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IBS AND CANDIDA ALBICANS: CANDIDA – WHAT CAN HAPPEN AT THE DOCTOR’S?
June 12, 2011
Scenario a)Patient: Doctor, my bowel is worse. I’m so bloated and not sleeping; it’s getting me down. There was a bit in a magazine about a fungus in the bowel called Candida; could it be that?Doctor: You worry too much, Mrs Lamb – and don’t believe all you read in magazines. No, Candida is only a problem in the vagina and in babies’ mouths. Have you had any more thoughts about a part-time job?Scenario b)Patient: My bowel is getting worse. I had afternoon tea with a friend and I blew up like a b»alloon. It is always the same if I eat bread or anything sugary. I try to keep off these things but I get such a craving for them. It’s like needing a drug. You can see how much weightI have put on. There was a doctor on the radio saying that sugar craving can be sign of thrush in the bowel; could that be my trouble?Doctor: Well it’s possible. We could try you on an anti-fungal drug for a couple of weeks to see if it helps.Scenario c)Patient: Doctor I’m really depressed with this bowel trouble. My diet is becoming very restricted, I am always tired and I have lost a stone in weight. Do you think it could have anything to do with this? (She produces an article on Candida).Doctor: I’m certainly seeing a big increase in fungal infections, so it’s a possibility. Let’s see, yes, you had antibiotics for that septic toe and you have had three prescriptions for pessaries for thrush this year. It could well be a fungal problem. Patient: Will I need more tests?Doctor: There isn’t a reliable test for overgrowth of bowel Candida. Patient: Can you send me to a specialist?Doctor: I’m afraid not; there are very few doctors in the Health Service who deal with problems like this. You could see a clinical nutritionist privately, but it could be costly. The alternative is for me to start you on a course of a drug called Nystatin. It has been around a long time and is quite safe but, to be honest, a lot of people do not tolerate it well. It can kill off the yeast cells too quickly and the poisons from them can make you feel pretty rotten.Patient: I will gladly put up with being off-colour for a couple of weeks if it will clear this bowel.Doctor: No, you would have to be on it for several months. I think the best plan would be to see if I can get the pharmacist to order one of the newer anti-fungal substances. They are from plants and seem to work well. You will have to keep to a diet and look after yourself a bit more; you try to do too much.*71\326\8*