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Thrush
How to treat thrush?
Thrush is a fungal infection, so its treatment is relatively simple. Generally, the approach involves maintaining an alkaline environment in the affected area, such as using 2% baking soda solution to cleanse and apply to the mouth. This 2% baking soda solution is made by diluting the 5% baking soda solution commonly available in pharmacies or hospitals by half, resulting in a 2%-2.5% solution. This can be used to rinse the mouth three to four times a day. After three to four days of cleaning, if there is no improvement, antifungal tablets such as miconazole or fluconazole dissolved in water can be applied to the affected area, typically yielding very good treatment outcomes. If there is no improvement after applying the baking soda solution and the antifungal solution, oral antifungal medication may be considered. In addition to these treatments, I believe prevention is most important. Preventing fungal infections involves maintaining cleanliness of the mouth and hands, ensuring the cleanliness of items such as baby bottles, pacifiers, and spoons, especially ensuring that adults' hands are free of fungal presence.
How to prevent thrush
Thrush is a common oral disease in children, primarily caused by Candida albicans infection. Once diagnosed, it needs to be actively treated, generally with nystatin and sodium bicarbonate applied locally. It is essential to prevent thrush, starting with oral hygiene and care for the mouth. Additionally, all items that enter the mouth should be sterilized at high temperatures; bottles and pacifiers must be regularly sterilized, and for breastfeeding children, the mother's nipples should also be washed with clean water. The most critical point is to strengthen the immune system to prevent the frequent use of antibiotics and hormonal drugs, which can predispose children to thrush. Parents must pay close attention to this, so enhancing the immune system is very important to avoid illness and ensure proper care of the child. (The use of medications should be under the guidance of a doctor.)
How to treat thrush?
Thrush is caused by an infection of the oral mucosa with Candida albicans, so the treatment focuses on addressing this cause. It is advisable to wash the oral cavity with 2% baking soda water, 3-4 times a day, which generally leads to recovery. If the effect is still not satisfactory, nystatin can be added, dissolved in 2% baking soda water for oral application. Of course, thrush infections are very prone to recurrence. The most important factor causing recurrence is hygiene. Therefore, all items such as bottles, cups, and spoons that come into contact with the baby's mouth should be boiled and sterilized after each use. If breastfeeding, the mother's breasts and nipples should be cleaned with 2% baking soda before and after feeding to avoid recurrence. (Medication should be used under the guidance of a doctor.)
Does thrush hurt?
Thrush is caused by an infection of Candida albicans, forming white plaques on the surface of oral mucosa. Typically, it presents as small dots or patches on the oral mucous membranes that resemble curdled milk and can gradually merge into larger patches. They are not easily wiped off, without surrounding inflammatory response. Forceful removal might result in local mucosal redness, roughness, and possible bleeding. Generally, it is painless, does not cause drooling, and does not affect feeding. In severe cases of thrush, the white mucosal coating can extend to the pharynx, esophagus, trachea, and lungs, leading to symptoms like refusal to eat, low-grade fever, difficulty in breathing, and even life-threatening conditions. Typical thrush does not involve significant pain.
Thrush should be seen by the Department of Stomatology.
Thrush is a mucosal lesion in the mouth caused by an infection of Candida albicans. Which department to visit depends on the child's age, the specific condition of the disease, and whether there are any underlying diseases. Usually, if it is a newborn, they should visit the neonatology clinic. For infants and young children, it is generally appropriate to visit the pediatric clinic or pediatric emergency department during normal working hours. During non-working hours, which means noon, night, weekends, and holidays, the pediatric emergency department should be visited. Of course, if the child has an underlying disease or is taking immunosuppressants that lead to a decrease in immunity, causing thrush, the department treating the primary disease should be consulted.