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Oral Thrush in Babies

Oral thrush is a fungal infection (Candida) in the mouth. Typical: white patches on tongue, palate, and inner cheeks that cannot be wiped off. Common in newborns and infants.

الأسباب المحتملة

1Candida yeast (natural organism that overgrows with immature immune system)
2Infection during birth (vaginal Candida infection in mother)
3After antibiotic treatment
4Transmission via unsterilised dummies or bottle teats

ما يمكنكِ فعله

Antifungal suspension (e.g., nystatin) from paediatrician — apply 4x daily after feeds
Boil dummies, teats, and teething rings daily (5 minutes)
Breastfeeding mothers: treat nipples too (thrush can transfer)
Continue treatment 2 days after symptoms clear

متى تزورين الطبيب؟

Baby feeds poorly or refuses food
Thrush doesn't clear after 7-10 days of treatment
Thrush spreads to oesophagus (swallowing difficulties)
Nappy rash at same time (Candida nappy thrush)

ملاحظات حسب العمر

Most common in the first 2 months of life. Can also transfer to the breastfeeding mother's nipples (stinging pain during feeds). Check nappy area simultaneously — thrush can appear there as nappy thrush.

الأسئلة الشائعة

How do I tell milk residue from thrush?

Milk residue wipes off easily with a damp cloth. Thrush patches are firmly attached and CANNOT be removed, or only with bleeding. Thrush also appears on inner cheeks and palate, not just the tongue.

Can I breastfeed with thrush?

Yes, definitely continue breastfeeding! But get your nipples treated too, as the fungus can transfer back and forth. Watch for burning or stinging pain at the nipple.