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Systemic Candidiasis.
Doctor, since my risky exposure, I took 2g or azythromycin and a doe of 1g azythromycin for 3 days, followed by an IV injection of what I suspect to be tetracycline and some unknown antibiotics for 3 days, followed by a week of 100g of doxycyline.
- On the fifth day since exposure, I have diarrhea along with gassy stomach that persisted till today (almost six weeks).
- Then on my fifth week (around 2 weeks after I stopped the above antibiotics because I am taking acyclovir for 2 weeks). I developed oral candidiasis in the form of median rhomboid glossitis. I applied nystatin drops 4 times daily, and the lession heals to around 80 percent in a day. But there's another new lession seemed to be developing right now.
- I have also been having persistent productive cough for almost a month now and have been feeling nasal congestion often times. But today, I feel the nasal congestion is getting worse.
My questions are:
- Is it possible that the persistent diarrhea that I am experiencing is actually be a symptoms of intestinal candidiasis? Or perhaps anything else like HIV or maybe others? The reason I asked is because I live on a very remote part of some third world country here in Asia where stool culture is non-existent.
- Would it be possible that my oral candidiasis is because of the antibiotics that I took, even though it occurred 2 weeks after I stopped using them? The day I stopped using the antibiotics was the day when I started taking 400g of Acyclovir daily for 2 weeks. I have also been smoking cigarettes for 2 packs a day, and have a dental cavity in my mouth that makes food stuck in there quite often.
- Would the chronic productive cough and recurrences of blocked nose that leads to shortness of breath be of matter of great concern such as systemic candidiasis or maybe Candida tracheobronchitis?
- Do you think I should start treatment with ketoconazole tab? or stick to this nystatin drops?
- On the fifth day since exposure, I have diarrhea along with gassy stomach that persisted till today (almost six weeks).
- Then on my fifth week (around 2 weeks after I stopped the above antibiotics because I am taking acyclovir for 2 weeks). I developed oral candidiasis in the form of median rhomboid glossitis. I applied nystatin drops 4 times daily, and the lession heals to around 80 percent in a day. But there's another new lession seemed to be developing right now.
- I have also been having persistent productive cough for almost a month now and have been feeling nasal congestion often times. But today, I feel the nasal congestion is getting worse.
My questions are:
- Is it possible that the persistent diarrhea that I am experiencing is actually be a symptoms of intestinal candidiasis? Or perhaps anything else like HIV or maybe others? The reason I asked is because I live on a very remote part of some third world country here in Asia where stool culture is non-existent.
- Would it be possible that my oral candidiasis is because of the antibiotics that I took, even though it occurred 2 weeks after I stopped using them? The day I stopped using the antibiotics was the day when I started taking 400g of Acyclovir daily for 2 weeks. I have also been smoking cigarettes for 2 packs a day, and have a dental cavity in my mouth that makes food stuck in there quite often.
- Would the chronic productive cough and recurrences of blocked nose that leads to shortness of breath be of matter of great concern such as systemic candidiasis or maybe Candida tracheobronchitis?
- Do you think I should start treatment with ketoconazole tab? or stick to this nystatin drops?
MEDICAL PROFESSIONAL
Starting with the title you chose for your question: "Systemic candidiasis" is a myth, a non-illness that is often used to explain a variety of symptoms that don't hold together as a specific medical problem.
Now having read the rest of your question, having symptoms due to localized yeast infections is a common problem in people who have taken broad spectrum antibiotics, and the tetracycline group (doxycycline and others) are among the most common offenders. And azithromycin could do it as well. Localized irritation/rash is the most common symptom, typically involving the anus, vaginal area in women, or the mouth. But some cases may cause transient diarrhea. If feces is tested for yeast, it is commonly found in people taking antibiotics -- but only questionably associated with symptoms. In any case, the symptoms of localized yeast infections generally clear up promptly when the antibiotic treatment ends. On top of all that, antibiotics often cause loose stools or overt diarrhea, having nothing to do with Candida or other yeast. All this is different than "systemic" or "intestintal" candidiasis.
To the direct answers to your questions are:
1) There is nothing in your symptoms that suggests a yeast infection. Your loose stools could be antibiotic related, howeer. But acyclovir has no effect of this kind.
2,3) Your chronic cough and blocked nose sound like allergy, or localized viral infections, or the effect of your smoking. There is nothing in those symptoms that suggest herpes, HIV, or yeast infection. With apology for being blunt and a little sarcastic, for a smoker to worry that chronic cought might be due to candida or HIV is like someone who has been hit over the head by a baseball bat wondering whether his headache is due to a brain tumor. Stop smoking then worry about the cough it you still have it 2-3 months later.
Based on your very extended discussions on the HIV international forum, you seem hyper anxious about issues that don't seem to be anything serious. If your symptoms continue or you otherwise remain concerned, follow up with your personal doctor or clinic. However, since this is clearly not an STD problem, and that's the only subject for this forum, there will be no follow-up comments or discussion. Also please note that MedHelp permits a maximum of 2 questions every 6 months on each of the professionally moderated forums (see Terms and Conditions) -- so no more here before next October.
Take care-- HHH, MD
Now having read the rest of your question, having symptoms due to localized yeast infections is a common problem in people who have taken broad spectrum antibiotics, and the tetracycline group (doxycycline and others) are among the most common offenders. And azithromycin could do it as well. Localized irritation/rash is the most common symptom, typically involving the anus, vaginal area in women, or the mouth. But some cases may cause transient diarrhea. If feces is tested for yeast, it is commonly found in people taking antibiotics -- but only questionably associated with symptoms. In any case, the symptoms of localized yeast infections generally clear up promptly when the antibiotic treatment ends. On top of all that, antibiotics often cause loose stools or overt diarrhea, having nothing to do with Candida or other yeast. All this is different than "systemic" or "intestintal" candidiasis.
To the direct answers to your questions are:
1) There is nothing in your symptoms that suggests a yeast infection. Your loose stools could be antibiotic related, howeer. But acyclovir has no effect of this kind.
2,3) Your chronic cough and blocked nose sound like allergy, or localized viral infections, or the effect of your smoking. There is nothing in those symptoms that suggest herpes, HIV, or yeast infection. With apology for being blunt and a little sarcastic, for a smoker to worry that chronic cought might be due to candida or HIV is like someone who has been hit over the head by a baseball bat wondering whether his headache is due to a brain tumor. Stop smoking then worry about the cough it you still have it 2-3 months later.
Based on your very extended discussions on the HIV international forum, you seem hyper anxious about issues that don't seem to be anything serious. If your symptoms continue or you otherwise remain concerned, follow up with your personal doctor or clinic. However, since this is clearly not an STD problem, and that's the only subject for this forum, there will be no follow-up comments or discussion. Also please note that MedHelp permits a maximum of 2 questions every 6 months on each of the professionally moderated forums (see Terms and Conditions) -- so no more here before next October.
Take care-- HHH, MD
Thank you for the answer Doctor, appreciate it very very much.
And I am truly sorry for not reading the rules.
You are right, I guess my anxiety is too much.
I did asked for some anxiety/depression medicines from my GP but I was declined any.
I am going for an anonymous rapid HIV test this Thursday.
Hope everything is going to be fine.
And I am truly sorry for not reading the rules.
You are right, I guess my anxiety is too much.
I did asked for some anxiety/depression medicines from my GP but I was declined any.
I am going for an anonymous rapid HIV test this Thursday.
Hope everything is going to be fine.
You are reading content posted in the STDs Forum
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STDs can't be transmitted by casual contact, like hugging or touching.
Syphilis is an STD that is transmitted by oral, genital and anal sex.
