Thrush should be seen by the Department of Stomatology.

Written by Zhang Xian Hua
Pediatrics
Updated on September 02, 2024
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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.

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Written by Zhang Xian Hua
Pediatrics
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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.)

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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 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 department should I go to for thrush?

Thrush is a disease caused by oral mucosal infection with Candida albicans, and typically, one should visit the pediatric department or the department of stomatology during normal working hours. During off-hours, such as noon, evening, weekends, and holidays, it is appropriate to see pediatric emergency or dental emergency services. For newborns with thrush, a visit to the neonatology department is recommended. Children with underlying immunodeficiency diseases or those taking immunosuppressive steroid medications should visit the department that treats their primary condition. (The use of medication should be under the guidance of a professional doctor.)

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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.