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Common Illnesses

Thrush (Oral Yeast Infection)

Thrush is yeast infection (Candida) in baby's mouth and sometimes mother's nipples. Very common in newborns and breastfed babies.

Symptoms in baby: White patches on tongue, inner cheeks, or gums that don't wipe off easily, fussiness during feeding, white coating on lips, refusing breast/bottle. Symptoms in mom: Pink, shiny, itchy, or painful nipples, shooting pains during/after feeding.

Through is not dangerous but can make feeding painful. Spreads between baby's mouth and mom's nipples during breastfeeding.

What to Do

  • Call doctor for antifungal prescription (nystatin for baby, cream for mom)
  • Give medication after feedings so it stays in mouth longer
  • Continue full course of treatment even if symptoms improve
  • Sterilize pacifiers, bottle nipples, and pump parts daily during treatment
  • Wash bras and anything that touches breasts in hot water daily
  • If breastfeeding: Treat both baby and mom even if only one has symptoms
  • Change nursing pads frequently - moist environment encourages yeast
  • Air-dry nipples after feeding when possible
  • Don't freeze breast milk pumped during infection - can reintroduce thrush
  • Wash hands frequently, especially after diaper changes (yeast in digestive system)

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