Oral thrush is a type of candida infection that’s particularly ugly looking; that’s got to have something to do with it being located in the mouth, and with all those creamy white patches that you’d much rather not see, let alone touch.
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However, it doesn’t have to be as bad as you’d imagine, and it’s pretty easy to treat if you’ve got the right anti-fungal medication. In this article, we’ll show you how different stages of thrush look like, and we’ll also examine different regions where the infection might spread.
Butt crack rash can be a symptom of other infections that can be fungal or viral. They manifest themselves in the form of rashes that protrudes slightly above the skin. They are dry and cracked on the top surface and sometimes can cut across the skin. Call your doctor if you’re pregnant and you get a yeast infection. Yeast infections are common among pregnant women and are usually not dangerous. But some medications used to treat yeast infections can be harmful to you or your baby. Before you try to treat your yeast infection, talk to your doctor about treatment options.
But first, let’s take a look at the main culprit: candida albicans.
Candida albicans
This yeast is the main cause of oral thrush. Though it’s normally present in the mouths of the majority of the population, it’s usually not dangerous until it grows to unusually high numbers. This abnormal growth can be caused by a lot of things, from a weak immune system, incapable of staving it off, to an imbalanced diet, rich in sugars and poor in probiotics such as yogurt or milk, to certain diseases such as AIDS or diabetes.
Notice how the yeast-like cells are grouped together in dense colonies. Once the overgrowth process begins, these colonies will form the creamy white patches commonly associated with oral thrush.
Early stages: inflammation and small whitish patches
In the early stages, your tongue will begin to swell slightly and some whitish patches will appear. They won’t be too unsightly and you may even mistake them for saliva. They’ll soon begin to spread around the tongue, though, in which case you’ll know you’re dealing with thrush.
White lesions: the main symptom of oral thrush
As the infection develops, you’ll notice white lesions that look like milk residue, but are in fact candida albicans colonies growing out of control. They’ll be located on the tongue, cheeks, inner lips and palate, and you should be able to scrape them off. However, doing so would probably result in slight bleeding and pain, so it’s better to deal with your infection by using anti-fungal medicines.
Oral thrush affecting the throat
If left untreated, the infection will progress towards the throat. As it does so, these white patches will be visible deep down your throat and you’ll experience symptoms such as difficulty swallowing and a sensation of burning. You’ll probably want to avoid hot and hard foods at this points, as they’ll irritate your throat and they’ll make swallowing even more difficult.
Laryngeal thrush
As the candida moves down, it may reach your larynx. As it does so, you’ll experience hoarseness and pain. Since the larynx is not within easy reach, you won’t be able to apply anti-fungal medication directly on it, so you’ll need to use some form of prescribed pills such as fluconazole. In severe cases, surgery may be necessary.
Oral thrush is not a severe condition in its early stages, but it can become more unpleasant the longer it’s left untreated. We’ve shown you a few pictures of oral thrush at different stages of development and in different regions of the mouth and throat, so now you can recognize it easily – and, hopefully, before it gets too serious. Be sure to check this list of oral thrush treatment options, as there are a few ways to rid yourself of this condition.
Resources
Farriers Laura Florence and Bryan Farcus answer questions on treating your horse’s hoof thrush
Thrush invades the frog of the hoof and thrives on necrotic tissue. It is identified by a particularly unpleasant smell and an oily, black discharge. Usually found in the grooves on either side of the frog, thrush spreads by going deeper, rather than superficially across a tissue’s surface. Conditions conducive to the development of thrush include:
- anaerobic (no oxygen) conditions like a dirty stall or persistently muddy paddock
- extremely wet weather
- absence of or infrequent hoof cleaning
- abnormal hoof conformation of a deep central sulcus in the frog
Q: Is thrush a synonym for hoof infection? If no, how does it differ from an infection?
Bryan: There seems to be some debate whether thrush in horses is more of a fungus or bacteria. Most equine science texts list an anaerobic bacterium called Sphaerophorus necrophorus as the main culprit. However, since thrush can also occur in the mucous membranes of humans, as a yeast-like microscopic fungal form, some argue that a fungal organism call Candida albicans can play a much greater role. Regardless of its origin, one constant remains — prevention.
Laura: Horses can be plagued by chronic and debilitating hoof infections. Other bacterial and fungal agents are at play in horses’ feet, causing infection and damage. Some attack the white line and hoof wall, others cause lesions on the coronary band and pastern. Thrush is distinct from other infections in that it localizes in the frog.
Q: What is the worst case scenario for chronic/untreated thrush?
Bryan: Permanent damage to the frog corium (sensitive underlying tissues), Deep Digital Cushion infection, and in the most severe cases an invasion of the attachment of the Deep Flexor Tendon to the bottom of the coffin bone, resulting in permanent lameness.
Laura: It is possible for thrush to become so entrenched that it can reach sensitive tissue deep in the foot and cause serious lameness and health risk. Severe infection can be identified by compressing the frog with strong thumb pressure and/or hoof testers. Reaction will indicate a deep invasion of thrush.
Q: What are your favorite treatments for thrush?
Bryan: One of my most effective treatments for potential or minor cases is a thorough hoof picking and a hoof wash/spray of a 50:50 mixture of water and either hydrogen peroxide or white vinegar. Caution: do not use this on any cases that have advanced into the bleeding state; instead refer to your veterinarian for advice.
Laura: Treatments vary widely and many are effective, with consistent, thorough attention. Clean the frog daily using a diluted agent of a substance such as apple cider vinegar, Borax powder, or Lysol. Gently but thoroughly clean all of the deep crevices. Have your farrier trim away any loose flaps of dead frog. This will allow more air contact and easier cleaning. Take care not to poke and scrub too vigorously – infected frog tissue can be painful and can easily bleed. Use a squirt bottle of whatever solution you have chosen to irrigate the area and loosen debris (I re-purpose dish liquid bottles for this). An old cotton t-shirt cut into 4 or 5 inch squares is great for gently wiping through the sulci of the frog. The clean soft squares can “floss” the deep central crevice. Remember - gently! Follow this cleaning treatment with an application of healing salve or ointment to nourish damaged tissue. If the infection is deep and the frog soft and painful, apply raw honey by saturating cotton balls and carefully place into the frog. Just leave the cotton balls there until the next treatment! After a few weeks of the raw honey, switch to any of the following: over-the-counter fungal creams, cow mastitis creams from your veterinarian, or calendula salves. If deep areas in the frog stay moist, try applying a paste made up of SORE NO-MORE® The Sauce and sugar to help with drying. The key is to focus on healing the frog from deep to shallow, inside out. It is important to balance killing the bad stuff while supporting the good.
Once thrush rears its smelly head, expect treatment to be long term. Attention to diet, exercise, environment and regular hoof trimming are critical, in addition to topical application of cleaning and healing agents.
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Resources: The Principles of Horseshoeing (P3), D. Butler and J. Butler; Mosby’s Medical, Nursing, & Allied Health Dictionary, 6th Ed., D. Anderson, J. Keith, P. Novak
Laura Florence is an American Farrier’s Association Certified Farrier serving clients in southeastern Pennsylvania. A former Resident Farrier with the University of Pennsylvania, New Bolton Center Farrier Service, Laura began private practice in 2007, rehabilitating and maintaining horses’ hooves through a holistic approach. www.holistichoofcare.com , 484-868-3715.
Bryan S. Farcus MA, CJF, is the creator of a select line of “Farrier-Friendly™” products and author of the “Farrier-Friendly™” series of articles that appear in horse magazines throughout the US. Bryan currently works with horses and their owners in Ohio and West Virginia. www.farrierfriendly.com
Common symptoms of thrush
- Resistance to having feet picked up and cleaned/inspected
- Sensitive, painful frog, usually with a deep central cleft
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- Toe first landing, even when the foot looks healthy
- Hoof wall separation, flat soles, high bars and sunken frogs
- Irregular hoof wear patterns due to a compromised gait
- “Wry” or twisted hooves
- Thin, distorted or displaced frogs
- Contracted heels that won’t relax and spread
- Club feet that began in mid-life or after an injury or laminitic episode
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- Seasonal soundness issues
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Source: No Horsing Around, LLC, www.NoHorsingAroundLLC.com