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How to Avoid and Treat Thrush when Bottle Feeding

The presence of thrush in a baby’s mouth can be painful for the baby and very annoying for parents. Babies who are bottle-fed are more likely to develop thrush than those who are exclusively breastfed. However, steps can be taken to reduce the risk of thrush developing, and treatment is fairly easy.

Thrush, or oral pseudomembranous candidiasis, is a superficial yeast infection that occurs in approximately 5% of healthy newborns. Babies usually acquire the yeast from their mothers during passage through the birth canal. You can tell if your child has thrush or not by looking for the obvious white patches that are found on the inside of the cheeks, lips, palate and tongue. Many mothers who bottle-feed their baby often confuse a milky residue found on the tongue with thrush. If the tongue is uniformly white, it is not thrush. The bits of thrush are often described as curd-like. Unlike milk residue, they adhere to the underlying tissue. You can also test for thrush by gently touching a patch with a gauze-covered finger. If it’s a thrush, it probably won’t come off very easily, but if it does, you’ll find a raw red area underneath that may bleed. Turf injuries can be painful and when bottle-fed a child can become fussy and wiggle.

Why are bottle-fed babies more susceptible to thrush?

Many babies have thrush, but it is a self-limited condition; it goes away all by itself, without anyone ever knowing the baby had thrush in the first place. However, certain changes in a baby or its environment can cause thrush to be aggravated. Antibiotics or stress may be to blame. Bottle feeding often causes thrush because the lining of the mouth becomes abraded from prolonged sucking, such as babies who sleep with a bottle or pacifier – babies who are breastfed do not sleep at night still sucking on their mother’s breast, unfortunately, many bottle fed babies do fall asleep sucking on a bottle. Also, dirty nipples and pacifiers can harbor the yeast infection.

How to treat thrush?

First, prevention is better than cure. Babies should not be put to bed while still sucking on the nipple from a bottle. Avoid letting your child suck on a pacifier for long periods of time. Make sure all teats and teats are thoroughly washed and sterilized.

In most cases thrush will disappear completely on its own and the only treatment needed is to relieve oral discomfort or treat (or prevent) painful diaper rash. You can use an antifungal medication such as Nystatin suspension. This can be applied, directly to the plaques with a cotton-tipped applicator, or given orally 1-2 ml four times a day. Always follow the manufacturer’s instructions. An old-fashioned, and still affectionate treatment of baby thrush is baking. Use a cotton bud dipped in a mixture of a quarter teaspoon of baking soda and a drop or two of mild liquid detergent (without ammonia or bleach) mixed in a glass of warm water. Apply the mixture gently to the affected areas.

If symptoms persist or you have concerns, seek medical help.

Babies who fuss during bottle feeding can do so for many reasons. If your baby is fussy when feeding formula, it’s worth checking if your child has thrush. If your child has thrush, you do not need to change milk formula. Just apply treatment as described above and the thrush should disappear after a few weeks.

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