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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Reoccurring Oral Thrush?

I have been having reoccuring oral thrush for 9 months now. I go on the drugs for 2 weeks then it comes back. This cycle just keeps going on and on. I take Advair disk in the morning for asthma. I have been drinking Vodka on a daily basis (8-12 oz) in the evening. Do you think the Vodka is driving the thrush? I have been on the Advair 8 years with no problem until now. I have been drinking for the last 1 1/2 yrs. I just stoped drinking completely 4 days ago with no side effects. Do you think the thrush may now clear up on it's own?
Thu, 5 Mar 2015
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General & Family Physician 's  Response
Hi
Welcome to HCM!
I appreciate your concern towards the recurring oral thrush.
Since you have been using Advair diskus which contains a steroid (Fluticasone) in addition to a bronchodilator which is useful form your bronchial asthma.
However it is because of the steroid you are getting the recurrent oral thrush (fungal infection). Steroids are known to suppress the immunity of a person vulnerable to get fungal infection if used in the form of inhaler.

Alcohol consumption (Vodka) is associated with bad oral hygiene which promotes the growth of the fungus.

So, maintain your oral hygiene, do frequent saline water gargle after every use of inhaler if oral thrush does not subside then you may have to take Nystatin solution for the fungal infection.

Regards
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What Causes Reoccurring Oral Thrush?

Hi Welcome to HCM! I appreciate your concern towards the recurring oral thrush. Since you have been using Advair diskus which contains a steroid (Fluticasone) in addition to a bronchodilator which is useful form your bronchial asthma. However it is because of the steroid you are getting the recurrent oral thrush (fungal infection). Steroids are known to suppress the immunity of a person vulnerable to get fungal infection if used in the form of inhaler. Alcohol consumption (Vodka) is associated with bad oral hygiene which promotes the growth of the fungus. So, maintain your oral hygiene, do frequent saline water gargle after every use of inhaler if oral thrush does not subside then you may have to take Nystatin solution for the fungal infection. Regards