Oral thrush is characterized by a thick white coating of the tongue, inner cheeks, inner lip region, or gums. This coating may be differentiated from the very common off-white discoloration of the tongue associated with breast milk or infant formula debris by several means: (1) an oral Candida infection is a very bright white color -- milk debris is an off-white color; (2) oral Candida infections may also involve the buccal surface, inner lip area, and gingiva, while milk debris is limited to the tongue; and (3) oral Candida is rather adherent to an involved skin surface while milk debris may more easily be wiped off with a damp facecloth. Neither thrush nor milk debris cause discomfort nor other symptoms when limited to the mouth.
If treatment is started, your doctor will usually prescribe a gel that contains an anti-thrush medicine called miconazole . You smear this gel on to the affected areas in your baby's mouth, using a clean finger, as often as prescribed by your doctor. Follow the instructions carefully. Use the gel after a feed. To avoid the very small risk of choking, apply a little at a time and not to the back of the throat. The medicine works by killing the candidal germs within the inside of your baby's mouth. Strictly speaking, miconazole gel is not licensed to be used in babies under 4 months old. However, many doctors are happy to recommend its use in babies of all ages.
For mild oral thrush, no treatment is required. It will get cured within a week of two. You can try taking yogurt or over the counter drugs like acidophilus for getting treated. Make sure that you are using soft toothbrush and diluting the mouth with hydrogen peroxide solution. If you are diabetic, check your blood sugar level. In severe cases, your doctor may prescribe clotrimazole or some other lozenges. For people wih autoimmune disorders like HIV, your doctor may prescribe strong medicines like fluconazole. For breast-feeding mothers, you need to take antifungal medicine for protecting your baby.