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Subject:
From:
"David A. Green" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sun, 20 Dec 1998 12:38:07 EST
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In a message dated 12/19/98 6:02:40 PM Central Standard Time,
[log in to unmask] writes:

<<  And I've always wondered
 why the docs so rarely accept that those borderline tongues could be
 thrush.
 In preparing a mom yesterday for the possibility that her doctor would say
 it wasn't thrush and wouldn't prescribe, it hit me that doctors never had
 to bother with whitish tongues in bottle-fed babies. >>

Well, there is an valid opinon to be made that thrush in infants can come & go
with and/or without treatment.  I know physicians who do not treat (read
almost never) thrush in infants because in their opinion it is not a "problem"
that needs treatment.  Hence, borderline tongues (asymptomatic) may or may not
need to be treated because it may or may not go away without treatment.  For
me, I do not hesitate to treat "borderline" tongues especially if infant is
breastfed.  I use Nystatin often and I use Fungizone for failures/resistant
cases/re-treats.  I also use Gentian Violet for very difficult cases and/or if
parents can't afford Rx.  I do not use Nizoral in infants.
OBTW, I see whitish tongues in bottle fed babies all the time.  I don't think
whitish tongues are limited to BM.
Andrew MD FAAP
[log in to unmask]

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