How to treat thrush?

Written by Zhang Ai Min
Pediatrics
Updated on September 10, 2024
00:00
00:00

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.

Other Voices

doctor image
home-news-image
Written by Quan Xiang Mei
Pediatrics
51sec home-news-image

Thrush lacks what element

Oral thrush is not due to a deficiency in any elements, but mainly occurs when there is a fungal infection, improper hygiene, or a decrease in immune function in children, presenting as a common disease characterized by white powdery substances inside the mouth. In terms of treatment, it primarily focuses on addressing the cause of the oral thrush, such as improving immunity if immune function is compromised. If it is simply a fungal infection, we can clean the mouth with sodium bicarbonate and then apply crushed antifungal tablets mixed into a paste with vitamin AD drops to the affected area. Usually, after thorough cleansing, enhancing immunity, and proper care, healing can be achieved in about a week.

doctor image
home-news-image
Written by Li Jiao Yan
Neonatology
1min 16sec home-news-image

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.

doctor image
home-news-image
Written by Zhang Xian Hua
Pediatrics
40sec home-news-image

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.

doctor image
home-news-image
Written by Yao Li Qin
Pediatrics
1min home-news-image

How to prevent thrush

Thrush is a common oral disease in children, primarily caused by Candida albicans infection. Once diagnosed, it needs to be actively treated, generally with nystatin and sodium bicarbonate applied locally. It is essential to prevent thrush, starting with oral hygiene and care for the mouth. Additionally, all items that enter the mouth should be sterilized at high temperatures; bottles and pacifiers must be regularly sterilized, and for breastfeeding children, the mother's nipples should also be washed with clean water. The most critical point is to strengthen the immune system to prevent the frequent use of antibiotics and hormonal drugs, which can predispose children to thrush. Parents must pay close attention to this, so enhancing the immune system is very important to avoid illness and ensure proper care of the child. (The use of medications should be under the guidance of a doctor.)

doctor image
home-news-image
Written by Zhang Xian Hua
Pediatrics
53sec home-news-image

Oral thrush is treated in the department of stomatology.

Thrush is a disease caused by the infection of oral mucosa by Candida albicans. Depending on the age of onset of thrush, different departments should be chosen for treatment. If the disease occurs in the newborn period, the neonatology outpatient clinic should be visited. If the child is over one month old, they can be seen at the dental clinic or the pediatric outpatient clinic during normal working hours. During non-working hours, such as noon, evening, weekends, and holidays, the pediatric emergency department should be consulted. Of course, some cases of thrush occur because the individual has an underlying disease, including immunodeficiency, current use of immunosuppressive drugs, or long-term use of steroids; in such cases, the outpatient clinic of the department treating the primary disease should be visited.