Thrush.Adra Had One.

Si kecil mula merengek-rengek sejak hari sabtu..nak kata demam, suhu badan menunjukkan aras normal..bila dibelek-belek, baru perasan ada 'something' dalam mulut dia..ku sangkakan hanya milk stain tapi bila diteliti..oh..it might be thrush..pernah terbaca kat laman babycentre..

kami bawa Adra ke klinik M di Putrajaya, dengan hanya masa rawatan tak sampai 30 saat..tanpa melihat mulut si kecil yang ketika itu sedang lena..Adra diberi ubat ulcer dan aku pun turut terpaku..memikirkan Adra yang sedang tidur, aku mengambil tindakan berdiam diri dan terus berlalu pergi..Oh..dan klinik itu tidak akan kami kunjungi lagi..

semalam..kami pergi ke klinik yang kami senangi..sedikit petikan perbualan kami :

Doc" yer kenapa Adra..last time tak poo-poo seminggu yer..kalini kenapa"

Ayah " Ade putih-putih kat mulut die Doc"

Mama"i suspect kene fungal infection la Doc..hmm..thrush kot..i dah bwk die ke klinik smlm..dpt ubat ulcer..tp mcm tak puas hati"

Doc" let me check....yerp..ni thrush bukan ulcer...teruk jugak ni smp anak tekak..mane boleh bagi ubat ulcer"

Doc bagi oral gel..if i'm not mistaken..Daktarin gel kot..

kesian si manja meleleh liur dan airmatanya setiap kali minum susu

dan untuk perkongsian ilmu..saya paste some information untuk rujukan teman-teman.


My baby has white patches on the insides of her cheeks. What could it be?

It could be a yeast infection known as thrush which resembles cottage cheese or milk curds on the sides, roof and sometimes, the tongue of a baby's mouth. It's most common in babies two months and younger, but it can appear in older babies, too.

Everyone has yeast in their bodies - it's a normal part of the digestive system - but when there's an imbalance, an infection sets in. The main factors that can tip the balance are hormonal changes and the use of antibiotics - either in a breastfeeding mother or in a baby.


How can I be certain that it's thrush?

If you notice a white coating on your baby's tongue but nowhere else, it's probably just milk residue. Thrush, on the other hand, can be found on the tongue, but is most often on the sides of the mouth, causing it to be very sore. You may first suspect it if your baby starts crying when breastfeeding, sucking on a pacifier or a bottle.

If you think your baby has thrush, look for the characteristic white patches. Then gently touch a patch with a gauze-covered finger. It probably won't come off very easily, but if it does, you'll find a raw, red area underneath that may bleed.


How can I treat thrush?

Consult your paediatrician if you suspect your baby has it. She may prescribe an oral fungal cream called Nystatin or Mycostatin. It may take a week to clear up the infection. Sometimes doctors will recommend a mother apply Nystatin to her nipples if she's breastfeeding so that she and her baby don't pass the infection to each other. It's important to treat both mother and baby concurrently so that they don't reinfect one another.


Is there anything I can do to prevent my baby from getting thrush?

Not if, like many babies, she got the infection from you in the first place - picking up the yeasty bacteria as she passed through the birth canal during labour.

However, some babies are simply more susceptible than others to the fungus. Some people think it can also be caused by prolonged sucking on a bottle or pacifier; others think poor hygiene of bottle teats is to blame; still others blame a pacifier or bottle teat that's too large for the baby. However, babies who exclusively breastfeed and don't use pacifiers can also get it.

Some experts recommend giving a baby sterilised water to drink after breastfeeding or bottle feeding to rinse the milk residue away. Cleaning and sterilising pacifiers may also help. Some doctors advise breastfeeding mothers to let their nipples air dry between feedings to prevent thrush, and this is especially important if you do have thrush - damp nipples are a good breeding ground for yeasts.

Take care if your baby is placed on a course of antibiotics or if you're breastfeeding and take them to treat an infection. Antiobiotics kill off good, infection-fighting bacteria as well as bad bacteria; either can trigger a case of thrush in the baby, especially if you contract a vaginal yeast infection in the process.


Is thrush dangerous?

Not really. The biggest problem occurs if your baby's mouth is too sore to suck - she may get dehydrated. Your doctor may prescribe paracetamol suspension for the pain. You should alert your doctor if the thrush doesn't seem to clear up with treatment or if the baby also has a fever over 101 degrees F / 38.2 degrees C, which could indicate a different infection.

A bout of thrush can be very trying for all of you - a hungry baby who finds it painful to feed is a very sad sight - but is usually short-lived. Give your baby all the comfort she needs, follow your doctor's instructions for pain relief and medicine, and this infection, too, will pass.

Kata Jari : Be strong my little girl...