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This article is for general information only and does not replace medical advice. If in doubt, contact your paediatrician or midwife.

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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.

Possible Causes

  • 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

What You Can Do

  • 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

When to See a Doctor

  • 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)

Age-Specific Notes

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.

Frequently Asked Questions

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.

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This article is for general information only. It does not replace individual medical advice. If you have concerns, contact your paediatrician, midwife, or call emergency services.