Vaginal Thrush

Do battle with thrush

Thrush may be a regular nuisance for some women, while others never experience this infection. If you are taking antibiotics, are pregnant, going through menopause or are on the contraceptive pill you are more susceptible to this infection. But it can easily affect any woman at any stage in their life – many find it unnecessarily embarrassing.

Vaginal thrush (candida infection) is caused by an overgrowth of yeast called Candida albicans. Candida albicans lives quite harmlessly in our bodies until something upsets the body’s natural pH balance. This causes Candida albicans to multiply and symptoms of thrush to appear.

Women, who are HIV-positive, have diabetes or other immuno-compromising conditions, are more likely to experience infections. Some women also get vaginal thrush just before or just after their periods. Antibiotics can cause vaginal thrush, while tight-fitting pants or underwear made of synthetic fabric, heavily perfumed vaginal deodorants, bubble baths or certain soaps, can also aggravate your body’s normal flora and cause thrush.

Thrush infections can occur in many different sites but vaginal thrush is the most common. Vaginal discharge changes into a thick white consistency, like cottage cheese. Other symptoms may include itching, a burning sensation when urinating, soreness around the vagina, or pain during sexual intercourse. These signs all indicate that you may have a vaginal thrush infection. Your first instinct maybe to scratch, but this will only make the symptoms worse.

However, help is at hand. Community pharmacists are well equipped to diagnose and provide advice on treatment for vaginal thrush. They stock a variety of treatments ranging from antifungal vaginal creams to oral medication. Treatment will vary depending on the person. Ask your pharmacist about the best options for you.

Thrush can be prevented by ensuring your body is in peak condition. Try to steer clear of stress and don’t let yourself get run down. You can also:

avoid deodorised panty shields, bath products etc.
wear loose underwear and avoid tight clothing.
after urinating wipe from the front to the back.

If you are experiencing your first vaginal thrush infection you need to see your doctor. Symptoms such as green discharge, pain in your stomach or an unpleasant smell, can indicate something more serious and you should see your doctor as soon as possible.

Swallowing difficulties (dysphagia)

Causes of swallowing difficulties

Swallowing difficulties can happen at any age. There are a wide range of causes for them, including:

some medicines, such as antipsychotics
heartburn and acid reflux
cancer, such as mouth or throat cancers
nervous system or brain disorders
muscle disorders
blockages or structural issues with your mouth, throat or oesophagus.

Symptoms of swallowing difficulties

Symptoms of swallowing difficulties may include:

coughing or choking when eating or drinking
bringing food back up, may be through your nose
the feeling that food is stuck in your throat
having issues chewing your food
problems with dribbling.

Swallowing difficulties can cause weight loss, dehydration and chest infections.

Diagnosing swallowing difficulties

Let your healthcare provider know if you have swallowing difficulties. They will ask you about your symptoms and check if any other health conditions you have may be the cause.

Your healthcare provider may refer you to a specialist for tests. These may include a:

gastroscopy—a camera is passed down through your mouth to look at your throat and stomach
swallowing study—your throat and stomach are x-rayed as you swallow small amounts of food.

Treating swallowing difficulties

How your swallowing difficulties are treated depends on the cause and how severe it is. Treatments may include:

medicines to treat acid reflux
swallowing therapy with a speech and language therapist
making changes to what you eat and drink, such as softer foods and using thickener in drinks
using special spoons, plates and cups
surgery to widen your oesophagus.
using special medication lubricants eg Gloup to help make it easier to swallow tablets etc. For more information click here.

Self care for swallowing difficulties

As well as seeing your healthcare provider, the following tips may help you to get food or liquids into your stomach.

Sit upright in a chair—at a table is best.
Have regular small meals instead of the main large meals.
Eat or drink small mouthfuls at a time.
If your voice is gurgly when you eat or drink, give a small cough to make sure your airway is clear.
Wet food will be easier to swallow as dry food can catch in your throat.
If your food has 2 consistencies, such as fruit in juice and cereal in milk, try to mix it into 1 consistency, or eat the solid and liquid portions separately.
Concentrate on eating and avoid talking.
Hot, ice-cold or fizzy liquids are easier to swallow than room temperature liquids.
If you are told to have thickened liquids, avoid ice-cream and jelly as they thin before swallowing.
Drink from the top half of you cup to avoid tipping your head back.

Have a look at our range of Gloup medication lubricants here which can help with difficulties swallowing tablets...

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