Does thrush hurt?

Written by Li Jiao Yan
Neonatology
Updated on September 06, 2024
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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.

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Written by Zhang Xian Hua
Pediatrics
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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.)

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Written by Zhang Xian Hua
Pediatrics
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What to do about thrush?

Thrush is a local lesion caused by the infection of oral mucosa by Candida albicans. Comprehensive treatment measures should be adopted for treatment, starting with addressing the cause. Nystatin and baking soda water can be used to rinse the mouth three to four times daily. Additionally, good oral hygiene must be maintained. All items that come into contact with the mouth should be sterilized before and after eating or feeding, not just daily, as sterilizing only once a day is insufficient. Thirdly, children and patients can consume probiotics to regulate gastrointestinal function and enhance immunity; appropriate medication to boost immune strength can also be taken. Of course, if there are underlying diseases, treatment should still continue. (Medication should be used under the guidance of a professional doctor.)

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Written by Yao Li Qin
Pediatrics
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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.)

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Written by Zhang Xian Hua
Pediatrics
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Can thrush be wiped off?

Oral thrush is caused by an infection of Candida albicans, typically forming white plaques on the surface of the oral mucous membrane. These plaques generally appear as small, curd-like spots or dot-like patches that can merge into a large area and are difficult to wipe off. If forcibly removed, the underlying oral mucosa may become reddened, rough, and even bleed. Therefore, one should not attempt to wipe it off and instead should seek proper treatment. The usual treatment involves the local application of 2% baking soda solution. This type of oral thrush generally does not affect a child's appetite or quality of life.

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Written by Yao Li Qin
Pediatrics
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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.