Thrush in the mouth of infants is a very common phenomenon. Having found a white coating on the cheeks and tongue of the child, do not rush to make a diagnosis - perhaps this is not a disease, but food debris as a result of regurgitation. If, nevertheless, the diagnosis was confirmed, it is better to start treatment of thrush as early as possible, while contacting a pediatrician. After a thorough examination, the doctor will decide: use antifungal agents for treatment or use a different therapy regimen.
What is thrush
Thrush (or candidiasis) is a type of stomatitis (inflammation of the mucous membrane in the mouth) caused by a yeast-like fungus of the genus Candida. It is this fungus that is the causative agent of the disease, which is usually transmitted by contact with an infected one.
The fungus is not a "guest" in the body: like other microorganisms, it always lives on the mucous membranes of the intestines, genitals, mouth, but in small quantities. However, such a state of the norm is possible only with a "friendly" balance of "useful" and "harmful" bacteria, which represent the microflora of the human body. This balance of equilibrium can be disturbed upon contact with a sick thrush: in this case, the fungal infection from the outside enters the body of a healthy person and begins to multiply there rapidly, disrupting the natural microflora.
This is possible when the immune system is weakened, when the number of "beneficial" bacteria decreases sharply, and they are unable to fight the growing number of "harmful aliens".
The occurrence of thrush in the mouth in children from one year old is explained by the fact that when they come into contact with each other, they transfer toys and objects, which they take in turn in their mouths, and at the same time among them there is often at least one child infected with candidiasis. And since the child's immunity is still in the developmental stage, his internal defenses are weakened, so infection occurs very quickly.
Symptoms of thrush in the mouth of a baby
What does thrush look like in babies? When a fungal infection gets on the mucous membrane of the child's mouth, then its multiplication leads to inflammation in the mouth area. Therefore, rather quickly you can notice on the cheeks, palate, gums and tongue of the child small crumbs of white "cereal", reminiscent of cottage cheese. An inexperienced mother may well assume that this is the remnants of milk or mixture after regurgitation. But it is quite simple to check if this is so: take dry sterile gauze or bandage and very carefully try to remove the white plaque. If these are really food leftovers, they will be easily removed, if thrush, it will be more difficult to erase the curdled plaque. And after removing it, you will notice an inflamed redness in the mouth. With thrush, the baby is likely to worsen appetite and sleep, he will become restless and moody.
Causes of thrush in the mouth in newborns
How can Candida fungi get into the baby's body?
- infection can occur even during the mother's pregnancy if she suffers from genital candidiasis on the eve of childbirth: during the birth process, the fungal infection enters the placenta and amniotic fluid, and then into the newborn's body;
- a baby can also get infected from a nursing mother if her nipples are affected by a fungal infection;
- when a baby is artificially fed or sucking on a pacifier, it, as well as bottles and nipples, must be processed in a sterilizer or boiled water before giving to the newborn; non-sterile nipples can cause bacteria to enter the oral cavity;
- the fungus can live not only on the mucous membrane, but also on the skin of the hands, from where it can easily migrate to the integument of the child, if a person affected by thrush takes care of it;
- habitats of the fungus can also be pet hair, dust, raw vegetables, meat or milk, therefore, after contact with all these "transmitters" of bacteria, you must thoroughly wash your hands before touching a newborn;
- antibiotic treatment can also disrupt the natural balance of the body's microflora; as a result of antibiotic therapy, the mother and baby, who, together with antibiotics, did not take drugs containing "beneficial" bacteria, there is candidiasis;
- candidiasis can occur if the mother has not learned how to properly attach the baby to the breast during feeding, the child may swallow too much air when sucking and, as a result, often regurgitate; under these circumstances, most of the dairy food can remain in the baby's mouth, generating fermentation processes and promoting the growth of fungi.
- thrush often develops in premature babies, because their immune defenses are still too weak;
- candidiasis with artificial feeding can affect a baby due to the fact that he does not receive substances from mother's milk that suppress the growth of fungal microflora;
- if the mucous membranes in the child's mouth often dry out due to too dry indoor air or thirst, then such situations can contribute to the development of thrush;
- if the child's immunity is reduced due to illness, poor sleep, lack of vitamins, then this can also cause the growth of fungi;
- candidiasis can also have a chronic form: in this case, it is often caused by serious diseases in the child - diabetes mellitus, leukemia, HIV.
Dangers of candidiasis for the newborn
Candidiasis can take simple and complex forms. And depending on the degree, it contains certain dangers:
- with a severe form of thrush, the fungus can reduce immunity, disrupt the digestive tract;
- candidiasis in a girl can go to the vaginal mucosa, creating risks of a pathology called synergy - fusion of the labia or vaginal mucosa;
- a mild form of thrush, in which it is enough to treat plaque, usually does not pose any dangers;
- with thrush of moderate severity, inflammation forms under a white bloom, which begins to bleed during treatment; this form brings additional discomfort and pain to the child; in the absence of proper treatment, the disease can become more severe;
- with a severe course of the disease, the fungal infection spreads throughout the oral cavity; in addition to pain and discomfort, the child may have a fever; difficulties with swallowing can lead to the fact that the baby refuses not only food, but also water, which leads to rapid dehydration of the body; this condition is life-threatening for the child, therefore, its treatment is sometimes carried out in a hospital;
- thrush can occur not only in the acute, but also in the chronic stage: in such cases, an exacerbation is characterized by the appearance of plaque on the mucous membranes and dry mouth; as a result of the fact that the infection migrates to the skin, small ulcers appear in the corners of the child's mouth, and dense lymph nodes become noticeable to the touch under the jaw; reddish inflammations acquire a brownish tint and become painful, their area increases.
Is Research Needed?
Usually, thrush in the mouth of a baby does not require additional research, since it is not difficult for an experienced specialist to diagnose it by obvious signs. But sometimes, with serious lesions, additional studies may be prescribed:
- microscopic: in this case, the doctor will take scrapings from the oral mucosa in order to examine the yeast-like fungal cells more carefully;
- bacteriological: with such a study, a scraping is also taken and then bacteria are sown in order to understand how large the volume of fungal colonies is and how much they respond to treatment with antifungal drugs; in addition, bacteriological research helps to determine which particular drug is most effective in treatment, because some of them may not have an effect in the treatment of thrush;
- serological: for this study, a blood test is required, in the serum of which antibodies to fungal infection are examined.
How to treat thrush in the mouth in infants
Treatment of thrush in the mouth in infants is not a difficult process, but at the same time it requires the systematic carrying out of certain procedures several times a day until the child recovers. If you find a mild degree of thrush in a baby, but at the moment you cannot call a doctor (for example, on a weekend), then you can use folk methods to eliminate thrush. If the degree of mucosal lesions has already reached serious forms, it is better not to risk it and call an ambulance.
Traditional methods of eliminating thrush :
- using a soda solution: prepare a solution (dissolve 1 tsp of soda in a glass of warm boiled water), then wrap a sterile bandage on your finger, moisten the winding in the solution and very gently wipe the places of fungal infections; in any case, do not rub them, because under the bloom there may be bleeding plaques, through which you risk opening up bacteria to the baby's body; such light rubbing can be done 4 times a day until you have the opportunity to visit a doctor;
- using honey solution: prepare a solution (dissolve 1 tsp honey in 2 tsp warm boiled water); however, keep in mind that it is unacceptable to use a honey solution if a child is allergic to bee products; if the child tolerates honey well, then the solution can be treated in the same way as with soda; you can also treat the nipples and toys of the baby that he likes to pull into his mouth with any of these solutions;
- for nipple candidiasis, treat them with any of the above solutions;
- can be used for rinsing and treating the oral cavity and other natural antiseptics - for example, herbal infusions; you can prepare a decoction of chamomile, green tea, calendula by taking 1 tsp. dry herbs for 1 cup boiling water; sage, elecampane, yarrow, burdock, oak bark also have antiseptic properties, but here it is also necessary to understand that any of the herbal preparations can cause an allergic reaction;
- sometimes the contents of aloe vera stems are used as antiseptic agents, lubricating the affected areas with this juice;
- Among the natural oils that can be used to lubricate the oral cavity, rosehip, flax or peach oils can be used after rinsing or treating plaque.
When choosing methods of self-treatment for thrush in the mouth of an infant, it is necessary to understand that sometimes such procedures may not correct the situation, but, on the contrary, harm the child.
For example, the illiterate use of a soda solution when treating the oral mucosa can cause additional injuries. Therefore, carefully prepare the soda solution, not exceeding its concentration by more than 1-2%, because a stronger concentration leads to a burn of the mucous membrane.
You can also complicate the situation with candidiasis when using a honey solution. After all, beekeeping products are one of the most powerful allergens, so when using them, you must be absolutely sure that there is no allergic reaction.
Also, when using herbal infusions, do not use several herbs at the same time. In this case, in case of an unexpected allergy, you will know which plant caused it.
Similar folk recipes can be used in the treatment of a grown child, but it is better not to experiment with the health of the baby. If the situation is urgent and you cannot see a doctor today, you better play it safe and call an ambulance. The doctor at the reception at the clinic will prescribe medications to fight the fungal infection. With medication, you can avoid additional risks, and candidiasis will go away faster.
Treatment of thrush with medicines
If the treatment is prescribed correctly, then in a couple of days the child will feel much better, even with a severe form of the disease. However, this does not mean that the drug should be discontinued - it is necessary to undergo a full course of treatment until all symptoms of candidiasis are eliminated.
Thrush that is not completely treated is dangerous when it returns during the next vaccinations or during the period of teething in a baby. During such a period, do not use the previously prescribed medication on your own and in no case increase the dosage of the drugs. After all, an increased dose of an antiseptic can provoke the opposite effect - the occurrence of bacterial stomatitis due to the growth of pathogenic microflora. The independent and uncontrolled use of medicines is always risky because beneficial bacteria living on the surface of the mucous membranes may die, and pathogenic microorganisms will quickly take their place. Therefore, wait for the appointment of a doctor who will accurately determine the required dosage of the drug.
In addition, in parallel with drug treatment, do not forget about the treatment of the baby's nipples, bottles and toys: they can be regularly boiled and soaked in a soda solution. When breastfeeding, remember to wash your nipples before each latching on your baby.
So that the baby does not get sick with thrush
To prevent the thrush from reaching the baby's mucous membranes, special precautions must be taken:
- Regularly take care of the mucous membranes of the child, monitor their condition when the baby is sick, and especially - suffers infectious diseases;
- If the child is prescribed antibacterial drugs, be sure to remember to use special means to protect the microflora;
- If candidiasis occurs during pregnancy in the expectant mother, it is necessary to urgently consult a doctor and treat. In addition, on the eve of childbirth, maternity hospitals provide special prophylaxis for newborns with an increased risk of candidiasis. Thrush is especially susceptible to babies whose mothers suffer from chronic candidiasis and those who have foci of infection in the immediate vicinity of childbirth. Women in labor with inflammatory gynecological diseases who undergo complicated labor can also transmit the risk of a fungal infection to the newborn.
As you know, babies are susceptible to various kinds of infections, all because their immunity is not yet strong enough, which means it cannot withstand attacks from pathogens. Let's talk what is thrush in newborns , how it is dangerous and how to properly treat it without harming the child's body.
When many young mothers notice the appearance of white plaque on the tongue and gums of the baby, they may mistake it for milk or food residues. But unfortunately, this is often a signal of the development of thrush in the mouth.back to content ↑
Thrush in a baby
Many are absolutely sure that thrush in newborns on the tongue has something to do with milk, but this is just a common myth. The disease is caused by yeast-like fungi of the genus Candida.
Normally, these microorganisms live on the skin and mucous membranes of a person and in moderate quantities they do not cause any harm. But for a number of reasons, a pathological growth of fungal infection can occur, and this leads to the development of the disease.
The immunity of any person is responsible for the creation of beneficial microflora, which strictly controls the number of yeast-like fungi. If we talk about newborns, then such microflora in them is still at the stage of formation, it is for this reason that candidiasis occurs in them much more often than in any adult.back to content ↑
Reasons for the appearance of thrush in infants
Although the baby's immune system is just being formed, with the mother's milk he receives immune cells that provide protective functions. But on the other hand, during breastfeeding, a child can get thrush.
Needless to say, if you can get candidiasis even with intrauterine development. If a woman has had thrush during pregnancy, and no treatment has been carried out before childbirth, then when passing through the birth canal, the fetus can easily become infected with a fungal infection.
In fact, it is quite easy to "earn" candidiasis, any family member can "reward" a child with a fungal infection through touch or kiss. A favorable environment for the development of the disease is a dry and hot climate in the room where the baby is.
The connection here is obvious: the fungal infection in the oral cavity is held back by immune cells and substances that make up saliva. In the case of dry air, saliva also dries up. This leads to the fact that it cannot adequately moisturize the oral mucosa and, as a result, yeast-like fungi begin to multiply uncontrollably.
Other factors that provoke the development of the disease include the following:
- frequent regurgitation;
- the presence of small cracks in the oral cavity;
- immaturity of the mucous membrane;
- taking medications that weaken the immune system, in particular, antibiotics, hormonal agents.
Statistics show that premature babies are more likely to suffer from candidiasis than babies born on time. And babies who are bottle-fed are much more ill than those who are breastfed. It is clear that in both cases the leading role is played by the state of immunity, which is sharply weakened in case of artificial feeding or in premature infants.back to content ↑
What does thrush look like?
The main symptoms of thrush in infants are the following:
- a white coating appears on the mucous membrane of the tongue, gums and cheeks, which eventually turns into spots or plaques;
- the mucous membrane of the mouth becomes inflamed and becomes reddish;
- in the absence of competent treatment, white spots become more and more, and the plaque acquires a curdled consistency;
- the child becomes moody and whiny, and also refuses breast milk. The fact is that sucking on the breast causes him pain.
It is quite simple to distinguish the plaque that forms a thrush in newborns on the tongue from ordinary regurgitation. Use a dry cloth or tissue to gently scrub off any white residue.
Plaque from food debris is easily erased and leaves no residue. If, nevertheless, candidiasis is present, then it will not be so easy to remove the plaque, and red, inflamed traces will remain in its place.back to content ↑
How to treat thrush in the mouth
According to experts, the use of antifungal agents in the treatment of newborns is an extreme measure, especially when it comes to the early stage. The first thing that doctors think needs to be done is to maintain a normal, humid indoor climate. Special humidifiers will help with this, which will constantly control the level of humidity, despite the weather outside the window.If we are talking about advanced forms of oral candidiasis in infants, then you probably cannot do without medicines. In general, the question of the use of medications is quite controversial, on the one hand, I do not want to "stuff" the child with chemicals, but on the other hand, if the fungal infection is not stopped in time, the problem may develop further in the intestines.
If we talk about girls, then they may generally develop vaginal candidiasis. In order to prevent the occurrence of such complications, the following recommendations should be followed:
- be sure to show the child to a specialist. A fungal infection could no longer affect only the mouth, so the doctor must conduct a full examination;
- be sure to carry out local external therapy, which includes the removal of curdled plaque and the treatment of inflammatory foci with special solutions and suspensions, which are prescribed by the doctor;
- clean the mucous membrane with a cotton ball soaked in either a 1% hydrogen peroxide solution or a soda solution;
- an aqueous suspension of nystatin will help relieve the symptoms of the disease. The tablet should be crushed and diluted in water. Processing is carried out every five to six hours;
- if you are breastfeeding, be sure to check for the presence of a fungal infection yourself, perhaps you are the source of infection;
- with the ineffectiveness of external treatment, as well as in severe cases, antimycotic agents are prescribed.
In most cases, with timely and competent treatment, the disease recedes within three to ten days. Over time, the child's immunity will become stronger and the risk of relapse will be much less.back to content ↑
Candide from thrush
The drug Candide is an effective medicine against oral candidiasis in newborns and numerous positive reviews from specialists, as well as ordinary buyers, confirm this. The main active ingredient is clotrimazole, a substance that can penetrate into fungi and destroy them.
Small doses of Candida slow down the growth of yeast-like fungi, and large doses lead to their complete destruction. This does not mean that you need to give large dosages to your baby, because there are certain treatment regimens according to the age category.
The drug is available in various dosage forms, but it is the solution that is used to treat oral candidiasis. Treatment of the mucous membrane occurs after feeding the baby as follows:
- apply a few drops of the solution to a cotton swab;
- gently lubricate the inflamed areas of the mouth;
- repeat the procedure two to three times a day.
After a couple of days, you will notice significant changes, but this does not mean that it is worth stopping the treatment. Continue to work your baby's mouth for a week. And as a preventive measure, mom should also treat her nipples.
The remedy is well tolerated by children, but sometimes irritation and burning sensation in the mouth is possible. If the solution enters the digestive tract, it can cause diarrhea or vomiting.
Candide also has its limitations; it should not be used in case of hypersensitivity to clotrimazole. There is no exact information regarding age restrictions, doctors prescribe a remedy based on their discretion, making a decision in each individual case.back to content ↑
Baking soda treatment is a reliable and proven method. As you know, a fungal infection exists and multiplies in an acidic environment, and a soda solution alkalizes the environment in the oral cavity, which makes it impossible for the further development of yeast-like fungi.
To prepare a two percent solution, you need to take one dessert spoon of baking soda and dilute it in two hundred milliliters (glass) of boiled water. Treat the oral mucosa every three hours for four days.
Sometimes honey is used. It is necessary to mix a teaspoon of honey with three teaspoons of water, and dip a pacifier in such a solution.back to content ↑
As a treatment for the oral cavity of a newborn, you can use the following folk remedies:
- decoction of calendula flowers;
- oak bark;
- chamomile flowers;
- sage herbs;
- aloe juice;
- sea buckthorn oil.
It is necessary to brew the solution, according to the instructions, strain and allow to cool to 30-40 degrees. Usually they use a mini spray gun to spray the infected areas of the mouth. A cotton swab or bandage soaked in the solution works well.
The procedures are carried out daily for 8-10 days, 3-4 times daily. In any case, consult your doctor about the use of medicinal herbs, although herbal solutions are very rarely harmful.
There are many controversial methods, for example, carrot juice is often used, but there is no confirmed data regarding its antifungal properties. And some recipes are sometimes horrifying, for example, some mothers lubricate the affected mucous membrane of the child's mouth with raw egg white. But this can lead to infection with salmonellosis and the development of severe allergic reactions. That is why it is important to always consult with a specialist.back to content ↑
Possible complications of infant thrush
Despite the many methods of dealing with infant thrush, this disease is classified as dangerous and can lead to the development of such complications:
- candidal sepsis;
- serious damage to internal organs;
- weight loss;
- dehydration of the body;
- in premature babies, the disease can even be fatal.
In order to prevent the onset of the disease, adhere to the following recommendations:
- to prevent intrauterine infection with thrush, timely treat the disease during pregnancy and be sure to undergo a second course of treatment before giving birth;
- carefully monitor the cleanliness of your hands and nipples;
- after each feeding, treat the nipples with a weak soda solution;
- wash and sterilize baby's nipples and bottles after each use;
- monitor the cleanliness of the skin and oral cavity of the newborn;
- to normalize the acid balance and wash off breast milk after each feeding, give the baby some boiled water;
- strengthen the child's immune system, massages and tempering can help with this.
So, infant thrush is not such a harmless disease as it might seem at first glance. But on the other hand, timely and competent treatment will help get rid of the disease. Do not self-medicate, this will only waste valuable time and aggravate the situation. Trust the health of your baby to the professionals of your
Candidal stomatitis (or, more simply, thrush) is a common occurrence in infants. Usually, the disease overtakes the child in the hospital, where the likelihood of infection increases several times. Thrush is caused by fungi of the Candida family, which are part of the intestinal microflora of a healthy person and, in the absence of adverse conditions, do not cause harm.
Pathological changes in the mucous membranes appear when the optimal balance of beneficial bacteria and harmful microorganisms is disturbed. Candida fungi are conditionally pathogenic flora, that is, they can multiply and grow when factors appear that are a favorable environment for their reproduction.
There is only one reason that can provoke candidal stomatitis in babies in the first months of life - the weak work of the immune system as a result of the influence of unfavorable factors.
Conditionally unfavorable factors can be divided into two groups: internal, associated with the characteristics of the functioning of the body and the work of organs, and external.
- deep prematurity (childbirth a month or more before the due date);
- low birth weight (less than 2500 g; and less than 1700 g for a child born with multiple pregnancies);
- congenital defects and pathologies of the formation of internal organs;
- insufficient intake of nutrients and vitamins (occurs with poor nutrition of the mother, if the child is on HB);
- anemia (low hemoglobin levels as a result of iron deficiency);
- intestinal dysbiosis;
- disturbances in the work of the endocrine system;
- past infectious diseases in anamnesis.
- Injury to the oral cavity ... Abrasions and cracks on the oral mucosa are an excellent environment for the colonization of fungi and their active reproduction.
- Antibiotic therapy ... It often happens that in the first days of a child's life, you have to give him strong antibiotics (for example, when a child is born with pneumonia and is placed in the intensive care unit immediately after birth). Antibiotics of various groups have a detrimental effect not only on pathogenic bacteria, but also on beneficial microflora, destroying and destroying it. As a result, the newborn develops dysbiosis.
- Refusal of breastfeeding and transfer of the baby to artificial mixtures ... Even the most expensive milk replacers contain a lot of sugar, which is added to maximize the taste of the product. The acidity of the oral cavity rises and creates a breeding ground for the growth of the fungus.
- Mother's candidiasis in late pregnancy ... If a woman does not have time to cure thrush before childbirth, the likelihood of infection of the child while passing through the birth canal becomes very high.
- Poor newborn hygiene. This includes any factors that can provoke the colonization of mucous membranes by harmful organisms: dirty rattles, unboiled nipples and bottles, poor baby skin care, etc.
This will not be difficult, since the hallmark of thrush in the mouth is the appearance of a white plaque that can cover the tongue, gums, inner surface of the cheeks, palate, tonsils, tonsils.
Thrush passes to the posterior surface of the pharynx in the absence of the necessary therapeutic measures. In very rare cases, the fungus can infect the esophagus and even the baby's intestines.
A specific plaque, similar to semolina grains (in advanced cases, it may resemble particles of cottage cheese), is the primary symptom of thrush.
There are also secondary symptoms that usually appear simultaneously with the main symptom of the disease:
- poor appetite (refusal to breast or bottle);
- crying while feeding;
- sleep disturbance at night;
- general malaise;
- moodiness and irritability;
- redness of the mucous membranes of the mouth, wounds and sores;
- an increase in temperature to 37-38 degrees (in cases when a bacterial infection joins the fungal infection).
The appearance of such symptoms is a reason to call a local pediatrician or consult a pediatrician online.
Some parents (especially if the baby is the firstborn) mistake plaque for the remains of curdled milk after the baby has vomited. Indeed, it can be very difficult to visually determine the nature of the contents of the oral cavity.
To understand what exactly caused the symptom to appear, a small test can be done. A piece of clean cloth should be moistened with boiled water or chamomile broth and try to remove plaque.
If it is the remains of milk after spitting up, then the baby's mouth will be easily cleaned, and all the contents will be on the tissue. With thrush, it is not so easy to remove plaque (after the procedure, irritated areas will remain at the site of inflammation).
Some people mistakenly believe that it is necessary to treat candidiasis with antibiotics - this is not at all the case. Antibiotics are effective only against bacterial organisms, and thrush is a fungal infection.
The disease is treated with local therapy aimed at destroying pathogens, bactericidal and disinfecting effects.
"Stomatidin" ... Copes quickly with fungi with a yeast-like structure. You need to use the agent to treat the affected areas 2 times a day.
"Candide" (solution) ... The active substance destroys the membrane of fungi, completely destroying them and suppressing the growth of pathogenic bacteria. The course of treatment is at least 10 days. It is important to continue therapy for the recommended duration, even if the visible signs of the disease have disappeared.
If you observe hygiene products for a child, it is worth using baby products - soap, foams, etc. Ordinary soap is too aggressive - it easily removes representatives of normal microflora from the baby's skin, the formed niche can be occupied by a fungus. It is easy to transfer it from the skin to the mucous membrane of the mouth - any household item, the hands of the mother and the child, things can contribute to this. The child should not be sterilized, so there is no need to get carried away with the excessive use of even baby cosmetics.
Diflucan. It is allowed to use the drug in newborns from the 11th day of life. Until the age of 1 month, the product is used only for intravenous infusion. This measure is usually an extreme measure and is used only when necessary.
"Nystatin" ... Destroys fungal infection, relieves inflammation and does not irritate the baby's mucous membranes. The duration of the drug use is 7-10 days (at a dosage of 1 drop on each side). The drug is applied to a cotton swab, after which the inner surface of the cheeks is treated.
Brilliant green (brilliant green) ... The use of brilliant green is very effective in the treatment of thrush in infants. A small amount of greenery should be applied to a cotton pad and the inflamed areas should be carefully treated. Usually, two procedures are enough to completely solve the problem.
If you cannot treat the oral cavity with cotton swabs, you can apply the green stuff on the nipple or pacifier. To achieve a therapeutic effect, 1 minute of active sucking is enough.
Chamomile is considered the safest drug. Possible treatment with a solution of chlorhexidine bigluconate 0.05%. To do this, moisten a cotton swab, squeeze and gently wipe the affected area. Make sure that the drug does not drain from the cotton wool into the child's throat. You can process 2-3 r / d. If the place is hard to reach, then instead of the mucous membranes of the mouth, you can wipe the nipple before giving it to the child. 2-3 times. Peroxide solution should not be used to avoid burns.
In the treatment of thrush in the mouth, the following folk remedies are effective:
- Soda ... After feeding, treat the baby's mouth with a solution of soda (if the baby is bottle-fed, do the same procedure with the nipples).
- Tincture of calendula. Suitable for slow douches or topical surface treatments.
- Chamomile decoction ... Treat the oral cavity with a moistened cotton swab several times a day (5-6 times).
To prevent the thrush from returning, as well as for preventive purposes, simple rules should be followed:
- boil bottles, nipples and pacifiers if the child eats the formula after each feeding;
- cleanse your baby's skin daily with hygiene procedures;
- wash your hands before playing or communicating with a child, before feeding;
- pay sufficient attention to the hygiene of the mother's breast if the newborn receives breast milk as food;
- after feeding, clean the mouth with water or special products sold in pharmacies or children's stores (foams, solutions, etc.);
- strengthen the child's immunity (long-term breastfeeding, hardening procedures, daily walks, massage, etc.);
- toys should be washed at least once a week;
- monitor the state of the intestines of the crumbs.
Thrush is a phenomenon, albeit unpleasant, but quite amenable to treatment, provided that therapy is started on time and is carried out after consulting a doctor. Complications after the transferred candidiasis are almost never encountered, therefore, preventive measures and close attention to the hygiene and well-being of the baby are quite enough to avoid relapses and re-infection.
For how thrush manifests itself in infants, and how to get rid of it, see the video:
This article has been reviewed by a current qualified physicianVictoria Druzhikina
and can be considered a reliable source of information for site users.
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Is your baby naughty and refuses to breastfeed, although before that he ate well and always ate with pleasure? Pay attention to his mouth, if there is any white, like the remains of milk, plaque on the tongue, gums or cheeks. If there is one, then your diagnosis is candidiasis or, alternatively, thrush in newborns in the mouth.
What is thrush?
You are probably informed about thrush in women, especially during pregnancy. (You can read more about this in the article: Thrush during pregnancy >>>) So, thrush in newborns is practically no different from the same disease in adults.
The causative agent is the same - fungal Candida class, only the location of the lesion is different. In children, thrush manifests itself on the tongue, palate, cheeks and gums, while in women, the genitals suffer.
Yeast-like fungi are found in small quantities in the body of every person, newborns are no exception. In small numbers, they are even useful, but as soon as favorable conditions for their growth are created, a problem called thrush appears, which has to be dealt with.
What does thrush look like in the mouth?
You can confuse thrush with milk residues after feeding or a natural bloom on the tongue.
White bloom on the tongue of babies is a common occurrence. It doesn't need to be treated or cleaned up. To distinguish normal white plaque from disease, do a mini-experiment:
- Use a sterile spoon or toothbrush. Carefully scrape off the white plaque, if there is redness or even wounds under it - you have pure thrush in front of you.
It can be difficult to recognize thrush or refute this diagnosis on your own, with the first child. Even numerous photos from the Internet do not help. If in doubt, see a doctor.
Causes of occurrence
The main cause of thrush in newborns is the growth of the Candida fungus. But you are probably interested in another question - why did these fungi suddenly take it into their heads to grow in your baby's mouth? Let's see which of the possible reasons might shed light on your situation:
- Weakening of immunity;
Perhaps your baby has recently had a cold, or maybe your teeth are already beginning to erupt, with all the consequences known to medicine, including dysbiosis. The body of a newborn is weakened and cannot resist the growth of various bacteria, it is this indulgence that is used by the fungal that causes thrush. Learn how to protect your baby from various diseases from our course: Healthy child >>>
- Prescribing antibiotics;
There are often times when you decide to treat a baby with an antibiotic or are undergoing treatment yourself, and the baby partially receives the substance through breast milk. And even if you do everything on a prescription, giving Linex along with the medicine (Read the article: Linex for newborns >>>) or other means, there is no guarantee that the flora will not be disturbed. By killing bacteria alone, antibiotics do not affect fungal bacteria, and the latter, unrivaled, begin to multiply rapidly.
- Violation of hygiene rules;
It is not necessary to wash your breasts before and after each feed, but hygiene and taking a refreshing shower is essential. Change your underwear in time, especially if the milk is still leaking. And how to properly build the breastfeeding process is described in detail in the article: How to properly feed a newborn? >>>
By the way! A nipple or bottle can also cause thrush, be careful and thoroughly rinse out the available products.
- From mother to child;
A newborn could become infected with thrush during childbirth, if the mother had this disease. So, if you know such an error for yourself, carefully monitor the oral cavity of the baby.
Know! If you have nipple thrush on your breast, then the cause of the infection in your baby is understandable.
Thrush in the mouth of a newborn may also appear due to frequent regurgitation. You yourself understand that milk is not returned in its pure form, and not always immediately, and the lactic acid environment has already been changed. Even a small amount of such a treasure is enough to increase the number of fungal infections that cause thrush. Read about the reasons for regurgitation >>>
As you can see, the reasons are varied, there are ones beyond your control, but as for hygiene, here you have the right to control the situation at 100%.
Symptoms of thrush in a newborn
Before proceeding to the description of the symptoms, I would like to note that thrush has three stages of development, in addition, it can have acute and chronic forms. Depending on this gradation, it is worth talking about the symptoms of the disease.
- Stage 1. The initial and easy stage, but also the most important - because you must not skip it and let the disease move to a more difficult stage. So, if your baby is naughty and does not want to breastfeed, check his mouth. Examine the oral cavity for the presence of a milky white plaque, try to scrape it off, there are probably inflamed areas under it, they then cause itching and burning. Regarding the smell, at the first stage, the thrush does not manifest itself in this direction;
- Stage 2. I don’t want to scare you, but a few days is enough for the thrush to hit the entire oral cavity of the baby, even the lips. It is impossible to remove plaque at this stage, the newborn feels pain and burning, and under the bloom of a curd consistency there may be bleeding wounds. There is an expressive bad breath in the baby;
- Stage 3. The third stage of thrush in newborns in the mouth is already very serious. The symptoms of the disease are only aggravated, the curdled plaque spreads beyond the oral cavity into the nasopharynx, it is impossible to remove the plaque, under it is a film that cannot be separated painlessly. The kid feels not only discomfort, he is in pain, he refuses to eat;
- Gradually, thrush can affect the intestines of the baby, it even manifests itself on the genitals of the newborn. The smell from the mouth is very pronounced.
As for the forms of thrush in newborns, there is a distinction between acute and chronic. From how thrush looks in newborns, we can talk about its nature and shape.
- Acute thrush most often develops as a result of taking antibiotics or a decrease in the newborn's immunity. Symptoms are obvious, develops quickly, redness, plaque, with timely treatment, easily go away;
- Chronic thrush with curd spots in the mouth, including the gums, is provoked by violations of hygiene standards. Having arisen once, it will manifest itself under favorable conditions.
Any stage or form of thrush is curable, but if you do not pay attention to the symptoms and lose time, then the treatment will be much more difficult, and complications are not excluded.
How and how to treat thrush in newborns
You have determined that the baby has thrush, guess what is the reason for its occurrence, then the treatment should be carried out from the opposite. The main rule is to start as quickly as possible.
If you suspect that the yeast infection is due to hygiene problems, then take all the necessary measures. Start with yourself:
- change breast pads and bodice in a timely manner;
- wash your breasts before giving them to a newborn;
- if artificial feeding is used, sterilize the nipples and bottle for at least 10 minutes. Give the baby only freshly prepared mixture, if he doesn’t finish it, the rest must be poured out. The bottle should be rinsed thoroughly after each use.
Solutions for the treatment of the oral cavity. As for the baby, an excellent remedy would be to treat his oral cavity with various solutions. The procedure itself is not complicated, and the treatment of thrush in newborns at home is quite acceptable.
- You need to wrap a sterile bandage around your finger, moisten it in the solution and carefully treat the baby's mouth, tongue, cheeks, removing all white plaque;
- The solution can be prepared from baking soda (1 teaspoon of baking soda, 1 glass of water).
Important! It is better to refuse such grandmother's means as freshly squeezed aloe juice, hydrogen peroxide, the use of honey or rose jam for dipping a pacifier. Do not use treatments without consulting your pediatrician.
The well-known children's doctor Komarovsky calls treatment with soda and airing the room a panacea for thrush in newborns in the mouth so that the baby's mucous membrane does not dry out.
You cannot do without pharmacy medicines if the baby is infected during childbirth or thrush progresses due to a decrease in immunity. The most common medications prescribed by pediatricians are Nystatin and Levarin. By the way, the course of treatment should be taken by the mother at the same time.
You now know how to treat thrush in a newborn in the mouth, but do not forget that the course of treatment should last at least 14 days in order to avoid relapse.
All babies from birth to six months are at risk for candidiasis. Using the rule, forewarned is forearmed, proceed with preventive measures:
- Hygiene in everything, from hands to dummies;
- Airing the premises, walking in the fresh air;
- After 6 months of complementary feeding, give your baby some clean water after meals.
- Handling toys and things that fall into the hands of a baby
As you can see, she is not so terrible and this thrush is, if you recognize her in time and take the necessary measures, and even better - preventive ones.
Read also :
Thrush in children is a common and usually mild disease caused by a fungus that usually develops in the mouth and is called candidal stomatitis. It most often occurs before the age of two.
Thrush is most common in infants around four weeks of age, but older children can also develop. Babies born prematurely (before 37 weeks of gestation) have an increased risk of developing thrush in newborns.
The main symptom of thrush is the appearance of one or more white bumps or spots in the baby's mouth. The spots may look like cottage cheese. Other symptoms of thrush in children include:
- breastfeeding or nervousness when latching your baby to your breast;
- whitish color of saliva.
There are several antifungal gels available for treating thrush. A pediatrician or pharmacist should be consulted before using these gels, as some are not suitable for very young children.
If you are breastfeeding and your baby develops a thrush in the mouth, he may infect you. The disease can affect your nipples and breasts, this is called nipple thrush. Symptoms of nipple thrush include:
- pain during breastfeeding that may not go away after you finish feeding;
- Chapped, flaky, or sensitive skin on the nipples and areolas (the dark area around the nipple).
You may be prescribed an antifungal cream such as miconazole. You should apply this cream to the nipples after each feed and remove any residues before the next feed. If you have severe nipple thrush, antifungal pills may be recommended.
Symptoms of thrush in children
Symptoms of oral candidiasis in children may include one or more white bumps or spots in or around the child's mouth. They can be yellow or cream in color and resemble curd. They can also grow together and form larger plaques.
Thrush in infants is shown in the photo on the right. You may find these spots in the following places:
- on your baby's gums;
- in the sky;
- on the inner surface of the cheeks.
These stains are easily scraped off. The tissue underneath will be red and sore. It can also bleed.
Thrush stains in the mouth may not bother your baby at all. But if they hurt, the child may refuse to eat.
Other signs and symptoms of thrush in newborns include:
- whitish color of the child's saliva;
- anxiety when latching on to the breast (the child constantly turns away from the breast);
- refusal to breastfeed;
- slow weight gain;
- prickly heat.
In some children with thrush, salivation is more abundant. If you have signs of thrush, see your pediatrician. If there is any doubt about the diagnosis, the pediatrician may take a swab from the child's mouth and send it to the laboratory for analysis.
Causes of candidal stomatitis in children
Thrush is caused by a yeast called candida alba. In healthy people, this fungus lives in the mouth and, as a rule, does not cause any problems. However, if the level of fungus rises too much, an infection can develop on the oral mucosa.
Thrush in infants can develop because their immunity takes time to fully develop, which makes them more vulnerable to infection. Oral candidiasis is more common in premature babies (born before 37 weeks of gestation) for the following reasons:
- their immunity is not so strong;
- they have not received enough antibodies from their mothers.
Thrush in children can also develop after taking antibiotics. This is because antibiotics reduce the levels of beneficial bacteria in the mouth, allowing the fungus to grow.
If you are breastfeeding and have been taking antibiotics to treat an infectious disease, it may have affected the good bacteria in your body, making your baby more susceptible to developing thrush.
Oral candidiasis in children rarely develops as a result of poor hygiene.
Treatment of thrush in children
Antifungal drugs are used to treat thrush. If your baby is less than four months old, a drug called nystatin may be recommended to treat thrush. Children over four months of age are likely to be prescribed a drug called miconazole, as there is a small risk of choking on your child if used incorrectly.
Nystatin - a preparation in liquid form (suspension). You apply the medicine directly to the affected areas using the pipette (spray) that came with the medicine. Nystatin usually does not have any side effects and should not be difficult for a child to take.
Miconazole Is a medicinal product in the form of a gel. You apply it to the affected areas with a clean finger. Apply a small amount of gel and avoid applying the gel deep in the mouth to prevent your child from choking. In rare cases, the child may vomit after miconazole is applied. This side effect usually goes away on its own and is not a cause for concern.
Anti-thrush medications are especially effective when applied after feeding or drinking your baby. Continue to apply the medicine for two days after the symptoms have gone to avoid the infection returning. If, after seven days of treatment, your child's yeast infection persists, contact your pediatrician.
To avoid recurring candidiasis, follow these tips:
- sterilize pacifiers and any toys the baby puts in their mouths regularly;
- sterilize bottles and other feeding equipment, especially nipples.
Which doctor should I contact for candidal stomatitis in a child?
Using the NaPopravku service, find a good pediatrician or neonatologist (if the child is less than a month old). Oral candidiasis in older children can be treated by a dentist.
Thrush Is one of the clinical variations of fungal diseases caused by yeast-like fungi from the genus Candida. In infants, the most common oral form is candidal stomatitis. Clinical manifestations include a white, curdled coating on the mucous membranes of the cheeks, tongue, and palate. In severe cases, the entire oral cavity is affected, the general condition of the child is disturbed. Diagnostics involves the identification of specific symptoms during examination, confirmation of the diagnosis by microscopic, bacteriological and cultural methods. Treatment is carried out with the help of local and systemic use of antimycotic drugs.
Candidiasis or thrush in infants is a fungal pathology that is caused by opportunistic or pathogenic strains of Candida fungi. In 80-90% of its cases, the causative agent is C. albicans. For newborns and infants, oral candidiasis is most common. For the first time, candidal stomatitis was described by Hippocrates in about 400 BC. The pathology received the name "thrush" because of the white plaque on the mucous membranes, which outwardly resembles curdled milk, and also because of curdled secretions. The incidence depends on a decrease in immunity against the background of major pathologies or external circumstances: candidiasis develops in 20-25% of children with type I diabetes mellitus, in 25-30% of cancer patients and in 70-90% of infants with AIDS.
Thrush in infants
Causes of thrush in infants
The cause of thrush in infants, as in adults, is fungi from the genus Candida. Most often, C. albicans acts as the causative agent, less often C. tropicalis, C. parapsilosis, C. glabrata, C. krusei. These yeast-like fungi are included in the list of opportunistic agents, since they are contained in the normal microflora of the oral cavity and small intestine. With the full functioning of the immune system, they do not have a negative effect. Against the background of a decrease in the body's resistance, fungi begin to grow and multiply intensively, while damaging the mucous membrane and underlying tissues.
Many exogenous and endogenous factors can contribute to the development of thrush in infants. Internal factors include prematurity, formula feeding, previous surgeries, hypo- and avitaminosis, alimentary dystrophies, anemia, rickets, disruption of normal intestinal microflora, acute respiratory viral infections, chronic viral diseases (including HIV), metabolic disorders of proteins, fats and carbohydrates , endocrine pathologies (including diabetes mellitus), malignant neoplasms, frequent regurgitation and vomiting. External factors provoking the development of candidiasis are chemical or physical damage to the mucous membrane, prolonged antibiotic therapy, taking immunosuppressive drugs, hormonal agents and cytostatics, vulvovaginal candidiasis during pregnancy and / or childbirth in the mother, contact with patients with candidiasis or carriers of pathogenic strains, IVL and being in the conditions of the RIT department.
Symptoms of thrush in infants
The incubation period of thrush in infants ranges from 2 days to 2 months, averaging 3-6 days. The clinical picture depends on the severity of the lesion. There are mild, moderate and severe forms of candidal stomatitis. The mild form is most common. It is characterized by lesions of the oral cavity in the form of foci of cheesy plaque. The most common localization is the inner surface of the cheeks, the upper part of the tongue, less often the hard and soft palate. The lesions are effortlessly separated by scraping. The general condition of the child is not disturbed, there is no discomfort, and there is no specific smell.
Moderate and severe forms of thrush in infants are less common, since they develop only in the absence of regular preventive examinations by a pediatrician or the parents' deliberate refusal of treatment. Candidal stomatitis of moderate severity is manifested by a bloom of a cheesy or film-like character, diffusely spreading over all typical lesions. The adjacent tissues are sharply hyperemic. When trying to separate the plaque from the mucous membrane, only some of its parts are removed, in place of which drops of blood remain. The general condition is somewhat disturbed: sleep is restless, the child is capricious.
With a severe form of thrush in infants, a total defeat of all mucous membranes of the oral cavity, including the posterior wall of the pharynx, gums, and lips, is revealed. The plaque is tightly welded to the underlying tissues, therefore, when scraping, it is possible to separate only small areas, under which a whitish film remains. On examination, a strong unpleasant odor is determined from the mouth. The general condition of the child is sharply disturbed: he is restless, does not sleep well, often cries, refuses the mother's breast.
Complications of thrush in infants
In children, in contrast to adults, there is a tendency towards the rapid development and spread of pathological processes. Because of this, candidal stomatitis is quite often accompanied by damage to other parts of the body - there are candidiasis of the perineum, intestines, intergluteal and inguinal-femoral folds, vulvovaginal candidiasis. In severe forms of thrush in infants, hematogenous and lymphogenous dissemination of fungi often occurs - sepsis develops. Ineffective treatment of acute candidiasis can lead to its transition to a chronic form. In addition to constant exacerbations and violations of the general condition of the child, this condition causes a further decrease in immunity, a tendency to allergic reactions and atopic diseases, for example, bronchial asthma.
In girls, against the background of oral thrush, candidal vulvovaginitis very often develops. Clinically, it is manifested by hyperemia, swelling and dryness of the external genital organs with erosion of the mucous membranes. In pediatrics and neonatology, this pathology poses a great danger, since in infancy, due to the particular tenderness of the tissues, there is a high risk of fusion of the labia and vaginal walls with each other. Such a complication, in addition to massive pharmacotherapy, requires surgical intervention.
Diagnosis of thrush in infants
Diagnosis of thrush in infants is based on a complete collection of anamnestic data, an objective and laboratory examination of the child. Instrumental studies are usually not required. When collecting anamnesis, the pediatrician establishes etiological and contributing factors, determines the time of onset of the disease, assesses the characteristics of the child's condition. The specialist must pay attention to the fungal pathology of the mother during pregnancy and childbirth. The physical examination includes a thorough examination of the oral cavity, identifying characteristic plaques, determining the severity of the process, and examining other parts of the body that could potentially develop candidiasis. The leading role is played by laboratory diagnostics, which consists in conducting microscopy, bacteriological and serological research.
Microscopic diagnostics is the first stage in which the material obtained during scraping is examined under a light or electron microscope. It makes it possible to identify the characteristic filaments of mycelium and yeast-like cells. The culture method allows you to determine the type of fungus and its sensitivity to specific antimycotic drugs. This method is also used when the initial empiric treatment with common remedies is ineffective. Serological reactions (most often - RSK) are shown in the absence of a clear clinical picture and low information content of other studies. On the basis of the above studies, differential diagnosis of candidal stomatitis with acute tonsillitis, diphtheria and acute herpetic stomatitis in children is carried out.
Treatment of thrush in infants
Treatment of thrush in infants depends on the prevalence of the pathological process. In the early stages, with local lesions, local therapy is indicated - irrigation of the oral cavity with anti-candidiasis (clotrimazole, nystatin) alkalizing (2% baking soda solution, 0.25% boric solution) and disinfectants (aniline dyes - Lugol's solution, methylene blue) agents. When breastfeeding, the mother's breast is treated with a 2% soda solution and herbal infusions (oak, calendula and others). Such treatment is carried out until the child is fully recovered, but for a period of at least 14 days.
In moderate and severe forms, systemic therapy is recommended by oral or parenteral administration of antimycotic drugs. When using anti-candidiasis drugs by mouth, preference is given to powders for injection (fluconazole), since the prepared solution has not only a general, but also a local effect on the mucous membranes of the oral cavity. In parallel, the treatment of concomitant diseases and symptomatic therapy according to indications is carried out in full. According to current recommendations, this approach should also be used in milder forms, since it reduces the duration of treatment to 3-6 days.
Forecast and prevention of thrush in infants
The prognosis for thrush in infants is favorable. With timely rational therapy, complete recovery occurs within 7-10 days. Severe forms and the development of complications are observed only against the background of a complete absence of antifungal treatment. Nonspecific prevention of candidal stomatitis consists in full care of the child's skin and mucous membranes, especially against the background of severe pathologies that reduce immunity. An important role is given to the rational intake of antibacterial agents and the treatment of fungal diseases in the mother during the period of gestation.
Specific prevention of thrush in infants is necessary if there are indications that include a burdened obstetric and gynecological history of the mother, prematurity and intrauterine malformations of the child, respiratory disorders, birth trauma of newborns, pathology of the central nervous system. Newborns belonging to this group undergo microscopy and bacteriology of samples of mucous membranes and feces for the first 7 days of life. For infants on antibiotic therapy, a prophylactic course of an antifungal drug, usually fluconazole, is prescribed.
Thrush in newborns in the mouth is one of the most common fungal diseases. In a small amount, fungi of the genus Candida, causative agents of thrush, live in the body of every healthy person without causing harm.
Many women at various stages of pregnancy are faced with an exacerbation of vaginal candidiasis. Some of them cannot get rid of an infectious microorganism even at the time of childbirth, and this can cause fungal infections of the oral cavity, eyes, lungs, the umbilical wound of the newborn, and in girls - the genitals.
The reasons for the development of this disease may also lie in active antibiotic therapy. Moreover, an exacerbation occurs both in cases of treatment of a mother who combines breastfeeding with antibiotics, and a newborn. Injuries to the oral mucosa, violations of hygiene rules and weak immunity of the child can contribute to the "flourishing" of this pathology.
Symptoms of the disease
What does oral candidiasis look like in children during the neonatal period? Many mothers compare the appearance of a white coating on the baby's tongue with pieces of curdled milk or grains of semolina. Sometimes inexperienced parents confuse the onset of candidiasis with other phenomena: they take colonies of a microorganism for the remains of milk that the baby has regurgitated.
It is very simple to check for the presence of pathology. It is necessary to carefully remove the white bloom with a piece of gauze. If it is milk, it will be removed easily, and the fungal colonies will be more difficult to remove. With strong friction, bleeding wounds will remain under the plaque.
Candidiasis in a child can be acute or chronic. The first often develops against the background of antibiotic therapy for another disease or with a weakening of the body's defenses. Chronic thrush is usually the result of poor hygiene.
As the disease progresses, it goes through 3 stages of development.
At the first stage, the symptoms are not clearly expressed, but it is very important for the mother not to miss them. On the tongue of the crumbs, less often on the lips or gums, separate colonies of the fungus appear, similar to curdled milk. After removing them, the mother may see that the tissues underneath are swollen and inflamed. In places where microorganisms grow, burning and itching appear.
At stage II of the pathological process, thrush captures the palate, tongue and cheeks. It is difficult to remove this plaque, the tissues under it are inflamed and bleed. A sour smell appears from the mouth of the baby. Babies become restless and eat poorly due to burning and itching in the mouth. The disease can develop from stage I to stage II literally in 24 hours.
At the III stage of the disease, thrush in newborns captures the palatine tonsils, larynx, esophagus, intestinal candidiasis may begin. The child often has low-grade fever, increased anxiety and very poor sleep. The symptoms of thrush get worse. Itching and burning become unbearable, the baby refuses to eat, this leads to an even greater weakening of the immune system and increased signs of the disease.
It is important to properly treat thrush in the mouth of a baby. Firstly, fungal colonies are actively growing and, if untreated, they can spread to the entire oral cavity, into the intestines, and in severe cases, inseminate all organs.
Secondly, candidiasis of the oral cavity and intestines creates an unfavorable environment for the vital activity of beneficial bacteria and contributes to the development of other opportunistic and pathogenic flora.
Thirdly, the death of the natural intestinal microflora leads to disruption of the digestive process, the absorption of nutrients decreases, the baby's body does not receive the nutrients required for normal growth and development.
Fourth, an infant, due to discomfort in the oral cavity, may refuse breast milk or an adapted formula, or eat much less than the norm. If you do not pay attention to the refusal of food in a timely manner, the baby may not only lose weight, but reach the stage of exhaustion. In infancy, such changes occur very rapidly.
With candidiasis, the child is restless, does not sleep well and often cries. Long-term thrush in a child's mouth leads to a breakdown in the work of his insufficiently mature nervous system.
Thrush in children in the mouth is treated by different means, depending on the form and severity of the pathological process. With an uncomplicated course of candidiasis (fungal stomatitis, cheilitis, glossitis), local agents with antifungal activity can be used. When treating severe forms, you may need:
- general antimycotics;
- local antiseptics;
As an auxiliary measure in the treatment of oral candidiasis in children, it is recommended:
- frequent wet cleaning in the baby's room;
- an increase in the number of walks in the fresh air;
- regular ventilation of the room in which the child sleeps;
- treatment of mother's nipples with a solution of brilliant green;
- sterilization of nipples and bottles after each feeding (supplementary feeding) or supplementing (if any) of the newborn for at least 10 minutes;
- mom's refusal from sweet drinks (tea with sugar) and confectionery products that are not useful for a child at this age (cakes, pastries);
- thorough hygiene of the mother's breasts, timely replacement of the bra and tabs for it.
To improve immunity, the baby's sleep can be organized in a stroller on the balcony. So the child will spend more time outdoors, and the mother will have the opportunity to do household chores.
It should not be too hot and stuffy in the baby's room. The air temperature should be kept at a level not exceeding 20 ° C. With comfortable indicators, the mucous membranes of the crumbs will not dry out and crack. This will make it difficult for pathogens to penetrate and multiply.
There are many popular recipes for the treatment of candidiasis. For example, soda is often used to eliminate ailment. The old methods of treatment are not recommended for independent use in infants. It is better to coordinate such methods with the pediatrician.
Treatment of thrush "in Komarovsky"
The well-known pediatrician Yevgeny Komarovsky considers the treatment of thrush in the mouth of a child to be a very important matter. At the same time, he believes that the main method of therapy for uncomplicated oral candidiasis is the treatment of mucous membranes with a soda solution and maintaining a comfortable temperature and humidity level in the room where the baby spends a lot of time.
Soda solution is easy to make at home. This will require 1 glass of boiled water and 1 tbsp. l. ordinary baking soda. The powder is dissolved in water and the mucous membranes of the mouth of the newborn are treated with this liquid.
Since the baby is not able to rinse the mouth, the mother needs to wrap her finger with a gauze napkin, dip it in a soda solution and thoroughly wipe the tongue, cheeks from the inside and the gums of her child. Oral cavity treatment is carried out up to 6 times a day.
In the video, Dr. Komarovsky talks about the treatment of thrush in the mouth of a baby:
Traditional medicine and folk remedies
Oral thrush responds well to local therapies. Before treatment with medicinal solutions, the baby's oral cavity is cleaned of food debris using the same soda solution and gauze. Then the mucous membranes are processed:
- non-systemic antimycotics (Nystatin);
- a local antiseptic with antifungal activity (Miramistin).
Such drugs can be used to treat mucous membranes up to 6 times a day, antimycotics - up to 3 times. You can apply the medicine pointwise, directly to the places where the mother found a white bloom. In severe forms of candidiasis, general antifungal agents and drugs that restore the balance of microflora in the baby's intestines (pro, pre, symbiotics) can be prescribed.
Sometimes, for the treatment of infants, it is recommended to prepare a chatterbox based on cyanocobalamin in ampoules, saline and Nystatin tablets. Fungal colonies are treated with this mixture. The course of treatment should last no more than 2 weeks. With low efficiency and the need to continue treatment, you need to consult a doctor.
Candidiasis is successfully treated, especially in the early stages of the disease. Any form and degree of pathology lends itself to therapy. The main thing is to choose the right treatment. For this, it is best to contact your pediatrician.
Some medicines that were previously actively used in pediatrics are not recommended by modern doctors for various reasons. These drugs include sodium tetraborate (it is toxic to the newborn's body), brilliant green (strongly dries mucous membranes), fluconazole (the drug is not used to treat children under 18 years of age).
If the baby drinks breast milk, then the nursing mother also needs to undergo a course of treatment.
For the treatment of mucous membranes, traditional medicine recommends using decoctions of medicinal herbs: calendula flowers, St. John's wort. Healers advise mothers to treat the nipples with a weak solution of honey, the baby's mouth - with rose petal jam or aloe juice. But it is better to refuse such measures, since sometimes they cause severe allergic reactions. The use of folk recipes should be agreed with the attending physician.
Thrush in the mouth of a child causes considerable discomfort. This disease is easier to prevent than to fight its manifestations.
Mom needs to wash her hands often, be sure to do this before feeding.
The traditional way to "wash" a pacifier by licking it is not good. The mouth is one of the most contaminated places in the human body with bacteria. Don't pass on your pathogens to your child. So you can infect a baby not only with candida, but also with Helicobacter.
If the child is on artificial or mixed feeding, after the mixture, you can give him some boiled water. This will remove food debris from the mouth of the crumbs and make the environment in it less suitable for the reproduction of pathogenic microorganisms.
Before offering the baby toys that he can pull into his mouth, it is worth pouring boiling water over them or rinsing them in a soda solution. Bottles and teats should be boiled after each feed.
When the first signs of candidiasis appear in a newborn, you need to contact a pediatrician. The doctor will prescribe competent treatment and will not allow the disease to become severe.
One of the most common forms of stomatitis in infants is candidiasis. In everyday life, it is called thrush, it is one of the most common types of stomatitis in early childhood. Especially often, such inflammation of the oral mucosa appears in infants. Why can such stomatitis develop in the baby's mouth, how does it manifest itself and how is it treated?
In babies under 12 months old, stomatitis caused by a fungal infection is manifested by the appearance of ulcers on the oral mucosa. They are painful and covered with a white coating that looks like cottage cheese. The plaque can be removed with gauze, and then a wound is visible under it, which is bleeding. Due to the great pain of such ulcers, the baby with stomatitis behaves restlessly, does not want to eat and cries a lot when they want to feed him.
It is also important for parents to learn that a whitish coating on the tongue does not always indicate stomatitis and can be found in healthy babies who eat both breast milk and artificial mixtures. With thrush, plaque will be not only on the surface of the tongue, but also on other parts of the oral mucosa, and when it is removed, the surface will bleed. If the plaque is milky, then it is easily removed and does not leave wounds. In addition, with stomatitis, there will be symptoms such as itching and soreness, and milk plaque will not bother the baby in any way.
The causative agent of this disease in infants is candida. This is the name given to yeast fungi that are found in the mouth, intestines and on the skin of many people without causing disease. So it will not be possible to completely protect the baby from candida with the help of hygienic measures.
However, fungi cause inflammation only in cases when the baby's immunity is reduced (the baby has a cold, dysbiosis, teeth are teething, had to take antibiotics, the baby was born prematurely) or the mother does not follow the rules of hygiene (often thrush is transmitted from the mother). Injuries to the mucous membrane, as well as frequent regurgitation, can also lead to thrush.
In addition, fungi multiply more actively in the presence of sugar, so the risk of thrush increases if the mother gives the baby sweetened water or a very sweet mixture, and also consumes large quantities of sweets during breastfeeding.
The first signs of the disease are redness on the mucous membrane of the mouth, which may go unnoticed. After two to three days, a white bloom appears on them and the elements of stomatitis become like white spots. They increase in size, can become grayish and yellowish, and spread to fairly large areas of the mucous membrane.
The more the lesions are, the more discomfort they will cause in the baby. If the disease is started, the plaque covers a large area of the mucous membrane, the child may have a fever, and because of the pain the baby can neither suck nor swallow.
Depending on the course, the stomatitis caused by candida is:
- Lightweight. Plaque is present in small quantities, the general condition of the baby is not disturbed, the child may behave restlessly and often attach to the breast or nipple. Refusal to eat is possible.
- Medium severity. The body temperature can rise to subfebrile, the child is lethargic, refuses to eat. Plaque is very common and looks like a film covering the mucous membrane.
- Severe form. The child has a fever, he is drowsy, lethargic, refuses to eat. There is also an increase in lymph nodes and the appearance of bad breath. The plaque becomes denser, becomes yellowish, occupies a large surface.
Since the disease has a rather characteristic clinical picture, only a doctor's examination is needed for the diagnosis. If the pediatrician has doubts, then a smear from the baby's oral cavity will help to confirm the presence of fungal stomatitis, with the help of which candida will be detected.
How to treat?
Before feeding, lesions on the mucous membrane should be treated with agents that give an analgesic effect. These can be special anesthetic gels that are used for teething of milk teeth.
Treatment of the baby's mouth with a solution of soda is highly effective against thrush in the mouth, the main purpose of which is to create an alkaline environment in the mouth:
- A teaspoon of soda dissolves in a glass of heated boiled water.
- Then the mother wraps her finger with gauze or a bandage, dipped it in a soda solution and gently wipes the baby's mouth. At the same time, there is no need to try to remove the white plaque, the mother should simply moisten the areas of the lesions and gently wipe them, without achieving the appearance of bleeding wounds.
- The procedure is carried out 4-5 times a day.
If the baby does not have the risk of an allergic reaction, the areas of inflammation can also be treated with honey diluted in water. A teaspoon of this sweet delicacy is diluted in two teaspoons of water, and then the child's mouth is treated up to 5 times a day in the same way as soda treatment is carried out.
Antifungal agents such as fluconazole and nystatin are used in the treatment of severe fungal stomatitis in newborn babies and infants. The antifungal medication prescribed by the doctor is applied to the oral mucosa after feeding and the baby is not fed for 30 minutes. Such processing is carried out 3-4 times a day.
- Many mothers treat babies' mouths with dye solutions (blue, brilliant green). Such treatment will not harm the child, but it will not have a strong effect on the course of thrush.
- It is important for a mother to remember that the danger of thrush in newborns and nursing infants is primarily associated with the risk of dehydration. The child, due to painful ulcers, refuses water and food, and the secretion of saliva in this pathology increases. If your mom notices any signs of dehydration, it's important to take action right away.
- To reduce the risk of recurrence of fungal stomatitis, you should treat the nipples and utensils that are used to feed the baby. Processing involves boiling in water with the addition of baking soda.
- Mom is also advised to treat her nipples with a solution of soda or honey.
E. Komarovsky's opinion
A well-known pediatrician believes that the main reason for the appearance of fungal stomatitis in young children is the deterioration of the protective properties of saliva due to drying out in the mouth. According to Komarovsky, this is caused by rare walks, prolonged crying, shortness of breath for the baby, as well as too dry air in the room.
A popular doctor recalls that the presence of a whitish plaque on the tongue of a child under one year old is a variant of the norm and one should only worry if such a plaque appears on the inside of the cheeks.
Komarovsky calls the most effective way of both prevention and treatment of such stomatitis as actions aimed at producing child saliva and restoring its bactericidal properties. This requires frequent walks and humidifying the air in the room. In addition, after milk, the baby should be given a few sips of water. Komarovsky also calls wiping the elements of fungal stomatitis with a solution of soda an effective method.
Do you need a special diet?
Babies who receive their mother's milk continue to breastfeed for thrush. At the same time, mother must correct her diet by removing sweets, foods with chemical additives, and fast food from it. If the child has already begun to introduce complementary foods, then with stomatitis, all food should be soft (mashed potatoes would be the best option), not sweetened, not sour (sour fruits are prohibited) and warm (very hot should not be given).
Possible consequences of the disease
In addition to the high risk of dehydration, which is very dangerous for infants, candidal stomatitis can cause more serious infections to enter the child's body through bleeding sores in the mouth. In addition, if fungal stomatitis develops in a girl, she has an increased risk of infection with candida and the vaginal mucosa, which threatens the formation of synechia.
To minimize the risks of candidal stomatitis, you should:
- To cure candidiasis in mom during pregnancy.
- Carefully monitor hygiene - wash your hands regularly, monitor the frequency of the mammary glands, boil nipples and bottles, wash baby's toys.
- Breastfeed your baby, thereby supporting the baby's immunity.
- After feeding, give the baby a few sips of boiled water.
- Limit sweets on the breastfeeding mom's menu and avoid giving the baby sugary drinks.
Thrush in babies in the mouth is a common disease. This fungus affects the mucous membrane of the mouth and manifests itself as a white coating on the tongue and cheeks. If the disease is detected at an early stage, then its treatment will be short-lived. If a mother eats refined foods, sweets during breastfeeding, then this can provoke the appearance of candida in the mouth.
Thrush in children is usually treated with antifungal agents. Remember, in order not to harm the baby, it is imperative to consult a pediatrician before treatment.
What is thrushOral candidiasis is a fungal stomatitis, that is, inflammation of the oral mucosa. The causative agent of this contagious infectious disease is the Candida mushroom.
Fungi, like some other microorganisms, are constantly present in the human body in small quantities; they live in the mucous membranes of the mouth, intestines, and genitals.
Fungi begin to develop when the natural balance of beneficial and harmful microflora (to which they belong) is disturbed. This happens when a mass of fungi gets infected from the outside, from a sick person to a healthy one. Moreover, the disease occurs if a weak immunity is formed, a deficiency of beneficial bacteria that can kill fungi is formed.
That is why thrush most often develops in children in the mouth. They are in close contact with each other, play with common toys, pull them into their mouths, which creates conditions for infection by the fungus. The younger the child, the weaker his body's immune defense (in childhood, immunity is at a developmental stage), the easier the infection occurs.
Signs of thrush in newborns and children under one year old
As soon as the growth of Candida fungi on the oral mucosa increases, an inflammatory process occurs. Which every mother can visually identify by the appearance on the tongue, palates and gums, as well as on the mucous membrane of the cheeks, small white specks resembling semolina crumbs.
Sakania Luiza Ruslanovna
Dermatovenerologist, cosmetologist, trichologist
It is not difficult to distinguish the whitish plaque caused by fungi from the plaque that may remain in the child's mouth after regurgitation of milk or formula - gently rub it with a dry napkin or handkerchief.
Plaque from food debris will be erased without effort and without a trace, but white spots from thrush will be much more difficult to erase and after their removal, red inflamed areas will remain on the mucous membrane. In addition, secondary signs of thrush include:
- a sharp deterioration in appetite in a newborn or baby;
- anxiety, crying, poor sleep.
Causes of infection with thrush
Fungi enter the body of a newborn baby as follows:
- Infection can occur even before birth through the amniotic fluid and placenta if the mother has genital candidiasis. During childbirth, the fungus enters the baby's oral cavity from the contents of the birth canal.
- If a woman has a nipple fungus, then the baby becomes infected when feeding.
- The likelihood of infection is high when using a bottle with a non-sterile nipple or using a pacifier for this purpose.
- The infection enters the baby's oral cavity from the hands of a person who is caring for him with a fungus.
- The fungus can be found in dust, on the hair of pets, on the skin of hands that are poorly washed after caring for animals, processing various products in the kitchen (raw meat, milk, vegetables).
- The death of beneficial bacteria and the development of thrush is facilitated by the use of antibiotics. Therefore, candidiasis in the oral cavity of a child appears if the mother takes antibiotics or they treat the baby himself.
- The occurrence of thrush in a baby is facilitated by frequent regurgitation during feeding (for example, due to improper attachment to the breast, when the baby swallows a lot of air). In this case, the milk remains in the mouth and begins to ferment.
Premature babies often fall ill. In breast milk there are substances that suppress the growth of pathogenic microflora in a baby. Children who are bottle-fed are deprived of such protection, so they have thrush more often.
Sakania Luiza Ruslanovna
Dermatovenerologist, cosmetologist, trichologist
Human saliva also has protective properties. Drying out of the oral mucosa due to the increased dryness of the surrounding air and insufficient fluid intake also contributes to the development of fungus in the oral cavity.
Children over 1 year of age can become infected by eating poorly washed fruits and vegetables, raw milk, or unboiled water. The fungus can be found in raw meat. If it is stored in the refrigerator or processed next to ready-made food, then fungi also get into it.
The main ways of penetration of the fungus into the body are household (through toothbrushes, dishes) and airborne droplets (inhalation of dust). Any factors leading to a decrease in immunity (lack of vitamins in food, lack of sleep, frequent colds) contribute to the onset of stomatitis.
Chronic thrush in a child's mouth is sometimes a sign of diabetes mellitus and other endocrine disorders and serious diseases (HIV, leukemia).
Symptoms of thrush in babies in the mouth
The inflammatory process caused by the multiplication of fungi is easy to recognize. In the baby's mouth - on the palate, gums, tongue, mucous membrane of the cheeks - white plaque or small pellets appear. In order not to confuse the disease with the plaque left after eating, wipe it with a napkin.
If the child is healthy and it's just food leftovers, plaque will be removed easily, but the mushrooms will remain and it will be more difficult to completely remove them.
Also, after removing plaque in the case of candidiasis, red inflammations may appear in the infected areas. Among the secondary signs of thrush in newborns and infants, poor appetite, disturbed sleep, and frequent crying.
In order not to confuse the disease with plaque left after eating, or regurgitation, wipe it with a napkin. If the child is healthy and it is just food debris, plaque will be removed easily.
Why is thrush dangerous in children?
Like any disease, thrush is dangerous. And if at first it may not cause severe discomfort, it is still worth worrying. A severe form of candidiasis in the mouth in newborns and infants can "move" into the intestines and disrupt the microflora of the gastrointestinal tract, and this, in turn, will reduce the child's immunity.
In girls, thrush can appear in the vagina. Even babies under the age of one year have a risk. If candidiasis is not treated in this case, it can lead to more serious problems - the fusion of the labia or vaginal mucosa (synechia).
Symptoms for various forms of thrush
The disease is mild or severe. A state of moderate severity may be observed.
- Light form. A reddish rash appears in the mouth, covered with white bloom. For a quick recovery, it is enough to treat the surface with an antiseptic solution.
- The disease is moderate. Merging white spots appear on the red and edematous mucosa. There is a bleeding surface under the curdled bloom. The tongue is covered with a white coating.
- Severe form. Redness, swelling extends to the entire mouth, throat, lips, tongue. The entire surface is covered with a solid white film. The body temperature rises, the general health worsens. The baby cannot swallow, which leads to starvation, dehydration.
In addition, the disease can be acute or chronic. In the acute course of thrush, symptoms such as dry mouth and the formation of plaque on the mucous membranes are pronounced.
Sakania Luiza Ruslanovna
Dermatovenerologist, cosmetologist, trichologist
Gradually, the films move to the corners of the mouth, where ulcers form. The submandibular lymph nodes are well felt.
With the transition of thrush to the chronic stage, the lymph nodes become even denser. The spots acquire a brown tint, protrude above the surface, and join together. Swelling and pain increases.
Diagnosis of thrushOral candidiasis is diagnosed on the basis of clinical evidence, and additional mycological examination usually does not need to be performed. The positive effect of local specific therapy confirms the correctness of the diagnosis.
A complete diagnosis of candidal lesions is based on the data of the clinical picture, microscopic and cultural studies, and serological reactions. During microscopic examination, scrapings are made from the mucous membranes and the material is examined under a microscope. This method allows you to identify yeast-like cells and mycelium filaments of Candida fungi.
Sakania Luiza Ruslanovna
Dermatovenerologist, cosmetologist, trichologist
In a bacteriological study, sowing is done, the number of colonies of Candida fungi, the type of Candida fungus and its susceptibility to antifungal drugs are determined. To do this, fungal colonies grown on a nutrient medium are exposed to various antifungal drugs and see which drug is more effective.
Sometimes the reason for the ineffective treatment of candidiasis may be the insensitivity of the fungus species to treatment with certain drugs. In this case, a similar study is required.
In a serological study (a study in which antibodies are investigated in human serum), the most reliable is the complement binding reaction (CBC) with yeast antigens. The study detects antibodies to Candida fungi. In most patients, CSC is positive even with a small amount of antibodies.
How to treat thrush
If you find cheesy patches of plaque in the mouth of a baby, do not panic. Thrush in newborns responds well to treatment. The main thing is to regularly carry out the necessary procedures until complete recovery, but it happens that it is not possible to visit a doctor right away.
After all, a child can get sick on weekends when clinics do not work. It is permissible to start treatment and alleviate the baby's condition on your own.
- To treat the baby's mouth, you will need a soda solution. Pour 1 tsp into a glass of warm boiled water. baking soda, dissolve well.
- Prepare a tissue from a wide bandage or gauze, wrap it around your finger, dampen it in the solution, and gently wipe the inner surface of the mouth and tongue of the newborn. Just wipe or moisten without trying to remove the white bloom. After all, inflamed spots are hidden under it - plaques, sometimes even bleeding. You should not give the opportunity for pathogenic microbes to enter the child's body through them.
- Do these procedures 4 - 5 times a day every 2-3 hours for several days. If the baby does not open his mouth himself, press the chin with your thumb and hold it there until you finish wetting.
A more pleasant procedure for babies is to lubricate the oral cavity with a honey solution (for 1 teaspoon of honey - 2 teaspoons of boiled water). Of course, if this sweet medicine is not contraindicated for the child and the child is not allergic to honey.
Honey has antimicrobial properties, it quickly and painlessly removes harmful fungi. The frequency of treatment is the same as with baking soda - up to five times a day.
A few tips:
- After feeding, rinse the pacifier in any of the above solutions before giving it to the baby.
- It is advisable to boil all toys that the child can put into the mouth. (Nipples and bottles need to be boiled constantly).
- Together with the baby, the mother needs to undergo treatment. Before and after each feed, be sure to rinse your breasts with a soda or honey solution.
With proper care and timely treatment, the symptoms of thrush disappear after 3 to 4 days. But the course of treatment prescribed by the doctor must be completed so as not to provoke a return of the disease.
With proper treatment, a baby with candidal stomatitis begins to feel better after 1-2 days, however, the drugs prescribed by a specialist must be used until the symptoms disappear completely. Chronic (untreated) thrush will certainly manifest itself during teething or after the introduction of vaccine vaccines.
If you are not a doctor, then do not increase the dosage of the medicine and do not use it more often than necessary. The fact is that "strong" antiseptics or conventional antiseptics, but in a loading dose, provoke bacterial stomatitis. The latter occurs due to the death of normal microflora on the surface of the oral mucosa and the growth of pathogenic bacteria.
It is better to drink a course of special antifungal agents than to be treated with antiseptics.
An approximate algorithm of actions for candidal stomatitis may look like this:
- The doctor clarifies the diagnosis and prescribes the appropriate treatment.
- Taking medication as prescribed by your doctor.
- Boiling toys, soaking nipples and pacifiers in soda solution, washing nipples (when breastfeeding) with warm water without soap before each feeding.
Now we will list the main local antifungal drugs that do not have a negative effect on the immature child's body, but do an excellent job of suppressing the process of the reproduction of fungi in the mouth.
Treatment with traditional medicine
The child's body is vulnerable and sensitive, so if you resort to traditional medicine, refuse multicomponent fees. An allergic reaction can occur to any herb, and it is better to know which one to relieve the attack.
- chamomile broth for rinsing (1 teaspoon of raw materials for 200 ml of boiling water)
- strong green tea or calendula decoction (for rinsing)
- infusions of sage, oak bark, elecampane, burdock, yarrow (for rinsing after each meal)
- aloe (to lubricate the affected area pointwise)
- flax oil
- rosehip oil
- peach oil (all use after rinsing)
In order not to harm ...
Now let's talk about the independent treatment of fungal candidiasis in children, because many mothers and grandmothers rely on their own knowledge or the experience of friends. Sometimes this "treatment" can go sideways to the child.
At first glance, safe baking soda, which we recommended for treating mucous membranes, can burn the oral cavity already damaged by fungi.
If the baby accidentally swallows a soda solution (now we are talking about self-rinsing), then bloating, colic and constipation are likely. To prevent this from happening, you need to prepare a 1% or 2% soda solution. Greater concentration will result in burns.
Sakania Luiza Ruslanovna
Dermatovenerologist, cosmetologist, trichologist
Treatment of the oral cavity with honey can also lead to a complicated course of stomatitis. In addition to the fact that honey can cause a serious allergic reaction, fungi and other pathogenic microorganisms will begin to multiply intensively in its sweet nutrient medium.
Currant, carrot and other juices are a delicacy for a healthy baby. When the mucous membrane of the mouth is covered with sores, irritation occurs, and the baby already behaves restlessly because of the illness.
The most dangerous agent is katria tetraborate, or simply borax in glycerin. This drug is classified as highly toxic.
For an adult, only 10 grams is enough for a lethal outcome, let alone a child. Until the age of three, children are not prescribed this medication at all.
Fungal stomatitis is prone to relapse, so be prepared for the first time not to be the last. And it's better not to improvise, but to carry out the assignments of specialists. The risk of complications with drug treatment tends to zero.
Prevention of thrush
Careful care of the skin and mucous membranes is necessary, especially during and after the transfer of common diseases, childhood infections. The reasonable use of antibacterial drugs, timely treatment of concomitant diseases is of great importance. Adequate and timely therapy of candidiasis in mothers during pregnancy and childbirth is also important.
For the prevention of neonatal candidiasis, a high-risk group has been identified, which is subject to mandatory examination:
- children born to mothers suffering from candidiasis and having foci of chronic infection, with a burdened obstetric and gynecological history (a woman has gynecological diseases, such as inflammatory, complicated labor, etc.);
- premature and physiologically immature newborns, born with various deformities and malformations;
- newborns suffering from the syndrome of respiratory disorders, encephalopathy, who have suffered birth trauma of the central nervous system.
These children are subject to microscopic and bacteriological examination in the first 7 days of life; if candidiasis is confirmed, they are prescribed antifungal therapy. The choice of drugs depends on the severity of the course of candidiasis in the mother and the results of the examination of the child.
Sakania Luiza Ruslanovna
Dermatovenerologist, cosmetologist, trichologist
It is also necessary to monitor the appearance of fungi in the coprogram or conduct a study of feces for dysbiosis.
To prevent the development of candida infection in children receiving antibacterial drugs, fluconazole is prescribed at the rate of 3-5 mg per 1 kg of body weight, once a day. The daily dose depends on the degree of risk; treatment is carried out during the main therapy.
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All information is provided for informational purposes only! You are welcome, consult a doctor for an accurate diagnosis , do not self-medicate!
GBU "Moscow Scientific and Practical Center for Dermatovenerology and Cosmetology of the Moscow Department of Health" Dermatovenerologist, cosmetologist, trichologist