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Yeasts are one-celled organisms that live in and on our bodies. Bacteria are also a normal part of our bodies. It is only when the yeast overgrows that it becomes a problem. As pregnancy progresses, a woman is more likely to have an overgrowth of yeast.12 At birth a vaginal overgrowth of yeast can be transferred to the baby, and the baby can end up with thrush (an oral yeast infection).

A yeast infection can show up in many places. Infants typically develop yeast infections in the diaper area and in their mouths. Babies get yeast infections easily since their immune systems are not fully developed. The most common place for women to have a yeast infection is in the vagina, and sometimes women with large breasts will have a yeast infection under their breasts. When a woman is breastfeeding, she can get a yeast infection on her nipples and sometimes even inside her breasts. Men may have “jock itch” and any family member can have a yeast infection anywhere on the body. Between toes (“athlete’s foot”) or under fingernails and toenails are common places. There is even a form of dandruff that is caused by yeast. Because family members are in close contact, it is easy to spread a yeast infection from one family member to another.

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Predisposing factors include:

  • Pregnancy
  • Infancy
  • A history of vaginal yeast infections
  • Recent antibiotic use
  • Living in a warm, moist climate
  • A yeast infection of another family member, pet or farm animal
  • Wearing artificial fingernails or dentures
  • Use of steroids
  • Anyone with a compromised immune system

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Women who have recently given birth may have been treated with antibiotics for a Cesarean birth or for GBS (Group B b-hemolytic Streptococcal infection). Treatment with antibiotics destroys some of the body’s helpful bacteria (as well as harmful bacteria). One function of the good bacteria is to keep the yeast from overgrowing. If you have been on antibiotics recently, you can take acidophilus to help reestablish the good bacteria in your body. Acidophilus can be found in the refrigerated case of your local health food store, and some supermarkets also carry it in their dairy sections. The container label will state how much and how often to take the acidophilus. Remember to keep the acidophilus refrigerated.

When a baby develops thrush, there are visible white patches in the baby’s mouth,14 especially on the tongue. Of course the baby’s tongue can look white from milk. Try to wipe off the white substance with a wet washcloth. If it is yeast, it will not wipe off. Sometimes a baby can have a yeast overgrowth but not yet have visible white growth in the mouth. If a baby has a yeast infection in the diaper area, the baby’s bottom is red and irritated. Sometimes for people with dark skin, the infected area may appear darker than their normal skin color.

Yeast Infections of The Nipples and Breast

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A breastfeeding mother has many concerns while providing the optimum nutrition for her baby. A yeast infection, such as thrush, is an annoying and unwelcome problem but one that is quite common in newborns and their mothers. There are a wide variety of medications available to deal with yeast infections. Also, there are many steps you can take around your home, in your diet and with your personal care that will help stop the spread of infection and bring recovery more quickly. The first step, however, once you suspect there is a problem, is to have your baby’s primary care practitioner confirm the diagnosis, so you can begin a treatment program for both you and your baby.

For your nipples, you will be prescribed an antifungal ointment or cream. Apply the ointment sparingly after each breastfeeding. Rub it onto your nipples and the area of the breasts that the baby’s mouth covers. By the next feeding most of the medicine will have rubbed off on your clothing or breast pads, so there is no need to wash the nipples before breastfeeding.10 If there is a large amount of medicine left, then you may wish to wipe it off gently before feeding your baby. Perhaps olive oil on a cotton ball would be a good method to remove the ointment. If you are using breast pads, a fresh set should be used following each feeding. It is important to put on a clean bra every day.

Thrush (Yeast) Infection in Children

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Thrush is a yeast infection of the mouth. Yeasts are simple organisms that are normally found on or in many parts of the body. Ordinarily, yeasts cause no symptoms. However, certain conditions can allow the yeast population to explode and cause an infection.

What conditions can lead to a yeast infection?
Conditions that can lead to a yeast infection include:

  • antibiotic use,
  • decreased immune system function,
  • during birth if the mother has a yeast infection of the birth canal, or
  • immediately after birth from close contact with other family members.

Yeasts thrive in chronically moist areas, so yeast infections tend to occur in the mouth, skin folds, and groin.

What should I know about yeast infections in children?
Thrush, a yeast infection of the mouth and throat, appears as creamy white, curd-like patches on the tongue and the inside of the mouth and throat. This yeast infection can spread from the child's mouth to other parts of the body where there is moist or irritated skin. For example, in a child that sucks his or her thumb, the skin around the thumbnail may become red with a candida-type of yeast infection.

Yeast infections such as thrush in the mouth and those in the diaper area are treated with an anti-fungal medication such as Nystatin or an over-the-counter preparation such as Mycostatin, Diflucan or Lotrimin.

Children with thrush do not have to be kept home from daycare. To prevent spread of infection, dispose of diapers and other infected materials carefully and wash hands after every contact with the infected area.

If you or your child have any signs of yeast infection see your doctor for a full evaluation.



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