Thrush (Oral Candidiasis)

  • Medical Author:
    John P. Cunha, DO, FACOEP

    John P. Cunha, DO, is a U.S. board-certified Emergency Medicine Physician. Dr. Cunha's educational background includes a BS in Biology from Rutgers, the State University of New Jersey, and a DO from the Kansas City University of Medicine and Biosciences in Kansas City, MO. He completed residency training in Emergency Medicine at Newark Beth Israel Medical Center in Newark, New Jersey.

  • Medical Editor: Charles Patrick Davis, MD, PhD
    Charles Patrick Davis, MD, PhD

    Charles Patrick Davis, MD, PhD

    Dr. Charles "Pat" Davis, MD, PhD, is a board certified Emergency Medicine doctor who currently practices as a consultant and staff member for hospitals. He has a PhD in Microbiology (UT at Austin), and the MD (Univ. Texas Medical Branch, Galveston). He is a Clinical Professor (retired) in the Division of Emergency Medicine, UT Health Science Center at San Antonio, and has been the Chief of Emergency Medicine at UT Medical Branch and at UTHSCSA with over 250 publications.

Quick GuideDental Health: Top Problems in Your Mouth

Dental Health: Top Problems in Your Mouth

What is the treatment for thrush?

Treatment of thrush depends on the cause and severity of the infection.

If thrush is caused by something reversible, such as taking antibiotics, smoking, ill-fitting dentures, or poorly controlled diabetes, these factors must be corrected as part of the treatment.

Infants, toddlers, and children with thrush often do not require treatment. In children who have thrush for more than a few weeks, a child's pediatrician may prescribe antifungal nystatin (Mycostatin, Nilstat, Nystex) drops.

If an adult patient is diagnosed with a mild case of thrush, the doctor may prescribe an antifungal mouthwash (nystatin) or lozenges (clotrimazole [Mycelex]) for short-term use. Miconazole buccal (Oravig) is an antifungal medication that consists of a tablet placed in the upper gum region and dissolved in the mouth to get rid of thrush.

For more severe cases of thrush or if someone has other reasons for a weakened immune system, he or she may need stronger systemic medications, such as fluconazole (Diflucan) or itraconazole (Sporanox). These medications usually work better than ketoconazole (Nizoral). For severe or resistant thrush, amphotericin B may be prescribed. Continue Reading

Reviewed on 3/30/2016
References
REFERENCES:

American Dental Association. "Burning Mouth Syndrome." JADA 136 August 2005: 1191. <http://www.ada.org/~/media/ADA/Publications/Files/patient_53.pdf?la=en>.

Kumar, Mudra. "Thrush." Medscape.com. June 17, 2015. <http://emedicine.medscape.com/article/969147-overview>.

Newman, Jack. "Grapefruit Seed Extract for Treatment of Thrush." Canadian Breastfeeding Foundation. Jan. 2005. <http://www.canadianbreastfeedingfoundation.org/basics/grapefruit_seed.shtml>.

Pammi, Mohan. "Treatment of Candida Infection in Neonates." UpToDate.com. February 2016. <http://www.uptodate.com/contents/treatment-of-candida-infection-in-neonates?source=search_result&search=thrush+newborn&selectedTitle=1~150>.

Tonn, Elverne M., ed. "Dental Health and Thrush." WebMD.com. May 8, 2012. <http://www.webmd.com/oral-health/guide/dental-health-thrush>.

United States. Centers for Disease Control and Prevention. "Oral Candidiasis." Mar. 25, 2013. <http://www.cdc.gov/fungal/candidiasis/thrush/>.

IMAGES:

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5. Fitzpatrick's Color Atlas & Synopsis of Clinical Dermatology”; Klaus Wolff, Richard Allen Johnson, Dick Suurmond; Copyright 2009 by The McGraw-Hill Companies. All Rights reserved, James Heilman, MD, CDC - Sol Silverman, Jr., D.D.S.

6. iStock

7. iStock

8. Bigstock, iStock

9. Getty Images

10. iStock

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