Thrush


How to completely eradicate recurrent thrush?
Thrush is inherently prone to recurrence, and the difficulty in eradication is primarily due to poor hygiene, so figuring out how to effectively treat it is crucial. Firstly, active treatment should be implemented. The mouth should be rinsed with 2% baking soda solution at least four times a day. In severe cases, an antifungal agent can be added to the 2% baking soda solution for mouth rinsing. This is the primary step. Secondly, proper hygiene must be maintained. In principle, all items that come into contact with the baby's mouth, including pacifiers and bottles, need to be disinfected promptly. Of course, if breastfeeding, the cleanliness of the nipples and breasts is also very important.


What to do if the baby has thrush?
Oral thrush is caused by the parasitic proliferation of Candida albicans in the mucous membrane of the mouth. It is a secondary infection typically seen in individuals with weakened immune systems or those who have been using antibiotics for an extended period. In such cases, initially, one can use a 2.5% sodium bicarbonate solution to rinse the mouth, specifically targeting the areas affected by thrush. After meals, crush nystatin tablets and apply the powder to the areas with thrush, using this method three times a day. Additionally, taking probiotics orally, such as Bifidobacteria, can aid in treatment. Generally, these measures can control the condition within 3 to 5 days.


Which department to see for thrush
Oral thrush is a disease caused by Candida infections of the oral mucosa. If you go for pediatric treatment, in a division with detailed specialties, newborns can visit the newborn outpatient clinic; infants or older children usually visit the pediatric outpatient clinic during normal working hours. During non-working hours, such as noon, evening, weekends, and holidays, it's appropriate to visit the pediatric emergency department. If visiting a specialized children's hospital or a dental hospital, the pediatric oral medicine outpatient clinic is also a good option. Of course, if a child with oral thrush also has some underlying diseases, it might be advisable to visit the outpatient clinic for the primary underlying disease.


What medicine is used for thrush?
Thrush is caused by an infection with Candida albicans, commonly appearing as a white, membrane-like layer in the mouths of infants that is difficult to wipe off. In such cases, it is important to administer medication promptly. Typically, this involves alternately applying a solution of sodium bicarbonate and an antifungal suspension. Additionally, all items that enter the mouth must be sterilized at high temperatures. With the aforementioned treatment, thrush can generally be well-controlled. If a child is on long-term antibiotics or corticosteroids, preventive application of sodium bicarbonate should be considered. For some newborns, it may be necessary to use antifungals to prevent the occurrence of thrush. (Note: Medication should be administered under the guidance of a professional doctor.)


Oral thrush is treated in the department of stomatology.
Thrush is a disease caused by the infection of oral mucosa by Candida albicans. Depending on the age of onset of thrush, different departments should be chosen for treatment. If the disease occurs in the newborn period, the neonatology outpatient clinic should be visited. If the child is over one month old, they can be seen at the dental clinic or the pediatric outpatient clinic during normal working hours. During non-working hours, such as noon, evening, weekends, and holidays, the pediatric emergency department should be consulted. Of course, some cases of thrush occur because the individual has an underlying disease, including immunodeficiency, current use of immunosuppressive drugs, or long-term use of steroids; in such cases, the outpatient clinic of the department treating the primary disease should be visited.


What causes thrush?
Thrush is generally due to an imbalance in the microbial flora, leading to an infection by Candida albicans. It is common in newborns and infants. Children who have long-term malnutrition, diarrhea, or who have been treated with broad-spectrum antibiotics or corticosteroid hormones may also be susceptible to thrush. Additionally, if the mother has an infection with Candida albicans in the intestines, or if there is contamination on the nipple during breastfeeding, or if the nursing equipment is infected with fungi, this could also lead to the occurrence of thrush.


What does thrush look like?
Children with thrush mainly suffer from an infection by Candida albicans. In the child’s oral mucosa, including the lips and pharynx, a white membranous substance can be observed, which cannot be wiped off. In this situation, thrush should be considered. Often, it is due to the child repeatedly having an infection, the long-term use of antibiotics or corticosteroids, leading to decreased immunity and thus the occurrence of thrush. Therefore, it is essential to pay attention to oral care. Once thrush is diagnosed, the child should be locally treated with a sodium bicarbonate solution and an antifungal to quickly treat the thrush. At the same time, it's important to prevent diseases from entering through the mouth. All items entering the mouth, like bottles and milk utensils, should be sterilized at high temperatures.


How is thrush treated?
Thrush is a mucosal lesion in the mouth caused by an infection with Candida albicans, commonly seen in infants and young children, especially those with compromised immune systems, such as those using steroids or immunosuppressants. The main approach to treatment is symptomatic and supportive, primarily involving topical application of medications. Dietary management is also crucial, typically involving the provision of bland, non-irritating foods. The use of sugary, greasy foods should be avoided to prevent exacerbating the symptoms. Of course, another important aspect of treatment is preventing reinfection by maintaining good hygiene, especially with food. All items that come into contact with the child's mouth, including pacifiers, bottles, and spoons, should be sterilized after each use. If breastfeeding, the cleanliness of the mother's nipples and breasts is also very important. (Specific medication use should be conducted under the guidance of a doctor.)


What to do about baby thrush?
Thrush in babies generally indicates that the child has low immune function, or it has been caused by the long-term use of antibiotics, leading to an imbalance of bacteria and the overgrowth of white Candida in the oral mucosa. Thrush is not scary, and we can generally treat it by using 2.5% sodium bicarbonate to clean the mouth, followed by applying nystatin tablets to the oral cavity three times a day. It usually heals in three to five days. However, thrush tends to recur, so it's important to pay attention to oral hygiene.


How many days can thrush heal?
The duration for the treatment of thrush to be effective indeed varies among individuals, as the development of thrush is sometimes due to inadequate hygiene, or the caregiver might have a fungal infection, and sometimes it is due to a weakened immune system, Therefore, if these factors are not involved and it's simply a case of thrush, generally, after undergoing treatment such as rinsing with baking soda water or using antifungal medications, the condition should improve within 3 to 7 days. If there is no improvement, it's important to investigate the reasons why the child's condition is persistently poor and address these reasons accordingly. Thus, in most cases, the condition should improve within 3 to 7 days. However, if it does not improve, it is advisable to consult a hospital for a check-up and further treatment.