Is thrush prone to recurrence?

Written by Yao Li Qin
Pediatrics
Updated on November 02, 2024
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Oral thrush is due to an infection with Candida albicans in the mouth, and it is relatively easy to recur. It primarily occurs in children who have been frequently ill recently and have taken a lot of antibiotics, or in those children who have low immunity. Under these conditions, if oral care is poor and these adverse factors persist, then the child's oral thrush is particularly prone to recurrence.

Therefore, once oral thrush is diagnosed, it is essential to treat it actively. After treatment, it is necessary to treat the area with sodium bicarbonate for a period of time. If antibiotics or corticosteroid drugs are still being used, preventive treatment should also be carried out to completely cure the oral thrush.

(Please use medication under the guidance of a doctor)

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Written by Zhang Xian Hua
Pediatrics
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How to completely cure thrush?

Oral thrush is caused by the infection of the oral mucosa with Candida albicans, so the following points should be emphasized in treatment to achieve a radical cure. Firstly, treatment should aim at the cause. It is recommended to use bicarbonate medications to wash the mouth. In severe cases, antifungal agents can be used together with the bicarbonate solution to cleanse the mouth, and the treatment duration should be sufficient to eradicate the condition. Secondly, it is crucial to maintain good oral hygiene. All tools entering the baby's mouth should be sanitized before and after each use, not just daily. Thirdly, children with recurrent oral thrush usually have relatively poor immunity. It is important to maintain sanitation, take probiotics orally, and manage gastrointestinal functions. At the same time, proactive infection prevention is necessary and, if there are underlying primary diseases, active treatment of these is also required to prevent recurrent oral thrush. (Specific medications should be used under the guidance of a doctor)

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Written by Zhang Xian Hua
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Is thrush easy to scrape off?

Oral thrush is caused by an infection with Candida albicans, resulting in localized lesions on the oral mucosa. Typically, a white membranous layer appears on the affected mucosa, which is difficult to wipe off. Forceful removal can lead to submucosal bleeding, which means it is not advisable to scrub the area. Instead, rinsing the mouth with about 2% baking soda solution is the correct approach, and this can relieve most symptoms. Additionally, it is important to maintain proper disinfection and hygiene. All tools that come into contact with the child's mouth during the period of oral thrush should be disinfected before and after each use. Consuming probiotics can also help manage the condition, reducing the likelihood of recurrence.

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Written by Zhang Xian Hua
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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
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Does thrush need treatment?

Oral thrush is a white Candida infection of the oral mucosa, which certainly requires timely treatment. Firstly, oral thrush causes discomfort in the mouth; secondly, if left untreated for an extended period, it may also spread to the pharyngeal area. Thirdly, recurrent episodes of oral thrush can lead to decreased immunity and may facilitate subsequent infections. Therefore, active treatment is necessary. Treatment primarily involves using 2% baking soda solution to rinse the mouth. In severe cases, adding nystatin for oral rinsing might be required. Of course, maintaining good oral hygiene is crucial, and all tools that come into contact with the mouth must be thoroughly disinfected.

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Written by Zhang Xian Hua
Pediatrics
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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.