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Thrush

WHAT YOU SHOULD KNOW

Thrush, a yeast infection of the cheeks, gums, and tongue, is seen most often in infants and older people. It can be painful and is known to return after treatment. However, it is not a serious disease; and, with proper care, you should be better in about 3 days.

Causes

Thrush is caused by Candida (CAN-did-uh), a fungus normally found in the mouth. Taking antibiotics can lead to an outbreak of the fungus, especially in older people who use large doses of antibiotics to cure a stubborn bacterial infection. Newborns may get thrush if the mother had a vaginal yeast infection during delivery. The infection can also occur after an injury to the lining of the mouth.

Signs/Symptoms

You'll notice white patches in the mouth that look like milk curds and do not wipe off easily. Other signs may include a dry mouth or pain while eating or swallowing.

WHAT YOU SHOULD DO

  • Take prescribed medicine exactly as directed. If the medicine causes problems or doesn't seem to be working, call your doctor. Don't stop taking the medicine on your own.
  • You may use over-the-counter medications such as aspirin, acetaminophen, and ibuprofen to help relieve pain.
  • If possible, wash silverware and drinking glasses in an automatic dishwasher. Otherwise, boil them or use plastic items. For infants, soak bottle nipples in hot water for 15 minutes.
  • Older children and adults may rinse their mouths with a salt solution. Mix 1/2 teaspoon of salt in 8 ounces of water. Rinse 3 or more times a day after eating. Do not swallow the salt water. Do NOT give salt water to young children.
  • Drink lots of fluids and eat foods that are easy to swallow. Use a straw for drinking if your mouth is painful.
  • If sucking is painful for your child, reduce sucking time to no more than 20 minutes per feeding. Let the baby use a pacifier only when really needed for going to sleep. Breastfeeding may be continued.

Call Your Doctor If...

  • A high temperature develops.
  • You notice sores on your skin or vagina, or your baby gets diaper rash.
  • Your child fails to gain weight or refuses to eat.
  • The thrush gets worse or lasts more than 10 days.
  • Problems arise that may be related to the medicine you are using.

Seek Care Immediately If...

  • Your child is not drinking enough fluids and has signs of dehydration, including listlessness, dizziness, dry mouth, increased thirst, and little or no urine.



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