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Care at Home

  • DECREASE SUCKING TIME TO 20 MINUTES PER FEEDING:   * Reason: Too much sucking can irritate the lining of the mouth. This makes it more prone to a yeast infection.  A common example of this is when a baby sleeps with a bottle. * For severe mouth pain with bottle feeding, don't use a bottle. Reason: The nipple can make pain worse. * Try giving fluids in a cup, spoon or syringe instead.
  • LIMIT PACIFIER USE:   * Too much sucking on a pacifier can irritate the mouth. * Limit pacifier use to times when nothing else will calm your baby. * If your infant is using an orthodontic pacifier, switch to a smaller, regular one. Reason: Bigger ones can cause more friction in the mouth. * Special washing or boiling of pacifiers or bottle nipples is not needed nor helpful.
  • BREASTFEEDING: * If the mother's nipples are red and sore, it's probably a yeast infection. * Use Lotrimin cream on the nipple area. * No prescription is needed. * Put it on 4 times per day AFTER feedings.
  • DIAPER RASH: * If there's a bad diaper rash, it can also be due to yeast. * Use Lotrimin cream on the diaper rash. * No prescription is needed. * Put it on 4 times per day. * See DIAPER RASH care guide.
  • RETURN TO CHILD CARE: * Thrush cannot be spread to others, since it does not invade normal skin. * Your child can go to child care with thrush.
  • WHAT TO EXPECT:   * With treatment, thrush usually clears up in 4 to 5 days. * Without treatment, it clears up in 2-8 weeks.
  • CALL YOUR DOCTOR IF: * Starts drinking less than normal * Your child becomes worse
  • ANTI-YEAST MEDICINE: * Your doctor will probably prescribe an anti-yeast liquid medicine. Use it as follows: * Use 1 ml (2 ml if over age 1 month). Place in the front of the mouth on each side. Also, put it wherever you see the thrush. It doesn't do any good once it's swallowed. * Do this 4 times per day. * If the thrush isn't getting better, rub the medicine directly on the thrush. Use a cotton swab to do this. * Don't feed your baby anything for 30 minutes after the medicine. * Keep this up for at least 7 days. Also, continue it until all thrush has been gone for 3 days.
  • WHAT YOU SHOULD KNOW: * Thrush is common during the early months of life. * It's caused by a yeast infection in the mouth. Most often, it's due to prolonged sucking. * Thrush causes only mild discomfort. It's easy to treat at home. * Here is some care advice that should help until you call your doctor.


The information contained in these topics is not intended nor implied to be a substitute for professional medical advice, it is provided for educational purposes only. You assume full responsibility for how you choose to use this information.

Always seek the advice of your physician or other qualified healthcare provider before starting any new treatment or discontinuing an existing treatment. Talk with your healthcare provider about any questions you may have regarding a medical condition. Nothing contained in these topics is intended to be used for medical diagnosis or treatment.

  • Not a Substitute - The information and materials in Pediatric HouseCalls Symptom Checker should not be used as a substitute for the care and knowledge that your physician can provide to you.
  • Supplement - The information and materials presented here in Pediatric HouseCalls Symptom Checker are meant to supplement the information that you obtain from your physician. If there is a disagreement between the information presented herein and what your physician has told you -- it is more likely that your physician is correct. He or she has the benefit of knowing your child's medical problems.
  • Limitations - You should recognize that the information and materials presented here in Pediatric HouseCalls Symptom Checker have the following limitations, in comparison to being examined by your own physician:
    • You can have a conversation with your child's doctor.
    • Your child's doctor can perform a physical examination and any necessary tests.
    • Your child could have an underlying medical problem that requires a physician to detect.
    • If your child is taking medications, they could influence how he experiences various symptoms.

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