Thrush, oral

What is...

What is thrush?

Thrush is an infection of the mouth caused by yeast (also called fungus) called Candida albicans.

Thrush It is a common disease in newborns and infants.

This yeast is always present in small amounts in the mouth, but may overgrow the normal amount of bacteria normally found in the mouth at certain times.

Some examples of when this happens includes during an illness or when a child is taking antibiotics.

Breastfeeding children may be infected with yeast from their mother’s nipples.

Using a pacifier can also increase the risk of thrush.

Symptoms

Symptoms and signs

When someone is infected with thrush, you will typically see a white coating or irregular patches scattered on the insides of the cheeks, the surface of the tongue, lips and gums, or the roof of the mouth.

Under the coating, the mouth tissue is red and raw-looking and may bleed easily. The child may have soreness in the mouth, which may cause difficulty when eating, but sometimes these spots can seem painless.

Complications

If the thrush is painful and left untreated for a few days, your baby may not eat or drink enough and become dehydrated.

Sometimes, thrush from the mouth of a child who is being breastfed can cause a fungal rash on the mother’s breasts or you may also notice a diaper rash.

Home treatment

Treatment / What you should do

If you think your child may have thrush, check with your doctor.

The doctor can prescribe a medicine to treat the thrush. It is given by a dropper in the baby’s mouth. It may help to apply the medicine directly onto the thrush with a clean cotton swab.

The treatment usually lasts a week, but you should continue to treat the child for a few more days after the rash has disappeared. This is important to prevent the fungal infection from returning after the treatment has finished.

Consult your doctor if your child does not want to eat, if the thrush seems to be getting worse instead of better during the treatment, or if the treatment just does not appear to help.

Prevention

Prevention

Be aware that thrush can develop in children who are taking antibiotics.

If you are breast-feeding a child that has developed thrush, ask your doctor if you should apply an antifungal cream to your nipples for a few days.

Be sure to sterilize feeding bottles/nipples and pacifiers to avoid another infection.

Your doctor may recommend giving your child active bacterial cultures (for example, lactobacillus) as a supplement or found in certain yogurt and sour cream products.

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