What department should I go to for thrush?

Written by Zhang Xian Hua
Pediatrics
Updated on November 15, 2024
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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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Written by Zhang Ai Min
Pediatrics
1min 25sec home-news-image

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.

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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 lesion caused by a Candida albicans infection of the oral mucosa, so the choice of clinic should be based on the specific situation. If it is neonatal thrush, it is usually appropriate to visit a neonatal clinic or a general pediatric clinic. If it is an older child with thrush, then it’s typically seen by a pediatric clinic during normal working hours, or it can also be seen at a dental clinic. During non-working hours, such as at noon, in the evening, on weekends, or holidays, it is generally appropriate to visit pediatric emergency or dental emergency services. Of course, for specialized children's hospitals and dental hospitals, there might be clinics available for pediatric dental medicine, in which case one would visit a pediatric dental clinic.

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Written by Yan Xin Liang
Pediatrics
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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.

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Written by Li Jiao Yan
Neonatology
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Can thrush heal by itself?

Thrush is generally caused by a fungal infection due to an imbalance in the microbial flora, primarily involving the formation of a white plaque membrane by Candida albicans on the surface of the oral mucosa. It is mainly seen in individuals with lowered immunity, such as those with long-term malnutrition, repeated use of antibiotics, diarrhea, or the use of certain medications like corticosteroids. Additionally, unsanitary conditions during breastfeeding, fungal contamination on the mother's nipples, or fungal infection from nursing equipment can also lead to thrush. Typically, thrush does not require special antimicrobial medication. If the baby's immunity improves and their intestinal flora are properly established, thrush can heal spontaneously. It is generally recommended to orally take some probiotics and enhance oral care, which can include cleaning the oral cavity with 2% sodium bicarbonate before and after breastfeeding, or locally applying antifungal agents to suppress the fungal growth in the mouth.

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Written by Li Jiao Yan
Neonatology
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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.