Oral Thrush in a Female Clinical Case Report by Jeannette Werle, CIHC, DH

Clinical Case Study

Author: J.Werle, CIHC, DH

Oral thrush in a female

Abstract:

Patient AB was diagnosed by a physician as having an oral fungal infection (known as oropharyngeal candidiasis). The white coating on the tongue only was thick and painful according to patient. The attending physician prescribed a 14-day course of Fluconazole and Clotrimazole troches. In addition, she was advised to stay away from all sugars. Few days after the start of her fungal treatment, AB developed a reaction to the fungal medications. The medications caused large blister inside of her lips and cheeks (buccal mucosa), and her hands manifested peeling of the skin between her finger and toes. The treating physician advised to stop all fungal medications, but no other medications were prescribed or follow up appointments offered.

After the first physician, AB decided to work with another doctor. This time a chiropractor. This practioner focus more on diet and large dosages of vitamin A, Undecylenic Acid and other herb supplements. AB had mild improvement, but mainly from the diet. She reacted to the Undecylenic Acid, but not as strongly as the first time with fungal supplement. Clinically her dentist found no signs of periodontal disease or any other dental problems.

Introduction

AB, a middle age female, seeking help for and oral fungal infection. The fungal infection on the tongue was clearly a thick coating with visible hypae in the back of the tongue. The symptoms of oral candida infection are cotton like feeling in the mouth, loss of taste and can be painful. Some risk factors among many are: diabetes, cancer, HIV, antibiotic use, autoimmune disorders and parasitic infections.

Case Description

A comprehensive health history review was taken along with past and present dietary review.

Chronology of Events from health history review:

• The year before the oral fungal infection manifested AB had been treated with multiple rounds of antibiotics (6). All antibiotics were prescribed within one year for recurrent bladder infection. The bladder samples were cultured most of the time. The results of the culture were often E. coli(Escherichia coli).  AB was told towards the end that the bacteria was probably resistant to the antibiotics.

• Over weight by 25 pounds per BMI chart.

• AB had a demanding job and stressful.

• Diet was from 75% home cooked foods. The other foods were from grab and go fast food places. Hidden fats and sugars were found in condiments used at home cooking too.

• The last physical pelvic exam AB had was done the year before the fungal oral infection. She was told her uterus was tilted forward, but no action needed to be taken unless she had problems. She did not understand the meaning of this statement neither it was explained to her.

• She had 4 pregnancies and 2 of them were difficult and delayed deliveries.

• Old blood Lab report showed ranges of blood glucose 108, but AB was never told that this ranges by the lab were marked in the prediabetic range.

The health coaching plan for AB was designed with many considerations in place and with her consent.

• The diet was modified to remove all fruits and sweet vegetables for a period of 30 days only. The selection of foods was paleo, SCD friendly, fermented foods and probiotics were added. Foods were reintroduced slowly again after 30 days.

• Drainage pathways were supported for the liver and kidneys, making sure that AB was eliminating waste daily.

• Carbon binders were added to bind toxins from bacterial and fungal infections.

• Daily physical activity was suggested 5 to 6 times per week gentle walking in nature.

• Life style modifications were introduced like not eating in the car while driving or watching TV. Deep belly breathing was introduced to help with high levels of stress at work.

• Golden seal herbal supplement was suggested twice daily to support fungal and bacterial overgrowth. Golden seal contains Berberine (see references). Along with addressing key nutrional deficiencies such as D3, Vitamin C, all B vitamins and adding foods rich in essential macro minerals.

• The client was seen twice a month for one hour each visit, and during these visits, the diet, life style changes, blocked negative beliefs were addressed in a supportive manner.

Discussion

• AB, lost a total of 25 pounds in 6 months. The hectic life style changed to a more self-care center style.

• Focus and individualized diet were tailored to meet AB’s needs. This gentle and steady approach reduced the oral fungal infection by at least 75% within 3 months and no infection by the 6 month mark. The over use of antibiotics caused an imbalance or dysbiosis of her gut. In addition, failure to provide AB with an explanation of the meaning of a tilted uterus lead to the constant bladder infections. The poor uterus support placement, pregnancies, with the loss of excessive body fat showed up as a slight prolapsed uterus which she brought to the attention of her gynecologist. Eventually she was referred to an urogynecologist for a surgical correction. Since then Ab has not had any bladder bacterial or fungal infections. A complete medical history review and updates are essential at improving total health or reversing disease as well as gynecological evaluation every year especially if the client or patients experience recurrent infections. Many tests are offered by the urogyencologist to investigate and correct the problems. The patient or client does not need to suffer!

References

1. Candida infections of the mouth and throat CDC-

https://www.cdc.gov/fungal/diseases/candidiasis/thrush/index.html

2. Oral Thrush Images-

https://phil.cdc.gov/details.aspx?pid=1217

3. Golden Seal-

https://www.nccih.nih.gov/health/goldenseal

4. Berberine-https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2410097/

5. What is a Urogynecologist? Pelvic floor dysfunction

https://www.drugwatch.com/transvaginal-mesh/urogynecologist/

6. Minimally Invasive Gynecology Surgery-Mayo Clinic

https://www.mayoclinic.org/departments-centers/minimally-invasive-gynecologic-surgery/overview/ovc-20424071


Clinical Case Reports are presented here with the permission of the clients. No personal or identifing information is ever published.