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)

Other Voices

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Written by Zhang Ai Min

Pediatrics

1min 25sec

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How to treat thrush?

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.

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Written by Tong Peng

Pediatrics

57sec

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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 Zhang Xian Hua

Pediatrics

39sec

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What is thrush?

Thrush is a fungal infection that commonly occurs in infants and young children, especially those with weakened immunity due to prolonged use of immunosuppressants or steroids. It is caused by the infection of oral mucous membranes by Candida albicans. Commonly affected areas include the oral cavity, mucous membranes, gums, and tongue. It appears as white patches on the mucosa that generally cannot be wiped off with a cotton swab. Forceful wiping may lead to bleeding. Treatment mainly involves topical medication, a light diet, and maintaining good oral hygiene, which is very important.

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Written by Zhang Xian Hua

Pediatrics

47sec

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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 Yao Li Qin

Pediatrics

57sec

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What does thrush look like?

Children with thrush mainly suffer from an infection by Candida albicans. In the child’s oral mucosa, including the lips and pharynx, a white membranous substance can be observed, which cannot be wiped off. In this situation, thrush should be considered. Often, it is due to the child repeatedly having an infection, the long-term use of antibiotics or corticosteroids, leading to decreased immunity and thus the occurrence of thrush. Therefore, it is essential to pay attention to oral care. Once thrush is diagnosed, the child should be locally treated with a sodium bicarbonate solution and an antifungal to quickly treat the thrush. At the same time, it's important to prevent diseases from entering through the mouth. All items entering the mouth, like bottles and milk utensils, should be sterilized at high temperatures.