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Chapter 11 – Do you have Candidiasis?

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How do you know if you have Candidiasis? There are a number of tests that can be performed to give you an indication of whether or not you have this condition.  They range from a saliva test that you do at home to laboratory testing which searches for candida antibodies in your blood and remnant candida in the stool.  The yeast questionnaires have been used by doctor’s such as Dr. William G. Crook who wrote The Yeast Connection.  He specializes in the treatment of systemic yeast infections.

Saliva test

Simple, Free Test - This saliva test is a good indicator of Candida.


 



 

 

When you wake in the morning, before you put anything into your mouth, work up some saliva and spit it into a clear glass of water. You may want to spit in the glass three or four times. Make sure you have enough saliva in the glass to cover the surface of the water.  You want to observe the reaction of the saliva in the glass about every few minutes for up to 30 minutes. If there are strings coming down from your saliva, if the water turned cloudy, or if your saliva sank to the bottom, you probably have candida!        

(You may want to put out a glass of water in the bathroom or on the nightstand the night before you wish to do the test just to remind yourself not to brush your teeth prior to spitting into the glass.)

(Yes, people can test negative for yeast with this test.  If you do NOT have a yeast concern, your saliva should stay at the top of the glass and will eventually dissipate.)

Laboratory Tests

If you want a more definitive test there are some laboratory options:

From the vitaminlady.com - At the bottom of the page http://vitaminlady.com/Articles/candida_albicans.asp

YOU MAY SUSPECT, BUT DO YOU KNOW? There is a simple test that can be done to determine whether you have a Candida problem:  we have the kits here.  The cost of the kit is $15.96 plus shipping, and you then send a stool sample off to the lab.  You are personally responsible for the lab fee of $80.00.   The results are sent directly to the Health Care Provider you select.  I have often found that those with the most serious Candida problems also have parasites, and this Lab specializes in testing for those, too.


 



http://www.drbralyallergyrelief.com/candida.html

http://www.betterhealthusa.com/public/159.cfm

http://www.candidapage.com/#test - This one seems to have a very comprehensive list of who does what kind of testing.

A recommended test by Michael T. Murray is the CDSA (Comprehensive Stool and Digestive Analysis) test. This excerpt was taken from his book called Chronic Candidiasis.

The CDSA is a battery of integrated diagnostic tests that evaluate digestion, intestinal function, intestinal environment, and absorption by carefully examining the stool. It is a very useful tool for determining which digestive disturbances are the likely underlying factors responsible for candida overgrowth.  The CDSA may determine that the symptoms are not related to candida overgrowth but rather to other digestive ailments such as small intestine bacterial overgrowth and the "leaky gut" syndrome. This test will determine the levels of Candida albicans and also what factors may be responsible for promoting its overgrowth.

           

Great Smokies Diagnostic Laboratory: 1-800-522-4762 (Comprehensive Stool Analysis)

            National BioTech Laboratory: 1-800-846-6285 (Candida Antibody Assays)

            Diagnos-Techs: 1-800-87-TESTS

            Meridian Valley Clinical Laboratory: 1-206-859-8700

Another laboratory method that can confirm the presence of candida overgrowth is measuring the level of antibodies to candida or the level of candida antigens in the blood.  I rarely order these tests, however, because the results typically confirm what the patient's history and the CDSA reveal.  Some patients may desire that Candida albicans is a responsible factor in the patient's health equation. In that situation, these blood studies can be quite helpful and can also be used as a way of monitoring therapies.

            Antibody Assay Laboratory: 1-800-522-2611

            Immunodiagnostic Lab: 510-635-4545

            National BioTech Laboratory: 1-800-846-6385

            Diagnos-Techs: 1-800-87-TESTS


You can also take a survey to get an idea if there are factors in your life which may have contributed to this condition.  Here is the survey from Dr. Crook.

Yeast Test and Questionnaire

Here is a quote from Dr. Jacob Teitelbaum's book, From Fatigued To Fantastic 


There are no definitive tests for yeast overgrowth that will distinguish yeast overgrowth from normal yeast growth in the body. There is one test that may be useful, though. This is a urine tartaric acid test. Tartaric acid is a waste product of yeast overgrowth. In fermenting wine, for example, it is critical to remove the tartaric acid. Otherwise, the wine would be toxic to people. Dr. William Shaw, head of the Great Plains Laboratory in Kansas City, Missouri, has found elevations in urine tartaric acid in both CFIDS/FMS patients and autistic children. In my experience, however, using Dr. William Crook's yeast questionnaire is still the most reliable way to tell if a person is at risk of yeast overgrowth


Yeast Questionnaire - Short Version

Developed by William G. Crook, M.D.
Are Your Health Problems Yeast Connected?

If your answer is yes to any question, check the box in the right hand column. When you've completed the questionnaire, add up the points you've checked. Your score will help you determine the possibility (or probability) your health problems are yeast connected. A more definitive test follows this one and it is highly recommended you take it as well.

1. Have you taken repeated or prolonged courses of antibacterial drugs?

4

2. Have you been bothered by recurrent vaginal, prostate or urinary infections?

3

3. Do you feel "sick all over," yet the cause hasn't been found?

2

4. Are you bothered by hormone disturbances, including PMS, menstrual irregularities, sexual dysfunction, sugar craving, low body temperature or fatigue?

2

5. Are you unusually sensitive to tobacco smoke, perfumes, colognes and other chemical odors?

2

6. Are you bothered by memory or concentration problems? Do you sometimes feel "spaced out?"

2

7. Have you taken prolonged courses of Prednisone or other steroids; or have you taken "the pill" for more than three years?

2

8. Do some foods disagree with you or trigger your symptoms?

1

9. Do you suffer with constipation, diarrhea, bloating or abdominal pain?

1

10. Does your skin itch, tingle or burn; or is it unusually dry; or are you bothered by rashes?

1

Top of Form

Bottom of Form: Scoring for women: If your score is 9 or more, your health problems are probably yeast connected. If your score is 12 or more, your health problems are almost certainly yeast connected.

Scoring for men: If your score is 7 or more, your health problems are probably yeast connected. If your score is 10 or more, your health problems are almost certainly yeast connected.

If your score is in the high range, you need to take the long questionnaire as well to get a more accurate indication of the severity of condition.

 


Yeast Questionnaire - Long Version

I suggest you print this questionnaire, circle your scores and keep it for future reference and for discussion with your healthcare provider. The results are important for you and your doctor to know.


This questionnaire lists factors in your medical history that promote the growth of the common yeast, Candida albicans (Section A), and symptoms commonly found in individuals with yeast-connected illness (Sections B and C).

*Filling out and scoring this questionnaire should help you and your physician evaluate how Candida albicans may be contributing to your health problems. YHowever, it will not provide an automatic yes or no answer. A comprehensive history and physical examination are important. In addition, laboratory studies, x-rays, and other types of tests may also be appropriate.

For each yes answer in Section A, circle the Point Score. Total your score, and record it at the end of the section. Then move on to Sections B and C, and score as directed.


Section A: History Point Score

Section A

1. Have you taken tetracyclines (Sumycin®, Panmycin®, Vibramycin®, Minocin®, etc.) or other antibiotics for acne for 1 month (or longer)?

 

50

Section A

2. Have you, at any time in your life, taken other "broad spectrum" antibiotics for respiratory, urinary or other infections for 2 months or longer, or for shorter periods 4 or more times in a 1-year span? 

 

50

Section A

3. Have you taken a broad spectrum antibiotic drug – even for one period?

 

6

Section A

4. Have you, at any time in your life, been bothered by persistent prostatitis, vaginitis, or other problems affecting your reproductive organs? 

 

25

Section A

5. Have you been pregnant 2 or more times?

 

5

Section A

5a. Pregnant 1 time?

 

3

Section A

6. Have you taken birth control pills for more than 2 years?

 

15

Section A

6a. Taken birth control pills 6 months to 2 years?

 

8

Section A

7. Have you taken Prednisone, Decadron®, or other cortisone-type drugs by mouth or inhalation** for more than 2 weeks?

 

15

Section A

7a. Taken these drugs 2 weeks or less?

 

6

Section A

8. Does exposure to perfumes, insecticides, fabric shop odors, or other chemicals provoke moderate to severe symptoms?

 

20

Section A

8a. Does exposure produce mild symptoms?

 

5

Section A

9. Are your symptoms worse on damp, muggy days or in moldy places?

 

20

Section A

10. Have you had athlete’s foot, ringworm, "jock itch" or other chronic fungus infections of the skin or nails that have been severe or persistent?

 

20

Section A

10a. Have you had athlete’s foot, ringworm, "jock itch" or other chronic fungus infections of the skin or nails that have been mild or moderate?

 

10

Section A

11. Do you crave sugar?

 

10

Section A

12. Do you crave breads?

 

10

Section A

13. Do you crave alcoholic beverages? 

 

10

Section A

14. Does tobacco smoke really bother you?

 

10

Section A

Total Score

 

 

**The use of nasal or bronchial sprays containing cortisone and/or other steroids promotes overgrowth in the respiratory tract.
 

Section B: Major Symptoms

For each symptom that is present, enter the appropriate number in the Point Score column:

If a symptom is occasional or mild, score 3 points.
If a symptom is frequent and/or moderately severe, score 6 points.
If a symptom is severe and/or disabling, score 9 points.

Total the score for this section, and record it at the end of this section.

Section

Symptom

Mild
3 pts

Moderate
6 pts

Severe
9 pts

Section B

Fatigue or lethargy

 

 

 

Section B

Feeling of being "drained”

 

 

 

Section B

Poor Memory

 

 

 

Section B

Feeling “spacey” or “unreal”

 

 

 

Section B

Inability to make decisions

 

 

 

Section B

Numbness, burning or tingling

 

 

 

Section B

Insomnia

 

 

 

Section B

Muscle aches

 

 

 

Section B

Muscle weakness or paralysis

 

 

 

Section B

Pain or swelling in joints

 

 

 

Section B

Abdominal pain

 

 

 

Section B

Constipation

 

 

 

Section B

Diarrhea

 

 

 

Section B

Bloating, belching or intestinal gas

 

 

 

Section B

Troublesome vaginal burning, itching, or discharge

 

 

 

Section B

Prostatitis

 

 

 

Section B

Impotence

 

 

 

Section B

Loss of sexual desire or feeling

 

 

 

Section B

Endometriosis or infertility

 

 

 

Section B

Cramps and/or other menstrual irregularities

 

 

 

Section B

Premenstrual tension

 

 

 

Section B

Attack of anxiety or crying

 

 

 

Section B

Cold hands/feet or chilliness

 

 

 

Section B

Shaking or irritable when hungry

 

 

 

Section B

Total Score

 

 

 

Section C: Other Symptoms*

For each symptom that is present, enter the appropriate number in the Point Score column:

If a symptom is occasional or mild, score 3 points.
If a symptom is frequent and/or moderately severe, score 6 points.
If a symptom is severe and/or persistent, score 9 points.

Total the score for this section and record it in the box at the end of this section.
                                                  Point score

 

Section

Symptom

3pts

6pts

9pts

Section C

Drowsiness

 

 

 

Section C

Irritability or the jitters

 

 

 

Section C

Poor coordination

 

 

 

Section C

Inability to concentrate

 

 

 

Section C

Frequent mood swings

 

 

 

Section C

Headaches

 

 

 

Section C

Dizziness/loss of balance

 

 

 

Section C

Pressure above ears, feeling of head swelling

 

 

 

Section C

Tendency to bruise easily

 

 

 

Section C

Chronic rashes or itching

 

 

 

Section C

Psoriasis or recurrent hives

 

 

 

Section C

Indigestion or heartburn

 

 

 

Section C

Food sensitivity or intolerance

 

 

 

Section C

Mucus in stools

 

 

 

Section C

Rectal itching

 

 

 

Section C

Dry mouth or throat

 

 

 

Section C

Rash or blisters in mouth

 

 

 

Section C

Bad breath

 

 

 

Section C

Foot, hair or body odor not relieved by washing

 

 

 

Section C

Nasal congestion or post nasal drip

 

 

 

Section C

Nasal itching

 

 

 

Section C

Sore throat

 

 

 

Section C

Laryngitis, loss of voice

 

 

 

Section C

Cough or recurrent bronchitis

 

 

 

Section C

Pain or tightness in chest

 

 

 

Section C

Wheezing or shortness of breath

 

 

 

Section C

Urinary frequency, urgency or incontinence

 

 

 

Section C

Burning on urination

 

 

 

Section C

Spots in front of eyes or erratic vision

 

 

 

Section C

Burning or tearing of eyes

 

 

 

Section C

Recurrent infections or fluid in ears

 

 

 

Section C

Ear pain or deafness

 

 

 

Section C

Total Score

 

 

 

*While the symptoms in this section occur commonly in patients with yeast-connected illness, they also occur commonly in patients who do not have candida.

Section A

Total Score

 

Section B

Total Score

 

Section C

Total Score

 

Section A, B, and C

Grand Total Score

 

The Grand Total Score will help you and your physician decide if your health problems are yeast-connected. Scores for women will run higher, as seven items in this questionnaire apply exclusively to women, while only two apply exclusively to men.

Yeast-connected health problems are almost certainly present in women with scores over 180, and in men with scores over 140.

Yeast-connected health problems are probably present in women with scores over 120, and in men with scores over 90.

Yeast-connected health problems are possibly present in women with scores over 60, and in men with scores over 40.

With scores less than 60 for women and 40 for men, yeast is less apt to cause health problems

So, if you scored high on these yeast questionnaires, more than likely you may have a systemic yeast infection.  And this may be the answer to why your yeast keeps coming back.  There are ways to get rid of this systemic problem and perhaps beat your yeast infections for good.

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