In This Section

Is Your Child Sick? TM


Thrush

Is this your child's symptom?

  • An infection of the mouth in young babies
  • White patches in the front of the mouth
  • Caused by yeast

If NOT, try one of these:


Symptoms of Thrush

  • White, odd shaped patches in the mouth
  • Coats the inner cheeks or inner lips
  • Sometimes also coats the tongue
  • Sticks to the mouth. It can't be washed away or wiped off easily like milk curds.
  • Sometimes causes a painful mouth, decreased sucking and reduced milk intake
  • Mild discomfort or no symptoms in most newborns
  • The infant is bottle-fed or breast-fed

Cause of Thrush

  • Caused by a yeast (called Candida)
  • Occurs on parts of the mouth involved with sucking
  • Made worse by friction from too much time sucking on a pacifier

White Tongue Alone: Not Thrush

  • If a white tongue is the only finding, it's not due to thrush.
  • A milk diet often causes a white coated tongue.
  • This is normal.
  • It will go away after your baby starts eating solid foods.
  • If white patches occur inside the lips or cheeks, call your child's doctor. It's safe to call during office hours.

When to Call for Thrush

Call Doctor Now or Go to ER

  • Dehydration suspected. (No urine in over 8 hours, dark urine, very dry mouth and no tears)
  • Age under 1 month old and looks or acts abnormal in any way
  • Your child looks or acts very sick
  • You think your child needs to be seen, and the problem is urgent

Call Doctor Within 24 Hours

  • Fever occurs
  • Bleeding in the mouth
  • Drinking less than normal
  • You think your child needs to be seen, but the problem is not urgent

Call Doctor During Office Hours

  • Thrush, but none of the symptoms above. (Reason: May need a prescription medicine to treat it)
  • You have other questions or concerns

Call Doctor Now or Go to ER

  • Dehydration suspected. (No urine in over 8 hours, dark urine, very dry mouth and no tears)
  • Age under 1 month old and looks or acts abnormal in any way
  • Your child looks or acts very sick
  • You think your child needs to be seen, and the problem is urgent

Call Doctor Within 24 Hours

  • Fever occurs
  • Bleeding in the mouth
  • Drinking less than normal
  • You think your child needs to be seen, but the problem is not urgent

Call Doctor During Office Hours

  • Thrush, but none of the symptoms above. (Reason: May need a prescription medicine to treat it)
  • You have other questions or concerns

Care Advice for Thrush

  1. What You Should Know About Thrush:
    • Thrush is common during the early months of life.
    • It's caused by a yeast infection in the mouth. Most often, it's due to prolonged sucking.
    • Thrush causes only mild discomfort. It's easy to treat at home.
    • Here is some care advice that should help until you call your doctor.
  2. Anti-Yeast Medicine (Prescription):
    • Your doctor will probably prescribe an anti-yeast liquid medicine. Use it as follows:
    • Age Under 1 Month: Use 1 ml.
    • Age Over 1 Month: Use 2 mls.
    • Place in the front of the mouth on each side. Also, put it wherever you see the thrush. It doesn't do any good once it's swallowed.
    • Do this 4 times per day.
    • If the thrush isn't getting better, rub the medicine directly on the thrush. Use a cotton swab to do this.
    • Don't feed your baby anything for 30 minutes after the medicine.
    • Keep this up for at least 7 days. Also, continue it until all thrush has been gone for 3 days.
  3. Decrease Sucking Time to 20 Minutes per Feeding:
    • Reason: Too much sucking can irritate the lining of the mouth. This makes it more prone to a yeast infection. A common example of this is when a baby sleeps with a bottle.
    • For severe mouth pain with bottle feeding, don't use a bottle. Reason: The nipple can make pain worse.
    • Try giving fluids in a cup, spoon or syringe instead.
  4. Limit Pacifier Use:
    • Too much sucking on a pacifier can irritate the mouth.
    • Limit pacifier use to times when nothing else will calm your baby.
    • If your infant is using an orthodontic pacifier, switch to a smaller, regular one. Reason: Bigger ones can cause more friction in the mouth.
    • Special washing or boiling of pacifiers or bottle nipples is not needed or helpful.
  5. Special Washing of Pacifiers and Nipples - Not Helpful:
    • Pacifiers and bottle nipples can be washed the usual way with soap and water.
    • They do not need to be boiled or sterilized.
    • They do not need to be thrown out.
    • Yeast is a germ that is found in normal mouths.
    • It only causes thrush if the lining of the mouth is irritated or damaged.
    • Get better results by reducing nipple time and pacifier time.
    • Note: Follow your doctor's advice if it is different.
  6. Breastfeeding and Yeast Symptoms:
    • If the mother's nipples are red and sore, it's probably a yeast infection.
    • Use an anti-yeast cream (such as Lotrimin) on the nipple area.
    • No prescription is needed.
    • Put it on 4 times per day after feedings.
    • Wash the cream off the nipples before each nursing. Avoid soap which dries out the skin.
    • Many mothers will need treatment with an oral anti-yeast medicine (such as Diflucan). Call your PCP or OB within 24 hours for advice.
  7. Diaper Rash Treatment:
    • If there's a bad diaper rash, it can also be due to yeast.
    • Use an anti-yeast cream (such as Lotrimin) on the diaper rash.
    • No prescription is needed.
    • Put it on 4 times per day.
    • See Diaper Rash care guide.
  8. Return to Child Care:
    • Thrush cannot be spread to others, since it does not invade normal skin.
    • Your child can go to child care with thrush.
  9. What to Expect:
    • With treatment, thrush usually clears up in 4 to 5 days.
    • Without treatment, it clears up in 2-8 weeks.
  10. Call Your Doctor If:
    • Starts drinking less than normal
    • You think your child needs to be seen
    • Your child becomes worse

And remember, contact your doctor if your child develops any of the 'Call Your Doctor' symptoms.

Disclaimer: This information is not intended to be a substitute for professional medical advice. It is provided for educational purposes only. You assume full responsibility for how you choose to use this information.


Copyright 1994-2017 Schmitt Pediatric Guidelines LLC. All rights reserved.

Visual Symptom Checker

CHILDREN'S MERCY-PEDIATRIC CARE SPECIALSTS, INC

12541 Foster
Suite 260
Overland Park, KS 66213
PH: 913-906-0900
FX: 913-906-0909
Contact | Directions | Hours

Billing/Statement Inquiries: 913-491-0972

Practice News

  • Insect Repellent Tips

    Whether you are outside hunting for bugs or trying to avoid them entirely, please see the tips provided by www.healthychildren.org for using Insect Repellent on children.  
     
  • Breastfeeding Support Group

    Our Breastfeeding support group meets in our office on the first and third Wednesdays of every month at 5:30pm.  Come join us for guidance, support, and to share your experience with other mothers who are breastfeeding.
     
  • Fee for Archived Records

    If you request records that have been sent to archives due to not being seen in the office for an extended period of time, you will be charged a $20 access fee payable at record pick up. 
     
  • Flu Shots

    We are now booking flu vaccine appointments.  New this year, you can book your appointment through the patient portal!  Get registered and book online today.  You can still schedule by phone with our front desk staff as well.
     
Get Our Mobile App

Is Your Child Sick?TM

Copyright © 2017 Pediatric Care Specialists PA - Overland Park, KS. All rights reserved.
2