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White Tongue Alone: Not Thrush
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|When to Call Your Doctor|
|Call Your Doctor Now (night or day) If|
|Call Your Doctor Within 24 Hours (between 9 am and 4 pm) If|
|Call Your Doctor During Weekday Office Hours If|
|HOME CARE ADVICE FOR THRUSH (until you talk with your doctor)|
- Anti-Yeast Medicine: Your doctor will probably prescribe an anti-yeast liquid medicine. Use it as follows:
- Place 1 ml (2 ml if over age 1 month) in the front of the mouth on each side or where ever you see the thrush (it doesn't do any good once it's swallowed). Do this 4 times per day.
- If the thrush isn't responding, rub the medicine directly on the affected areas with a cotton swab.
- Don't feed your baby anything for 30 minutes after application.
- Keep this up for at least 7 days, or until all thrush has been gone for 3 days.
- Decrease Sucking Time to 20 Minutes per Feeding: Reason: prolonged sucking (as when a baby sleeps with a bottle) can irritate the lining of the mouth and make it more prone to yeast infection. For severe mouth pain with bottle feeding, offer fluids in a cup, spoon or syringe rather than a bottle (Reason: The nipple increases pain).
- Limit Pacifier Use:
- Again, prolonged sucking on a pacifier can irritate the mouth.
- Limit pacifier use to times when nothing else will calm your baby.
- If your infant is using an orthodontic pacifier, switch to a smaller, regular one (Reason: bigger ones can irritate the mouth more).
- Special washing of pacifiers or bottle nipples is not necessary or helpful.
- Breastfeeding: If the mother's nipples are red and sore, apply Lotrimin Cream (no prescription needed) 4 times per day AFTER feedings.
- Diaper Rash: If there's a bad diaper rash, it's also probably due to yeast. Apply Lotrimin cream (no prescription needed) 4 times per day (see DIAPER RASH topic).
- Contagiousness: Thrush is not contagious, since it does not invade normal tissue. Your child can go to day care with thrush.
- Expected Course: With treatment, thrush usually clears up in 4 to 5 days. Without treatment, it clears up in 2-8 weeks.
- Call Your Doctor If:
- Drinking becomes less than normal
- Your child becomes worse
And remember, contact your doctor if your child develops any of the "Call Your Doctor" symptoms.
Disclaimer: This information is not intended be a substitute for professional medical advice. It is provided for educational purposes only. You assume full responsibility for how you choose to use this information.
Author and Senior Reviewer: Barton D. Schmitt, M.D.
Last Reviewed: 9/15/2011
Last Revised: 8/1/2011
Content Set: Pediatric HouseCalls Symptom Checker
Copyright 1994-2012 Barton D. Schmitt, M.D.