Candidal bowel. The main methods of treatment of intestinal candidiasis. Causes of development and clinical manifestations

Candidiasis is a serious problem of the 21st century. candida fungus, disease-causing, affects the skin, mucous membranes and even internal organs. The primary localization of the fungus is the intestines.

Here he can live normally, without causing disease. From the intestines, the fungus enters the skin, mucous membranes of the genital organs, and is also absorbed into the bloodstream and spreads throughout the body, affecting the internal organs.

Every year the number of patients with intestinal candidiasis increases. This is due to the widespread use of antibiotics, hormonal drugs, oncological and allergic diseases and the state of the immune system.

A difficult problem is the treatment of intestinal candidiasis. An increasing number of therapy-resistant fungi are emerging. As a rule, candidiasis develops against the background of other diseases, if they are not established and treated, then it is difficult to get rid of the fungus.

The Candida fungus normally coexists alongside the normal intestinal microflora. Under certain conditions, it begins to multiply and cause a disease - candidiasis.

The fungus loves high humidity, temperatures 21-40 ºС, and pH 6-6.5. Candida can exist in the form of blastospores - these are young cells of a round or oval shape.

When hit in favorable conditions the fungus begins to bud intensively, while forming a chain - pseudomycelium.

After candida enters the intestine or oral cavity, the fungus attaches to the epithelium - adhesion. This is due to the special adhesion factors of the fungus.

Candida prefers layered for attachment squamous epithelium. Therefore, the favorite localization of the fungus is the oral cavity and esophagus. But there is candidiasis of the stomach and intestines, where a single-row cylindrical epithelium is located.

After adhesion of candida to the epithelium, it begins to actively multiply. Fungus builds up. But this process is normally prevented by the protective factors of the body in general and the intestines in particular. If a defense mechanisms strong, the body can heal itself.

The fungus can coexist for some time with normal microflora and be present in small quantities. However, do not call painful manifestations. This is a bacterium.

In the event of a violation of protection, Candida multiplies in the intestine and the fungal mass accumulates. At the same time, toxins, the waste products of the fungus, are actively absorbed into the blood, cause intoxication and allergization of the body, and oligosaccharides, which are part of the cell wall of the pathogen, disrupt the work of protective factors. immune system. This form of existence of the fungus in the intestines is called non-invasive candidiasis.

With a significant suppression of immunity, invasion (penetration) of candida into the thickness of the epithelium, as well as into the mucosal lamina propria, occurs. In this case, enzymes are released that destroy host tissues. Invasive intestinal candidiasis develops. Next on blood vessels the fungus spreads throughout the body and penetrates into the internal organs: the liver, heart, lungs, pancreas, etc., where it begins to multiply. This is visceral candidiasis.

The intestine always serves as a source of distribution of fungi to other organs. In the vagina, on the skin, internal organs, fungi enter from the intestines.

How does the body protect itself from a fungal infection?

Integrity of the intestinal mucosa, regeneration (recovery) of the epithelium when it is damaged.
acidic environment of the stomach.
Mucus in the intestines (mucin) digestive enzymes, lysozyme, transferrin, IgA.
Maintaining normal intestinal microflora is the best remedy for fungus. Lacto- and bifidobacteria compete for nutrients, release substances toxic to the fungus.
Intestinal peristalsis.
Phagocytosis. The absorption of the fungus by cells of the immune system (macrophages and neutrophils) with its subsequent destruction and activation of other factors of the immune system.
Specific sustainability factors: cellular immunity: T-lymphocytes that directly destroy the fungus, and also activate phagocytosis, synthesize interferon, humoral immunity. B-lymphocytes synthesize immunoglobulins that bind to the fungus and disrupt its ability to attach to the cell wall.

Thrush in the intestines develops when the work of protective mechanisms is disrupted.

This happens when:

1. Violation of the integrity of the mucous membranes:

in the oral cavity when wearing dentures; injuries; other diseases, for example, lichen planus;
in the esophagus with burns, with the introduction of a probe;
in the stomach and intestines with the formation of ulcers and erosions;
extensive burns and injuries of any localization.

2. Diseases of the esophagus, stomach, intestines: atrophic gastritis, reflux disease, achalasia, polliposis, esophageal diverticulum, enterocolitis, Crohn's disease, irritable bowel syndrome, dysbiosis.

3. Physiological immunodeficiency:

stress;
pregnancy;
the neonatal period (especially in premature babies);
old age: aging of the immune system, accompanying illnesses.

4. Reduced immunity in diseases:

liver: cirrhosis, hepatitis;
oncological diseases and the medicine prescribed for this: cytostatics, radiation therapy, hormones;
blood diseases: a decrease in neutrophils - blood cells responsible for phagocytosis, anemia - a decrease in hemoglobin;
diseases endocrine system(diabetes mellitus, thyroid pathology);
AIDS, HIV infection;
organ and tissue transplant operations;
autoimmune and allergic diseases ( rheumatoid arthritis, glomerulonephritis, bronchial asthma especially against the background of glucocorticosteroids. When using hormonal inhalers, small particles of hormones stick to the pharyngeal wall and are swallowed);
violations of the composition of the normal intestinal microflora against the background of taking antibiotics;
eating disorders, including fasting to reduce weight;
alcoholism, smoking, drug addiction;
vitamin deficiency.

Classification of intestinal candidiasis

Intestinal candidiasis is invasive when the fungus invades the intestinal wall and non-invasive - it multiplies in the intestinal lumen. Invasive candidiasis, in turn, is divided into diffuse and focal - candida is introduced into the intestinal wall at the site pre-existing gastric or intestinal ulcers:

Oropharyngeal candidiasis (cheilitis, gingivitis, seizures, glossitis, stomatitis, pharyngitis).
Candidiasis of the esophagus.
Candidiasis of the stomach.
intestinal candidiasis.
anorectal candidiasis.

Symptoms of intestinal candidiasis in women are often combined with symptoms of vulvovaginal candidiasis - lesions of the vagina and vulva.

With the defeat of the oral cavity against the background of the red inflamed mucous membrane of the tongue, cheeks, gums, white plaque and films form. Esophageal candidiasis often occurs against the background of damage to the mucous membrane of the esophagus with burns, narrowing, polyps, ulcers.

Patients are concerned about:

violation of swallowing and difficulty in swallowing liquid and solid food;
burning sensation when swallowing;
regurgitation;
nausea and vomiting with the release of films;
salivation;
in some cases, there may be no symptoms.

The acidic environment in the stomach normally prevents the development of a fungal infection. But, with chronic gastritis, stomach ulcers, secretory activity decreases, and conditions are created for the reproduction of candida.

"The Brewery Syndrome". When eaten a large number sugar (chocolate, flour products) the fungus ferments it and wine alcohol is formed, which is then absorbed into the bloodstream and causes intoxication.

Intestinal candidiasis may trigger antibiotic treatment peptic ulcer stomach caused by the bacterium Helicobacter pylori.

invasive intestinal candidiasis can be focal or diffuse. With focal invasive candidiasis, the fungus invades the intestinal wall in the area of its defect (ulcer, erosion). It develops against the background of gastric ulcer and duodenum, nonspecific ulcerative colitis.

In the area of the wall defect (ulcer), filaments of mycelium of the fungus are found. They are not found in other areas. The symptoms correspond to those of the underlying disease.

Diffuse invasive candidiasis often develops in malnourished cancer patients, with severe immunodeficiencies, with AIDS. It shows up:

severe intoxication;
severe pain in the abdomen;
diarrhea
an admixture of blood in the stool;
combined with fungal infection of other organs: lungs, skin, liver, spleen.

With non-invasive intestinal candidiasis, when fungi multiply in the lumen of the organ appears:

moderate intoxication;
intestinal discomfort;
increased gas formation;
mushy stools 2 or more times a day;
tendency to exacerbate allergic diseases.

Intestinal candidiasis is often affected gallbladder, especially against the background of his diseases: cholelithiasis, cholecystitis.

The skin of the perineum around the anus and the rectum are affected.

Worry:

itching and burning on the skin around the anus;
the skin is red with a clear border, with peeling, erosion and cracks;
pain and bloating;
frequent watery stools mixed with blood and mucus.

Extraintestinal manifestations of intestinal candidiasis

When allergic exposure affects the skin, lungs, eyes. At the same time, they can develop the following diseases:

chronic urticaria;
atopic dermatitis;
eczema;
bronchial asthma;
damage to cells and tissues of one's own body with the development of autoimmune diseases.

With the toxic effects of candida in the intestines, the intestinal toxin is absorbed into the blood. Candida fungus increases the permeability of the intestinal wall for toxins and waste products of microorganisms. It is manifested by intoxication and skin lesions - toxicoderma.

With immunosuppressive effects, immunity decreases. Flora from the intestine enters the lymph nodes, and then to the liver, spleen, lungs and other organs, causing their diseases. One of the manifestations of immunosuppressive action is chronic fatigue syndrome.

Complications of candidiasis

Intestinal candidiasis is not harmless disease, his the consequences can be very serious:

Perforation of the intestine with the development of fecal peritonitis.
Bleeding.
Penetration of ulcers into neighboring organs, i.e. ingrowth of ulcers in the liver, pancreas, etc.
Visceral candidiasis - damage to internal organs.
fungal sepsis.

Diagnosis of candidiasis

Identification of risk factors for the development of candidiasis and chronic diseases stomach and intestines.
Fibrogastroduadenoscopy: endoscopic examination of the stomach and duodenum and colonoscopy - examination of the large intestine. In this case, the doctor may suspect candidiasis by a specific picture. From the most suspicious places, material is taken for microscopy and inoculation on a nutrient medium and histological examination.
Radiography of the stomach, intestines.
Microscopy and sowing on a nutrient medium is subjected to swabs from the oral cavity, the contents of the stomach, feces. Upon receipt of the growth of fungi, their number is determined and correlated with the patient's complaints. Upon receipt of the growth of fungal colonies, the attending physician will prescribe therapy taking into account sensitivity to antifungal drugs. Since fungi can be part of the normal microflora, the presence of candida in feces is not a 100% indication for therapy. The detection of more than 1000 colony-forming units per gram of feces is evidence in favor of intestinal candidiasis.
Examine the blood for the presence of specific antibodies.
Histological and cytological examination tissues taken during endoscopic examinations. Preparations for microscopy are prepared from pieces of tissue, stained and examined under a microscope.

For the treatment of intestinal candidiasis You need to complete 6 tasks:

1.Destroy the fungus. For this, antimycotics are prescribed.

These include:

polyene antibiotics: nystatin, natamycin, amphotericin B;
azoles: itraconazole, butoconazole, miconazole, econazole, fluconazole;
ichinocandins: caspofungin.

In addition, all drugs for the treatment of candidiasis are divided into:

systemic action. They are absorbed into the blood and have more side effects, but they are able to destroy the fungus not only in the intestines, but also on the mucous membranes, skin, and internal organs;
local action. They destroy the fungus directly in the intestines and do not have a systemic effect on the body. These are nystatin, natamycin, amphotericin B.

2.Destroy the fungus in the intestines, not all.

To prevent recurrence, it is necessary to find out the cause of the development of intestinal candidiasis. These can be intestinal diseases, metabolic disorders, hormonal balance. Occupational hazards. For example, people working in the food industry are susceptible to candidiasis.

In some cases, this requires additional examination. Without identifying and correcting the underlying disease, the symptoms of candidiasis may return.

3. Diet. The predominance of fruits and vegetables in the diet helps to maintain a balance of normal intestinal microflora and reduces the amount yeast-like fungi. Fats and carbohydrates, on the contrary, stimulate the growth and reproduction of fungi. Therefore, in countries where the diet is dominated by fruits and vegetables, intestinal candidiasis is less common.

It is especially important to eat fruits and vegetables after and while taking antibiotics.

4.Restoration of normal intestinal microflora. For this, eubiotics and probiotics are used. They contain nutrients that promote the growth of the normal microflora of lactobacilli and (or) bifidobacteria.

5. Immunomodulatory therapy. It is necessary to activate the body's defenses to fight the fungus, especially in cases of immunodeficiency.

6. In some cases, in order to improve the patient's condition, symptomatic therapy. Antispasmodics for severe abdominal pain, enzymes for indigestion, motility stimulants, etc.

To the question of how to treat intestinal candidiasis, the answer is unequivocal - in a complex, under the guidance of a doctor, with individual approach. This should take into account concomitant diseases, the localization of candidiasis and the sensitivity of the fungus to therapy.

The name of the disease sounds somewhat intimidating. This is not at all surprising, only when faced with a disease one on one, a person begins to think deeply about the meaning of the name, looking for ways to recover. Among the many types of candidiasis, intestinal candidiasis is very common. Just before considering the disease itself, the methods of its treatment need to be understood what candidiasis is.

With candidiasis, the skin, mucous membranes, and internal organs are affected by an infection in the form of yeast-like fungi that belong to the genus Candida. When the infection enters the body, the development of the pathological process begins in the gastrointestinal tract, then the mucous membranes, bronchi, parenchymal organs. In the body of each person there are conditionally pathogenic microorganisms, that is, Candida yeast-like fungi, the reproduction of which is facilitated by some unfavorable factors and the environment.

As already mentioned, the Candida fungus is part of the When in the intestines occur various violations, provoked by any disease, there is an active reproduction of the fungus, which cannot be prevented beneficial bacteria. As a result, intestinal candidiasis begins to develop. It should also be said that candidiasis is also known as thrush, it is often confused with venereal diseases. But this is not so, because venereal diseases affect only the human genital organs, and candidiasis affects the skin, nail plates, oral cavity, mucous membranes, organs, and the gastrointestinal tract.

What causes Candida to grow in the gut?

To avoid the development of intestinal candidiasis, you need to know what factors cause the disease. Only in this way, it is possible to partially avoid the risk of falling ill with such unpleasant illness. The intestinal mucosa is affected by:

when the endocrine system fails, for example, when diabetes, tumors of the adrenal glands;
at various diseases and pathologies of the gastrointestinal tract;
in case of immunodeficiency caused by pregnancy, stress, nervous tension, depression, others
physiological and psycho-emotional factors;
when the patient has tumors;
when there is a violation of the process of hematopoiesis;
in the presence of HIV infections in the body;
with autoimmune and allergic diseases requiring treatment with glucocorticosteroid drugs.

In addition to the main factors causing development intestinal candidiasis, you can get sick even if failed attempt self-treatment of simple infectious diseases with unknown drugs. For example, many believe that taking a couple of times you can very quickly recover from a particular disease. But at the same time, they forget that an antibiotic is not the solution to all problems, sometimes for recovery, it is enough to take an ordinary safer pill.

The abuse of antibiotics disrupts the normal intestinal microflora and contributes to the development of intestinal candidiasis.

In addition, the disease can develop from excessive alcohol consumption, lack of daily diet protein nutrition, irregular meals. In order to avoid this disease you need to eat right, while the food should be nutritious and rich useful vitamins and micronutrients.

Forms and symptoms of the disease

Intestinal candidiasis can take different forms, depending on the cause that caused the active reproduction of the fungus. Among all forms, candidiasis dysbiosis is more commonly affected, which is known as non-invasive candidiasis. This form of the disease is expressed by damage to the intestinal mucosa. It occurs through the active reproduction and growth of the Candida fungus or if the patient suffers from individual hypersensitivity. The form of fecal candidiasis never develops as an independent disease. It occurs as a complication of peptic ulcer disease.

The most complex and rare species is the diffuse or invasive form. As it develops, the patient experiences liquid stool, in which there are traces of blood, erosive pseudomembranous colitis. This form usually develops in HIV-infected patients and those suffering from oncological diseases. It can develop in people who regularly use glucocorticosteroid drugs, immunosuppressants and cytostatics. The main symptoms of intestinal candidiasis:

pain, aching in nature, which is felt in the lower abdomen and stomach;
stools mixed with blood, mucus, sometimes white cottage cheese discharge;
the patient loses his appetite;
bloating, feeling of heaviness, increased gas formation;
painful defecation process, which is accompanied by discomfort.

If a patient turns to a gastroenterologist, he will almost immediately recognize the disease, since he is characterized by signs that other even closely similar diseases do not have. The first thing that indicates intestinal candidiasis is diarrhea, frequent urge to defecate, which are accompanied by the release of liquid feces. In addition to the whole patient for a long time does not let go of the feeling incomplete emptying bowels and heaviness in the abdomen. Also, at the doctor's appointment, the patient complains of increased gas formation, bouts of abdominal pain, which occur unexpectedly and are greatly aggravated after each meal.

To accompanying symptoms candidiasis include rashes on the skin, almost all over the body, acne and pimples appear on the face. Often there is the development of urticaria and dermatitis skin. Sick apart visible symptoms suffering general weakness, fatigue, he is overcome by causeless drowsiness, or vice versa, insomnia, he feels constant irritability becomes nervous.

Methods of diagnosis and treatment

Despite the fact that a gastroenterologist can make a correct diagnosis of the disease from the patient’s words, his sensations and symptoms alone, diagnostic procedures will help prescribe the exact treatment, based on the results of research and the patient's condition. Thus, the doctor prescribes:

a blood test that can be used to determine the amount of Candida fungus and immunoglobulins. If a large number of immunoglobulins are found in the blood, then the fungus is actively multiplying and the disease is developing;
bacteriological examination of feces. This analysis will allow you to determine the type of pathogen and its degree of sensitivity to antifungal drugs;
urine test for dysbacteriosis. With the help of this test, the product of the vital activity of the fungus is determined.

After a thorough study of all the tests, the patient's condition, the doctor draws up a treatment regimen that will help restore the normal state of the intestinal microflora and eliminate the symptoms of the disease. Treatment of intestinal candidiasis is carried out by several methods:

the first is antifungal therapy, with the help of which the vital activity of pathogenic and opportunistic Candida fungi is suppressed;
second - complex therapy, with the help of which the work of the intestine and microflora is normalized, bacterial microbiocenosis is restored, immunity is strengthened;
the third is drawing up and following a diet that will restore work digestive tract.

Antifungal drugs are prescribed when the clinical picture of the disease is clearly expressed and there is an increased reproduction of the fungus. Antimycotics are prescribed taking into account the results of ongoing research and analysis. Non-invasive candidiasis requires antifungal drugs that act directly in the intestinal lumen but are not absorbed into the bloodstream or act systemically. Depending on the situation, the doctor may prescribe Natamycin, Levorin, polyene antimycotics, Nystatin. Resorptive drugs adsorbed in the systemic circulation effective treatment diffuse candidiasis. In some cases, antibacterial drugs are prescribed that inhibit the activity of fungi in the intestinal microflora.

Intestinal candidiasis - common infection, called opportunistic microbes. namely mushrooms. genus Candida. healthy body usually not susceptible to these pathogens. However, when the immune system is weakened, fungi begin to multiply intensively, affecting various parts of the gastrointestinal tract, as, in fact, the intestine itself. Most often, intestinal candidiasis occurs due to uncontrolled, independent (without a doctor's prescription) taking antibiotics.

Some people treat any, even a minor illness, like a runny nose, with antibacterial drugs, killing beneficial microflora intestines. Due to the unreasonable intake of antibiotics by a nursing mother, intestinal candidiasis occurs in infants. Although, of course, there are other reasons for the pathological activity of Candida fungi.

What disorders cause Candida fungi in the intestines, what is the treatment for them, what are the symptoms of candidiasis? Let's talk about it today:

How are candida fungi detected in the intestines? Symptoms pointing to them

The manifestations of the disease differ in each case and depend on the localization, degree infection. Among the common characteristic symptoms distinguish the following:

Feeling of incomplete emptying of the bowels after a bowel movement;
- frequent urge to go to the toilet "for the most part", especially in the morning;
- increased gas formation, seething, diarrhea, especially after eating;
- negative sensations in the stomach;
- skin rash on the skin of the face, back - acne, acne, urticaria;
- irritability, decreased activity, weakness, fatigue, drowsiness.

The severity of these symptoms may vary, supplemented, depending on the form of the disease. Particularly in severe diffuse form invasive candidiasis, which occurs with an immunological deficiency, the symptoms are intense. Symptoms of non-invasive intestinal candidiasis are usually mild form intestinal dyspepsia without requiring any special treatment.

Treatment for candida fungi in the intestines

The treatment of this disease is always complex. The patient is prescribed funds to strengthen the immune system, antimycotic drugs, drugs to restore the intestinal microflora. After the complete examination prescribe etiotropic treatment.

With a non-invasive form of candidiasis, antifungal drugs are prescribed: Levorin, Netamycin. Highly good drug of this group - Pimafucin, which acts against a large number of yeast fungi, is more effective than, for example, the same Nystantin. The drug acts only in the intestines, not absorbed into the blood.

If an invasive form is diagnosed, drugs such as Fluconazole, Ketocanosole, Intraconosole are used in the treatment.

Alternative treatment for candida fungi

Folk methods and remedies do an excellent job of treating this disease, eliminating the main symptoms. However, they are best used in addition to the main treatment.

With intestinal candidiasis, traditional medicine recommends taking Kuril tea, a decoction of burdock root or oak bark. An excellent decoction of the root of the burnet has proven itself.
To prepare, pour in a small saucepan just 2 tbsp. l. selected raw material. Fill it with half a liter of hot drinking water. Boil. Simmer over very low heat.
The broth should evaporate by half. Remove from stove. Warm up, leave for another hour. Take a strained decoction in a sip before meals.

Diagnosed candida fungi in the intestines are effectively treated with this remedy: Squeeze the juice from an orange and a lemon. Pour them into one jar. Add a third of a glass bee honey, lay out the gruel of 4 freshly grated onions. Shake everything thoroughly. Finished product store in the refrigerator. Take it 1 tbsp. l. only 3-4 times a day.

Pour 15 cups of water into a large, large saucepan. Boil, pour 5 cups of washed oat grains. Cook at the lowest temperature for at least 3 hours. The resulting product, reminiscent of jelly, carefully filter. Take warm, half a glass, three times a day. Store in refrigerator. Long-term treatment: 4-6 months.

And of course, proper nutrition!

No treatment for intestinal candidiasis will be effective if the patient does not follow a certain diet. To do this, alcohol, spices, smoked meats, salinity, spicy seasonings should be excluded from the diet. Need to give up sweet muffin. Do not eat fruits rich in glucose, such as bananas or grapes.

Eat more fresh vegetables especially carrots. All are useful herbal products, especially fresh herbs, leafy salads, berries, cereals, garlic and onions. Include oatmeal and dairy products in your diet. Be healthy!

Many people know firsthand about the different intestinal infections which can cause discomfort and unbearable pain. These include intestinal candidiasis - a disease that appears as a result of the vital activity of fungi called Candida. They can live in the human body for many years without showing any signs of life. Violation of the microflora in the intestine can provoke the reproduction of pathogenic fungi.

This disease is most dangerous for infants, it can lead to dehydration, loss of minerals and vitamins. Timely recognition of the symptoms of intestinal thrush can prevent severe forms of the disease.

Intestinal candidiasis in women and the elderly can be long-term. Sometimes it manifests itself in the form of redness, itching, burning on the genitals, as well as allergies. All this leads to violation sexual life, sleep and normal lifestyle.

Mechanism of the disease

Candida is a component of the normal human intestinal microflora, only its excess can adversely affect people's health.

Candidiasis - pathological process, which is based on overgrowth fungus of the genus Candida. First, this can occur in the stomach and intestines, and then in other organs, which creates favorable conditions for infection by other microorganisms.

Candida growth must be controlled by unique intestinal bacteria and immunity. If the microflora in the human intestine is healthy, then it produces special substances. Bifidobacteria, enterococci, and lactobacilli have fungal-suppressing properties.

A complication of this intestinal disease is bleeding, the development of sepsis, perforation or penetration of ulcers.

The clinical picture of the disease may vary in each individual case and depends on the level of the lesion.

There are two mechanisms for the development of this intestinal disease:

The first is called invasive. It lies in the fact that yeast mushrooms invade the cells of the intestinal wall. The nature of such a disease can be widespread or local. Invasive thrush or candidiasis is manifested by erosions, cracks, membrane, polypoid and circular formations. It can develop both in the intestines and in the mouth, stomach or esophagus. In this case, there are pains in the abdomen, flatulence, the presence of blood or mucus in the stool. At the risk of progressive invasion, systemic candidiasis may develop when the mucous membranes are affected.
The second mechanism, called "non-invasive", occurs in the intestinal lumen and is characterized by overgrowth of fungi. Non-invasive candidiasis develops against the background of inflammation or a weak immune system.

Causes and symptoms

Thrush in the intestine can affect several sections of the intestine at the same time. main reason such a phenomenon is a reduced resistance of the body. The reasons this disease may be the following:

immunodeficiency;
oncology;
unhealthy diet and violation of its regimen;
prolonged use of antibiotics;
stress;
pregnancy;
diabetes;
smoking and alcohol;
regular intake of various hormonal drugs.

If rectal candidiasis manifests itself painful sensations, bloating, discomfort and heaviness in the abdomen, diarrhea, it is better to consult a doctor as soon as possible. Such signs of intestinal candidiasis may indicate a serious violation in the digestive tract. The danger of self-medication is that clinical characteristic intestinal candidiasis is similar to many other diseases of the digestive tract.

Invariable symptoms of intestinal candidiasis are a feeling of heaviness, increased gas formation, as well as liquid and frequent stool. Intestinal candidiasis is accompanied by attacks of spasmodic pain, they can worsen after eating.

To typical symptoms include:

diarrhea
flatulence and pain during bowel movements;
lack of appetite;
subfebrile temperature;
the presence of blood, light inclusions and mucus in the stool.

Common symptoms of intestinal candidiasis are insomnia, fatigue, irritability, and weakness. There may be an increase in temperature.

Symptoms of thrush in the intestines can be secondary - skin rashes. As a rule, such changes concern the area of the chest, face, back. A person can suffer not only from the usual acne, but also from urticaria.

Diagnosis and treatment

When diagnosing thrush of the intestine in laboratory conditions it is necessary to pass a fecal analysis, as well as smear microscopy. This diagnosis can be established by a doctor in the presence of the so-called intestinal dyspepsia syndrome, while dysbiosis must be confirmed laboratory. In some cases, a cultural study of swabs from the mucous membranes of the mouth, as well as the esophagus, may still be required.

One of the most modern ways diagnosis of this disease is a video information endoscopy(fluorescent endoscopy, spectroscopy).

At home, the disease can be diagnosed as follows:

In the morning, immediately after waking up, you need to spit your own saliva into a glass of boiled water.
if after half an hour saliva sank to the bottom of the glass, then there is a high probability of the presence of Candida fungus in the body.
If saliva remains constantly on the surface of the water, the risk of disease is minimal.

As a rule, the treatment regimen for intestinal thrush includes the use of antifungal and antibacterial drugs with fluconazole or clotrimazole. In addition, drugs should be selected taking into account the form of the disease.

Complete drug treatment should include not only the use of necessary medications, but also compliance with correct mode day and food. In addition, you need to strengthen the immune system.

Medical therapy

Symptomatic therapy is additional in the treatment of intestinal thrush. In this case, the following drugs are used:

antifungal;
antispasmodics;
adsorbents;
antidiarrheal;
digestive polyenzymes that improve digestion;
drugs to increase immunity;
antiallergic agents;
multivitamins;
antioxidants;
drugs to reduce flatulence;
medicines needed in the treatment of anemia.

Self-medication is very dangerous for your health, do not use drugs without a doctor's prescription.

Alternative treatment

Even if Candida fungi are detected in the body of any person, it is not necessary to prescribe drugs against thrush or antifungal drugs. A systematic approach is important.

Any illness in acute form should only be treated by a doctor, but drug therapy desirable to be combined with folk remedies. How to treat intestinal candidiasis correctly? To get started, you can use the following recommendations:

Before meals, it will be useful to take 1 tbsp. l. sunflower oil.
Every morning should begin with a cup of freshly brewed chamomile tea with St. John's wort.

Treatment of intestinal candidiasis with folk remedies is an excellent addition to the main therapy for the disease. It will increase the patient's chances of a speedy recovery.

Consider the most relevant and popular folk recipes:

One of better ways in the treatment of this disease oatmeal jelly. To prepare it, you need to pour kefir with water cereals in equal proportions. The dishes with the mixture are hermetically sealed, and then cleaned for 3 days in a very warm place. Drain all the liquid and leave the oatmeal to infuse for another 24 hours. In the morning on an empty stomach and several times during the day, you need to drink jelly, which is prepared from three tablespoons of oatmeal mixture and 500 ml of water. If you have patience, then you can cure candidiasis within one week.
Currant leaves (preferably black) dry and chop. Then pour eight tablespoons of the mixture with one hundred milliliters of boiling water. The broth is infused for several minutes, and then boils well. Then you should cool the drink and add lemon juice. Strained infusion is drunk twice a day, one tablespoon.
Birch buds, calendula, yarrow, juniper berries, chamomile are carefully crushed in equal amounts and then mixed. Two tablespoons of the mixture is poured with one liter of boiling water and insisted for twelve hours. A third of a glass should be drunk before meals three times a day.
Treatment of candidiasis with folk remedies can be carried out in different ways, but the easiest and fastest is to use onion. Three onion heads need to be grated on a very fine grater. Squeeze out all the juice from the resulting slurry, and then combine it with freshly squeezed orange-lemon juice in equal proportions. After adding five tablespoons of honey, the drink is thoroughly mixed and drunk three times a day, one tablespoon.
For the treatment of intestinal thrush, soda can be used, only it should be borne in mind that it is quite aggressive and the proportions and frequency of its intake should be observed. To do this, you need to add half a teaspoon of soda to 1 glass of water and rinse your mouth with it in the morning. If you suffer from itching in the anus, then it will be useful to wipe it with soda water.

Any recipe alternative treatment Better check with your doctor!

Diet

Proper nutrition with intestinal thrush is a must. Ignoring it can lead to serious negative consequences. In the daily diet should be more protein foods, and carbohydrates - as little as possible. It is advisable to eat only freshly prepared meals. It is better to eat often, but in small portions. All food should be rich in various vitamins.

Be sure to exclude marinades, canned food, pickles, mushrooms, alcohol, spicy and fatty foods. Sweets, coffee, tea - should also not be present in the daily diet.

Prevention

First of all, you should follow the rules of personal hygiene. Traditional prevention of intestinal thrush is fast treatment fungus of the genus Candida on the skin, mucous membrane of the genital organs and mouth. It is important to start treatment in a timely manner at the first signs of the disease.

Prevention of intestinal thrush is as follows:

Restrict reception antimicrobial agents without a specialist appointment. The risk group includes the elderly, infants, pregnant women, and immunocompromised people. For them it is necessary to complex treatment, combining enteroseptics, probiotics, antibacterial and antimycotic drugs.
Candida is a fungus that is very susceptible to carbohydrates and sugar, so at the time of application antibacterial agents It is better to eat food with a limited amount of carbohydrates. Foods such as confectionery, cabbage, sugar, sweet berries and fruits should not be consumed. Milk, beer, kvass should also be excluded from the diet. Dishes and products from high content yeast should be excluded. These include bread, pizza, lasagne, pastries, and some types of cheese.
Normalize the mode of work and rest, avoid stress.

Only an integrated approach and compliance with all recommendations will help to get rid of the disease as soon as possible.

Symptoms of intestinal candidiasis are diverse. It is not difficult to determine the disease. Although candidiasis is a disease caused by conditionally pathogenic flora, without full treatment not enough.

Intestinal candidiasis is pathological condition gastrointestinal tract caused by pathogenic mycoses of the genus Candida. Normally, microorganisms are found in normal flora healthy person. The development of the disease occurs against the background of the indomitable growth of fungi. The onset of symptoms is due to negative influence waste products of candida.

Symptoms of the disease

The main manifestation of thrush in the intestine will be a pronounced pain syndrome, in addition to which you should pay attention to the following signs of invasion:

bloating becomes chronic;
patients complain of heaviness in epigastric region(in the stomach);
after eating, intestinal spasms are observed;
impaired motor function of the intestine (diarrhea);
subfebrile body temperature (from 37 to 37.5 0);
patients complain of lack of appetite;
in feces pus is also found;
in the area of anus and kale can be found curdled discharge having a fetid odor;
after a bowel movement there is no feeling of relief;
pain during bowel movements;
a rash appears on the skin.

Flatulence and abdominal pain can cause a lot of trouble for the baby and his parents with intestinal candidiasis

In addition to the primary signs of pathology, fatigue, insomnia and various forms skin diseases(acne, dermatitis, urticaria).

Regardless of the severity clinical picture intestinal candidiasis is easily determined an experienced doctor(gastroenterologist).

As the pathological spread of fungi progresses, all symptoms increase. Lack of treatment allows the pathology to spread to various departments, most often the disease affects urinary organs and oral cavity. In addition to spreading, candidiasis provokes an exacerbation of existing diseases of the gastrointestinal tract.

The transition of thrush from the intestines to the genitals in a woman has the following symptoms:

curdled discharge is determined on the genitals and underwear, which have an unpleasant odor;
unbearable itching of the vagina, turning into a burning sensation, can be observed at rest, during urination or sexual intercourse;
at severe forms diseases, possible violation menstrual function, a long-term infection can cause secondary infertility.

Symptoms in men do not have big differences:

itching and burning of the penis and scrotum;
curdled discharge (outwardly resemble cottage cheese);
violation of urination, pathogenic fungi are determined in the urine (visually, the urine has a cloudy whitish sediment).

The defeat of the intestine by the Candida fungus has a pronounced clinical picture.

When the oral cavity is affected, inflammation of the mucous membrane is determined, white plaque, easily removed with a spatula or gauze swab and pain while eating.

Advice. When determining the first signs of intestinal candidiasis (or just long-term pain), you should contact a gastroenterologist to find out the cause negative feelings and timely treatment infections.

Possible Complications

With absence adequate treatment possible occurrence serious complications. The most dangerous for the life and health of the patient is considered to be perforation and penetration of the ulcer (a breakthrough of the ulcer into the surrounding tissues with the subsequent entry of its contents into the cavity of the damaged organ).

Reasons for the development of candidiasis

Intestinal fungus does not cause problems with a good immune response. Required for the development of the disease certain conditions favoring the development of mycosis:

decrease in the body's resistance to development pathogenic flora under adverse environmental conditions ( abrupt change time zone, temperature fluctuations, high or low humidity);
chronic infections;
diseases of internal organs;
immunodeficiency (congenital or acquired);
uncontrolled antibiotic treatment;
immunosuppression during treatment oncological processes(chemotherapy or radiation exposure);
imbalance in hormonal background(the cause may be diseases of the endocrine system, hormone intake, menopause, pregnancy);
malnutrition (favorable conditions for candidiasis are created by lovers flour products with rare and not constant nutrition).

Uncontrolled intake of antibacterial drugs is the most common cause development of candidiasis

Important. Candidiasis develops only against the background of a weakened immune response of the body. This indicates the need for an integrated approach to the treatment of pathology. In addition to the application antifungal agents necessary condition recovery is the elimination of the root cause of the pathological growth of candida.

Diagnosis of pathology

The determination of yeast fungi in the intestine is carried out by sowing the contents of the secretions on a nutrient medium. After the detection of fungi, the type of mycosis is differentiated.

In addition to sowing as diagnostic method sigmoidoscopy can be used to isolate plaque on the intestinal wall and confirm provisional diagnosis installed on the basis of the patient's sting.

Treatment

How to treat intestinal candidiasis can only be determined by a doctor. The elimination of pathology should be comprehensive and carried out in two directions:

cessation of the growth of mycoses and the destruction of an already expanded network;
treatment of a disease that caused a decrease in immunity.

When choosing a tactic for treating a condition, the doctor takes into account the form of the disease, the severity, the risk of a complicated course, the state of the immune system and background disease that gave rise to thrush.

Antimycotic treatment

To stop the development of the fungus in the intestine, antimycotic drugs are prescribed (the effect on the growth of Candida). When choosing a remedy, preference is given to a topical preparation (the most commonly used form is rectal suppositories). Most commonly used:

Nystatin;
Levorin;
Pimafucin.

Pimafucin is a broad-spectrum antibiotic that acts in the intestinal lumen without affecting systemic blood flow.

For severe infections, use systemic drugs: Fluconazole, Itraconazole, and others. These medicines can be given in the form of tablets (oral), solutions (intravenously), or suppositories (rectal). A combination of forms of local and systemic influence is possible.

Important. The choice of drug and treatment regimen is selected individually. The use of rectal suppositories should be only after a carefully conducted hygiene procedure(should be washed with baby soap without any additives).

Treatment of dysbacteriosis

In addition to the destruction of candida fungi in the intestines, the treatment of the disease is impossible without recovery healthy microflora intestines.

When choosing prebiotics and prebiotics at the time of antifungal therapy, drug resistance should be taken into account. This group contributes to the elimination of intestinal dysbiosis, which leads to the normalization of work. digestive system. Preparations suitable for the normalization of microflora after antimycotic therapy:

Bifidumbacterin;
Acylact;
Biosporin;
Linex.

Application of enzymes

To relieve symptoms while treating thrush of the gastrointestinal tract, the gastroenterologist may prescribe enzymes. The rapid breakdown of food under the action of enzymatic action allows you to save the patient from flatulence and improve motor function intestines.

Restoration of immunity

With a decrease in the body's immune response, immunocorrective or immunomodulatory drugs are included in the therapy of the fungus. Choice medicines is carried out by an immunologist after determining the level of imbalance and identifying the cause of the pathology.

Alternative therapy methods

Treatment of intestinal candidiasis with folk remedies is of an auxiliary nature and is selected by a specialist.

Important. Self-treatment of thrush with folk remedies can have irreversible consequences especially during pregnancy and in the treatment of young children.

Sea buckthorn oil

Reception helps against fungal infection of the intestine sea buckthorn oil. In addition to the anti-inflammatory effect this remedy stimulates the immune system (strengthens the body's resistance) and has a protective effect on irritated walls of the digestive tract.

Sea buckthorn oil is considered one of the the best means traditional medicine triggering the mechanism of tissue regeneration (healing and recovery). Take 1-2 teaspoons per day (depending on the complexion of the patient) for up to 10 days during a meal.

Advice. To improve the absorption of sea buckthorn oil, include more raw vegetables in your diet.

baking soda and iodine

For local treatment thrush apply baths in soda solution with potassium permanganate. Washing the external genital organs is also effective in case of fungal infection.

The course of treatment is at least 10 days. Even with the disappearance of symptoms after the first procedures. This will alert re-development ailment.

decoctions of herbs

From plant materials, you can choose drugs that have anti-inflammatory, regenerating or immunocorrective properties.

The most common reception is white chamomile, sage, St. John's wort, oak bark, bird cherry, pomegranate peels, black currant leaves, etc.

Diet

At fungal infection digestive tract prerequisite favorable outcome of the disease short time there will be a normalization of nutrition.

What not to eat with intestinal candidiasis:

white bread and muffins (increases the development of yeast fungi);
sugar and sweets;
semi-finished products;
potato;
citrus fruits (oranges, lemons, grapefruit);
spices.

To improve digestion, you should forget about overeating and establish a diet in small portions and at least 4-5 times a day.

Products of choice:

it is better to choose dairy products low-fat and low in sugars;
meat boiled or steamed (preference is given to low-fat varieties);
zucchini and pumpkins;
cauliflower;
various greens (lettuce, spinach, dill, parsley);
garlic and onions contribute to the formation of bifidobacteria and lactobacilli in the intestine;
carrot juice (it is better to take with the addition of oil);
seafood (squid, shrimp) and fish.

Green apples - an indispensable product in the fight against fungal infections of the intestine