Candida usually develops suddenly, but can become chronic, persisting for an extended period of time. A common sign of thrush is the presence of creamy white, slightly raised lesions in the mouth, usually on the tongue or inner cheeks but sometimes on the roof of the mouth, gums, tonsils or the back of the throat. The lesions, which can have a "cottage cheese" appearance, can be painful and may bleed slightly when you scrape or brush your teeth. In severe cases, lesions may extend into the esophagus or digestive tract, causing:
Pain or difficulty swallowing
A feeling that food gets stuck in the throat or mid-chest
Fever, if the infection spreads beyond the esophagus
Thrush can spread to other parts of the body including the lungs, liver and skin. This occurs most often in people with cancer, HIV or other diseases that weaken the immune system.
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