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=== Invasive infection === Common symptoms of gastrointestinal candidiasis in healthy individuals are [[pruritus ani|anal itching]], belching, bloating, indigestion, nausea, diarrhea, gas, intestinal cramps, vomiting, and [[gastric ulcer]]s.<ref name="pmid24789109" /><ref name="pmid24612332" /><ref name="SIFO" /> Perianal candidiasis can cause anal itching; the lesion can be [[erythematous|red]], papular, or ulcerative in appearance, and it is not considered to be a [[sexually transmitted infection]].<ref>{{cite book|editor-first = Bruce G. | editor-last = Wolff |display-editors=etal |title=The ASCRS textbook of colon and rectal surgery|year=2007|publisher=Springer|location=New York|isbn=978-0-387-24846-2|pages=241, 242, 245}}</ref> Abnormal proliferation of the candida in the gut may lead to [[dysbiosis]].<ref name="ReferenceA">{{cite journal | vauthors = Mukherjee PK, Sendid B, Hoarau G, Colombel JF, Poulain D, Ghannoum MA | title = Mycobiota in gastrointestinal diseases | journal = Nature Reviews. Gastroenterology & Hepatology | volume = 12 | issue = 2 | pages = 77β87 | date = February 2015 | pmid = 25385227 | doi = 10.1038/nrgastro.2014.188 | s2cid = 5370536 }}</ref> While it is not yet clear, this alteration may be the source of symptoms generally described as the [[irritable bowel syndrome]],<ref>{{cite journal | vauthors = Santelmann H, Howard JM | title = Yeast metabolic products, yeast antigens and yeasts as possible triggers for irritable bowel syndrome | journal = European Journal of Gastroenterology & Hepatology | volume = 17 | issue = 1 | pages = 21β6 | date = January 2005 | pmid = 15647635 | doi = 10.1097/00042737-200501000-00005 | url = http://www.jptwellnesscircle.com/teleseminars/DrSantelmannCandida.pdf | citeseerx = 10.1.1.567.6030 | s2cid = 35882838 | access-date = 2017-10-24 | archive-date = 2019-12-05 | archive-url = https://web.archive.org/web/20191205034202/http://www.jptwellnesscircle.com/teleseminars/DrSantelmannCandida.pdf | url-status = dead }}</ref><ref>{{cite journal | vauthors = Collins SM | title = A role for the gut microbiota in IBS | journal = Nature Reviews. Gastroenterology & Hepatology | volume = 11 | issue = 8 | pages = 497β505 | date = August 2014 | pmid = 24751910 | doi = 10.1038/nrgastro.2014.40 | s2cid = 10676400 }}</ref> and other gastrointestinal diseases.<ref name="pmid24612332" /><ref>{{cite journal | vauthors = Gouba N, Drancourt M | title = Digestive tract mycobiota: a source of infection | journal = MΓ©decine et Maladies Infectieuses | volume = 45 | issue = 1β2 | pages = 9β16 | date = 2015 | pmid = 25684583 | doi = 10.1016/j.medmal.2015.01.007 | doi-access = free }}</ref>
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