What medicine should be taken for fungal esophagitis?
Fungal esophagitis is an inflammation of the esophagus caused by fungal (mainly Candida albicans) infection. It is common in people with low immunity, such as patients with diabetes and long-term use of antibiotics or immunosuppressants. Among the hot topics in the past 10 days, the treatment drugs and care methods for fungal esophagitis have attracted much attention. This article will introduce you to the drug treatment options for fungal esophagitis in detail and provide structured data for reference.
1. Common symptoms of fungal esophagitis
The main symptoms of fungal esophagitis include pain when swallowing, retrosternal burning sensation, loss of appetite, etc. Severe cases may be accompanied by fever or weight loss. If the above symptoms occur, it is recommended to seek medical treatment in time to avoid worsening of the condition.
2. Drug treatment of fungal esophagitis
The treatment of fungal esophagitis is mainly antifungal drugs. The following are commonly used drugs and their usage:
| Drug name | Mechanism of action | Usage and dosage | Things to note |
|---|---|---|---|
| fluconazole | Inhibit fungal cell membrane synthesis | 100-200mg daily, oral or intravenous injection | Use with caution in patients with liver dysfunction |
| itraconazole | Broad spectrum antifungal | 200mg daily, orally | Need to be taken with food to improve absorption rate |
| Amphotericin B | Destroys fungal cell membranes | Intravenous injection, dose adjusted according to condition | Nephrotoxicity may occur, renal function needs to be monitored |
| voriconazole | Inhibit fungal growth | 200mg daily, oral or intravenous injection | Avoid use with strong CYP3A4 inhibitors |
3. Precautions for drug treatment
1.Complete course of treatment: Even if the symptoms are relieved, the entire course of treatment must be completed as directed by the doctor to avoid recurrence.
2.drug interactions: Some antifungal drugs may interact with other drugs (such as warfarin, statins), so you need to inform your doctor about the drugs you are taking.
3.Monitoring of side effects: If adverse reactions such as rash or abnormal liver function occur, seek medical treatment in time.
4. Adjuvant treatment and dietary suggestions
In addition to drug treatment, patients also need to pay attention to dietary conditioning:
| dietary advice | Recommended food | avoid food |
|---|---|---|
| Light and easy to digest | Porridge, noodles, steamed eggs | Spicy and greasy food |
| Supplement probiotics | Yogurt, fermented foods | Foods high in sugar (may promote fungal growth) |
5. Measures to prevent fungal esophagitis
1.Enhance immunity: Balanced diet, regular work and rest, and appropriate vitamin supplements.
2.Rational use of antibiotics: Avoid long-term or overuse of antibiotics.
3.oral hygiene: Keep your mouth clean and reduce the risk of fungal colonization.
Summary
The drug treatment for fungal esophagitis is mainly antifungal drugs. Appropriate drugs need to be selected according to the condition and doctor’s advice. At the same time, dietary conditioning and preventive measures are equally important. If you suspect you have fungal esophagitis, seek medical advice promptly and do not self-medicate.
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