For healthy children and adults, if you try a
and it fails or symptoms worsen, then consult your doctor. All people with
weakened immune systems should contact their doctors with any new symptoms or
Various conditions can cause nonmenstrual vaginal discharge in women, such as
and bacterial vaginosis.
Oral thrush needs a prescription
and a quick visit to the doctor. If children take no fluids for longer than 12
hours, contact your doctor for possible IV fluid replacement. Any fever or
prolonged problems with feeding also warrant a visit to a doctor.
Diaper rash or other candidal infections on the skin can be treated with
over-the-counter nystatin powders (Mycostatin, Nilstat, Nystat-Rx, Nystex, O-V
Staticin) or antifungal creams and lotions.
If the rash worsens at any time, or if the lesions do not clear in 1-2 weeks,
call your doctor.
Fever, chills, nausea, vomiting, or the rash spreading to other parts of your
body may be a sign of a more serious illness.
People with weakened
must take all forms of candidiasis seriously and treat them aggressively. The
infection may indicate that your
is functioning poorly. Your doctor should evaluate any symptoms of candidal
If you already are being treated for a candidal infection and the symptoms
worsen or do not improve, notify your doctor.
Fevers, chills, vomiting, general illness, or worsening rash needs to be
Most cases of candidiasis do not have to be treated in the hospital. People with
weakened immune systems may have more serious infections, however, and may need
to be hospitalized.
Women should go to the hospital when fever, chills, nausea and vomiting, or
abdominal pain accompanies vaginal discharge. These symptoms can indicate a more
serious problem such as kidney infections,
or pelvic inflammatory disease. These potential conditions need to be
If thrush interferes with drinking liquids or eating for long periods of time,
people may need to be hospitalized for more aggressive medications and
reestablishing body fluids.
Candidal skin infections rarely require hospital treatment.
People with weak immune systems run the risk of the candidal organisms growing
in their blood or internal organs, which can cause life-threatening illness. IV
may be necessary to combat this systemic illness. Your doctor should promptly
investigate symptoms of illness or general malaise.
Most candidal infections can be treated at home with over-the-counter or
and can clear within a week. But if some other disease has weakened your
, consult your doctor for any new symptoms before attempting self-treatment. You
may risk getting an infection.
Most women can treat yeast infections at home with over-the-counter
Massage these remedies into your vagina and surrounding tissues for 1-7 days
depending on the formulation. If increased irritation occurs to the area,
If you are pregnant, consult your doctor before using these treatments.
If symptoms continue for more than 1 week, consult your doctor.
In thrush, swish the antifungal agent nystatin around in your mouth. Take care
to maintain excellent oral hygiene.
All objects put into a child's mouth should be sterilized after each use.
Breastfeeding mothers should be evaluated for Candida of the breast.
If you wear dentures, clean them thoroughly after each use and practice good
Adults have several treatment options not available to babies, such as troches
(antifungal lozenges) or pills such as fluconazole (Diflucan), to help clear the
infection in addition to nystatin.
Skin and diaper rash
Clotrimazole creams and lotions can be applied to superficial skin infections.
need a prescription and a visit to your doctor.
The affected area should be kept clean and dry.
For diaper rashes, frequent diaper changes and the use of barrier creams will
is weak, your doctor may handle minimal local infections with home care. More
serious infections may need IV
given at the hospital.
With proper treatment, most candidal infections go away without further
problems. Vaginal yeast infections, thrush, and diaper rash usually clear in 1-2
weeks. In people with weakened immune systems, these infections can come back
and become hard to treat.