Yeast Infection of Nipple

Although not all painful nipples are caused by yeast infection, there is a possibility of yeast infection of nipple if nursing mother complaints of sudden severe unexplained pain or chronic pain in their nipples. Yeast infection of nipple is caused by the organism Candida albicans which is a fungus normally residing in warm moist areas of human body. These are opportunistic pathogens. Yeast infection of nipple occurs rarely in non-lactating women. However, in breastfeeding women the moist environment of nipple may provide the yeast with favourable conditions of growth. Damage to nipple such as cracks or fissures in the skin of nipple is also associated with higher risk of candida infection. There is increased risk of yeast infection of nipple in the women who use nursing pads; as these pads keep the nipple warm and moist. Some dietary factors particularly dairy products, foods rich in sugar and artificial sweeteners.

Predisposing Factors

Although yeast infection may occur in healthy persons, it is more likely to occur in immuno-compromised individuals. It may cause serious infection in severely immuno-compromised people like transplant recipients, cancer patients, AIDS patients. Candida is normally present in almost all healthy persons. Most persons do not have problems with this as there is a balance between the other bacteria found on skin and the candida. When this balance gets disturbed due to any cause, the candida starts to overgrow and the benign yeast turns into pathogenic yeast. If the baby has oral thrush, yeast may get transferred to nipples. Recent treatment with antibiotics also predisposes to yeast infection.

Preventing Nipple Yeast Infection

  • Expose the nipples to air after each feed to make them dry.
  • Change the nursing pads after each feed.
  • Avoid using plastic-lined breast pads.
  • Use bleach solution to wash the pump part which comes in contact with breast and boil them in water for 5 minutes.
  • Expose your nipples to sunlight daily for few minutes.
  • Always wear cotton bra and dry them in sunlight after washing.

These simple measures may help to prevent yeast infection of nipple and may also cure a mild infection.

Signs and Symptoms

Pain is the most important symptom of yeast infection. It may affect one or both nipples. Mothers describe this pain as itchy-burning, throbbing, knifing which is severe and excruciating. Upon examination, nipple and areola may show following signs:

  • Nipple may appear swollen and shiny. They may become sore and cracked and do not respond to other comfort measures.
  • Nipples may remain more erect than normal.
  • Skin rashes with tiny, fluid-filled blisters may be present.
  • Skin of nipple may become dry and peel off due to yeast infection.
  • White dots may appear over the nipple.
  • Nipple may appear red or deep angry pink in light-skinned mothers.
  • Nipple may appear darker or red in dark-skinned mothers.
  • Some mother may suffer from recurrent infections.

Treatment

Treatment of nipple yeast infection may be either topical or systemic. Topical treatment is attempted first. If the infection does not resolve with one or more topical treatment then physician will prescribe systemic treatment. If the yeast infection has affected the deeper tissues of the breast, then systemic treatment is required. Topical treatment for nipple yeast infection must be continued for 10-15 days after the symptoms resolve to prevent recurrence.

Applying antifungal cream containing miconazole, clotrimazole has to be applied to the nipples. These ointments are available without prescription of a doctor. Relief is usually noted within 24-48 hours of starting treatment; if not, talk to your health care provider to consider other treatment or to rule out other causes of nipple pain. Try using other antifungal medication, if one is not working because the strain of yeast you have might not be responding to one medication while it may respond to others. The nipples should be washed with warm water before feeding the baby. Single dose of fluconazole can cure a vaginal yeast infection but it is not sufficient to treat the ductal infection which lies and causes pain deep in the breast. To treat infection of deeper tissues of breast.

Gentian violet is another antifungal medication which is available without prescription. If the candida infection is not responding to standard treatments, then you can use 0.25-0.5 % gentian violet solution in consultation to your healthcare provider. It generally comes as 1% solution and must be diluted to appropriate concentration before use. Apply gentian violet to the nipples 2-3 times a day for three days. Gentian violet can also be applied to baby’s mouth. Get the details of applying methods before using gentian violet for your baby’s mouth, as this is a strong medicine and improper or prolong use may create problems. However, gentian violet treatment is recommended less frequently because of some studies saying that it is linked with cancer.

You may consider interrupting the breastfeeding temporarily if your nipples are too painful by using a breast pump. As it is necessary to keep the breast empty to prevent mastitis or yeast infection traveling deeper.

If the mother has yeast infection in the nipple, the baby should be treated for oral thrush even if the white patches are not visible in the baby’s mouth. Oral antifungal suspensions are available which can be painted on baby’s mouth. Doctor may prescribe an oral suspension containing nystatin which should be painted in baby’s mouth 3-4 times a day for few weeks. To apply the suspension, first pour the suspension in a clean small cup; dip a cotton swab in it and paint the whole mouth of the baby. If the baby has oral thrush but mother do not yet has nipple infection, applying the medication to baby’s mouth just before feeding will provide with the preventive benefit to the mother.

The popular belief is that dietary changes may help to cope up yeast infection. Taking less sugar containing foods and eating lot of yoghurt may help. Probiotic capsules containing acidophilus are also useful.

Help Your Patients Manage Their Yeast Infection

A yeast infection can contribute to various problems, including the annoyances of pain and itching. For men who contract a yeast infection, it can be quite embarrassing since it is typically thought of as women’s only disease. With a little compassion and knowledge, these patients will have a better experience and not feel so embarrassed by the situation.

Although a yeast infection is not a sexually transmitted disease, it is associated with a person’s private region. Thus, some patients are a little apprehensive to discuss the problem. With men, this is especially the case. Make sure you take the time to make the patient feel comfortable about discussing their problem, whether the patient is male or female. Mention the reason it is happening, as well as the ways to prevent it. In a patient with reoccurring fungal infections, research further until you have an answer as to why. No patient wants to suffer continuously.

Recommend that the patient eat a diet consisting of little sugar or carbs. These foods contribute to the yeast breeding. The fungus thrives off glucose in the body, and these items contain exactly what the fungi need to live and reproduce.

Inform the patient of your recommendations for treatment. This includes any over-the-counter medications that may successfully treat the infection. For more serious infections, an oral prescription drug like Diflucan may be needed. In more serious cases, a woman may also require the use of a prescription strength vaginal cream.

Men may also need the same treatment as women. This can be an embarrassing issue for men, so you should definitely approach the situation with caution.

Patients with reoccurring yeast infections may require a treatment comprised of up to six months worth of an anti-fungal. For a woman who suffers from reoccurring yeast infections, also referred to as recurrent vulvovaginal candidiasis, might have developed the condition due to various factors. Thus, her medical background should be evaluated to determine the root of the problem. Diabetes, certain contraceptives, steroids and hormones have the ability to trigger this infection,and oftentimes to make it a habitual problem.

If the overuse of an antibiotic or another reason associated with being the origin of this fungal infection is not to blame, it may be time to look into testing for a more serious condition. Individuals who are in the early stages of HIV may experience yeast infections frequently.

Drugs Interactions with Fluconazole

Fluconazole was the first drug in the category of synthetic triazole antifungals. It can be administer in tablet form, as an oral suspension or through intravenous infusion. When taking different medications with fluconazole (the generic of the drug Diflucan), a patient may experience various symptoms, due to a drug interaction.

In fact, there are 76 drugs that can cause a major drug interaction when taken with this medication. In addition, there are 347 drugs that cause a moderate interaction and 36 medications that cause a minor drug interaction.

Alprazolam

Alprazolam, better known as Xanax, has a serious interaction when administered with Diflucan. Since fluconazole is a CYP450 3A4 inhibitor, it increases the plasma concentration of benzodiazepines, such as alprazolam.

Warfarin

The drug Coumadin, which is one of the name brands of the drug warfarin, is an anticoagulant that is oftentimes prescribed to patients with artificial heart valves, who’ve had a stroke or heart attack or who have certain types of an irregular heartbeat. When warfarin is co-administered with fluconazole, it has the potential to significantly increase the plasma concentration of the drug. In addition, it will heighten the hypoprothrombinemic effect of the Coumadin. Generally, a patient will experience unusual bruising, an increased menstrual flow, prolonged bleeding, pain, swelling, dizziness and red or black stools, when these drugs are prescribed together.

Methadone

Any form of the narcotic pain reliever methadone has the potential to interact with the drug Diflucan. Methadone may be prescribed as part of a drug detoxification program for patients who are recovering from heroin addiction. As a result of methadone being combined with fluconazole, the QT interval may be prolonged. In some instances, this may result in sudden death. Other prospective effects include ventricular arrhythmias, such as the ventricular tachycardic condition of torsade de pointes.

Lovastatin

Lovastatin is a statin that controls cholesterol levels in the body, by decreasing the harmful triglycerides and low-density lipoproteins, which are both “bad” forms of cholesterol. In addition, lovastatin increases the “good” kind of cholesterol, known as high-density lipoproteins or HDLs. If lovastatin or any statin drug, such as atorvastatin or simvastin, is taken along with Diflucan, it will increase the plasma concentration. This has the potential to cause musculoskeletal toxicity.

Haloperidol

Haloperidol, sold under the name brand Haldol, is an antipsychotic given to patients that have Tourette Disorder or schizophrenia. Taken in conjunction with fluconazole, Haldol’s QT interval is prolonged. This leads to various conditions including arrhythmias.

Citalopram

The selective serotonin reuptake inhibitor (SSRI) citalopram, also known as Celexa, treats depression. However, when an individual takes it with this yeast infection treatment, the plasma concentration of the citalopram is increased. This result in a prolonged QT interval or torsade de pointes arrhythmia.

Drug Interactions with Tioconazole, Terconazole and Miconazole

When taken in conjunction with one another, certain medications will interfere with others. Due to the chemical composition of some drugs, the ingredients react with one another to cause variety side effects, ranging from a mild result to a serious increase in potency that may be so toxic it becomes life threatening.

Terconazole

Terconazole, the generic of Terazol and Zazole, is an antifungal used as a topical cream or as a vaginal suppository, in order to treat candida alibicans. The drug works by stopping production of the fungus by weakening the membrane located around the yeast cell. Although terconazole may cause various side effects, such as site reactions, it is not known to interfere with any other drugs.

Tioconazole

The drug Tioconazole is usually given in the form of a vaginal suppository or a topical cream. However, tablets and tampons infused with the medication are available, as well. This antifungal works in the same manner as terconazole—by weakening the membrane of the cell wall. The drug is not 100 percent safe to take when you have certain medical conditions, and it may cause a few side effects. On the other hand, it is not known to cause any form of reaction when combined with other drugs.

Miconazole

Miconazole may be administered using various methods, such as applying topically as a power, spray, lotion or cream. For vaginal yeast infections, it is available as a suppository to be interested in the vagina or as a cream to be applied in and/or around a woman’s vaginal region.

Miconazole may cause various side effects, including fever, stomach pain and application site reaction. It might also trigger a foul-smelling vaginal discharge. In addition to the side effects that can be constituted by the drug given alone, there are six major drug interactions known. Besides the serious interactions, 255 moderate interactions are known, as well as 29 minor reactions.

Anisindione, dicumarol and warfarin are both anticoagulants that do not mix well, when taken along with miconazole. When these drugs are given to the same patient, the miconazole elevates the plasma concentration of the anticoagulants. It also will hypoprothrombinemic effect of the warfarin.

Antihistamines like astemizole and terfenadine mixed with miconazole result in the plasma concentration of the antihistamines rising.

The plasma concentration statin drugs used to lower cholesterol will increase when combined with miconazole. The reaction is classified as a moderate interaction. All drugs in this category including simvastatin, atorvastatin and lovastatin have the potential to reaction, when co-administered.

Managing a Patient’s Diabetes is an Effective Route of Minimizing Yeast Infections

The excessive accumulation of the fungus, candid albanicans occurs for various reasons. A slight variation in hormones may trigger an infection; however, it can be transmitted through sex, acquired due to a weakened immune system or a result of taking antibiotics. Inept hygiene is also a factor in how a woman acquires a yeast infection. Sometimes, the endocrine disorder, diabetes contributes to the development of this fungus.

Diabetes and a Yeast Infection

When a personal habitually has an elevated glucose reading, it can lead to an increased likelihood of developing a yeast infection. The origin of a yeast infection tends to grow well when a person has a high glucose reading. The main reason for this is that the naturally occurring yeast inside the vagina needs some form of nourishment, which is not plentiful inside this area, since the walls of the vagina are quite acidic. When blood sugar levels rise, this glucose feeds the yeast. Ultimately, this results in it multiplying uncontrollably and becoming yeast infection.

In addition, diabetes interferes with the body’s immune system that fights off a yeast infection. Therefore, this weakening in a person’s immune system allows the yeast to overproduce and cause an infection. Not to mention, an unstable immune system can allow various infections to accrue. Once a person who is immuno-compromised gets one infection, other infections may set in, as well. In many cases, this becomes an ongoing problem for diabetics.

Treating the Infection

Once a diabetic contracts a yeast infection, it should be treated immediately. Generally, up to two weeks worth of medication may be needed to successfully kill off the fungus. However, in addition to treating the infection itself, a diabetic’s glucose levels should be cared for with special attention. The variations in sugar levels can continue to nurture the fungus, if not dealt with correctly.

Managing Diabetes

After a patient develops a yeast infection is too late to start managing the person’s condition. In fact, the diabetic’s condition should be monitored and dealt with effectively long before reoccurring infections occur.

Start by implementing a healthy diet consisting of health foods including yogurt and other foods containing probiotics. Their diet should obviously not be comprised of a ton of carbohydrates. The patient should follow a carb counting diet that is based off of the glycemic index. Exercise is also a vital element in managing diabetes, because being overweight is a huge factor in having diabetes.

If exercise and diet are not enough to control a person’s glucose levels, you should take another course of action, which includes medications and insulin. Keeping a woman’s sugar levels under control will reduce her risk of yeast infections.

Identifying a Yeast Infection Vs. a Sexually Transmitted Disease

According to statistical data supplied by the Centers for Disease Control and Prevention in 2010, there are approximately 19 million new cases of sexually transmitted diseases (STDs) each year. With the amount of STDs being so steep, it is no wonder doctor’s offices are flooded with people hoping for a yeast infection, rather than an STD that can be more difficult to treat and result in various health problems cause their symptoms.

Symptoms of a Yeast Infection

In order to identify a yeast infection, you must note vaginal discharge that looks creamy, white and cheese-like. If any odor is noticed, it will smell similar to smell of fresh-baked bread. A male may experience discharge coming from his penis, as well. Most women and men complain of a burning sensation when they urinate, which also is common with many types of STDs, including chlamydia. To determine the cause of the pain, the patient should be asked when/where do you feel the burning sensation. With a fungal infection, the patient will feel the burning, when he or she urinates and it reaches the areas affected by the condition. For instance, a woman will not feel pain until her urine stream runs across her reddened vulva.

The vagina, penis or vulva may itch when a person has a yeast infection. Sometimes, a red rash or sores/blisters may form on the area. In addition to sores, a patient may feel pain during sexual intercourse. These signs are very similar to that of an STD, but sores or blisters must be examined to distinguish the exact cause. Generally, a woman or man will only experience pain while having intercourse on the areas that have redness or soreness.

Symptoms Exclusive to an Sexually Transmitted Disease

Very rarely will a yeast infection result in a fishy smelling odor or any foul smelling odor, at that matter. A foul smelling odor could mean another type of vaginal infection like bacterial vaginosis or an STD. Trichomoniasis, for example, makes the vagina secrete a yellow or green discharge with a foul odor. Determine what the rash looks like. White pustules are not a sign of a fungal infection and are definitely associated with a more serious condition.

Both men and women with an infection do not suffer from frequent urination or the feeling of having to urinate frequently. This symptom can be triggered by something as minor as a urinary tract infection to something more serious. Many people who have symptoms of the STD chlamydia complain of having to urinate frequently. A person who has a yeast infection will not develop a fever—either low-grade or high-grade. More serious infections like herpes and gonorrhea are responsible for a fever.

A patient should not have any flu-like symptoms. These are symptomatic of herpes, chlamydia or another similar STD. Chlamydia causes nausea, while herpes may result in a sore, achy feeling which resembles influenza. Headaches and swollen glands indicate herpes; however, a headache could also result from gonorrhea.

Yeast Infection in Male

Generally people think that only women get genital yeast infection. Men can also get genital yeast infection after having unprotected sexual intercourse with a partner having genital yeast infection. But, it does not always that yeast infection occurs by sexual transmission only.

Candida yeast is present in small number in the moist areas of body of healthy persons including penis especially under the foreskin. This number is kept under control by the immune system of our body or due to competition with other microorganisms present in our body. Whenever this balance gets disturbed due to any reason, the number of yeast grows and cause symptomatic infection. Yeast infection may occur in different parts of the body such as skin, nails, vagina, mouth etc. Here, we are focussing on the penile yeast infection.

Like any other disease, there are many external factors associated with candida yeast infection of penis. Some of them are mentioned below:

  • Low immunity caused due to conditions like nutritional deficiency, stress, low White Blood Cell count, HIV/AIDS, cancer.
  • Candida infection may occur after taking a course of antibiotics as the antibiotics not only kill the harmful bacteria but also the useful ones. This helps to candida to multiply more rapidly and increases the likelihood of infection.
  • Persons with diabetes having sugar in their urine provide a good medium for growth of candida and are at higher risk of getting candida infection of the penis. Diabetics also have a low immunity which further favours the growth of candida.
  • It has been shown by research that a chemical nonoxynol-9 present in condoms used for killing sperms favours the growth of candida.

Signs and Symptoms

Signs and symptoms of a yeast infection of penis include a reddish rash, along with irritation, soreness, itching or burning at the tip of the penis. The tip of the penis may appear red and swollen and may also have blisters. In some persons, thick whitish discharge may also appear.

Treatment

When it comes to treating your yeast infection you have three options:

  • Going to a doctor
  • Over-the-counter medications
  • Natural remedy

Most of the male yeast infections can be easily treated with over-the-counter antifungal agents like Monistat. The ointment has to be applied directly to the affected part twice daily for at least one week. If the rash did not disappear or recurs frequently, you should consult your doctor.

If your partner also has symptoms of genital yeast infection, then both the partners should be treated. If not treated, then both the partners will keep re-infecting each other resulting in vicious cycle. Also, it is recommended to abstain from sexual intercourse until all signs and symptoms of the infection disappear.

In addition to treating yeast infection with medicines you also need to do natural remedy to treat the root cause of yeast infection. To naturally treat the yeast infection you can do two things:

  • Change your diet: Eating correct food which strengthens your immune system, help the beneficial micro-organisms to grow in the body. These organisms will compete with candida and will not let candida grow and cause infection.
  • Introduce beneficial organism to your body: your body may have deficiency of useful bacteria due to antibiotic treatment. These beneficial bacteria can be introduced in the body by using probiotics.

Most Recent Developments in Yeast Infection Products

Technology has affected every aspect of medicine from the way diseases are treated to the diagnosis process. Even medicine that basically remains the static method of treatment for a condition changes and advances with time. This is true for the methods in which yeast infections are identified, prevented and treated.

Vagisil Feminine Wash pH Balance

Vagisil’s latest product is a body washed called Vagisil’s Feminine Wash pH Balance. This creation helps support a healthy pH balance, which can prevent yeast infections—both occasional and reoccurring. In addition to the product’s effect of a woman’s pH balance, the wash also contains LactoPrebiotic. LactoPrebiotic is a registered trademark of Combe Incorporated, the company who manufactures all Vagisil products. This particular ingredient promotes the growth of healthy vaginal bacteria that helps protect women against many different types of infections, including yeast infections.

Candida Diet

Although throughout the years various diet plans have been suggested to assist in the reduction of yeast infections, the foods you can and cannot eat have changed tremendously. At one point in time, this holistic approach to treating yeast infections deemed it necessary to cut out other forms of fungus in a person’s diet. By today’s standards, foods with fungus are not forbidden as part of the diet plan; however, there are restrictions regarding them. While truffles are not allowed, mushrooms, such as Reishi and Maitake, which possess the medicinal benefit of boosting one’s immune system, are allowed. When a person starts on the diet, he or she must undergo three different stages: cleansing, strict food restrictions and reintroducing foods. Besides the process and the strict food guidelines, there are foods that are allowed, and in fact, these foods are recommended. An example is yogurt, because of its prebiotics that promote the growth of “good” bacteria. These healthy bacteria help to restore balance in a person’s system, and they help to fight against the overgrowth of the fungus, yeast. Other foods that should comprise the patient’s diet are foods high in antioxidants like cinnamon, cayenne pepper, garlic and rosemary.

Vagisil Screening Test

The Vagisil Screening Kit for Vaginal Infections may not treat the overgrowth of yeast, but it does play an important role, because it detects the overgrowth of yeast, so a patient may self-diagnose and start treatment sooner. It also benefits those who may have an infection that is more serious to avoid self-diagnosing incorrectly and treating a sexually transmitted disease in the same manner they would treat a fungal infection. When a person uses this test, it evaluates her vaginal pH level. This determines whether the itching, burning or unusual discharge is sign of a yeast infection or something more serious, since a fungal infection does not increase a woman’s pH level the way trichomoniasis and bacterial vaginosis does. The test requires the woman to insert the pH-testing wand into the vagina against the vaginal walls for five seconds. From this sample, the test can aid in diagnosing, so a woman knows if she should seek the expertise of a medical professional or treat for a yeast infection.

Copyright Protected 2012 by Peter Jones