Thrush (Oral Candida Infection) (Child)
Candida is a type of fungus. It is found naturally on the skin and in the mouth. If Candida grows out of control, it can cause mouth infection called thrush. Thrush is common in infants and children. It is more likely if a child has taken antibiotics uses inhaled corticosteroids (such as for asthma). It may occur in a young child who uses a pacifier frequently. It is also more common in a child who has a weakened immune system.
Symptoms of thrush are white or yellow velvety patches in the mouth. These cannot be washed away. They may be painful.
In a healthy child, thrush is usually not serious. It can be treated with antifungal medicine.
Home care
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Antifungal medicine for thrush is often given as a liquid, lozenge, or pills. Follow the healthcare provider's instructions for giving this medicine to your child.
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Breastfeeding mothers may develop thrush on their nipples. If you breastfeed, both you and your child should be treated to prevent passing the infection back and forth.
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Wash your hands well with warm water and soap before and after caring for your child. Have your child wash his or her hands often.
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If your child uses a pacifier, boil it for 5 to 10 minutes at least once a day.
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Thoroughly wash drinking cups using warm water and soap after each use.
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If your child takes inhaled corticosteroids, have your child rinse his or her mouth after taking the medicine. Also ask the child's healthcare provider about using a spacer, which can help lessen the risk for thrush.
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Unless the healthcare provider instructs otherwise, your child can go to school or daycare.
Follow-up care
Follow up as advised by the doctor or our staff. Persistent Candida infections may be a sign of an underlying medical problem.
When to seek medical advice
Unless your child's health care provider advises otherwise, call the provider right away if:
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Your child is 3 months old or younger and has a fever of 100.4°F (38°C) or higher. (Get medical care right away. Fever in a young baby can be a sign of a dangerous infection.)
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Your child is younger than 2 years of age and has a fever of 100.4°F (38°C) that continues for more than 1 day.
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Your child is 2 years old or older and has a fever of 100.4°F (38°C) that continues for more than 3 days.
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Your child is of any age and has repeated fevers above 104°F (40°C).
Also call the provider if: