Hi All,
I hope this message finds you well. I am writing with questions on
candidiasis. I am not certain how to successfully manage oral thrush. My son
who is now 2 and half years old has had oral thrush since he was 9 months old.
We would treat it and then each month it would return. It was pretty obvious
when it started with a white on his tongue and white spots in the pockets of his
cheek. Now he appears to only get a transparent white or grey film on his
tongue with no white spots in the pockets of his cheek. Sometimes his voice is
hoarse too. I don't want to leave it untreated but I sometimes question myself
if it is thrush. If I take him to the doctor they say that thrush would be in
the cheeks but I disagree; I think if is really bad it would be. Do any of you
have experience as to what thrush can look like and when to treat it. If some of
you have experienced it yourself maybe you can better explain to me how I can be
sure it is thrush. Any advice on how you all treat it? Is it better to treat
right away because can it get out of contol and effect the esophagus or liver
etc? Does oral thrush hurt or bother the children? Do APECED children typically
grow out of it and when? Is there anyway to support the immune system with diet
or probiotics etc. Has anyone had success with this? Any advice would be
greatly appreciated.
Thanks again so much for your help. I appreciate so much that there is a group
I can reach out to.
Warm regards, Susan
dear rubiose and family, two of my children have apeced and both ahve oral thrush presenting in various forms-the white spots, coating on tongue and inner cheeks to a vague coating on the upper palate and tongue associated with dry mouth and occasional reflux signs. we live in Ireland nad the treatment recommeded to us was DIFLUCAN (anti-fungal) high dose for 2 weeks. this always worked. my eldst(she is 10) now has Gastro-intesetinal problems with recent endoscopy by GI specialist showing candidia growth in upper and middle oesophagus. she now is taking long term dose of Diflucan for 6 months. we all have adapted a yeast restricted diet and this definitely helps and she feels much better. they also attended a dental clinic in Trinity College Dublin(dental Hospital) TCDfor a clinical trial to investigate the link with candida and apeced. although my gang were
negative on the swabs they still attend yearly for review. they suggest using KIN mouthwash but not sure if you use with very young children. woudl you ahve access to a good dental research hospital who could assess the type of candida that your son has and recommend the appropriate treatment. Dr. claire Healy is the Professor in dentristry in TCD. because my daughter has the GI symptoms now i would follwo up the treatment and go with your instinct. we are usually right as parents. take care and good luck with everything, --- On Mon, 8/6/09, rubiose <rubiose@...> wrote:
Hi All, I hope this message finds you well. I am writing with questions on candidiasis. I am not certain how to successfully manage oral thrush. My son who is now 2 and half years old has had oral thrush since he was 9 months old. We would treat it and then each month it would return. It was pretty obvious when it started with a white on his tongue and white spots in the pockets of his cheek. Now he appears to only get a transparent white or grey film on his tongue with no white spots in the pockets of his cheek. Sometimes his voice is hoarse too. I don't want to leave it untreated but I sometimes question myself if it is thrush. If I take him to the doctor they say that thrush would be in the cheeks but I disagree; I think if is really bad it would be. Do any of you have experience as to what thrush can look like and when to treat it. If some of you have experienced it yourself maybe you can better explain to me how I can be sure it is thrush.
Any advice on how you all treat it? Is it better to treat right away because can it get out of contol and effect the esophagus or liver etc? Does oral thrush hurt or bother the children? Do APECED children typically grow out of it and when? Is there anyway to support the immune system with diet or probiotics etc. Has anyone had success with this? Any advice would be greatly appreciated. Thanks again so much for your help. I appreciate so much that there is a group I can reach out to. Warm regards, Susan
Send instant messages to your online friends http://uk.messenger.yahoo.com
Hi Anne,
Thank you so much for your reply. That was great information. We have been
treating Joseph with Diflucan for his thrush too, however only for a few days
until the thrush resolves, but it does reappear in a month or two and we need to
treat again. I was wondering the reasoning behind the 6 months of therapy. Why
so long? Wouldn't it return once discontinued or is there a reason for the
several months? I took Jospeh to a dentist the other day and he did tell me
about a rinse that kills bacteria and yeast, it is used for bone marrow
transplant patients who have a comprimised immune systems. I wonder if it is
the same you are refering to. Also what is a yeast restricted diet? Has anyone
tried certain probiotics and had success? Does anyone know if kids will grow
out of the yeast issues at some point?
Thanks so much. All the advice is so helpful. Susan
--- In apeced@yahoogroups.com, anne ging <anneging5@...> wrote:
>
> dear rubiose and family, two of my children have apeced and both ahve oral
thrush presenting in various forms-the white spots, coating on tongue and inner
cheeks to a vague coating on the upper palate and tongue associated with dry
mouth and occasional reflux signs. we live in Ireland nad the treatment
recommeded to us was DIFLUCAN (anti-fungal) high dose for 2 weeks. this always
worked. my eldst(she is 10) now has Gastro-intesetinal problems with recent
endoscopy by GI specialist showing candidia growth in upper and middle
oesophagus. she now is taking long term dose of Diflucan for 6 months. we all
have adapted a yeast restricted diet and this definitely helps and she feels
much better. they also attended a dental clinic in Trinity College Dublin(dental
Hospital) TCDfor a clinical trial to investigate the link with candida and
apeced. although my gang were negative on the swabs they still attend yearly for
review. they suggest using KIN mouthwash but
> not sure if you use with very young children. woudl you ahve access to a good
dental research hospital who could assess the type of candida that your son
has and recommend the appropriate treatment. Dr. claire Healy is the Professor
in dentristry in TCD.
> because my daughter has the GI symptoms now i would follwo up the treatment
and go with your instinct. we are usually right as parents. take care and good
luck with everything,
> --- On Mon, 8/6/09, rubiose <rubiose@...> wrote:
>
>
> From: rubiose <rubiose@...>
> Subject: [apeced] Oral thrush
> To: apeced@yahoogroups.com
> Date: Monday, 8 June, 2009, 1:38 PM
>
>
>
>
>
>
>
>
> Hi All,
> I hope this message finds you well. I am writing with questions on
candidiasis. I am not certain how to successfully manage oral thrush. My son who
is now 2 and half years old has had oral thrush since he was 9 months old. We
would treat it and then each month it would return. It was pretty obvious when
it started with a white on his tongue and white spots in the pockets of his
cheek. Now he appears to only get a transparent white or grey film on his tongue
with no white spots in the pockets of his cheek. Sometimes his voice is hoarse
too. I don't want to leave it untreated but I sometimes question myself if it is
thrush. If I take him to the doctor they say that thrush would be in the cheeks
but I disagree; I think if is really bad it would be. Do any of you have
experience as to what thrush can look like and when to treat it. If some of you
have experienced it yourself maybe you can better explain to me how I can be
sure it is thrush. Any advice on how
> you all treat it? Is it better to treat right away because can it get out of
contol and effect the esophagus or liver etc? Does oral thrush hurt or bother
the children? Do APECED children typically grow out of it and when? Is there
anyway to support the immune system with diet or probiotics etc. Has anyone had
success with this? Any advice would be greatly appreciated.
> Thanks again so much for your help. I appreciate so much that there is a group
I can reach out to.
> Warm regards, Susan
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
> Send instant messages to your online friends http://uk.messenger.yahoo.com
>
The only question I can answer is about kids growing out of the yeast issues. My husband is 25 and still has problems with thrush. It usually only occurs when he is rundown or on antibiotics (or when his blood sugar levels are out of control as he has diabetes). When James has antibiotics he also has a yakult a day and that seems to help. When he needs Diflucan he has two tablets the first day and then takes one a day until a few days after the thrush goes away. He has to be careful about taking too much diflucan as it can be hard on the liver and James has had liver trouble in the past. However, with James the thrush doesn't recur immediately after he stops the tablets.
Hi Anne, Thank you so much for your reply. That was great information. We have been treating Joseph with Diflucan for his thrush too, however only for a few days until the thrush resolves, but it does reappear in a month or two and we need to treat again. I was wondering the reasoning behind the 6 months of therapy. Why so long? Wouldn't it return once discontinued or is there a reason for the several months? I took Jospeh to a dentist the other day and he did tell me about a rinse that kills bacteria and yeast, it is used for bone marrow transplant patients who have a comprimised immune systems. I wonder if it is the same you are refering to. Also what is a yeast restricted diet? Has anyone tried certain probiotics and had success? Does anyone know if kids will grow out of the yeast issues at some point? Thanks so much. All the advice is so helpful. Susan
--- In apeced@yahoogroups.com, anne ging <anneging5@...> wrote: > > dear rubiose and family, two of my children have apeced and both ahve oral thrush presenting in various forms-the white spots, coating on tongue and inner cheeks to a vague coating on the upper palate and tongue associated with dry mouth and occasional reflux signs. we live in Ireland nad the treatment recommeded to us was DIFLUCAN (anti-fungal) high dose for 2 weeks. this always worked. my eldst(she is 10) now has Gastro-intesetinal problems with recent endoscopy by GI specialist showing candidia growth in upper and middle oesophagus. she now is taking long term dose of Diflucan for 6 months. we all have adapted a yeast restricted diet and this definitely helps and she feels much better. they also attended a dental clinic in Trinity College Dublin(dental Hospital) TCDfor a clinical trial to investigate the link with candida and apeced. although my gang were negative on the swabs they still attend yearly for review. they suggest using KIN mouthwash but > not sure if you use with very young children. woudl you ahve access to a good dental research hospital who could assess the type of candida that your son has and recommend the appropriate treatment. Dr. claire Healy is the Professor in dentristry in TCD. > because my daughter has the GI symptoms now i would follwo up the treatment and go with your instinct. we are usually right as parents. take care and good luck with everything, > --- On Mon, 8/6/09, rubiose <rubiose@...> wrote: > > > From: rubiose <rubiose@...> > Subject: [apeced] Oral thrush > To: apeced@yahoogroups.com > Date: Monday, 8 June, 2009, 1:38 PM > > > > > > > > > Hi All, > I hope this message finds you well. I am writing with questions on candidiasis. I am not certain how to successfully manage oral thrush. My son who is now 2 and half years old has had oral thrush since he was 9 months old. We would treat it and then each month it would return. It was pretty obvious when it started with a white on his tongue and white spots in the pockets of his cheek. Now he appears to only get a transparent white or grey film on his tongue with no white spots in the pockets of his cheek. Sometimes his voice is hoarse too. I don't want to leave it untreated but I sometimes question myself if it is thrush. If I take him to the doctor they say that thrush would be in the cheeks but I disagree; I think if is really bad it would be. Do any of you have experience as to what thrush can look like and when to treat it. If some of you have experienced it yourself maybe you can better explain to me how I can be sure it is thrush. Any advice on how > you all treat it? Is it better to treat right away because can it get out of contol and effect the esophagus or liver etc? Does oral thrush hurt or bother the children? Do APECED children typically grow out of it and when? Is there anyway to support the immune system with diet or probiotics etc. Has anyone had success with this? Any advice would be greatly appreciated. > Thanks again so much for your help. I appreciate so much that there is a group I can reach out to. > Warm regards, Susan > > > > > > > > > > > > > > > > > Send instant messages to your online friends http://uk.messenger.yahoo.com >
Liz thanks for your email. It is interesting that you say that your husband has had liver problems in the past becasue that is also something on my mind. A couple of Jospeh's previous labs have shown liver enzymes to be slightly high,slightly outside the normal range. An immunologist said that that was okay but another doctor, an endocrinologist who also treats a few APECED patients thinks there may be an autoimmune effect on the liver even though there are no antibodies against the liver. He wants to repeat the tests in a few months. What has been your husband experience and what can be done to protect the liver from damage. Did he have to take medication or what could be done for that? My son is only 2 and all this can be very concerning yet I really want to know all I can so I don't make any
mistakes. It is so helpful to get feedback from others based on their experience.
Thanks again so much for your replies.
Susan
--- On Wed, 6/10/09, Liz and James Yarker <theyarkers@...> wrote:
From: Liz and James Yarker <theyarkers@...> Subject: Re: [apeced] Re: Oral thrush To: apeced@yahoogroups.com Date: Wednesday, June 10, 2009, 9:12 PM
Hi Susan,
The only question I can answer is about kids growing out of the yeast issues. My husband is 25 and still has problems with thrush. It usually only occurs when he is rundown or on antibiotics (or when his blood sugar levels are out of control as he has diabetes). When James has antibiotics he also has a yakult a day and that seems to help. When he needs Diflucan he has two tablets the first day and then takes one a day until a few days after the thrush goes away. He has to be careful about taking too much diflucan as it can be hard on the liver and James has had liver trouble in the past. However, with James the thrush doesn't recur immediately after he stops the tablets.
Hi Anne, Thank you so much for your reply. That was great information. We have been treating Joseph with Diflucan for his thrush too, however only for a few days until the thrush resolves, but it does reappear in a month or two and we need to treat again. I was wondering the reasoning behind the 6 months of therapy. Why so long? Wouldn't it return once discontinued or is there a reason for the several months? I took Jospeh to a dentist the other day and he did tell me about a rinse that kills bacteria and yeast, it is used for bone marrow transplant patients who have a comprimised immune systems. I wonder if it is the same you are refering to. Also what is a yeast restricted diet? Has anyone tried certain probiotics and had success? Does anyone know if kids will grow out of the yeast issues at some point? Thanks so much. All the advice is so helpful. Susan
--- In apeced@yahoogroups. com, anne ging <anneging5@. ..> wrote: > > dear rubiose and family, two of my children have apeced and both ahve oral thrush presenting in various forms-the white spots, coating on tongue and inner cheeks to a vague coating on the upper palate and tongue associated with dry mouth and occasional reflux signs. we live in Ireland nad the treatment recommeded to us was DIFLUCAN (anti-fungal) high dose for 2 weeks. this always worked. my eldst(she is 10) now has Gastro-intesetinal problems with recent endoscopy by GI specialist showing candidia growth in upper and middle oesophagus. she now is taking long term dose of Diflucan for 6 months. we all have adapted a yeast restricted diet and this definitely helps and she feels much better. they also attended a dental clinic in
Trinity College Dublin(dental Hospital) TCDfor a clinical trial to investigate the link with candida and apeced. although my gang were negative on the swabs they still attend yearly for review. they suggest using KIN mouthwash but > not sure if you use with very young children. woudl you ahve access to a good dental research hospital who could assess the type of candida that your son has and recommend the appropriate treatment. Dr. claire Healy is the Professor in dentristry in TCD. > because my daughter has the GI symptoms now i would follwo up the treatment and go with your instinct. we are usually right as parents. take care and good luck with everything, > --- On Mon, 8/6/09, rubiose <rubiose@... > wrote: > > > From: rubiose <rubiose@... > > Subject: [apeced] Oral thrush > To: apeced@yahoogroups. com > Date: Monday, 8 June, 2009, 1:38 PM > > > > > > > > > Hi All, > I hope this message finds you well. I am writing with questions on candidiasis. I am not certain how to successfully manage oral thrush. My son who is now 2 and half years old has had oral thrush since he was 9 months old. We would treat it and then each month it would return. It was pretty obvious when it started with a white on his tongue and white spots in the pockets of his cheek. Now he appears to only get a transparent white or grey film on his tongue with no white spots in the pockets of his cheek. Sometimes his voice is hoarse too. I don't want to leave it untreated but I sometimes question myself if it is thrush. If I take him to the doctor they say that thrush would be in the cheeks but I disagree; I think if is really bad it would be.
Do any of you have experience as to what thrush can look like and when to treat it. If some of you have experienced it yourself maybe you can better explain to me how I can be sure it is thrush. Any advice on how > you all treat it? Is it better to treat right away because can it get out of contol and effect the esophagus or liver etc? Does oral thrush hurt or bother the children? Do APECED children typically grow out of it and when? Is there anyway to support the immune system with diet or probiotics etc. Has anyone had success with this? Any advice would be greatly appreciated. > Thanks again so much for your help. I appreciate so much that there is a group I can reach out to. > Warm regards, Susan > > > > > > > > > > > > > > > > > Send instant messages to your online friends http://uk.messenger .yahoo.com >
I probably can't be that much help with the liver questions as in that (as in everything) James was unusual lol. In 2006 James had pain which got progressively worse. We went to the hospital and James's liver tests were off the charts (can't remember exact values but it was like if the range should have been up to 50 and he was 300 - that much worse). He spent a few days in the local hospital and then they transferred him to the closest big hospital. He had a number of scans and test including a liver biopsy. They tested for antibodies and all other causes of the problem. He was really sick and they were even saying that he would have to have a liver transplant... Then two days later he got better for no reason. He has his liver function tested every 3 months as he is now on lipitor as well as having the diflucan when needed but he has been ok since then. They don't know what caused the problem or why it got better. Apart from keeping an eye on his tests and being careful with the Diflucan we pretty much forget his liver.
Liz thanks for your email. It is interesting that you say that your husband has had liver problems in the past becasue that is also something on my mind. A couple of Jospeh's previous labs have shown liver enzymes to be slightly high,slightly outside the normal range. An immunologist said that that was okay but another doctor, an endocrinologist who also treats a few APECED patients thinks there may be an autoimmune effect on the liver even though there are no antibodies against the liver. He wants to repeat the tests in a few months. What has been your husband experience and what can be done to protect the liver from damage. Did he have to take medication or what could be done for that? My son is only 2 and all this can be very concerning yet I really want to know all I can so I don't make any mistakes. It is so helpful to get feedback from others based on their experience.
Thanks again so much for your replies.
Susan
--- On Wed, 6/10/09, Liz and James Yarker <theyarkers@...> wrote:
From: Liz and James Yarker <theyarkers@...> Subject: Re: [apeced] Re: Oral thrush To: apeced@yahoogroups.com Date: Wednesday, June 10, 2009, 9:12 PM
Hi Susan,
The only question I can answer is about kids growing out of the yeast issues. My husband is 25 and still has problems with thrush. It usually only occurs when he is rundown or on antibiotics (or when his blood sugar levels are out of control as he has diabetes). When James has antibiotics he also has a yakult a day and that seems to help. When he needs Diflucan he has two tablets the first day and then takes one a day until a few days after the thrush goes away. He has to be careful about taking too much diflucan as it can be hard on the liver and James has had liver trouble in the past. However, with James the thrush doesn't recur immediately after he stops the tablets.
Hi Anne, Thank you so much for your reply. That was great information. We have been treating Joseph with Diflucan for his thrush too, however only for a few days until the thrush resolves, but it does reappear in a month or two and we need to treat again. I was wondering the reasoning behind the 6 months of therapy. Why so long? Wouldn't it return once discontinued or is there a reason for the several months? I took Jospeh to a dentist the other day and he did tell me about a rinse that kills bacteria and yeast, it is used for bone marrow transplant patients who have a comprimised immune systems. I wonder if it is the same you are refering to. Also what is a yeast restricted diet? Has anyone tried certain probiotics and had success? Does anyone know if kids will grow out of the yeast issues at some point? Thanks so much. All the advice is so helpful. Susan
--- In apeced@yahoogroups. com, anne ging <anneging5@. ..> wrote: > > dear rubiose and family, two of my children have apeced and both ahve oral thrush presenting in various forms-the white spots, coating on tongue and inner cheeks to a vague coating on the upper palate and tongue associated with dry mouth and occasional reflux signs. we live in Ireland nad the treatment recommeded to us was DIFLUCAN (anti-fungal) high dose for 2 weeks. this always worked. my eldst(she is 10) now has Gastro-intesetinal problems with recent endoscopy by GI specialist showing candidia growth in upper and middle oesophagus. she now is taking long term dose of Diflucan for 6 months. we all have adapted a yeast restricted diet and this definitely helps and she feels much better. they also attended a dental clinic in Trinity College Dublin(dental Hospital) TCDfor a clinical trial to investigate the link with candida and apeced. although my gang were negative on the swabs they still attend yearly for review. they suggest using KIN mouthwash but > not sure if you use with very young children. woudl you ahve access to a good dental research hospital who could assess the type of candida that your son has and recommend the appropriate treatment. Dr. claire Healy is the Professor in dentristry in TCD. > because my daughter has the GI symptoms now i would follwo up the treatment and go with your instinct. we are usually right as parents. take care and good luck with everything, > --- On Mon, 8/6/09, rubiose <rubiose@... > wrote: > > > From: rubiose <rubiose@... > > Subject: [apeced] Oral thrush > To: apeced@yahoogroups. com > Date: Monday, 8 June, 2009, 1:38 PM > > > > > > > > > Hi All, > I hope this message finds you well. I am writing with questions on candidiasis. I am not certain how to successfully manage oral thrush. My son who is now 2 and half years old has had oral thrush since he was 9 months old. We would treat it and then each month it would return. It was pretty obvious when it started with a white on his tongue and white spots in the pockets of his cheek. Now he appears to only get a transparent white or grey film on his tongue with no white spots in the pockets of his cheek. Sometimes his voice is hoarse too. I don't want to leave it untreated but I sometimes question myself if it is thrush. If I take him to the doctor they say that thrush would be in the cheeks but I disagree; I think if is really bad it would be. Do any of you have experience as to what thrush can look like and when to treat it. If some of you have experienced it yourself maybe you can better explain to me how I can be sure it is thrush. Any advice on how > you all treat it? Is it better to treat right away because can it get out of contol and effect the esophagus or liver etc? Does oral thrush hurt or bother the children? Do APECED children typically grow out of it and when? Is there anyway to support the immune system with diet or probiotics etc. Has anyone had success with this? Any advice would be greatly appreciated. > Thanks again so much for your help. I appreciate so much that there is a group I can reach out to. > Warm regards, Susan > > > > > > > > > > > > > > > > > Send instant messages to your online friends http://uk.messenger .yahoo.com >
Hi Liz and Susan,
Liver involvement is one of the diseases associated with APS Type 1 unually
called autoimune hepatitis. Tara's liver enzymes would vary greatly from age 3
on but were never alarming enough to warrant treatment until a few years ago.
Around age 30 she developed autoimune hepatitis and was on very strong
immunosuppressants for a long time. They helped somewhat but after she had a
round of IVIG (immunoglobbulin) her liver function tests bounced back to normal.
We associate the hepatitis with the malabsorption she was having at the time but
that was never confirmed.
Best wishes,
Linda