Oral Thrush In Infants.


Oral thrush is a very common infection among children due to many causes, and the child shows many signs that indicate oral thrush. This disease affects many people, but it is more common among children under the age of 6 months and in older adults.

Oral thrush signs for infants.

A child with thrush will have cracks in the skin at the corners of the mouth or white patches on the lips, tongue or inside the cheeks that look a bit like cottage cheese but can’t be erased.Some babies don’t suck well or feel uncomfortable sucking because their mouth hurts. But many children do not feel any pain or discomfort.

Causes of oral thrush in infants.

▪️Oral thrush is caused by an overgrowth of a yeast (a type of fungus) called Candida albicans.

▪️Most people (including infants) have fungi in their mouths and digestive systems, which is considered a normal development. Usually a healthy immune system and some “good” bacteria control the amount of these fungi in the body.

▪️But if the immune system is weak (due to illness or medications such as chemotherapy) or is not fully developed (as in children), Candida in the digestive tract can grow excessively, leading to infection. Candida overgrowth also causes diaper rash and infection. Vaginal yeast Babies can have oral thrush and diaper rash at the same time.

▪️Oral thrush can also occur after a child is given antibiotics for a bacterial infection because antibiotics can kill “good” bacteria. Oral thrush can also occur after using steroid medications.

complications of oral thrush in infants.

The infection is usually transmitted to the mother’s breast during breastfeeding, causing pain in the nipple and cracks in it, in addition to deep stabbing pains in the breasts.The fungi may also move from the mouth to the pharynx, esophagus, and intestines, causing diarrhea and lack of food absorption.The fungus may move to the anus, causing scaling of the skin around the anus under the diaper (diaper dermatitis).

How is oral fungus treated?

▪️Oral thrush is treated by applying antifungals (nystatin or fluconazole) directly to the white spots, or given orally to treat infection in the digestive system and intestines for 10-15 days, and diaper dermatitis is treated using nystatin ointments.

▪️The cracked nipple of the mother is also treated by applying nystatin ointments in addition to the use of restorative ointments, and the treatment of the infant and his mother must be started at the same time so that infection does not occur between them.

▪️In the event of severe and stubborn cases of oral fungus treatment, it is necessary to consider the presence of a weak immunity in the infant.

▪️Depending on your child’s age, the doctor may also suggest adding yogurt with lactobacilli to your child’s diet. Lactobacillus is “good” bacteria that can help get rid of yeast in your child’s mouth.

Can oral thrush be prevented for infants?

_ Treatment of vaginal yeast infection in pregnant women before childbirth.

_ Washing milk bottles and straws daily; By boiling them for 20 minutes, or soaking them in a solution of half water and half vinegar and then letting them dry.

_ Do not use the milk bottle more than an hour after its preparation, boil it immediately after you have finished using it, and keep it clean in the refrigerator or in a well-ventilated place.

_ Clean the mother’s nipple with boiling water after each feeding and dry it well.

_ Giving water immediately after breastfeeding and after taking cortisone syrups or antibiotics.

_ Change the diaper as soon as it gets wet, and dry the child well before putting the diaper on.

Mother’s treatment of oral fungus in infants.

When a breastfed infant has oral yeast infection, the mother and infant must be treated to prevent infection of the mother and transmission of the virus back to the infant through breast milk. In these cases, treatment may include the following:

1.  Using an antifungal medicine for the baby and an antifungal breast cream, such as clotimazole. Wipe the cream off the breast before you feed your baby to keep it from getting into his mouth.

2. Rinse pacifiers, bottle nipples, and all breast pump pieces in a solution of half water and half vinegar.

3. Allowing these tools to dry in clean air, you can also wash them in hot water in the dishwasher, and allow them to dry in the sun.

4. Use a breast diaper to prevent the fungus from spreading to clothing.

Reference :

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