A 40ish year old woman came to the office with unresolved fatigue, gastro, thyroid symptoms, despite following a Gluten Free diet for nine years. Having done mostly GAPS/AIP/SCD eating protocols in that time frame. She recently was food tested and determined that IgGs were positive for Casein, chocolate, coffee, corn, egg, peanut, tomato, wheat, and yeast. Limiting these foods has allowed some weight loss to begin, but other symptoms are still present.
She was being treated for the usual Social Media Memes of SIBO, Adrenal Fatigue with probiotics and supplements made with whole food without any improvement. Analysis of the Genova 2200 Gastrointestinal Stool Profile was presented as everything was okay. She was referred to my office for a different opinion.
This was the assessment after triage of the labs she brought to the office. There was a disagreement as to whether the mouth was a problem that being it was not what she was there for. She wanted to know why she felt so bad and nothing seemed to have any affect. Turns out it started in the mouth and was all down-stream from there.
Would you like to see how this case is broken down? What are the thought processes as different components of her case are broken down? Let’s get started.
Vaginal Yeast infection symptoms can mimicked by Bacterial Vaginitis (BV). Periodontal bacterial vaginosis can cause vaginal symptoms similar to those of a Yeast Infection. Bacterial Vaginitis can be caused by various conditions, such as bleeding gums and gingivitis. Recurrent Pregnancy Loss (RPL), miscarriage, preterm birth and low birth weight are associated with oral bacterial infections.
Cross colonization of the openings of the human body have received little study in contemporary medicine. Because of this, there is limited practical recommendations for management of patients with both dental and urogenital tract microflora disorders. Not because nothing can be done. It is due to the compartmentalization of health care. The mouth and vagina are at opposite ends of the body. Dentist go to Dental conventions. Gynecologists go to Gynecological conventions. They never become aware of the problem at the other end of the body. Dental patients tell Dentists about their mouth. Gynecology patients – Well you get the point.
As a Functional Doctor, patients report all of their problems in the assessment forms allowing the connection between their reoccurring “Yeast” infection and bleeding, receding gums. From there, the patient can be directed to the proper treatment and support to eliminate the problems.
The current paradigm focuses on vaginal/uterine infections predominantly originating from the vaginal tract, with the microbes ascending into the uterus. An increasing number of bacterial species have been identified in vaginal/uterine infections that do not belong to the vaginal microflora. Infections in the uterus can originate from the mouth as bacteria entering to bleeding gums move throughout the body looking for a place to call their new home. There is a small association between periodontal disease and bacterial vaginosis with oral sex with a partner that has periodontal disease. Bacteria enter the blood vessels in the mouth is the primary route of infection. There is sometimes confusion between bacterial vaginosis and ‘blue waffle’, which became a common topic within the STD field after a picture went viral on social media. Sometimes people think they are the same thing, but it isn’t real – there is no such thing as ‘blue waffle’. This was something made up for the purpose of social media and bacterial vaginosis certainly cause any discolouration. Some types of bacterial vaginosis can be treated by taking a vaginal probiotic and this should help you to start feeling better in no time. If you’re worried or concerned about this, then make sure you contact a medical professional as soon as possible.
Is Your Yeast Infection Really A Bacterial Infection?
Culture Lab Testing is still readily available and reasonably accurate for finding air breathing microbes, so clinicians continue to use it even though there are significant known limitations. 99% of microbes in your body are stressed out when exposed to air, going dormant or dying making them unculturable.
This lack of growth by anaerobic microbes results in a significant change in the balance of microbes in lab test results; since those species capable of surviving exposure to air will more actively grow when there is no competition. It becomes readily apparent that Culture and the culture dependent MALDI-TOF methodology are severely limited to identifying only culturable microbes (less than 1% in the human body).
If your Doctor is using antiquated Culture tests or swabs. They are missing 99% of the microbes that could possibly be causing your “Yeast” infection. If you are experiencing reoccurring “Yeast” infections, the use of cultures and swab tests are likely wrong and leads to inappropriate treatment.
Vaginal and Uterine Infections
Oral bacteria enter into oral capillaries, especially if you have bleeding when flossing or brushing your teeth. Receding gums is another sign of oral bacteria causing problems. These conditions lead to increased bacteria in the blood, thus enhancing the opportunities for bacteria to travel to distant organs and joints in your body. The symptoms of oral bacteria infection mimic those experiences in ascending infections, i.e., with the bacteria colonizing the lining of the uterus.
Dental procedures such as extractions, root canals, implants, deep scaling and crowns that cause bleeding provides an entry point for bacteria to move into the blood. Unfortunately, the focus is on mercury fillings and not on the bacteria that take advantage of the new places to take up residence. Read more on Root Canals…
Bacteria being carried through the blood allows the spread of opportunistic bacteria from one location to another, i.e. uterus, joints, thyroid. It is then plausible that opportunistic bacteria take advantage of your body’s specific chemistry and colonize wherever growth conditions are suitable. The oral and vaginal environments provide similar colonization and growth conditions in a your body for bacteria to grow. Because faulty, antiquated Culture Lab Tests continue to be used, anaerobic bacterial infections are seldom found.
These opportunistic oral bacteria setting up a new residence in the uterus become Invasive Speciesand Keystone Pathogens. An Invasive Species is a species that spreads to a new location they are not normally found in, becoming Keystone Pathogens and causing damage to the tissue, organs and health of the human body.
Invasive Species are able to out compete normal inhabitants due to lack of natural defenses that keep their population in check. Invasive Species become bullies in their new location, changing the environment to favor their growth and survival, i.e. a crack house moving into your neighborhood.
A “Keystone Pathogen” is a low-abundance microbe that can orchestrate inflammatory disease by remodeling a normally beneficial microbiota into a dysbiotic one, i.e. residents of the neighborhood change their behavior to avoid confrontation with the crack dealers. Once the Keystone Pathogens get a foothold, they hack into the immune system by producing chemicals that make them invisible to the immune system, i.e. crack dealers paying off the cops.
Oral bacteria invading the uterus and vagina change the environment so much so that the normal vaginal bacteria are weakened to the point where they are no longer able to out-compete the Candida/Yeast. You have invaders in the vagina and uterus arriving internally from the blood and externally from the vagina. The Candida/Yeast are opportunistic; taking advantage of the weakened normal vaginal bacteria being unable to prevent the overgrowth of Candida/Yeast. You experience temporary relief from Yeast infection products or prescriptions, but it always comes back. This is because the oral infection replenishes the bacteria to the vagina and uterus repeating the process over and over.
An increasing number of studies report intrauterine infections caused by bacterial species not found in the urogenital tract, such as F. nucleatum and Bergeyella, Eikenella, and Capnocytophaga spp., all of which are common species in the mouth.
Female Reproductive Disease and Periodontal Infection
Periodontitis is a condition in which dental bacterial plaque cause an inflammatory response that leads to loss of connective-tissue attachment, ultimately resulting in loss of affected teeth. Symptoms include bleeding when brushing or flossing, inflammation at the site, and tooth loosening and ultimately tooth loss.
Chronic generalized inflammatory and inflammatory-degenerative periodontal diseases of different severity have been detected in all female patients with gynecological diagnosis of bacterial vaginosis. The major markers of bacterial vaginosis have been also detected in oral cavity in women with periodontal conditions, i.e. receding gums, bleeding gums, canker sores, etc. Root canals, crowns and implants should also be considered if you are having reoccurring vaginal infections.
Bacterial vaginosis is a frequently occurring condition with the focus being primarily on bacteria ascending from the vagina into the uterus. Bacterial vaginosis affects nearly 30% of women between the ages of 14 and 49. Bacterial vaginosis is characterized by a decrease in the normally predominant (air-tolerant) Lactobacillus bacterial species, and a corresponding increase in a diversity of anaerobic microbes (air-hating) AKA Competitive Exclusion. Bacterial vaginosis is typically asymptomatic, but if symptoms are present, the most common complaints are discharge and odor.
Both periodontal disease and bacterial vaginosis have been linked to adverse pregnancy outcomes such as miscarriage, preterm birth and low birthweight. The process through which oral bacteria stimulate an immune response resulting in preterm birth remains overlooked.
Bacterial vaginosis (BV), a condition characterized by decreased vaginal lactobacilli and increased anaerobic bacteria, has been associated with an increased risk of miscarriage and preterm birth. The abnormal microflora typical of Bacterial Vaginosis overlaps considerably with bacterial species known to be associated with periodontal disease. For example, Prevotella and Porphyromonas species have been associated with Bacterial Vaginosis and Periodontal Disease.,
What are signs and symptoms of bacterial vaginosis?
The most common symptom is a smelly vaginal discharge. It may look grayish white or yellow. A sign of bacterial vaginosis can be a “fishy” smell, which may be worse after sex. About half of women who have bacterial vaginosis do not notice any symptoms.
Many women with bacterial vaginosis have no signs or symptoms at all. When symptoms do occur, the most common include:
An abnormal amount of vaginal discharge
The vaginal discharge is thin and grayish white.
Vaginal odor (foul-smelling or unpleasant fishy odor)
The vaginal discharge and odor are often more noticeable after sexual intercourse.
Pain with sexual intercourse or urination (rare symptoms).
Symptoms of bacterial vaginosis, if present, can occur any time in the menstrual cycle, including before, during, or after the menstrual period. The amount of vaginal discharge that is considered normal varies from woman to woman. Therefore, any degree of vaginal discharge that is abnormal for a particular woman should be evaluated.
What problems can bacterial vaginosis cause?
Bacterial vaginosis usually does not cause other health problems. But in some cases it can lead to serious problems.
If you have it when you are pregnant, it increases the risk of miscarriage, early (preterm) delivery, and uterine infection after pregnancy.
If you have it when you have a pelvic procedure such as a cesarean section, an abortion, or a hysterectomy, you are more likely to get a pelvic infection.
If you have it and you are exposed to a sexually transmitted infection (including HIV), you are more likely to catch the infection. Only an STI test will tell you for sure.
If you are having frequent “Yeast” infections, you may want to consider the possibility it is not “Yeast“. It may be an overlooked oral bacteria infection. Theses same bacteria traveling through your blood are also falling into your digestive tract becoming Invasive Species acting as Keystone Pathogens causing digestive problems. Since Dentist do not treat gynecological conditions and Gynecologist do not treat dental conditions. You need help guiding you through the process. Call today.
Over the years at our clinic, we have seen images of women with thyroid or Hashimoto’s using infrared thermography for breast health, in lieu of mammograms.
In almost all of the cases cases, we have clearly seen cases of inflammation in the dental area using this heat sensing technology. In all of those cases, a heat signature can be seen running from the area of oral infection down to the thyroid area.
Many of these cases are caused by a low-grade infection and inflammation and have, through further testing, been attributed to dental or oral issues, such as issues related to root-canal treated teeth. Invariably, some cases are very subtle, even asymptomatic for many years, but these cases slowly and continuously affect peoples’ health.
With thermographic imaging, we can identify areas of suspected inflammation and infection because they present with heat. Once an area of concern is identified, it needs further investigation and resolution. People living with a chronic source of infection and inflammation will eventually find that their immunity is affected. This is because once the oral bacteria leave the mouth, they become invasive species and keystone pathogens.
In some cases, this chronic inflammation and invasive infection will actually promote the dysfunction of other organs in the body. Numerous studies have linked vaginosis (chronic yeast infections), miscarriages, pre-term birth, and gastrointestinal symptoms are linked to invasive oral bacteria.
The natural defense mechanism to fight development of organ dysfunction is impaired since their immune system is busy dealing with inflammation that has no chance of resolving on its own. In addition to this, the symptoms are far away from the mouth and people are using supplements or treatment for where the symptoms are occurring. The only way this problem can be resolved is by identifying and removing the cause. The infected area has to be properly dealt with before the body can be restored to health.
The IR imaging procedure provided enormous information about the physiological processes through examining the temperature of the body that can be related to the internal process of inflammation or irritation. The early signs provided by the IR imaging can be used as a prognostic indicator in detecting inflammation and subclinical pathology. The merits of a non-invasive IR imaging modality are important in identifying early stages of inflammation not visible by other imaging modalities. There is a high confirmation rate of ninety (90%) percent indicating strong correlation between thermographic and dental exams.
Those suffering from thyroid conditions may experience recurrent gum bleeding, easy bruising, and chronic fatigue. Hypothyroid patients have capillary blood supply alterations in gum tissues. Those suffering from thyroid issues also have enhanced periodontal bone loss as tooth-supporting alveolar bone is less sensitive to hormonal signals. If you’re thinking you’re showing signs of periodontal disease and worry about your oral hygiene, depending where you’re located you may want to book an emergency dentist London.
Oral Bacteria Damage the Thyroid
Oral Periogenic bacteria can cross into the blood stream through the bleeding gums causing a systemic inflammatory infection. The tissue of the gums can also become infected. This allows periodontal bacteria to enter into the blood stream, which translocate to organs of high metabolic activity, i.e. the Thyroid.
If an oral bacterial infection is not able to establish drainage through the skin surface or into the oral cavity, it may spread diffusely through the neck’s soft tissue. Once the infection descends into the neck, it may reach the thyroid gland. The spread of the oral infection to the thyroid can cause thyrotoxic symptoms: temperature changes, pale skin, excessive sweating, tremors, tiredness, rapid heart beat. The swelling of the thyroid gland can cause trouble swallowing and speaking. Dental treatment would be required to stop the infectious drainage to the thyroid.
Oral bacteria causing infections in gum tissue may threaten more than your teeth and gums. Research has established associations between oral bacteria and systemic diseases including:
Degenerative Disc disease
Arthritis and Joint Pain
Type 2 Diabetes
Preterm and Low Birth Weight Babies
And many more.
The theories linking oral bacteria to other diseases explain that the mouth may be a portal for bacteria to spread to the rest of your body, there’s then no wonder as to why it would be important to wear protective gear such as an N95 Mask should you be exposed to any number of harmful chemicals or bacteria in your daily life. These theories have been confirmed through the use of microbial DNA testing with an added wrinkle. There are more than just acid loving-cavity causing bacteria in the mouth. DNA testing can help greatly in diagnosing conditions or predicting a potential future risk of something. There are DNA and Drug Testing Clinics Nationwide – Health Street for people to attend to check on anything they are worried about or want to check on.
Multiple Conditions – One Body
You are allowed to have more than one dysfunction occurring in your body at the same time. Too many Professional and Social Media Influencers promoting their version of low thyroid or Hashimoto’s make everything a result of thyroid dysfunction. In fact, some of the diseases occurring in the body, i.e. oral bacteria periodontitis contribute to thyroid symptoms.
Patients with long standing hypothyroidism may have increased subcutaneous mucopolysaccharides due to decrease in the degradation of these substances. The presence of excess subcutaneous mucopolysaccharides may decrease the ability of small blood vessels to constrict when damaged or cut and may result in increased bleeding from infiltrated tissues, including mucosa and skin.
Patients suffering from Hypothyroidism also have poor gingival microcirculation with a reduction in the diameter of capillaries, as well as a greater number and tortuosity of capillary loops.
The successful management of periodontal conditions is beneficial for the successful treatment of thyroid conditions. The length of time from periodontal disease onset to treatment of thyroid disorders may be critical, since uncontrolled periodontal disease resulting in destruction of the specialized tissues that both surround and support the teeth, maintaining them in the maxillary and mandibular bones.
Flossing, brushing or especially dental scaling can easily create bleeding. Many dentists claim this is normal and insignificant in terms of regular dentistry. If you experience oral bleeding you should be concerned, especially if you are suffering from an autoimmune condition. This opens a two-way street for blood to escape, and for bacteria to enter the blood stream. The blood stream provides access to all of the organs and tissues of the body while the bacteria (influenced by chemotaxis) looks for lodging.
Biting something hard like almonds, raw crunchy veggies or any hard food flushes these bacteria – if present – to the gingival crevice where they are liberated into the lymphatic drainage or into the blood circulation when chewing food or gum.If an infection is not able to establish drainage through the skin surface or into the oral cavity, it may spread diffusely through fascial planes of the neck’s soft tissue. Once the infection descends into the submandibular space, it may extend to the lateral pharyngeal space, and then to the retro-pharyngeal space. From here, it may reach the thyroid gland.
The damage caused to the gland results in the release of a conspicuous quantity of thyroid hormones, thus causing a thyrotoxic pattern: temperature, cutaneous pallor, excessive perspiration, tremor, tiredness, weight loss, increased appetite, and tachycardia.
Additionally, the thyroid gland’s edema caused difficulty swallowing (dysphagia) and speaking (dysphonia) commonly seen with thyroid gland enlargement. After dental treatment consisting of ultrasonic scaling, PerioProtect and appropriate anti-inflammatory and antibiotic therapy determined by dental PCR testing, administration of oral beta-blockers and corticosteroid therapy may be performed to counteract thyrotoxicosis in order to prevent recurrences. A root canal may be necessary, once the thyrotoxicosis had been resolved.
Simply using nutritional support for the thyroid will have no impact on oral bacteria induced damage to the thyroid. Call 530-615-4083 for more information.