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)