Monilial Infections



Monilial infections are white, patchy discolorations that commonly occur on the tongue and inside the cheeks of babies and small children. It may occur anywhere in the oral cavity. Surrounding mucous membrane is often red, and bleeding occurs if an attempt is made to remove the curd like patches. It may be painful.

It is caused by an organism called Candida albicans, which is present in about one-third of normal mouths. It gets out of hand under certain circumstances, such as when receiving broad-spectrum antibiotic therapy and in states of malnutrition. But it can also occur for no obvious reason. Very healthy, well-cared-for babies are often victims. Diagnosis is usually obvious.



The old-fashioned and hideous looking (but very effective) remedy of painting the inner part of the mouth with gentian violet has now passed. Miconazole flavored gel (“Daktarin” oral Gel) is successful. For infants under 12 months, give one-quarter of a measuring spoon of the gel four times a day; for children, use one-half measuring spoon. Place the gel on the tongue and keep in the mouth for as long as possible. Treatment should be continued for at least two days after symptoms have disappeared. This is usually given by the doctor. Adequate rest, a good nutritious diet and adequate vitamins are also recommended as general measures.

Genital regions (“Pruritus” or itch due to monilia and allied disorders). Irritation and excessive itch of the genital region is very common with women. This may involve the entire area about the entrance to the vagina (vulval area), and it may extend between the legs to include the part around the back passage (anal region). Many women will silently endure intense irritation for years. Scratching in public is socially unacceptable, and enormous self-control is sometimes necessary!



The majority of cases arc due to a clear-cut underlying reason that is curable, and so the sooner medical attention is sought, the better.

There are many causes. In children, infection of the front passage by threadworm is common. The worms are probably present in the back passage, come at night, and “get lost” and are sidetracked to the genital regions. This can produce a vaginal irritation, as well as local itch the vulval parts.



Discharges are a very common cause of itching, and there are numerous pathological causes.

Monilial infections, common in many women, produce a white discharge that lay constantly extend on to the skin at the front entry. This will ultimately produce an itchy, painful, irritated area. Monilia is not STD (as many women think), and it is not related to promiscuous living. It is extremely common in hen from all walks of life. It is related to pregnancy, use of the pill, use of antibiotics for other infections, and is common in diabetics.



Trichomonal infections may occur in vaginal canal. This produces a yellowish frothy discharge, and causes exile tenderness and itch of the vulval ion. This usually comes from an in your partner during intercourse. It is likely to be associated with women more than one sex partner.

The normal vaginal tract often produces a discharge. This may be heavier at certain times of the menstrual month, a discharge that causes local outer leers occurring on the cervix (part of womb that juts into the upper part of vagina) nearly always produce a discharge with pus. Cancer of the cervix is common, and usually produces a bloodied discharge.



Many other infections of the vaginal on involve discharges that cause skin irritation at the vulva.

The urine of diabetics often contains a huge amount of sugar, and this too is sensible for a skin irritation. Other skin disorders, such as psoriasis and allergies, all yield irritation.

In recent years, the universal use of pantyhose is blamed for producing vaginal-vulval irritation. Many claim the incomplete aeration of the skin, and resulting accumulation of moisture, is the basic cause.

The phenomenal rise in popularity of vaginal deodorants in recent times is also claimed to produce large numbers of allergies associated with an itch.



Long-standing skin irritation, especially in older women (termed chronic epithelial dystrophy), is another cause. Leukoplakia, a precancerous condition, and cancer of the part itself may produce the same symptom. And scabies infection can occur in the pubic hair.