examinations for systemic diseases that can weaken the immune defense and their timely treatment.

With proper prevention, you may never find out about the unpleasant symptoms of thrush. But if, for any reason, the immune system has weakened and led to a massive proliferation of yeast-like fungi, you should not self-medicate.

You should immediately seek specialized help. Only after a laboratory test using the scraping method, after which the strain of the microorganism will be established, can you select a suitable active antifungal drug and eliminate the possibility of relapse.

Useful video: treatment of candidal stomatitis

Content

Unlike ordinary stomatitis, candidiasis is caused by fungi of the genus Candida. Along with a number of bacteria, this microorganism is present in small quantities in the human oral cavity. The fungus begins to actively multiply against the background of weakened immunity. A clear sign of this process is a white coating on the gums, tongue, and buccal mucosa. In this regard, oral candidiasis is also called thrush. The disease is typical for young children, but can also appear in adults. Regardless of age, treatment is carried out using antifungal drugs.

What is candidal stomatitis

Reasons

Oral candidiasis is caused by the yeast-like fungus Candida albicans. Its color is white, which is why the disease it causes is called thrush. Infection occurs through contact or through self-infection. The latter means that this fungus is opportunistic, since it is part of the natural microflora of the mucous membrane. This pathogen causes stomatitis only with weakened immunity and the action of a number of other provoking factors. These include:

incompletely formed mucous membrane of the intestinal tract and oral cavity in newborns;
intestinal dysbiosis;
excessive use of medicinal rinses, which causes dryness of the mucous membrane;
insufficient oral hygiene;
bad habits, including smoking;
constant exposure of the oral cavity to toxic and chemical substances such as benzene and pesticides;
pregnancy;
prolonged stress;
unbalanced diet;
failure to comply with hygiene rules when wearing dentures;
diabetes mellitus;
caries, gingivitis, tartar, periodontitis;
long-term uncontrolled use of oral contraceptives;
HIV and other immunodeficiency conditions.

Varieties

Candidiasis, or fungal stomatitis, is a typical “childhood” disease, which most often affects small and infant children. In adults, it can act as an independent pathology or a sign of other pathologies of internal organs or reduced immune activity. Depending on the degree of spread, fungal stomatitis is divided into the following types:

Atrophic candidiasis of the mouth. It begins with glossitis - inflammation of the tongue, in which it becomes as if “polished”. The reason is pathological atrophy of its receptor papillae (papillae linguales).
Granulomatous (hyperplastic) glossitis. With this form of stomatitis, the papillae do not atrophy, but hypertrophy, that is, they enlarge and become inflamed.
Scrotal tongue. Furrows and folds with plaque inside appear on its surface.
Cheilitis. This is candidiasis of the lips, which manifests itself in the form of jams and cracks in the corners of the mouth.

According to the nature of the course, candidiasis-type stomatitis is divided into acute and chronic. The first is characterized by pronounced symptoms, the second occurs in waves in the form of alternating periods of exacerbation and remission. Depending on the clinical and morphological signs, candidiasis of the oral cavity can be:

Pseudomembranous. Children often suffer from it, since the disease develops against the background of past infections and bronchitis.
Erosive. It is characterized by the appearance of small ulcers and erosions on the mucous membrane.
Hyperplastic. Accompanied by severe dry mouth, roughness of the epithelium of the tongue and the inside of the cheeks.
Atrophic. The affected area is the tongue, which is covered with a thick film. The cause is long-term use of corticosteroids or complex antibiotics.

Symptoms of candidal stomatitis

In general, oral thrush occurs like ordinary stomatitis, but manifests itself in the form of glossitis, cheilitis, and candidiasis. Symptoms are determined by the prevalence of the process, the patient’s health status and age. In young children, candidal stomatitis can be recognized by the following signs:

constant crying during meals, as this provokes pain in the child;
swelling of the mucous membrane;
problems swallowing food;
dyspepsia, abdominal pain;
white cheesy plaques in the mouth, on the tongue;
ulcers and erosions that appear after plaque removal;
loss of appetite, weight loss;
Candida infection in the nipples of a nursing woman.

Most of these signs are also characteristic of adults. Distinctive symptoms of oral candidiasis in older people are:

dry mouth;
pain when swallowing food;
bleeding of the mucous membrane when removing white cheesy plaque;
redness of the mouth;
burning in the mouth and larynx;
metallic taste in the mouth;
loss of taste when eating.

Complications

The chronic form of candidiasis of the oral cavity is especially difficult to treat. In general, such stomatitis does not pose a particular danger to people who do not have serious illnesses. In immunocompromised patients - HIV-infected, children under 1 year of age and the elderly - the pathological process can spread to the upper respiratory tract, and then to the esophagus, bronchi and lungs. Due to the addition of a bacterial infection, the development of sepsis - general blood infection - and even death is possible. Other complications of fungal stomatitis include:

disorders of taste perception;
purulent stomatitis;
candidiasis of the stomach, intestines;
candidal esophagitis;
weight loss;
defecation disorders, dyspepsia;
generalized candidiasis;
angina.

Diagnostics

The process of diagnosing candidal stomatitis is not difficult, since its characteristic symptoms are visually easy to recognize. The doctor studies the characteristics of plaque: spots, plaques, papules, open erosions. In addition to the initial examination, to confirm the disease, the specialist prescribes a number of procedures to the patient from the list:

Microscopic examination of an oral smear. Helps detect fungus under a microscope. Additionally, a study is carried out to determine the sensitivity of the fungus to certain drugs.
General blood test. Detects leukocytosis - an increase in the level of leukocytes, which indicates an inflammatory process in the body.
Serological study. More often prescribed to patients with a complicated medical history (HIV, tuberculosis, AIDS). The test detects the presence of antibodies to certain diseases.

Treatment of fungal stomatitis

If signs of fungal stomatitis appear in a child, you should consult a pediatrician. Adults need to go to an appointment with a local doctor. The therapist can refer you for consultation to specialized specialists, including an allergist, dentist, and immunologist. Treatment of the disease depends on its type and the degree of fungal infection. It is impossible to accurately describe a single treatment regimen, since candidal infection has a complex and variable development mechanism. The only common problems are those that are solved as treatment progresses:

suppression of fungal activity using antifungal drugs;
strengthening immunity;
pain relief, inflammation relief, allergy elimination;
treatment of concomitant diseases;
normalization of oral microflora.

An integral condition for the treatment of fungal stomatitis is nutritional correction. The diet is prescribed for both adults and children. It helps strengthen the immune system, which will provide the body with the strength to fight the fungus. To achieve this goal, the menu must include:

more fresh vegetables;
fermented milk products:
boiled meat;
legumes;
stale bread;
cereals

It is recommended to completely avoid sweets and baked goods. The ban is imposed on canned food, semi-finished products, mustard, ketchup, and alcohol. The food consumed should be warm so as not to irritate the oral mucosa. For the same reasons, it is better to eat more liquid dishes, giving up solid foods for a while. In addition to diet, the patient is prescribed drugs from the following groups:

Antifungal. This is part of etiotropic therapy, i.e., aimed at eliminating the source of the disease - opportunistic fungi. Antifungal drugs kill their cells and suppress reproduction. These include medications based on clotrimazole, miconazole, fluconazole, nystatin, and natamycin. They are available in the form of gels, ointments, tablets, and solutions. External forms are used to treat the oral mucosa. Tablets are taken if local treatment does not bring results.
Antihistamines. Candidiasis is often accompanied by allergies associated with the body's reaction to enzymes secreted by the fungus. Antihistamines reduce swelling and redness of the mucous membrane. Among such drugs, Tavegil, Suprastin, Claritin, Loratadine have good reviews.
Antiseptic. Presented in the form of solutions, which are used to sanitize the oral mucosa. This helps wash away the candida plaque from it. For this purpose, solutions of Yox, Miramistin, Rotokan are used.
Painkillers. They help relieve pain in the oral cavity so that a person can at least eat. Kamistad gel, Hexoral Tabs and Anestezin tablets, and Lidocaine Asept spray help cope with pain.
Anti-inflammatory. Help fight the growth of fungal spores and allow tissue to begin the repair process. Cameton spray, Cholisal or Actovegin gel, Eucalyptus M tablets have a good effect.
Accelerating healing. Severe discomfort during candidal infection of the mouth is caused by ulcers that form after removing the cheesy plaque from the mucous membrane. Drugs that help accelerate healing are prescribed after inflammation has been relieved and its foci have been removed. So, Solcoseryl paste, Propolis spray, Karotolin can stimulate regeneration.

In adults

The general treatment regimen is prescribed taking into account the severity of candidal stomatitis. At the initial stage, you can cope with the disease at home. The basis of therapy is special lozenges and mouth rinses. The following drugs are effective among them:

Mouth rinses from the Listerine line. These are products for comprehensive oral care. They have antibacterial and anti-inflammatory effects. By destroying the walls of bacteria, Listerine prevents microorganisms from attaching to the mucosa. To achieve the effect, you need to rinse your mouth twice a day, using 20 ml of solution. The course lasts until complete recovery.
Eludril. It has an antifungal effect and destroys gram-positive and gram-negative bacteria. Every day you need to rinse your mouth with this solution 3 times a day for the first week, 2 times for the second week. For the procedure, take 10–20 ml of Eludril and 100 ml of water.
Itrakon. Although it comes in tablet form, it is used at the early stage of a fungal infection. The daily dosage is 100 mg. Treatment is continued for 15 days. Itracon shows higher effectiveness with the simultaneous use of Listerine mouth rinses.

If the disease has taken a moderate or severe form, stronger drugs begin to be used. This treatment of candidal stomatitis in adults is carried out mainly by local means, but sometimes tablets are also used. The treatment regimen may include the following drugs:

Daktarin-gel. Destroys pathogenic bacteria and fungi, preventing them from multiplying. To achieve a lasting effect, you need to take ¼ spoon of gel 4 times a day. After a week, the dosage is halved, treatment is continued for another 14 days.
Nizoral. Available in tablet form. Their main effect is fungicidal, i.e., destroying fungal cells. The daily dosage is 200 mg. Treatment should be continued for at least 3 weeks, and then depending on the clinical picture.
Flucostat. For the treatment of mild forms, it is prescribed once, but for severe cases it is taken for 2–4 weeks, 50–100 mg daily. The drug has a pronounced antifungal effect. Against the background of HIV or AIDS, Flucostat is taken 150 mg every day for 2-3 months.

In children

After each feeding, the baby should be given some clean boiled water. After this, you can treat the oral mucosa with antiseptics:

Soda solution. Prepared from 1 glass of warm boiled water and 1 tsp. soda
Pimafucin or Clotrimazole ointment, Miramistin, Orasept or Livanol solution.
Cream-gels Kalgel, Kamistad, Candide. They additionally have an analgesic effect, which will help restore the child’s normal appetite.

It is not recommended to use brilliant green or hydrogen peroxide as antiseptics. They can only worsen the condition of the mucous membrane. Honey is also prohibited, since sweet foods contribute to the growth of the fungus. In addition to ointments, gels and solutions, it is allowed to use antiseptic sprays, for example, Daktarin. They irrigate the oral mucosa up to 3 times a day for 7–10 days. Children over 3 years old can be given Imudon or Faringosept lozenges. When treating fungal stomatitis in children, it is also necessary to adhere to the following principles:

Severe forms of candidiasis require the use of medications. Pimafucin is approved for children. Children are given 1 tablet per day for a week.
If the cause of candidiasis is long-term use of antibiotics, then the child must be given probiotics, for example, Bifiform, Linex or Biogaia.
An important condition for treatment is drinking plenty of fluids. In addition to clean water, it is useful to give your child cranberry and lingonberry fruit drinks, herbal teas and orange juice.
During treatment, food should include meat purees, pureed soups, omelettes, pates and curds.
During therapy and for a month after its completion, it is necessary to give the child immuno-strengthening drugs, for example, Imunorix, Imupret, Immunal. The dosage of the latter is: 1 ml 3 times a day – for children 1–6 years old, 1.5 ml with the same frequency – at the age of 6–12 years.

How to treat candidal stomatitis with folk remedies

Traditional medicine recipes are more preferable in the treatment of candidiasis, especially in young children. In dentistry, sea buckthorn and rosehip oil are successfully used to heal wounds and mouth ulcers. For applications and lubrication of inflammation, it is allowed to use a tincture of juniper shoots. You can rinse your mouth with cranberry or carrot juice. There are other effective folk recipes against oral candidiasis:

Crush a couple of cloves of garlic, add 1 tbsp. l. curdled milk. Rinse the oral mucosa with the resulting mixture. During the procedure, a strong burning sensation will be felt, but it will go away over time. Judging by the reviews, the symptoms of candidiasis disappear after the third procedure, i.e. after a day, but it is better to continue treatment for a couple more days.
Take one potato, peel, rinse, and grate. Take a spoonful of the resulting mush, put it in your mouth and hold it for about 5 minutes. Repeat these steps up to 2-3 times a day. Treatment is carried out until the wounds in the mouth disappear completely.
For 200 ml of water take 1 tsp. chamomile flowers. Boil, then leave for 3 hours. Add 1 tsp. boric acid solution. Use the decoction warm to rinse the mouth up to several times a day.
Pour 300 ml of water 1 tbsp. l. eryngium herb. Boil for 3 minutes, let sit for at least 2 hours. Rinse your mouth with the resulting solution every 2 hours.

Prevention

The main rule for the prevention of candidal stomatitis is compliance with the rules of hygiene. You need to wash your hands before eating and after going outside. The premises must be regularly wet cleaned. Breastfeeding women are advised to wash their nipples before each feeding. General rules of prevention include the following:

balanced diet;
active lifestyle;
moderate consumption of sweets;
adding fermented milk products, vegetables, fruits to the diet;
timely treatment of oral diseases;
competent use of antibiotics;
quitting smoking and alcohol;
undergoing vitamin therapy twice a year;
brushing teeth 2 times a day.