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Expert Q&A

	By Mary Kay Smith IBCLC, Lactation Consultant

What are the symptoms of thrush?

Symptoms in the mother which may cause thrush to be considered are itchy, "burning" nipples, "shooting" pains during or after a feeding, bright pink nipples extending into the areola (where baby's mouth touches) or "flaky" nipple skin. Mother may have symptoms of a vaginal yeast infection.

Signs of yeast infection in the breastfed infant may include a sudden onset of fussiness at the breast, including pulling off the breast during a feeding, gassiness or colic symptoms, and occasionally, slow weight gain. Baby may or may not have white spots or a film inside the mouth, on the gums or on the tongue.

The baby also may have a diaper rash with raised, patchy areas or a shiny appearance. Sometimes, the baby may refuse to nurse or pull off the breast repeatedly during a feeding. In rare cases, feedings may be interrupted by baby's discomfort, which could result in inadequate weight gain. However, it is possible for thrush to be present even without any visible symptoms on mother or baby.

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