THRUSH 

 

Definition

 

Diagnostic findings:

White, irregularly-shaped patches

Coat the insides of the mouth and sometimes the tongue

Are adherent to the mouth and cannot be washed away or   
wiped off easily like milk

 

If your findings are different, call our office for help.

 

Cause

Thrush is caused by a yeast (called Candida) that grows rapidly on the lining of the mouth if it is abraded by prolonged sucking (as when a baby sleeps with a bottle or pacifier).  It may also occur when your child has recently been on a broad-spectrum antibiotic.  Thrush is not contagious since it does not invade normal tissue.

Home Care for THRUSH

 

Nystatin oral medicine

 

The drug for clearing this up is Nystatin oral suspension.  It requires a prescription. Call our office during regular hours with the name and telephone number of your pharmacy. We may want to examine the child before prescribing. Give 1 mL of Nystatin 4 times a day.  Place it in the front of the mouth (it doesn't do any good once it's swallowed) or put it on a cotton swab and rub it on the areas of thrush. Apply it after meals or at least don't feed your baby anything for 30 minutes after application.  Keep this up for at least 7  days, or until all the thrush has been gone for 3 days.  If  you are breast-feeding, apply Nystatin to any irritated areas on your nipples.

 

Decrease the sucking time during THRUSH

If eating and sucking are painful for your child, temporarily  use a cup and spoon.  In any event, reduce sucking time to 20 minutes or less per feeding.  Eliminate the pacifier temporarily, except when it's really needed for going to sleep.  Soak all nipples in water at 140 degrees F (the temperature of most hot tap water) for 15 minutes.

 

Diaper rash associated with THRUSH

If your child has an associated diaper rash, assume it is due  to yeast.  Request Nystatin cream and apply it 4 times a day.

 

Call our office later :

Your child refuses to eat

Thrush gets worse on treatment

Thrush lasts beyond 10 days

explained fever (over 100 degrees F) occurs