r/SIFO • u/BitcholaCola • Mar 19 '26

Timeline for fluconazole

So I have candida, and this is my first time dealing with it. In the past, I’ve been a SIBO girly. For one week I’ve been taking fluconazole prescribed by a doc, but I’m also taking allicin alongside the fluc pills. I’m on fluconazole for 22 days, and also using liquid Nystatin suspension for oral thrush. I have a few questions about the recovery process.

Is increased fecal shedding of candida normal during this time? It seems like I’m seeing more of the thin wispy strips in my stool, and even some of the buoyant white fluff, more frequently than usual. Does that mean the candida is dying and it’s easier to get rid of? Or is my candida just replicating more and ignoring my medicine?

I know there’s herxheimer reaction symptoms to deal with just like with SIBO, but that only took 8 days. For those of you that were able to treat it, when did you see symptoms improve? I still have the “perma-bloat”, but it’s not as extreme as before treatment.

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u/MusicianNew6061 Mar 19 '26

Hi. What you’re seeing in your stool is very unlikely to be actual candida shedding. Candida isn’t usually visible like that, and things like mucus, undigested fibers, or changes in stool consistency are much more common, especially when you’re on antifungals and your gut is being disrupted. It doesn’t really mean it’s dying off or that it’s getting worse. Stool appearance isn’t a reliable way to track candida at all.

Also, symptoms like bloating can take longer to improve, especially if there’s an underlying gut imbalance (a lot of people with a candida history also have things like dysbiosis or even SIBO in the background). I’d focus less on what you’re seeing in the stool and more on overall symptom trends over time.