Oral Candidiasis or Oral thrush occurs inside our mouth, and it is a kind of fungal infection caused by the Candida species of yeast which likes to invade the mucous membranes inside our mouth, and tongue is one of the most common areas where the Candida attacks. Candida is the normal inhabitant of our micro biota and almost 50% of the world’s population have Candida yeast inside them, but they are not considered harmful in small quantities, such a state mainly known as ‘carrier” state. But when the Candida albicans species of yeast starts proliferating at an abnormal rate due to various conditions inside the body, it becomes pathogenic and causes Candida on tongue and other areas of the mouth. Oral thrush mainly occurs in the very young ones or in the older age groups.
In 2014, a study of Oral Candidiasis was carried out in the ‘Journal of Oral and Maxillofacial Pathology’, which stated that the class of fungi commonly known as Candida has over a 150 species of yeasts. Its existence in the mucus membrane of the human body is nothing unnatural, but when there is a probable imbalance in the natural flora, it causes overgrowth of Candida albicans. The Candida thrush that occurs is a result of this fungal infection. The immune system of the body suffers as well during such an inflammation.
This overview clears the overall picture of how an imbalance of the microflora in the body can give rise to this terrible fungal infection, which can disrupt the immune system of the body badly. Although Candida albicans is a resident of the natural fauna and is present in the mucus membrane, when rightly triggered can overgrow and be the cause of Candida on tongue infection or oral thrush to be precise. Having oral Candida can also indicate that one has Candida overgrowth within their body as well.
Causes of Oral Yeast Infection:
Candida on tongue or in other areas of the body can occur when the Candida fungus takes advantage of any abnormal situations inside the host’s body. For example, if the person consumes antibiotics, those medicines can kill the healthy bacteria inside the gut and mouth, and with a lack of healthily bacteria there is nothing to combat the yeast that keeps their growth under control. In case of any other oral disease, sometimes extra keratin is produced in lining areas on the mouth, which also causes Candida yeast to grow very fast.
The people who have suppressed immune systems are more likely to catch Candida on tongue. People who take drugs that are of cortisone type have suppressed immune system. Patients of diabetes also develop Candida on tongue easily.
Signs and Symptoms of Candida In Mouth:
Often the patients feel burning and a painful sensation inside the mouth.
In the corner of the mouth, cracks occur.
Inside the mouth the throat becomes red and swelling also takes place.
Plaques gather inside the mouth and on the tongue which can be wiped, but it leaves behind pain and redness. Moreover sometimes blood also oozes out.
There is a complete loss of taste and it gives the person a bad breath and an unpleasant taste.
Sometimes it also feels that a boiling hot liquid has been poured inside the mouth in some acute cases.
Sometimes in case of Candida on tongue blisters occur. This actually indicates a condition of raised pseudo-membranes.
Swallowing foods becomes difficult for some patients when the infection spreads to the oesophagus and oropharynx.
The voice becomes hoarse.
The most characteristic symptom of having yeast infection in mouth is the existence of slightly elevated lesions, creamy or milky white in color, on the tongue and the inside of the cheek. However, more such lesions can also occur on the mouth roof, in addition to, the gums and the tonsils. The lesions can be painful to touch, and can bleed slightly if scraped by the teeth or with the toothbrush while brushing. Moreover, there will be quite a bit of redness and soreness in the oral cavity, which can make eating and drinking quite a task, while there might even be a cottony taste or loss of taste in general inside the mouth. Finally, redness at the corners of the mouth, and cracking can be present, especially among the dentures wearers.
Yeast infection in throat can present it’s own set of symptoms which include pain and discomfort while trying to swallow. Moreover, if the infection spreads downwards through the esophagus or the food pipe, then it can give off a sensation of food being stuck there all the time. In addition to that, any yeast infection that has spread to the throat region and downwards through the esophagus poses a real enough threat of spreading to vital organs such as the digestive tracts, heart, lungs, kidneys, and brain, especially in case of people having impaired immune function.
Treatment of Candida on Tongue:
In the very beginning of the treatment, it is very important to clinically test for Candida, and many doctors first take some scrapings from the tongue to do the necessary tests for confirming if it’s the Candida species that is actually present inside the mouth or something else.
For treating Candida on tongue, there are various home remedies and anti-fungal medicines that are available. Medicines in the form of pills are swallowed directly with water and are taken daily. Moreover some medicines are available as lozenges, or easily dissolvable tablets that melt in the mouth easily and some can be taken 4 to 5 times in a day. People wearing complete upper and lower dentures must ensure they soak them throughout the night, every night, in a glass of water with a denture cleaning tablet dissolved inside. Before soaking the dentures, any food particles should be washed away under the tap water by hand.
An article published in 2007 states that a study was conducted to find if probiotic is helpful in controlling Candida in the elderly. This randomized trial consisted of 276 elderly people observed for 16 weeks. A 32% reduction was observed in the probiotic group consisting of 136 subjects. This suggested that probiotic does help with in reducing oral Candida.
This study is a proof in itself that suggests that Candida on tongue can be reduced significantly with the help of probiotics, but this can also be a good method for control and prevention of further outbreaks of Candida infection. Probiotics work by replenishing the beneficial bacteria in the body which prevent Candida overgrowth to occur.
Apart from taking probiotics, one may also take some apple cider vinegar for treating oral Candida. This can be done by mixing 2 tablespoons of apple cider vinegar into a glass of water, then sipping this solution a little throughout the day.
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– Oral Candidiasis – Journal of Oral and Maxillofacial Pathology – 2014 – By Arun Singh, Renuka Verma and Aditi Murari
– Probiotics reduce the prevalence of Candida – Journal of Dental Research – 2007 – By Hatakka K, Ahola AJ, Yli-Knuuttila H and Richardson M
– Oral Candida Carriage & Antifungal Susceptibility in Patients
Book By: Wan Syasliza Binti Mohamed Thani
– Fungal Immunology
Book By: Paul L. Fidel & Gary B. Huffnagle
– Candida Adherence to Epithelial Cells
Book By: Mahmoud A. Ghannoum & Samir S. Radwan
– Oral and Maxillofacial Medicine,The Basis of Diagnosis and …
Book By: Crispian Scully
– Interface Oral Health Science 2007
Book By: M. Watanabe & O. Okuno
– Oral Candidosis: Physiopathology
Book By: Edvaldo Antonio Ribeiro Rosa