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Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 44359
Experience:  Board Certified Physician
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My 91 year old Mum is in a good care home. She is dying by

Customer Question

My 91 year old Mum is in a good care home. She is dying by millimeters. She has been refusing food and is only taking fluids, mainly cold ater from the fridge. She is suffering from quite severe dementia and has a diagnosis of vascular Alzheimers disease. She has a severe candidia infection in her mouth. Nystatin has been prescribed but she is very intolerant of its application. The thrush is causing her considerable discomfort and is probably the chief reason she does not tolerate any food. Is there an effective intravenous treatment condition in old people with such low resistance. We want only that she passes away gently in as much comfort as possible.
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. David replied 2 years ago.
Dr. David :

This is Dr. David

Dr. David :

yes, she can receive IV fluconizole or diflucan to kill fungus in her body.

Dr. David :

this is very effective to destroying fungus all over her body including thrus.

Dr. David :

thrush

JACUSTOMER-drxvlrbu- :

What sort of timescale will a result be seen in someone so old and frail - within a day - a week - a month ?

Dr. David :

the thrush can be cleared up in a few days

JACUSTOMER-drxvlrbu- :

Do you think there will be swift lessening of discomfort ?

Dr. David :

yes, it can help with discomfort.

Dr. David :

if the thrush or fungal infection is causing the discomfort.

Dr. David :

usually it is given as 100mg IV a day -3 weeks to clear up oropharyngeal candidiasis.

JACUSTOMER-drxvlrbu- :

Right. so it is quite a long process which just might not be so appropriate to a very frail old lady. Are there other contra-indications ? My mother has had some treated heart fibrulations recently but otherwise all her other organs remain healthy.

Dr. David :

sometimes diflucan can affect other medications

Dr. David :

so it depends on what medications she is on

JACUSTOMER-drxvlrbu- :

Well, excepting the nystatin suspension and paracetamol suspension, all other medications have been withdrawn a few days ago. She has had no chronic illnesses that were being treated.

Dr. David :

thanks.

Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 44359
Experience: Board Certified Physician
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