Oral Thrush

Disease database

Oral thrush, also known as oral candidiasis, is a common fungal infection that affects the mouth and throat. It is caused by an overgrowth of Candida albicans, a type of yeast that is normally present in small amounts in the mouth. When the balance of bacteria and yeast in the mouth is disrupted, it can lead to the development of white patches or lesions on the tongue, inner cheeks, roof of the mouth, gums, tonsils, or back of the throat.

White patches or lesions on tongue, inner cheeks, roof of mouth, gums, tonsils or back of throat

One of the most common symptoms of oral thrush is the presence of white patches or lesions on various parts of the mouth and throat. These patches may have a cottage cheese-like appearance and can be easily scraped off, leaving behind a raw, red area. In some cases, the patches may become painful and bleed when scraped.

Soreness or burning sensation

Individuals with oral thrush may experience soreness or a burning sensation in the affected areas of the mouth. This discomfort can make it difficult to eat or drink, and may also cause difficulty in speaking or swallowing.

Difficulty swallowing

As oral thrush progresses, it can lead to difficulty swallowing. This can be due to the presence of the white patches or lesions, which can make it painful to swallow. In severe cases, swallowing may become extremely difficult, leading to weight loss and dehydration.

Cracking at corners of mouth

In addition to the white patches or lesions, oral thrush can also cause cracking or redness at the corners of the mouth. This condition, known as angular cheilitis, can be painful and may make it difficult to open the mouth or eat.

Loss of taste

Some individuals with oral thrush may experience a loss of taste. This can make food and drinks taste bland or different than usual. Loss of taste can also contribute to a decreased appetite and difficulty in maintaining proper nutrition.

Treatment and Prevention

Fortunately, oral thrush can be treated effectively with antifungal medications. These medications can be prescribed by a healthcare professional and are available in various forms, including oral rinses, lozenges, and tablets. It is important to follow the prescribed treatment regimen and complete the full course of medication to ensure the infection is fully eradicated.

In addition to medication, there are several steps individuals can take to prevent the development of oral thrush or reduce the risk of recurrence:

  • Maintain good oral hygiene by brushing your teeth at least twice a day and flossing daily.
  • Avoid using mouthwashes or sprays that contain alcohol, as they can disrupt the natural balance of bacteria and yeast in the mouth.
  • Limit the consumption of sugary foods and drinks, as yeast thrives on sugar.
  • Avoid smoking, as it can weaken the immune system and increase the risk of oral thrush.
  • If you wear dentures, clean them regularly and remove them at night to allow your mouth to breathe.
  • Consider using a soft toothbrush or a tongue scraper to gently clean the tongue and remove any buildup of bacteria or yeast.

It is important to note that while oral thrush can be effectively treated, it can sometimes recur, especially in individuals with weakened immune systems or underlying medical conditions. In such cases, it is important to work closely with a healthcare professional to identify and address any underlying causes or contributing factors.

In conclusion, oral thrush is a common fungal infection that can cause white patches or lesions on various parts of the mouth and throat. It can be accompanied by symptoms such as soreness, difficulty swallowing, cracking at the corners of the mouth, and loss of taste. Fortunately, oral thrush can be treated with antifungal medications and prevented through good oral hygiene practices and lifestyle modifications. If you suspect you have oral thrush, it is important to consult a healthcare professional for an accurate diagnosis and appropriate treatment.

Haroon Rashid, MD
Rate author
Urgent Care Center of Arlington, VA