Thrush: Causes, Symptoms, and Treatment

By: Sabrina Granniss, IBCLC

7 min

Overview

Is yeast normal? What increases the risk of getting thrush? Symptoms of thrush in babies Symptoms of yeast in the mom When it might not be thrush Treating thrush & yeast infections Preventing yeast from reoccurring

Are you concerned your baby may have thrush? Our bodies are home to various types of bacteria and yeast, including Candida albicans, the most common fungus found on our skin, mucus membranes, and gut. Usually, C. albicans live in harmony with other microorganisms, but when the balance is disrupted, it can lead to an overgrowth and uncomfortable yeast infections. Several factors can increase the risk of getting thrush, such as a compromised immune system, stress, antibiotics, cracked nipples, hormonal birth control, diet, and a history of vaginal yeast infections. Recognizing the symptoms in babies and moms is crucial for early diagnosis and proper treatment. If you suspect thrush, there are natural remedies and lifestyle changes you can try to alleviate the symptoms and prevent future occurrences.

Is yeast normal?

Our bodies are made up of many types of bacteria and yeast. Candida albicans is one of 80 different fungi living on the surface of our bodies. (1) Our skin, mucus membranes, and gut all have yeast, viruses, and bacteria. C. albicans is the most abundant fungi in our body, mainly living in warm, moist areas, including the mouth, genitals, and gut.

In balance with other bacteria and yeast, C. albicans causes no symptoms. A disruption to the balance of our good and bad bacteria can allow an overgrowth of C. albicans, resulting in an uncomfortable yeast infection.

What increases the risk of getting thrush?

Compromised immune system - people with diabetes or anemia are more susceptible to yeast overgrowth.
Stress - Cortisol is a hormone produced to deal with elevated stress. It lowers the amount of progesterone made, and estrogen levels increase. Excess estrogen can feed yeast production.
Vaginal yeast infection - if a mom has a yeast infection close to or during the delivery of her baby, yeast symptoms may be seen in other areas of the body, like the breasts. Yeast is naturally passed to the baby during the birth process. This may be a likely time your baby is susceptible to oral thrush.
Antibiotics - given to the mother or baby- kill the good and bad bacteria. Without the good bacteria to keep C. albicans in check, it can multiply and become a yeast infection.
Cracked or damaged nipples - broken down skin lets yeast and bacteria enter.
Birth control pills - hormonal birth control, like the pill with estrogen, can increase the risk of yeast infections.
Diet - the foods we eat contribute to the health of our gut. Eating foods that we are sensitive to can break down the gut lining, leading to a leaky gut. Without good bacteria or when that bacteria is harmed, yeast can take over and travel to other areas of the body, causing a yeast infection. A diet high in sugar or processed foods can make it worse because sugar is food for yeast, and we don’t want to feed it; we want to starve it so it can not overgrow.
History of vaginal yeast infections.

Symptoms of thrush in babies

Foul smelling poop
Mucus in poop
White patches in the mouth on the inside of the cheeks, roof of the mouth, and tongue
Red, bumpy, irritated-looking diaper rash, sometimes with a raised ring around the anus
Excessive gassiness
Fussy during nursing and may go on and off during feeding because their mouth or throat is sore
Refusing to nurse
Shiny or pearly white appearance of spots on the inside of the lips
May have no symptoms at all

Symptoms of yeast in the mom

Shiny appearance of the areola
Flaky skin on the areola
Skin on the areola may look puffy
Stinging, burning pain during and after feeding is often described as feeling like being stabbed with shards of glass
Nipples are sensitive to any touch, even very light touch or water in the shower hitting the nipples
Nipples may appear bright pink
May have no symptoms at all

When it might not be thrush

Some conditions have similar symptoms as a yeast infection and are misdiagnosed as thrush.

Tongue tie or high palate - the tongue is meant to rest on the roof of the mouth during times of rest and in between feeding. Friction from the tongue resting on the roof of the mouth helps clean the tongue, gently scrubbing normal milk residue off the tongue. When a restriction from ties prevents the tongue from having its full range of motion, the tongue stays low in the mouth, often resting on the floor of the mouth, and the white residue builds. Over time, it can appear to be thick, and the tongue coated in white patches may be misdiagnosed as thrush. Milk on the tongue will easily wipe away, but yeast on your baby’s tongue will not go away when you try to scrape it off if thrush is the cause. Mothers can also mistake the pain that sometimes accompanies breastfeeding a tongue-tied baby for a ductal yeast infection.
Vasospasm - constriction of the blood vessels when the baby is latching more shallow than deep can cause shooting pain for the mom. The pain from vasospasms usually goes away between feeding compared to the pain or itching from thrush, which persists between feeding. There may be discoloration of the nipple tip turning white or compression visible on the nipple, like a crease across the nipple or lipstick shape, when pain is caused by a compromised latch leading to vasospasms, which is not the case with yeast. The nipple often looks more bright pink when yeast is to blame.

Treating thrush & yeast infections

Baby

Use a clean cotton washcloth or cotton swab dipped in a mixture of 1 teaspoon of baking soda and 1 cup of water and wipe inside the baby’s mouth. Repeat after every feeding.
Use calendula and coconut oil on diaper rash and allow time for your baby to be diaper-free.
Homeopathic Borax is used to get rid of oral thrush in babies. (2)

Mom

Change breast pads often - yeast grows in warm, dark & moist environments. Go topless, if possible, for part of the day to inhibit yeast growth.
A baking soda wash, calendula hydrosol, colloidal silver, and coconut oil applied to your nipples can help reduce yeast. Some people find vinegar and water wash helpful, but it can also damage sensitive skin. There is no need to remove coconut oil before nursing; only wipe off any excess. Coconut oil is a source of lauric acid, which is converted to monolaurin in the body and has been shown to be antifungal and helpful in treating candida. (3)
Lactobacillus acidophilus probiotics can help treat a yeast infection and prevent reoccurrence. They feed the good bacteria you want to thrive and multiply to keep yeast in balance. Lactobacillus competes with C. albicans for glucose. Without glucose, yeast can not survive. (6)
Lactobacillus fermentum, found in Legendairy Milk Lacta-Biotic, is another strain found in the mouth, GI tract, and vaginal tract. It has been shown to help support vaginal health, reducing yeast infections and UTIs in women. (9) Lacta-Biotic promotes overall breast health for mom and can help improve breast discomfort.

Preventing yeast from reoccurring

Wash bottles, nipples, pacifiers, and pump parts with hot, soapy water, allowing them to air dry after every pumping session and feeding.
Boost your immune system - supplement with Vitamin C, Vitamin A, Vitamin D, and zinc.
Make dietary changes by cutting out sugary foods, drinks, and foods high in carbohydrates or starch because the body recognizes them as sugar. Eat high-fiber, whole foods. These foods feed the good bacteria in your gut, allowing them to multiply and keep the yeast from taking over.
Yeast robs the body of some vitamins and minerals, including many B vitamins. Biotin metabolizes fats and carbohydrates. It is essential for healthy skin, hair, and nails.
Herbs - many herbs in lactation supplements taken to boost milk production also support your body in keeping the overgrowth of yeast in check and even reducing symptoms during yeast infections. Morninga, nettles, and black cumin seeds are among the herbs that can help reduce the severity of symptoms during yeast infections.

Treatment of thrush with medications like Diflucan, nystatin, and fluconazole does not work for everyone. They can deplete nutrients in the body and cause side effects. Unless you address the root cause of yeast overgrowth, it is likely to return, and taking antifungal medications may not work effectively. (5)

Topical steroids or creams containing steroids like APNO (all-purpose nipple ointment) are common recommendations for treating yeast. Steroids deplete Vitamin C, calcium, vitamin D, chromium, magnesium, zinc, folate, potassium, and vitamin A. Steroids suppress and weaken the immune system rather than boost it. They can be addictive and challenging to discontinue. (4)

In the past, gentian violet was recommended to treat thrush. It is carcinogenic, derived from coal tar, and unsafe to use topically or in the mouth. (8) It can cause damage to mucous membranes and cause ulcers in the mouth and throat.

It is possible for only you or your baby to show signs of having candida. Although yeast can spread, it doesn't spread easily to other family members.

It is safe to feed your baby pumped milk while you have candida. It is best to feed that milk during the time you are treating a yeast infection. If you have already pumped and stored milk during a time you had thrush, you can consider heating it to kill the yeast. Yeast does not grow while it is in the freezer, but freezing does not kill yeast. (7)

If you suspect your baby may have thrush, it's important to remember that it can be effectively diagnosed and treated while still breastfeeding. Understanding the risk factors and symptoms can help you identify and address the issue early. You can alleviate symptoms and prevent future occurrences by implementing natural remedies and lifestyle changes. With the proper knowledge and proactive measures, you can keep a healthy balance of yeast and bacteria for both your baby and yourself and avoid uncomfortable symptoms of thrush.