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Gastroenterology  (Expert Forum)
 | 
how to dx candida and diet to help.
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.

how to dx candida and diet to help.

by 6mospreg, Mar 24, 2004 12:00AM
I wrote on 3-6 . I assumed I could contine asking questions regarded the same issue with out needeing to re tregister.
I have several questions. First how do you DX candida? What test should be used? What is an anti-fungal diet?
stool has been tested but not for abnormal levels of fat opr giardoia. xrays of small and lg intestin have beed done.

upper and lower enoscopy have nopt been done but are being scedualed.no antibody tests forceliac disease. On 32-9-04 I recieved further information from you. I took the candida test and i SCORED 485 AND 180 IS considered high

I looked into your controlled test hawever the due date was june 03. My husband is finishing his doctorate and he was to be completed in Aug03. Now perhaps in january 105 he will graduate.

Question.Were do I find diets (anti-fungal low-carb.)that can help this condition. Second are you still doing testing or has it been compleated. Finally I need to know what are hight fugual foods. is wine or cheesse an issue is rice Bread without yeast like tortillias.

If these test are not positive what do you sugessed are next move would be ?

Please help

by Kevin Pho, MD, Mar 25, 2004 12:00AM
First, there is some controversy about the role of candida in the GI tract.  There are a lot of small studies that suggest that abdominal pain may be due to candida overgrowth, but in people with intact immune systems, other causes should be evaluated for first.  

To test for this, stool samples specifically for fungus or yeast can be ordered.  Biopsies from colonoscopy or endoscopy can also be sent, specifically looking for fungus or yeast.  

There are no consensus studies recommending specific foods to fight candida.  Antifungal medications (i.e. fluconazole) can be considered.  

You may want to discuss these options with your personal physician.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Thanks,
Kevin, M.D.
Member Comments (5)

by tessa0825, Mar 24, 2004 12:00AM
Please check your earlier post and note that the response you received on 3/9/04 was not from Dr. Pho...He answered you on 3/8/04...What you received on 3/9/04 was from PAJ...He is not the official moderator of the board but rather a person who gives advise based on his experience with yeast infections....It was he who advised you to take the yeast test...Hope that helped clear up the misunderstanding....Tessa

by 6mospreg, Mar 24, 2004 12:00AM
To: PAJ or Dr.
Great! I understand and appreciate the clarification. However I still am looking for an answer. Also a question,from an MD point of view is candida a likely DX? From my past experience,Ive seen this DX within the wholistic movement and not from the western med. I am just desperate to find an answer, but dont want to settle with DX's that dont solve my problem.
After many tests,ER visits and hospitalization and more visits upcoming I'd like to have as much direction and suggestions to limit unneeded tests . Thanks.

by PAJ, Mar 25, 2004 12:00AM
I thought I would wait until the doctor answered your question first before answering.see what you got for your $15. Didn’t say much did he ,what he didn’t say is more telling!
Fact is you will find your very much on your own ,tests are available , but even on a positive result getting treatment is still very difficult. [See my article] it leaves many thousands self treating, many think the diet will help if not cure, the doctors right it will not ,a low carb diet with no refined sugar is just common sense, its levelling the playing field ,same as stopping smoking with a chough. Yeast infections are nothing trivial it takes  many months of treatment to cure ,yeast has the ability to profoundly suppress the immune system allowing other opportunistic infections to walk in. Symptoms are horrific & progressive , it looks like you have found your mystery illness but many hundreds of thousands suffer without knowing what ails them .Take a look at the info ive provided  
And post your questions or contact me if you need more

The IgA, IgG, and IgM are three tests which are somewhat reliable separately, and together have a good degree of reliability. The candida immune complexes test is even more reliable.
http://www.aal.xohost.com/candidacontent.htm
Other tests notably organic acid testing or metabolic profiling As detailed by Great plains laboratorys These tests have a
proven record ,as with all the tests getting the doctors to accept the significance of the result is the problem here.

http://www.greatplainslaboratory.com/yeast.html

                                                     Mystery Illness?
This is an illness where 5.000 people in the UK have banded together to share information. Up to 3,000 people a day log onto an Internet forum looking for help. In fact this forum attracts more traffic than any other Internet health forum. This illness is a hot topic. What’s the subject that has the attention of so many people? A very odd one ---intestinal yeast infection. Is it a crucial player in health? Does it really make a person this fatigued and ill? If so, why can’t you just take a medication to kill the yeast and make it all go away?
More and more people are realising intestinal yeast and bacteria can be a major contributor to many illnesses. Over 70% of the immune system is in the intestines. What lives in the intestines interacts with the immune system.  Altered gut flora from what is regarded as normal can cause depression, mental confusion, anxiety and fatigue. The intestinal flora is even a major contributor to autism. Yes, autism isn’t the totally genetic or emotional problem that was once believed. Many of these children are losing their diagnosis of autism as the gut and immune system are healed.
What is it like to suffer an intestinal yeast infection? Well, initially, a person may fear the worst --- cancer or a degenerative disease. The symptoms are both appalling and progressive. Chronic fatigue, cognitive problems and other symptoms develop to the point where the sufferer descends into a Zombie like state that is truly frightening. At a time when the person needs all mental faculties to fight this illness, the intestinal yeast and bacteria take away the person’s ability to even express themselves adequately. Fatigue and brain-fog make the person so very vulnerable.
Most people assume that doctors are right on top of this situation. Yet patients complain that doctors know very little about how to alter the flora of the intestines. Worse yet, patients run into doctors that are unwilling to even acknowledge the fact that intestinal flora can be a problem. With the exception of a small number of specialists and brave general practitioners, the medical profession has turned a blind eye to this condition. It is the patients who recognise the symptoms and who are demanding action.
So what’s to be done? People with intestinal Candida overgrowth may have yeast and fungus throughout their body. They are contagious with yeast, and associated co-infections, bacteria, virus’s etc. Many GP ‘s would consider acknowledging and treating the condition in line with the treatment protocols specialist doctors have successfully used for the last two decades [at least]. Except it is not yet considered standard practice.
We live in a very litigious world where empirical treatment is a thing of the past. First-line doctors want the security of knowing hospitals will pick up the case if things get tricky. Everyone cautiously waits for the formal blessings of experts before proceeding. People are left suffering with chronic and often-unexplained illness, they are commonly labelled as suffering with a syndrome of unknown cause. Band aid anti-inflammatory’s, and pain killers are often prescribed but they only temporary take away the pain, and never address the cause which stems from the Yeast infection with the associated toxic overload. Its clear that until the experts formally recognize this illness, patients are left without effective help from the medical establishment. And as the Candidiasis [term for chronic yeast infection] pipeline is running at full bore many more thousands will suffer as a direct result of senior doctors head in the sand stance with this illness.

Paul Jaep    Jan 04
***@****

by 6mospreg, Mar 25, 2004 12:00AM
To: PJ
Thank You . I appreciate your candid responce.

by jr5star, Aug 05, 2007 08:43AM
To: Dr. Pho
I recently went to the doctor complaining of cloudy urine.  The doctor took a urine sample and then prescribed me amoxicillin.  I have been taking this for three days, and now I have a sinus congestions and terrible simus headached.  A friend of mine thinks that my cloudy urine could be from yeast (Candida), and that the antibiotics have killed my friendly bacteria allowing the yeast to proliferate (thus, causing my sinus infection).  Should I stop taking the antibiotics? All my doctor notices in my urine were some WBCs and traces of blood.  Does this automatically mean I have a bacterial infection, or could this be Candida?   Thanks for your help!  (p.s. I am a 34 y/o female)
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