Does thrush hurt?

Written by Li Jiao Yan
Neonatology
Updated on September 06, 2024
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Thrush is caused by an infection of Candida albicans, forming white plaques on the surface of oral mucosa. Typically, it presents as small dots or patches on the oral mucous membranes that resemble curdled milk and can gradually merge into larger patches. They are not easily wiped off, without surrounding inflammatory response. Forceful removal might result in local mucosal redness, roughness, and possible bleeding. Generally, it is painless, does not cause drooling, and does not affect feeding. In severe cases of thrush, the white mucosal coating can extend to the pharynx, esophagus, trachea, and lungs, leading to symptoms like refusal to eat, low-grade fever, difficulty in breathing, and even life-threatening conditions. Typical thrush does not involve significant pain.

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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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Written by Li Jiao Yan
Neonatology
1min 3sec home-news-image

Does thrush hurt?

Thrush is caused by an infection of Candida albicans, forming white plaques on the surface of oral mucosa. Typically, it presents as small dots or patches on the oral mucous membranes that resemble curdled milk and can gradually merge into larger patches. They are not easily wiped off, without surrounding inflammatory response. Forceful removal might result in local mucosal redness, roughness, and possible bleeding. Generally, it is painless, does not cause drooling, and does not affect feeding. In severe cases of thrush, the white mucosal coating can extend to the pharynx, esophagus, trachea, and lungs, leading to symptoms like refusal to eat, low-grade fever, difficulty in breathing, and even life-threatening conditions. Typical thrush does not involve significant pain.

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Written by Tong Peng
Pediatrics
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How many days does infant thrush heal on its own?

Thrush in infants generally relieves within a week, but the full recovery period depends on the baby’s own immune system and the medication used. Since thrush is a fungal infection, predominantly caused by the Candida species, which is a conditional pathogen. If a baby has low immunity and a disrupted intestinal flora balance, it can lead to recurrent episodes of thrush, facilitating the growth and infection of fungi. Treatment can be administered using sodium bicarbonate solution for cleaning, along with antifungal agents and oral probiotics, which often alleviate symptoms within a week. However, if the baby's immunity is not effectively improved later, and the imbalance of the body's flora is not effectively controlled, recurrence is likely. Therefore, the treatment of thrush is comprehensive and not solely reliant on medication. (Medication should be used under the guidance of a physician.)

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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 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.