The name of this pathology is pharyngomycosis, it is often found in both children and adults. The fungus in the throat has specific symptoms and requires treatment. The disease is infectious, inflammatory in nature, the lesion spreads through the mucous membrane. Against the background of the main disease, concomitant illnesses develop: gingivitis, stomatitis, glossitis. The most serious complication is fungal sepsis.
General information about the fungal infection in the throat
In medical practice, the pathology is called fungal angina or pharyngomycosis. Throat fungus is an inflammatory disease that affects the mucous membrane, provokes the development of mycotic infection. Pharyngomycosis is equally common in adults and in children if immunity has been weakened or long-term treatment with inhaled corticosteroids has occurred. In adults, infection sometimes occurs due to improper caring for dentures.
The disease can occur as an independent illness or cause concomitant, for example, stomatitis, cheilitis, gingivitis, glossitis. In young children, thrush in the mouth proceeds in pure form. With a favorable breeding environment for the fungus, the disease is difficult, the tongue, tonsils and other organs can be affected. The causative agent is more often the genus Candida, diagnosed in 90% of cases. Only 10% are moldy mycotic microorganisms.
Causes of the fungus in the throat
The development of a fungal disease begins after contact with the mucous membrane of the fungal infection, which begins to multiply there. Microorganisms disrupt the natural process of life, produce their own metabolic products. The following factors increase the likelihood of developing a disease:
- diabetes mellitus, some chronic pathologies,
- advanced age or up to 3 years
- intestinal dysbiosis in children, diseases of the gastrointestinal tract,
- malignant neoplasms (tumors) that disturb the balance in the body,
- systemic blood pathologies
- course of radiation, chemotherapy,
- long-term treatment with hormonal drugs, cytostatics, immunosuppressants, antibacterial drugs,
- severe infectious disease that was recently
- recent thermal, chemical burn,
- stress anorexia, fasting, hard work, depletion of the body,
- chronic diseases of the oral cavity: caries, adenoids,
- regular smoking, use of drugs, alcohol.
Symptoms of a fungal infection in the throat
The appearance of any discomfort in the throat should be monitored. Sometimes there is an accumulation of mucus, a burning sensation appears, even with self-examination a raid is visible - these are Candida mushrooms in the throat. Visually, they are similar to the soufflé film, which is very difficult to peel. It is necessary to begin immediate treatment prescribed by a doctor. The pharyngomycosis manifests itself as follows:
- frequent, severe pain arising from the use of pepper, sharp, salty foods,
- discomfort in the affected area, accompanied by tingling, soreness, dry mouth,
- the patient may have cervical lymphadenitis, in which there is an increase in the size of the nodes of the lymphatic system, to the touch they are painful and firm,
- subfebrile condition
- the defeat of concomitant diseases of the oral cavity: hyperemia, cracks in the lips, in the corners of the mouth, stomatitis,
- defeat of the pharynx, tonsils, tongue, sky,
- swollen and with a touch of mucous.
Prescribe a course of therapy should a doctor on the basis of diagnostic procedures. First, the specialist conducts an oral survey of the patient, determines the presence of typical symptoms when examining the throat:
In addition to visual diagnosis, for the diagnosis of pharyngomycosis, it is necessary to take a swab from the pharynx to identify the causative agent of fungal infection. Using microscopic examination in the laboratory, you can find mycotic cells, fungal spores, pseudomycelium. To determine the type of pathogenic agent, its sensitivity to a particular type of antibiotics, it is necessary to make a culture culture. Additionally, the doctor may prescribe an analysis for syphilis, HIV, diabetes, hepatitis.
Fungal throat treatment
The development of pharyngomycosis indicates malfunctions in the general condition of the body, therefore, fungal diseases of the throat are treated systemically. Before antifungal therapy, it is necessary to determine the type of fungus. For each species, an antibiotic is selected with a specific direction of action. Adults and children must undergo a complex of therapeutic procedures that will remove the fungus from the throat.
To warm the throat when detecting infection is strictly prohibited. Such procedures will only provoke an increased growth of mycotic pathology foci. Do not conduct steam inhalation, do alcohol compresses, use traditional medicines with kefir, honey, yogurt. The prohibition is also the following:
- alcohol consumption,
- uncontrolled hormonal drugs, antibiotics,
- eating foods with yeast,
- disregard for doctor's instructions.
Antifungal preparations for the throat are used in the form of solutions for gargling, systemic tablets. You can use chlorhexidine, Miramistin, Lugol, it is allowed to treat areas affected by mycotic infection, hydrogen peroxide. Antibacterial agents of the same type cannot be taken for a long time, so that the pathogen does not develop resistance to them.
The task of drug therapy is to strengthen the immune defense in the body, kill the fungus. Among the pharmaceutical antifungal drugs, doctors distinguish the following effective medications:
- Levorin. This is an antibacterial drug, it is highly effective against Candida fungi. Doctors recommend taking up to 4 tablets per day.
- Hepilor. The solution for gargling, its action is aimed at eliminating inflammation, helps to get rid of the fungal infection, the number of rinses depends on the severity of the pathology, but more than 4 times per day can not be carried out.
- Fluconazole (Diflucan, Mikosist). The drug for targeted anti-mycosis, comes in the form of tablets, 1 capsule of 150 mg is enough for the relief of candidiasis.
- Miramistin. Antiseptic with universal action against candidiasis of the throat or other mucous membranes. With the help of the drug conduct rinsing, irrigation of the affected areas.
- Lugol. The basis contains iodine, which helps fight inflammatory processes in the throat.
- Nystatin. Available medication in the form of lozenges. It is necessary to accept after food or hygienic procedures of an oral cavity.
- Amphotericin B. Fights all types of active fungal infections. You can not take nursing mothers, pregnant.
For fungal infections of the throat, ancillary drugs should be used. For the prevention of dysbacteriosis, you may be prescribed the use of beneficial bacteria - prebiotics and probiotics (Lactobacterin, Acipol, Linex, Yogulact, Bifiform, Bifidumbacterin). In the complex treatment of pharyngomycosis, it is necessary to use immunomodulators to strengthen the immune defense:
- tincture of echinacea.
As an additional direction of treatment, you can use homemade recipes that will help speed up the healing process in the treatment of throat fungus. You can use the following options for folk remedies:
- Solution for rinsing from a gold mustache and lemon juice. Pour a glass of clean water into the cup, add juice from half a lemon, 1 tsp. golden mustache. Gargle with the throat 3-4 times a day. If necessary, the same medicine can flush the nose if the infection has spread to the nasal cavity.
- Soda-saline solution. A simple but effective method to combat infections in the throat. In equal quantities (1 tsp.) Components in 1 cup of water. The rinse should be warm (not hot and not cold). Perform the procedure every 2-3 hours.
- Make an infusion of Kalanchoe and propolis. Add apple cider vinegar to the product and gargle it.
- The following herbs help to cope with inflammation well: St. John's wort, calendula, chamomile, celandine.
Features of the treatment of fungal infections in children
Parents should not carry out self-treatment of the baby; only an attending physician can prescribe an adequate, effective course of therapy. Mushrooms in the throat of a child must confirm a pediatrician or ENT. As a rule, prescribed for the treatment of rinsing the mouth with decoctions of calendula flowers, oak bark, solutions of baking soda with glycerin. The following drugs are prescribed from pharmaceutical preparations:
- spray nizoral,
- tea tree oil,
- drops of pimafucin,
- Clotrimazole ointment,
- Miramistin solution.
It is impossible to wean the infant from the mother for the treatment of the fungal infection. Before each feeding, it is necessary for mommy to treat the surrounding area and nipples with an antiseptic. If the baby is transferred to artificial nutrition, then careful sterilization of all pacifiers, nipples, bottles is necessary. At the time of treatment, it is necessary to exclude spicy, salty, sour, spicy dishes that irritate the mucous membrane from the nutrition of older children. Negative effect of sour vegetables, fruits, sweets and sugar. The following approximate diet is recommended:
- lean soups in meat or fish broth,
- mashed vegetables,
- any viscous porridge,
- plentiful drink: still water, uzvara, herbal tea, fruit drinks, compotes.
A fungal infection in the throat develops on the background of a violation of the daily regimen and an unhealthy diet. Reduced immunity. If you follow the simple rules of a healthy lifestyle, you can avoid the development of mycoses. It is necessary to react in time to any manifestations of the disease, in time to consult a doctor. To avoid pharyngomycosis, follow these tips:
- during cold periods of the year, conduct a prophylactic gargling with salty solutions,
- do not use too often sprays and rinses, refreshing the mouth,
- follow the basic rules of personal hygiene: daily cleaning of the tongue, teeth, regular replacement of the toothbrush, use a quality thread, toothpaste,
- if you need to use hormonal inhalation drugs every day, do not forget to rinse out the mouth after using them,
- Do not abuse high carbohydrate foods
- Visit the dentist regularly, it is especially important to remember people who use dentures, suffer from diabetes.
How to determine the appearance of fungus in the throat
You can suspect the presence of a fungal infection by the presence of characteristic symptoms. The pathological process provokes the appearance of vesicles and points on the mucous membrane of the oropharynx. In addition, there is its redness, swelling, which leads to unpleasant sensations in the throat, aggravated by swallowing and eating.
It is possible to suggest which pathogen caused the disease by the following characteristic features:
- candidiasis (thrush) - the presence on the mucous membrane of a punctate rash of white color, sometimes it takes the form of spots. In this case, the plaque has a lumpy look, resembling cottage cheese. It is easily removed, leaving bleeding sores in place,
- actinomycosis - in this case, the rash is represented by small bubbles with bloody contents. With the destruction of the wall, they bleed easily,
- leptotrichosis - The symptoms of this fungus in the throat are reminiscent of diphtheria. On the mucous are formed grayish or yellowish nodules resembling thorns. They scratch very hard, leaving a bleeding surface in place.
In addition to the specific manifestations listed above, the patient may also have general symptoms:
- deterioration of well-being, weakness,
- pain when swallowing food
- tickling, dry oropharynx,
- foreign body sensation in the throat,
- fever - usually the body temperature rises to no more than 38 degrees,
- redness and swelling of the mucous throat, as well as the tonsils and nasal cavity,
- enlarged lymph nodes in the neck, pain when touched.
The severity of the above symptoms may vary depending on the severity of the disease and the characteristics of the patient.
The causes of the fungus
In most cases, the fungus in the throat is represented by the microorganism Candida albicans. It is part of the normal microflora of human mucous membranes, but with intact immunity does not actively reproduce and does not contribute to the development of inflammation. By reducing the local defenses and suppressing the growth of beneficial bacteria after long-term antibiotics, the number of these yeast-like fungi increases, which provokes the onset of the disease.
There are the following factors that increase the likelihood of the onset of the fungal disease of the throat:
- endocrine system pathologies, for example, diabetes mellitus, reduced thyroid function, increased activity of adrenal hormones,
- violation of the normal microflora of the digestive tract, dysbacteriosis,
- long-term untreated caries, wearing dentures without proper care for them,
- oncological diseases,
- inhaled corticosteroids, the use of local antiseptics,
- lack of vitamins
- leukemia and other blood diseases,
- long-term use of high-dose antibacterial drugs,
- children have prematurity
- in adults, smoking, frequent drinking of strong alcohol, eating hot foods and drinks,
- reflux esophagitis,
If it is determined that the fungus of the genus Candida has become the cause of inflammation, the patient is diagnosed with throat candidiasis. Transmission of infection is carried out through food, but also airborne and contact-household route of infection. Newborns can get an infection from a sick mother or through poorly processed medical instruments and the hands of hospital staff.
Treatment of the fungus in the throat should be complex, and therefore it usually requires the use of several drugs at once. Therapy is aimed at:
- the destruction of pathogens that caused the disease,
- restoration of normal microflora of the pharyngeal mucosa,
- increase the body's defenses.
Drugs are selected depending on the severity of the infectious process. In mild cases, use topical medications in mind ointments:
- Amphotericin - antifungal agent that is effective against most pathogens of inflammation,
- Clotrimazole - Another effective drug that is widely used for the treatment of candidiasis.
These means should be used to lubricate the affected areas of the mucous membrane several times a day. Drugs can cause undesirable effects, so you should consult with your doctor before starting treatment. It is impossible to independently conduct therapy for fungal diseases, especially in cases where the diagnosis has not been confirmed by laboratory tests.
Some patients are additionally prescribed antiseptics with a local effect. They have a damaging effect on most pathogens of infectious diseases. Because of this, they also help prevent the development of bacterial inflammation on the background of candidiasis. This group includes the following medications:
Important!Patients in whom a fungus in the throat causes a severe infection process are treated in a hospital. In this case, doctors perform endolaryngeal administration of antifungal and antiseptic agents, as well as carry out physiotherapy.
A moderate throat candidosis is treated with the help of such ointments as:
Medicines should be applied on the affected mucosa 4 times a day. The duration of therapy is 10 days, if necessary, treatment can be continued.
With the ineffectiveness of local antifungal procedures, the use of drugs with systemic effects is shown. They are available in tablets that have the same name as the above listed ointment. However, unlike them, they destroy not only the fungus in the throat, but also the pathogens in other parts of the body, which makes it indispensable for severe forms of the disease.
Treatment of fungus in children
Treatment of throat candidiasis in children is usually carried out in a more gentle way. First of all, the patient is prescribed a diet that requires the exclusion of:
- baking baking
- sweet foods
- pickled tomatoes and cucumbers.
Also at the time of treatment should abandon the use of dairy products, as they contribute to the development of fungal flora. It is also necessary to observe oral hygiene, wash and sterilize food intake dishes.
In order to completely destroy the fungus in the throat, it is also impossible to neglect the fortifying therapy, which involves the use of:
- drugs that stimulate the immune system
To suppress the growth of pathogenic flora, the child should gargle with a solution of soda, a decoction of oak bark or antiseptics, for example, Miramistin. Specific treatment is carried out with the help of fungicides, such as Clotrimazole.
Symptoms of a throat fungus
Symptoms of a fungus throat occur quite pronounced. Patients experience the following symptoms:
There is pronounced discomfort in the throat. Patients may experience feelings of dryness, burning and scratching in the affected area.
Pain can vary from mild to severe. They tend to increase during meals. Especially pronounced pain after taking salty, sharp, pepper and pickled foods. Sometimes the pain can be given in the lower jaw, the front of the neck or in the ear.
Perhaps the development of cervical lymphadenitis, that is, an increase in regional lymph node size, their pain.
Often the fungus in the throat is accompanied by the formation of a jade - the defeat of the corners of the mouth. Glossitis and candidal cheilitis may also occur. At the same time, the lip rim is brightly outlined, infiltrated and covered with a grayish patina. Cracks in the corners of the mouth are covered with cheesy crusts, when you try to open your mouth wide, the patient experiences painful sensations.
The general condition of the patient is disturbed, the body temperature rises, headaches and general malaise appear. As a rule, body temperature does not increase high values and rises to subfebrile marks.
It is possible to independently visualize a focus of mycotic inflammation on the tonsils. Also, there is plaque on the arms and on the back of the throat.
Sometimes fungi spread to the tongue and to the inner surface of the cheeks with the seizure of the esophagus and larynx.
When the disease is provoked by yeast-like fungi of the genus Candida, the plaque has a white color and texture similar to cottage cheese. The raid can be easily removed, under it the inflamed, red and edematous mucous throat is visualized. Sometimes you can find areas of ulceration that bleed slightly.
When the fungus in the throat is a consequence of the damage by the mold fungi, the plaque has a yellowish tint and it is rather problematic to remove it. There is some similarity with diphtheritic bloom.
A fungus in the throat is prone to frequent relapses. Exacerbations in patients occur up to 10 times a year. Most often it is the acute form of the disease that is transformed into a chronic one. This is due to incorrect diagnosis, as well as the result of illiterately selected treatment regimens. In this regard, self-prescribing drugs or completely ignoring the pathological process is no less dangerous.
Fungal chronic lesions of the throat are different from acute processes. The main difference is the localization of mycotic lesions. When chronitizing the process of hyperemic and subject to infiltration, the back wall of the oropharynx turns out, without including the tonsils in the pathological process. They can form raids, but they are insignificant beyond the acute phase.
Throat Fungus Treatment
Disease therapy is built on three basic principles:
For the treatment of throat fungus will require the use of both local and systemic antimycotic drugs. All previously used antibiotics should be canceled.
It is necessary to restore violations in the intestinal microbiocenosis. This is realized with the help of dietary nutrition, thanks to the intake of antibacterial drugs (Mexiform, Intestopan) and products containing live bacteria (Bifidumbacterin, Lactobacterin, etc.).
Interferon status is being corrected, for which patients Viferon is appointed for a period of 30 days.
Therapy of uncomplicated mycosis of the throat begins with the use of local antimycotics, only when they are ineffective, the patient is transferred to oral administration.
For this purpose, products from three drug groups are used:
The group of polyenes, drugs: Nystatin, Amphotericin, Levorin.
Group of azoles: Ketoconazole, Fluconazole, Itraconazole, Diflucan, Mikoflucan.
Allylamine group: Terbinafine.
If the fungus in the throat is diagnosed in the acute stage, then the course of treatment most often ranges from 1 to 2 weeks. When it is possible to achieve relapse, it is possible to use drugs in prophylactic dosage. In case of a complicated course of the fungus, the patient’s throat is hospitalized and treated in the hospital.
Most doctors during the treatment of throat fungus prefer Fluconazole (if it is confirmed that the disease is provoked by Candida yeast fungi). Most often, this drug is well tolerated by patients and rarely causes side effects. It is enough to take it once a day for 7-14 days. The dosage is individually selected by the doctor. It can vary from 50 to 200 mg per dose. If the effect is absent, the drug is replaced by another.
When the standard antifungal therapy is ineffective and the fungus has developed resistance to it, intravenous administration of amphotericin is indicated. With intravenous administration, the control of liver and kidney function is mandatory, since the drug has pronounced toxic properties. Molds are treated with Terbinafine or Intraconazole.
As for the local treatment, it is carried out using local antiseptics, it can be: Miramistin, Oxyquinoline, Clotrimazole, Natamycin Suspension, Chlorhexidine. Treatment is performed on the posterior pharyngeal wall, endopharyngeal installations and washing of the inflamed tonsils are performed. It is important to alternate each week with antiseptics.
In parallel, it is necessary to carry out the treatment of associated diseases that provoked mycosis of the throat. After performing the immunogram, the patient is prescribed therapy with the use of immunomodulators if necessary.
If the patient timely seeks medical help, the disease is correctly diagnosed and the appropriate treatment is carried out, then most often the fungus in the throat can be successfully treated. The prognosis for full recovery with chronic disease is less favorable.
What is a fungus in the throat
Inflammatory disease of the pharynx, oral cavity, palatine tonsils caused by pathogenic fungi is called pharyngomycosis. Depending on the lesion, the disease may have other names: thrush, candidiasis, fungal tonsillitis or tonsillitis. The disease is characterized by lesions of the mucous membrane of pathogenic fungi and has 4 forms. According to statistics, candidiasis in the throat is diagnosed in 30-40% of the common diseases of the pharynx.
Otolaryngologists talk about the growing trend in the number of patients with this pathology in recent years. Mycotic lesions are people of different ages with reduced immunity. More often fungal infection occurs in children, including newborns. Another category at risk is adults who wear dentures.
The disease is transmitted by alimentary (through the mouth), contact-household and airborne droplets. In 93% of cases, it is caused by yeast-like fungi of the genus Candida. In addition, mold microorganisms can be causative agents. The disease has a severe course. The lack of therapy can cause the development of complications: sepsis, fungal infections of the internal organs, cancer tumors.
Fungal diseases of the throat are caused by pathogens. They are conditionally pathogenic microflora of the human body. By reducing the protective functions of fungi begin to multiply and provoke inflammation of the mucous membrane. The most common microorganisms that cause pharyngomycosis are the following:
- A fungus of the genus Candida (Cand> certain factors contribute to the appearance of a fungus in the throat. These include the following:
- HIV, AIDS (about 10% with such a diagnosis die due to the spread of fungal infection),
- endocrine diseases (obesity, hypothyroidism, diabetes mellitus),
- frequent viral infections,
- systemic blood diseases
- the presence of malignant neoplasms,
- long-term antibiotic treatment
- injuries of the mucous membrane of the oropharynx,
- use of removable dentures,
- inhaled with corticosteroids,
- violations of the gastrointestinal tract (gastrointestinal tract),
- intestinal dysbiosis,
- long-term use of cytostatics or hormones,
- metabolic problems,
- children's age, preterm infants,
- improper treatment of diseases of the upper respiratory tract,
- menopause in women
- invasive procedures (diagnostic or therapeutic),
- transplantation of tissues, organs,
- bad ecology (inhalation of air with acids, alkalis, dust),
- alcohol consumption,
- reflux esophagitis (inflammatory disease of the esophageal mucosa).
In children, a fungal infection of the throat can be a consequence of the illness of a pregnant mother with thrush. Infectious agents enter the fetus through the umbilical cord, placenta or amniotic water. Infection occurs during childbirth or after the birth, if hospital staff will not comply with sanitary and hygienic standards. Another option for transmitting the disease to a child under 1 is breastfeeding (provided that the mother has vaginal candidiasis).
By the nature of the flow of the fungus in the throat is divided into acute and chronic. It is important to identify the disease in time and start treatment. Otherwise, acute pharyngomycosis will become chronic, which often happens. Depending on the nature of changes in the oropharynx, the following types of mycosis are distinguished:
- Erythematous or catarrhal. The species is characterized by the presence of hyperemia sites (reddening due to overflow of blood vessels in the vessels) with a smooth glossy surface in the posterior pharyngeal area.
- Pseudomembranous. This type of pharyngomycosis is characterized by visualization in the oropharynx of white plaque or the appearance of cheesy discharge, which are easily removed with a spatula. Often under them you can detect bleeding areas of hyperemia.
- Hyperplastic. This type of disease is characterized by the formation of plaques on the pharyngeal walls and white spots that are difficult to remove with a spatula.
- Erosive and ulcerative. This type of fungal infection of the oropharynx involves the presence of erosions, ulcers in the foci of infection, which may be accompanied by bleeding.
How to treat a fungus in the throat
Based on the results of the diagnosis, the doctor will determine how to treat the fungus in the throat and which drugs to choose. Usually used local and systemic medications. If the patient used antibiotics, they are canceled.
To destroy the fungus in the throat, the treatment must simultaneously restore the microflora balance. This is made possible through proper nutrition, with live bacteria. The doctor will tell you not only how to treat a throat fungus, but also how to restore immunity. Often for this purpose, Viferon is prescribed for a month.
Uncomplicated forms of the fungus are treated with local preparations, and only if this does not work, do they switch to oral medications.
The following drugs are effective against fungus:
- polyenes (nystatin, levorin, amphotericin),
- azoles (fluconazole, ketoconazole, diflucan, itraconazole, mycoflucan),
- allylamines (terbinafine, etc.).
The acute stage of the fungus is treated in about 2 weeks; after remission, drugs can be taken for prophylaxis. The complex form of the fungus is best treated in the hospital. Candida fungal infection is more often treated with fluconazole. It is convenient to take it - 1 tablet is enough once a day, the duration of treatment is 1-2 weeks. If there is no effect, the drug should be replaced.
In the case of persistent resistance of the fungus and the ineffectiveness of standard anti-mycotic therapy, doctors prescribe the administration of amphotericin intravenously. At the same time, the performance of the kidneys and liver must be monitored, since the drug is toxic. Intraconazole and terbinafine are used to treat mold fungi. In addition to pills, be sure to carry out local treatment. To do this, choose a suitable antiseptic (clotrimazole, Miramistin, hydroxyquinoline, natamycin, chlorhexidine). You need to handle the back of the pharynx. The most convenient way to do the washing of the tonsils, rinsing. Every week, the antiseptic is replaced with a new one so that the fungus is not used to the medicine.
In parallel with antifungal therapy, it is necessary to eliminate associated diseases that provoked fungi. Immunomodulators must be included in the treatment complex. With timely treatment, proper diagnosis of the disease of the throat and adequate therapy, you can quickly get rid of the fungus.
Topical drugs and pills from the fungus in the throat
Fungal infections in the throat in men and women are treated with local and systemic drugs. For milder pharyngomycosis, the following antifungal ointments can be used:
- Nystatin ointment is a classic remedy for treating thrush caused by yeast-like fungi. The drug is contraindicated in pregnant women, patients with pancreatitis, liver disease.
- Amphotericin - effectively destroys the fungus in the throat, regardless of the type of disease. Ointment is contraindicated in pregnancy, allergy to components, liver disease.
- Clotrimazole is a powerful fungicidal agent. After getting into the body of pathogenic fungi, the medicine inhibits their development. Ointment is not prescribed to pregnant women, patients with liver diseases and individual intolerance to the components.
- Levorin ointment is an effective remedy for the destruction of pathogenic fungi of the genus Candida. Not prescribed for diseases of the liver, duodenum, stomach, pregnancy.
- Decaminic ointment is a drug based on dekamina with a pronounced antibacterial and fungicidal action. The tool has no contraindications, except for the intolerance of the components.
If the patient is diagnosed with acute fungal tonsillitis, then the course of treatment of the disease lasts up to 14 days. If the disease is uneventful, the treatment is carried out on an outpatient basis. With an infection of the lower respiratory tract, the patient is placed in the hospital. In addition to local drugs for pharyngomycosis, systemic antimycotic agents are used. Their classification is presented in the table:
Action on the body
Damage the cellular structure of pathogenic fungi, which leads to their death.
- Amphotericin B.
Provide fungicidal action. Effective against yeast-like fungi, dermatophytes.
Inhibit the development and spread of pathogens of the mucosa of the oropharynx.
The most prescribed drug for the treatment of fungal infections is Fluconazole tablets. The drug rarely provokes allergic reactions, is easily tolerated. The dosage and course of therapy are selected individually, taking into account the severity of the inflammatory process and the age of the patient. If the classic treatment does not help, the patient can be given Amphotericin B intravenously under the supervision of specialists. For the destruction of mold fungi therapy is strengthened with Itraconazole or Terbinofin tablets.
Another measure of local treatment of fungal infections of the oropharynx is the use of antiseptic solutions. Endolaryngeal administration of drugs of this group (irrigation of the pharynx) helps to stop the spread of pathogenic microflora. Regular procedures improve the health of the patient, relieve symptoms of intoxication. It is important to note that antiseptics should not be swallowed to avoid upset the digestive system. Drugs in this group are used for no longer than 5-7 days so that the infectious agents do not have time to adapt to the drugs.
Pharmacies sell a lot of antiseptic solutions. For the treatment of pharyngomycosis, you can use the following drugs:
- Chlorhexidine Bigluconate,
A fungus in the throat provokes a violation of the internal microflora. In addition, probiotics are prescribed to restore and protect the body. Abuse is not recommended. Illiterate taking of probiotics can provoke an allergy, urolithiasis. Pharyngomycosis is often prescribed the following drugs in this group:
In order to increase the body's resistance to disease-causing fungi, patients in the treatment of pharyngomycosis along with fungicide preparations are prescribed immunomodulatory drugs. They help activate neutrophils, phagocytes, granulocytes that can destroy the pathogens of fungal infection in the respiratory organs. Additionally, immunostimulants contain components that enhance cellular immunity and promote the production of interferon. Popular drugs in this group are presented below:
If the fungus on the tonsils and throat for a long time does not respond to traditional therapy, then the doctor may prescribe additional procedures. The purpose of physiotherapeutic procedures is the restoration of healthy microflora of the mouth. The methods of therapy are presented below:
- UV irradiation (quartz) of the oral surface. After the third procedure, the cells of the fungus die. The course of therapy is 5-6 sessions.
- Electrophoretic correction with potassium and iodine as a solution. The impact of drugs provides a strengthening of local immunity. The course of therapy is up to 12 procedures.
- Laser irradiation of blood to strengthen the immune system. The course of therapy is up to 6 procedures.
Features of the treatment of fungal infections of the throat in children
After the discovery of a fungal infection in the mouth of a child, it is impossible to begin treatment on its own. All measures must be agreed with the doctor. After examining the baby, the specialist will prescribe the treatment of the mucous membrane of the oropharynx with decoctions of herbs, baking soda solutions or borax with glycerin. In addition, the child can prescribe one of the following pharmaceutical preparations:
- Pimafucin (drops),
- Clotrimazole (ointment),
- Nizoral (spray),
- Tea tree oil,
- Miramistin (antiseptic solution).
Newborns with oropharyngeal thrush cannot be weaned. The mother should treat the nipples and areolas with an antiseptic before each feeding. If the baby is bottle-fed, then all nipples and bottles should be thoroughly sterilized. In children of preschool and school age with oral thrush exclude spicy, sweet, sour and spicy from the diet. A gentle diet is needed to prevent irritation of the pharyngeal mucosa. Young patients are also recommended to drink plenty of fluids (herbal teas, compotes, teas, non-carbonated mineral water).