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Alternative Names Candidiasis - oral; Oral thrush; Fungal infection - mouth; Candide - oral Prevention If you have frequent outbreaks of thrush, your doctor may recommend taking antifungal medication on a regular basis to avoid recurrent infections. If an infant with thrush is breastfeeding, talk to your doctor about ways to prevent future infections, such as an antifungal medication. Sterilize or discard any pacifiers. For bottle-fed babies with thrush, discard the nipples and buy new ones as the baby's mouth begins to clear. To prevent spread of HIV infection, follow safe sex practices and universal precautions when working with blood products. References Kauffman CA. Candidiasis. In: Goldman L, Ausiello D, eds. Cecil Textbook of Medicine . 23rd ed. Philadelphia, Pa: Saunders; 2007:chap 359.
In the early 20th century, Swedish physician Henrik Sjögren (SHOW-gren) first described a group of women whose chronic arthritis was accompanied by dry eyes and dry mouth. Sjögren's syndrome (SS) can develop on its own (called “primary SS”) or as a complication of another autoimmune disorder (called “secondary SS”), most often lupus or rheumatoid arthritis. Symptoms vary in type and intensity, and serious complications are rare.
Sjögren's syndrome is an inflammatory disease with unknown cause that can affect many different parts of the body, but most often affects the tear and saliva glands. Patients with this condition may notice irritation, a gritty feeling, or painful burning in the eyes. Dry mouth or difficulty eating dry foods, and swelling of the glands around the face and neck. Some patients experience dryness of other mucous membranes (such as the nasal passages, throat, and vagina) and skin.
Most of the complica...
Alternative Names Vincent's stomatitis; Acute necrotizing ulcerative gingivitis Treatment The goals of treatment are to cure the infection and relieve symptoms. Your health care provider may prescribe antibiotics if you have a fever. Good oral hygiene is vital to the treatment of trench mouth. Brush and floss your teeth thoroughly as often as possible, at least twice a day and preferably after each meal and at bedtime. Salt water rinses (1/2 teaspoon of salt in 1 cup of water) may soothe sore gums. Hydrogen peroxide, used to rinse the gums, is often recommended to remove dead or dying gum tissue. Over-the-counter pain relievers (analgesics) may reduce your discomfort. Soothing rinses or coating agents may reduce pain, especially before eating. You may apply lidocaine to the gums for severe pain. You may be asked to visit a dentist or dental hygienist to have your teeth professionally cleaned and to have the plaque removed, once your gums feel less tender. You may need frequent dental cleanin...
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