Section II
Candida
Overgrowth
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Candida Albicans is a yeast and a fungus. It exists in small
amounts in everyone's intestinal tract. It is also responsible for yeast infections in women.
In small amounts Candida is harmless. In large amounts it
can be life threatening. In between, it can contribute to many troubling problems
including chronic female yeast infections, chronic fatigue, irritable bowel syndrome, gas and
bloating. It can also cause food allergies, skin rashes, and allergies to mold.
There are many ideas on Candida.
There is an excellent book by Dr. William Crook called, "The Yeast
Connection Handbook" which discusses it. My ideas are a bit different
from those normally put forward. Dr. Crook and others usually assume
Candida to be an infection of the intestinal wall. I believe this can be
true, but there is a second way Candida can cause problems that is overlooked.
It is known that in some
individuals gastrointestinal motility is a problem. This means that food
is literally not pushed through the intestines as it should be. This
literally allows the food to spoil while still in the body. Some carbs are
harder for the body to digest even in a healthy person. These foods become
even more difficult to digest. Foods to avoid are therefore carbs such as
fruit, bread, etc.. Candida feeds on sugar and alcohol meaning these should
also be avoided. Meats, fats and other proteins are usually not as much of
a problem because they digest much more quickly.
It's not hard to understand how
motility can be affected by chronic fatigue. The muscles of the
gastrointestinal tract simply become exhausted more easily. The food in
the gastrointestinal tract is in a wet, warm environment. It literally
becomes moldy with Candida before it can be digested. Candida then
produces toxins making the fatigue worse!
If possible, you need to address the root
cause of Candida such as low vitamin D. Antibiotics, cortisone and birth control pills can
contribute to the overgrowth of Candida. Candida often goes hand-in-hand with helicobacter pylori.
Candida exists in the colon
normally in small amounts. The amount of Candida in
a healthy person is quite small. Candida
has no known benefits, but in small amounts it is harmless.
Candida in the colon can be encouraged
by the consumption of sugar, alcohol and by food
allergies. Candida feeds on simple sugars. Food allergies inflame the colon, which
encourages more Candida. Eliminating sugar, alcohol and foods to which you are
allergic can greatly help.
Candida can lead to a vicious cycle in which it causes
food allergies, which in turn inflame the colon,
which in turn lead to more Candida growth.
There are blood tests for Candida which are quite
accurate. (Stool tests which are often used have been shown to be very inaccurate.)
See my testing page for more
information. Candida is a very controversial condition. It may be difficult to
find a doctor who will treat you. See my page on finding a
physician for help in this area.
I could go on, but there are web-sites and other sources
of information, which do a far better job than I could. Here are a few sites. More can be
found on the links page.
An excellent summary of the condition can be found at The Chronic Candidiasis Syndrome
page.
Dr. William Crook has published several books on the
subject including "The Yeast Connection
Handbook".
If you've read the literature on
Candida, you are probably completely confused about
what to eat and not to eat. Every book and person has a different opinion on the subject.
My doctor gave me the best advice on this subject. He said that
to address Candida, you must address food allergies that inflame the colon. He told me not to eat anything with sugar and after
ordering up a food allergy blood test, told me not to eat anything on the allergy
list. I cut down fruit to one serving per day. Fruit juice was
completely out since it contains concentrated fructose which is even worse than table
sugar.
I strongly suspect the reason for the conflicting food advice is that different people
are allergic to different things. I strongly believe that a very important factor in
my recovery was the elimination of foods that I am allergic to from my diet.
Summary
To fight Candida, the most
important thing is to eliminate food allergies.
Sugar feeds Candida. It is important to deny nourishment to the Candida.
I found that some sugars are worse
than others. Table sugar did not aggravate my Candida that badly, but
fructose did. Fruit juices contain concentrated fructose and should be
avoided.
Whole fruit also contains fructose and many people advocate eliminating it. I
don't. One alternative MD I have seen agrees with this. Fruit contains fructose but
also has many healthful effects including the ability to neutralize toxins such as
methanol. For that reason it is best to reduce fruit consumption, but not eliminate it.
Testing for allergies is
critical. See my testing page for more
information.
Antifungal
Drugs and Antifungal supplements
There are a number of drugs
which are used for treating Candida. The results are mixed and I believe
that addressing diet and allergies is more productive, but for many people,
antifungals are worth a try.
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Nystatin |
This is a drug
in pill form that does not enter the bloodstream, but does kill Candida
and other fungi in the gastrointestinal tract. Allergic reactions
are possible. |
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Diflucan |
This is a drug
that does enter the bloodstream. It can cause liver problems.
It can make sinus problems worse. Diflucan will kill Candida
and some other fungi in the sinuses, but it does not kill aspergillus, a
more dangerous fungus often found in the sinus. Killing the other
fungi can allow aspergillus to multiply. |
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Lamisil |
This is
generally used for fungal nail infections. Some people believe it is
useful for Candida. I have no information on this. |
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Grapefruit
Seed Extract |
This is
available in health food stores. Many people report it to be
effective. |
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Garlic |
Yes, garlic
and garlic
tablets are a modest antifungal. |
| Risks Involved: |
See antifungal discussion above. |
| Effectiveness: |
Many people
notice a significant difference after going on a Candida diet and
avoiding foods to which they are allergic. See the food
allergy and diet pages for more
information. |
| Difficulty: |
Giving up your favorite
foods can be difficult, but it is well worth it to feel better. |
| Doctor Needed: |
Most mainstream doctors won't treat this.
If you do
need a doctor, it will be necessary to find an alternative MD or DO.
The best way to treat this is
diet and treatment of food allergies. |
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If your doctor is not cooperative, see my page on finding a physician for help in finding one that is. |
| Cost: |
Candida
blood tests run about $100. See the food
allergy page for information on food allergy testing. |
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