Oral thrush is a fungal infection in your mouth, throat, or esophagus. It occurs when Candida a fungus, that's found in your mouth and digestive tract, multiplies. White patches similar to a
rash appear in the mouth, on the tongue and cheeks, and in the throat. Anyone can develop thrush. Candida, or yeast, is responsible for diaper rash as well as vaginal yeast infections in women. Oral thrush is most common in babies, toddlers, older adults, and people with
weakened immune systems. Oral Thrush Symptoms in Adults Oral Thrush has different symptoms depending on your age and the type of infection, including: If the yeast overgrowth has traveled to your esophagus, you may experience throat pain and have trouble swallowing. People who smoke or wear dentures are also more prone to developing oral thrush. Oral Thrush Symptoms in Infants And Mothers If your child has oral thrush, you'll see the same thick, white patches on the tongue as well as
in the mouth and throat. Other symptoms of this condition in babies include: Oral thrush clears up within a few weeks with the proper antifungal treatment. The condition may be harder to treat if you have a weakened immune system from HIV infection, cancer, or
diabetes. Immediate Treatment Treatment is designed to stop the fungus from spreading, but it's also important to determine the infection's underlying causes. This can prevent future infections and keep yeast under control. Take care of your teeth by brushing and flossing at least twice a day. Don't share your toothbrush with anyone and
replace it often until the infection clears. If you wear dentures, disinfect them as fungus-covered dentures can lead to reinfection. Talk to your dentist to determine the best way to clean your appliances. If oral thrush is developed while breastfeeding, place pads on your breasts to prevent the infection from spreading to your clothing. Avoid pads with
plastic barriers, which can cause yeast to grow. Wear a clean bra every day and talk to your doctor to determine how to clean bottles, pacifiers, and breast pumps if you use one. If you have a mild case of oral thrush after a course of antibiotics, consider eating yogurt or taking an over-the-counter (OTC) acidophilus pill. Probiotics help repopulate the "good" bacteria in your body. Long-Term Treatment Severe cases of thrush are usually treated with
antifungal medications. They're available as tablets, lozenges, or liquids that you swish around in your mouth before swallowing. Common medications include: The course of treatment depends on your age and the cause of the fungal infection. A course of medication lasts from 10 to 14 days. If your immune system is uncompromised, oral thrush should resolve within two weeks. If you are immunocompromised or have an underlying medical condition, call your doctor. Here are some symptoms that may be warning signs: If you suspect your child has oral thrush, seek medical care if they: A Candida infection may be an indication of other diseases or medical problems. Talk to your doctor to set up any additional treatment plans.Remedies and Treatments for
Oral Thrush
When to See Your Doctor
If you notice a strange white rash inside your mouth, you may have a condition called thrush. It’s
also called oral candidiasis. It’s an infection caused by the candida fungus, which is yeast. You can get it in your mouth and other parts of the body. It can cause
diaper rash in infants or vaginal yeast infections in women. Anyone can get thrush, but it happens most often to babies and
toddlers, older adults, and people with weakened immune systems. Small amounts of the candida fungus are in your mouth, digestive tract, and
skin. It’s supposed to be there, and it’s usually kept under control by the other bacteria in your body. But sometimes, certain illnesses or medications -- like corticosteroids or antibiotics -- can disturb the balance. This
can cause the fungus to grow out of control. That’s when you get thrush. Stress can cause it. So can a number of medical conditions, like: Uncontrolled diabetes HIV infection Cancer If you smoke or wear dentures that don’t fit right might, you’re also more likely to get thrush. And babies can pass the infection to their mothers while breastfeeding. If you have thrush, you may notice these signs in your mouth: White, slightly raised areas, often on the tongue, inner cheeks, roof of mouth, gums, tonsils, or back of throat Raised spots that look like cottage cheese Cracking and redness at the corners of your mouth (angular cheilitis) A cottony feeling Loss of taste Sometimes thrush may also cause: Redness, irritation, and pain under dentures (denture stomatitis) A large red, painless mark in the center of the tongue (median rhomboid glossitis) A band of gum irritation or inflammation (linear gingival erythema) In very bad cases, thrush
can spread into your esophagus and cause: Pain when you swallow or difficulty swallowing A feeling that food is stuck in your throat or in the
middle of your chest Fever, if the infection spreads beyond the esophagus When breastfeeding infants have thrush, they can pass it to their mother’s breast and cause: Red, sensitive, cracked, or itchy nipples Shiny or flaky skin on the areola, the area around the nipple Painful nursing or painful nipples between feedings Stabbing pains deeper in the breast The fungus that causes thrush can spread to other parts of the body, like the lungs,
liver, and skin. This happens more often in people with cancer, HIV, or other conditions that weaken the immune system. Thrush may be grouped into three types: Pseudomembranous -- the mouth surfaces look white and creamy Erythematous -- the mouth looks red and raw Hyperplastic -- you’ll have white plaque-like lesions or speckled red
spots What Is Oral Thrush?
What Causes Thrush?
Oral Thrush Symptoms
Your dentist or doctor can probably tell by taking a look inside your mouth. Your doctor might also send a tiny sample of the spot to a lab just to make sure. If the fungus that causes thrush spreads into
your esophagus, you may have to have other tests, like: A throat culture (a swab of the back of your throat) An endoscopy of your
esophagus, stomach, and small intestine X-rays of your esophagus Thrush is easy to treat
in healthy children and adults. But the symptoms may be worse and harder to treat in people with weak immune systems. Your doctor will probably prescribe antifungal medications that you’ll have to take for 10-14 days. These come in tablets, lozenges, or liquids, and are
generally easy to take. Since the infection can be a symptom of other medical problems, your doctor may also want to run other tests to rule these out. In addition to medical treatment, there are some things you can try at home that may help ease thrush or its symptoms: Keep your mouth clean with regular brushing and flossing. Rinse with about ½ teaspoon of salt in a cup of warm water. Try rinsing with water mixed with
apple cider vinegar, hydrogen peroxide, lemon juice, or baking soda. Probiotics, such as yogurt or over-the-counter pills may help.Oral Thrush Diagnosis
Oral Thrush Treatments and Home Remedies
If you are breastfeeding, use nursing pads and keep bras and any bottles or breast pump parts clean.
If you wear dentures, be sure to disinfect them as recommended by your dentist.
Oral Thrush Prevention
Practice good oral hygiene. Brush your teeth at least twice a day and floss at least once a day.
Get regular dental checkups. Especially if you have diabetes or wear dentures. Even if you’re healthy and don’t have dental issues, you should get your teeth cleaned by your dentist every 6 months.
Treat chronic health issues. A condition such as HIV or diabetes can disturb the balance of bacteria in your body and lead to thrush. If you’re taking medications for an ongoing health condition, take them regularly, as directed.
Don't overuse mouthwashes or sprays. Rinse with an antibacterial mouthwash once or twice a day to help keep your teeth and gums healthy. Using any more than that may upset the normal balance of bacteria in your mouth. Clean inhalers after using them. If you have a condition like
asthma or chronic obstructive pulmonary disease (COPD), clean your inhalers after each use to kill germs. Limit foods that contain sugar and
yeast. Bread, beer, and wine will cause extra yeast growth. If you smoke, quit. Ask your doctor or dentist about ways to help you kick the habit. With treatment, oral thrush usually goes away after a couple of weeks. If
you are prone to it or don’t get better, you may need to see an ear, nose, and throat specialist. Sometimes thrush goes away and comes back. This often happens because the underlying cause hasn’t gone away. In some people, thrush can turn into a more serious systemic infection. This happens most often in people with another health condition such as: HIV Cancer Kidney failure Diabetes Prior surgery Other critical health conditions requiring treatment in an intensive care unit In this case, doctors will treat the infection with oral or IV antifungal medicines.Oral Thrush Outlook