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Warning-sign checks

Thrush in newborns: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Call emergency services if your baby is struggling to breathe, becomes blue or grey, has a seizure, is floppy, or cannot be woken normally.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Arrange a routine but prompt assessment if your newborn develops white mouth patches that do not wipe away easily.

    Contact a clinician sooner if feeding appears painful, the patches are spreading, or there is an associated diaper rash.

    Seek same-day medical help if your baby:

    • Takes much less milk than usual or repeatedly refuses feeds
    • Has fewer wet diapers, a dry mouth, or a sunken soft spot
    • Is unusually sleepy, weak, or difficult to settle
    • Has persistent vomiting
    • Develops worsening symptoms despite treatment
    • Was born prematurely or has a condition affecting immunity

    A temperature of 38°C or higher in a baby younger than 3 months requires urgent medical assessment, even if thrush is also present.

    Do not assume that fever is caused by oral thrush.

Every sign above is quoted from the sofidex article on Thrush in newborns. If you are not sure, err upward — it is always reasonable to be checked.