Should breastfeeding be stopped if the baby has thrush?

Written by Dong Xian Yan
Pediatrics
Updated on June 29, 2025
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Children with thrush do not need to stop breastfeeding. Thrush is caused by a Candida albicans infection, which most often occurs in children who have poor oral hygiene, malnutrition, or compromised immune systems. Sometimes inadequate sterilization of utensils, especially pacifiers, can also lead to thrush. Additionally, some children who are on prolonged antibiotic treatments or have respiratory diseases, and do not clean their mouths promptly after nebulizer treatments, are also prone to developing thrush. Generally, thrush does not cause localized pain and does not affect eating. Breastfeeding promotes the child’s immunity and aids in recovery from illnesses, so there is no need to stop breastfeeding.

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Written by Quan Xiang Mei
Pediatrics
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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.

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Written by Li Jiao Yan
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What causes thrush?

Thrush is generally due to an imbalance in the microbial flora, leading to an infection by Candida albicans. It is common in newborns and infants. Children who have long-term malnutrition, diarrhea, or who have been treated with broad-spectrum antibiotics or corticosteroid hormones may also be susceptible to thrush. Additionally, if the mother has an infection with Candida albicans in the intestines, or if there is contamination on the nipple during breastfeeding, or if the nursing equipment is infected with fungi, this could also lead to the occurrence of thrush.

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Written by Li Jiao Yan
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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 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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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.