Candidiasis can allegedly be successfully treated either with home remedies or, in the case of a more severe infection, with either over-the-counter substances or prescription antifungal medications. Home remedies for candidiasis include the consumption or direct application of yogurt (which contains lactobacillus), probiotics, acidophilus tablets or salves, and even lightly crushed cloves of garlic, which yield allicin, an antifungal agent. Boric acid has also been used to treat yeast infections (by inserting gelcaps filled with boric acid powder into the vagina at bedtime for three to four consecutive nights). [citation needed] Eating a diet consisting primarily of green, fresh, raw vegetables also may give relief.
While home remedies may offer relief in minor cases of infection (although a peer-reviewed study in Australia found yogurt ineffective as treatment for Candida albicans[citation needed]), seeking medical attention may be necessary, because the extent of the infection at times cannot be judged accurately by the sufferer. For instance, oral thrush is visible only at the beginning of the digestive tract, but it may be that more of the digestive tract is compromised by Candidiasis.
Prescription medication is often the only solution to an infection; the antifungal drugs commonly used to treat candidiasis are topical clotrimazole, topical nystatin, fluconazole, and topical ketoconazole. In severe infections (generally in hospitalized patients), amphotericin B, caspofungin, or voriconazole may be used. (These medications are not effective against the more common bacterial vaginosis.) Local treatment may include vaginal suppositories or medicated douches. Gentian violet can be used for breastfeeding thrush, but pediatrician William Sears recommends using it sparingly,[2] since in large quantities it can cause mouth and throat ulcerations in nursing babies, and has been linked to mouth cancer in humans and to cancer in the digestive tract of other animals.[3]
Treating Candidiasis solely with medication may not give desired results. If indicated, underlying causes should be considered. As an example, oral candidiasis is often linked to the use of inhaled corticosteroids in asthma medication. Patients on long-term inhaled corticosteroids should rinse their mouths after each dose of steroids to counteract this effect. Oral candidiasis can also be the first sign of a more serious condition, such as HIV. Following the health tips at vulvovaginal health can help prevent vaginal candidiasis. Babies with diaper rash should have their diaper areas kept clean, dry, and exposed to air as much as possible. Sugar assists the overgrowth of yeast; thus, the increased prevalence of yeast infections in patients with diabetes mellitus, as noted above. In the case of frequent yeast infections, sugar should be avoided. Breast milk also feeds yeast, and both a nursing mother and baby need to be treated (even if both are not symptomatic) to prevent thrush from being passed between mother and child.
As Candida spp. originates in the gut, some strategies may be effective during an infection (and prior to or between infections) to control or prevent outbreaks. The fungus requires processed starches such as gluten, as well as sugars, to thrive. Dairy products and fermented foods may also contribute to its growth. As such, avoiding glutens, sugars, dairy products, and fermented foods (termed an “avoidance diet” by some practitioners, and by others as the “Candida control diet̶
may help to prevent overgrowth of the organism. It is important to remember that sugars include sucrose (common sugar), fructose, lactose, maltose, dextrose, and others (almost any food additive that ends in the letters “ose”), including maltodextrin. All of these types of sugars may contribute to Candidiasis, and may give relief if avoided. Additionally, increased water consumption may reduce fermentation opportunities in the gut.