And naturally, you’ll do everything in your power to protect this tiny human from anything that brings worry. Here are some of…, While most of us are typically trying to limit screen time, there are definitely moments we'd love to occupy our kids with technology. Thus the white build up on your baby's tongue is not dirty, it is a magical protective layer of breastmilk, fighting off viruses and fungi. Not every white tongue is caused by thrush. In some cases, it’s completely natural for your baby to have reflux. Your symptoms will also clear up in a few days. Someone who has tongue-tie might have difficulty sticking out his or her tongue. But thrush isn’t something to ignore, even if it’s mild and doesn’t seem to cause any problems. Oral thrush is a common condition in newborns, and usually clears up without treatment. This is normal. However, if there are raised, white patches on the tongue, inner cheeks, and roof of mouth, and they're wiped to reveal raw and red skin, it may point to oral thrush. I have the coated tongue and it wasn't always white. It’s important that you’re treated at the same time to stop the spread of the infection. You might wonder why many babies get oral thrush while it’s rarely a problem for adults. And because of their weaker immune system, it’s much easier for yeast to grow on some parts of their little body. Then it’s time for a months-long vacay in droolville.) Every piece of content at Flo Health adheres to the highest editorial standards for language, style, and medical accuracy. Forums > GERD (Acid Reflux) > GERD and White Tongue. To learn what we do to deliver the best health and lifestyle insights to you, check out our content review principles. There are a lot of things you and baby will share over a lifetime — this shouldn’t be one of them. But hives can be a symptom of things like heat, viral infections, and allergies. Because hives may…, Parents having winter babies are perhaps apprehensive about even taking their little bundle of joy home. This includes your baby’s lips, tongue, and inner cheeks. Aerophagia (swallowing air) 2 I can't really get it off, so I think my Dr. is right that the back portion of my tongue is discolored from acid. If you open their mouth, you’ll see a cottage-cheese coating over other areas, too, like inside their cheeks. We also delve into the entourage effect and how to choose a high-quality tincture. All rights reserved. Just curious if anyone else has this? I did, and it didn't help. A 2-month-old infant was brought to the family physician (FP) for a well-baby visit and to receive her vaccines. Studies have shown that premature babies with low birth weight are more likely to contract oral thrush than full-term babies. In the meantime, you can consider gently wipe off the residue using a soft, damp cloth after feedings, though this may not be necessary. 1 It occurs when the contents of the stomach end up in the esophagus and oral cavity as a resultof inadequate closure of the esophageal sphincters. However, according to the International Foundation for … If a white tongue is the only finding, it's not due to thrush. Risk factors for oral thrush include neutropenia (a low level of neutrophilsa, type of white blood cell), immunocompromised status, being in the ICU, and recent use of antibiotics or corticosteroids. Your baby’s doctor will likely prescribe a liquid antifungal that you’ll apply directly to white patches. A milk diet often causes a white coated tongue. If you consult a doctor, they may prescribe anti-fungal gels and drops to treat the condition. "Tongue-tie occurs when the thin piece of skin under the baby's tongue (the lingual frenulum) is very short and restricts the movement of the tongue. It is mostly a bacterial buildup between the papillae on the tongue and can be easily scraped off. The pain of heartburn is a symptom in only 10% of … In some cases, however, it could be a sign of oral thrush. It’s likely thrush, but a pediatrician can run tests if they suspect something else. If you give this milk to your baby after the infection clears, there could be a greater chance that the thrush could return. Read on to learn how to identify the underlying cause of your baby's white tongue, and how to treat it accordingly. A. Occasionally, white tongue is caused by a fungal infection in the mouth called thrush. The following pointers will ensure your baby's good oral hygiene and reduce the chances of thrush and other oral conditions: As a new parent, you may be wondering, 'what does a white tongue mean for my baby?' And then you notice it: Instead of being perfectly pink, your baby’s tongue looks like it has a white coating on it. Reflux is a common diagnosis. It is no wonder that another name for silent reflux is laryngopharyngeal reflux (LPR). Everything You Need to Know About Oral Thrush, Guide to Breastfeeding: Benefits, How to, Diet, and More, My Hellish Reality of Hosting Dinner with a New Baby, Make the Most of Screen Time with These Apps and Sites. So give your baby treatments at least 30 minutes before feedings. If you bottle feed your baby, sterilize all parts of the bottle, including the nipples, Signs of Concussion in Toddlers: 27 Warning Signs of Concussion in Children, ADHD: Symptoms, Risks, and What You Can Do as a Parent in One Picture, “Veal Chop” and Other Helpful Maternal Nursing Mnemonics, How to Choose a Pediatrician: Your Step-by-Step Guide, How to Bathe a Newborn: The Comprehensive Guide, Neonatal Herpes: When a Baby Catches the Infection, Asthma in Children: Causes, Symptoms, Diagnosis, Allergy in Children: Common Symptoms and Tips to Much-Needed Relief, The white coating is restricted to only the tongue, Gently cleaning or wiping may reduce the white film on tongue, revealing a pink tongue underneath, White spots on tongue and inner cheek, and bumps on the roof of the mouth, The white patches on tongue may be seen throughout the day, Small, white lesions that resemble cottage cheese, When wiped, the patches reveal red, raw, or bleeding areas, Begin as small, white spots on the tongue and inner lip, progressing to thick, curd-like, white-coated tongue, Baby shows discomfort or irritation when breastfeeding, Red rashes in the diaper area (if thrush has progressed to other areas). If you’ve noticed a change in the odor of your scalp or hair, and there’s no obvious cause like a change in hair products, several causes could be…. While noticing a white coating on your child's tongue might seem like a cause for worry, more often than not, it's simply milk residue left behind after feeding. If the residue comes off or becomes less noticeable, you’re dealing with milk residue and not thrush. Since yeast likes warm, moist areas, let the skin of your breasts air dry as much as possible before putting your bra back on. What causes this buildup of milk? The two most common causes of white tongue are milk residue or oral thrush. You may not ever be able to completely and permanently get it to go away, but you can minimize the effects of it by drinking plenty of water, preferably … And though we know you put baby first, and you second, you should also know that thrush can spread to the object of your baby’s sucking if you’re breastfeeding: your nipples. Clean your baby's mouth after each feeding. My acid reflux actually got worse, and the belly ache was horrible. But how do you determine which one it is? Here are some key things to keep in mind if your baby has oral thrush: While oral thrush is common in newborn babies, there are a few ways to help prevent it. “He needed to eat. It will go away after your baby starts eating solid foods. Don’t forget to wash off any leftover residue of the cream before nursing. Before using any anti-fungal medicine, consult your doctor to ensure it's safe for newborns. The fungus Candida is present in both newborns and adults, and only become an issue when it overgrows under certain conditions. In the case of oral thrush, though, the infection forms on parts of the mouth involved in sucking. This can also happen if your baby has a high palate, and their tongue can’t reach the roof of their mouth. Just because thrush is common in babies doesn’t mean you should ignore the problem. If your baby takes an antibiotic to treat another infection — say, one of those pesky ear infections — this drug can kill off good bacteria, also encouraging the growth of yeast. Acid reflux is the term used to describe what happens when your baby ends up spitting up whatever they’ve swallowed. It could point to one of two causes: milk residue or oral thrush. Close GERD (Acid Reflux) Forum This expert forum is not accepting new questions. It’s completely normal to worry about your baby. A newborn’s mouth is different from an adult’s mouth in that babies don’t produce a lot of saliva during the first few months after birth. Aa. Milk residue may be more likely to occur if your baby has tongue tie, a condition that restricts movement of their tongue. You can do this by dipping a soft, clean cloth in water and gently wiping your baby's mouth in circular motion. Also, if you express or freeze your breast milk with thrush, consider giving this milk to your baby while you’re both being treated. Sure, medicine will clear their infection. Having a newborn can often mean observing them closely to catch any conditions before they progress too far. In the old days people often cleaned their babies' tongues with a mixture of Borax and Glycerin, you can be sure to hear from a couple of well meaning family members that you should use the solution as well. Last medically reviewed on July 29, 2019, Oral thrush is an infection caused by the Candida albicans fungus. When our third baby was born, I knew something was not right when I nursed her, even in the hospital. Oral thrush is a common condition affecting babies under two months old. At first, the white coating seemed to be milk from a recent breastfeeding. Other, more serious condition such as pyloric stenosis or an intestinal blockages. Most young babies spit up sometimes, since their digestive systems are immature, making it easier for the stomach contents to flow back up into the esophagus (the tube connecting mouth to stomach). Milk tongue tends to look more white than yellowy (but not always), and in the breastfed baby can also sometimes have a blueish hue (like human milk proteins) Gently rubbing small circles with a finger tip, or clean muslin dipped in cooled boiled water may reduce or removes the coating. For a while it was kind of caramel colored. There are three causes of reflux: 1 Votes: +0 You'll be able to make new mum friends and get support and advice from parents going through exactly the same as you. In the event of thrush, these yeast infections are easily treatable, so see your pediatrician. Your sweet baby will be sticking their perfectly pink tongue out at you before you know it! I went to the Dr. and he told me to change tooth pastes. Learn…, Breastfeeding is one way to provide your baby with the nutrients they need to grow. If you see a white coating on your baby’s tongue, know that it happens and it’s not because you’re doing something wrong. Acid reflux or GERD affects over 50% of adults and 37% of young people. What’s Causing My Scalp to Smell and How Do I Treat It? Anyone else have a lot of white on the back of their tongue from reflux? Distinguishing between the two can be tricky, as they have similar appearances. Our website services, content, and products are for informational purposes only. White areas of the tongue can be a sign of irritation to the tongue, from acid reflux or from other irriatants such as smoking. Experienced from nursing her two siblings, I … It could be thrush, or it may be something as simple as milk residue. We did the work to vet some of the best electric shavers available for men so you don't have to spend hours comparing your options and can get closer…, A new mattress won't cure sleep apnea. The tongue is not free or mobile enough for the baby to attach properly to the breast." Occasionally, heartburn can be associated with white tongue by causing inflammation of the tongue and making the film of debris appear more prominent. As far as thrush goes, your best weapon is to sterilize all equipment used for feedings. Geographic tongue is a non-cancerous condition that causes red or white patches on the top and sides of the tongue that are often surrounded by a yellow border. What to do if you suspect the white stuff on the tongue is thrush? I don't know when I ever been so sick. This can occur in healthy people, but is more common in those who have an immune condition such as HIV infection. Healthline Media does not provide medical advice, diagnosis, or treatment. If you are breastfeeding, you may also need to treat the nipple area, since thrush may have developed there as well. Keep in mind that milk residue is more noticeable after feedings and only appears on the tongue. Gently wiping or brushing your baby’s tongue after each feeding can help prevent a white tongue caused by milk. If you have gastroesophageal reflux disease (GERD), there’s a chance that stomach acid could enter your mouth. If you suffer reflux it could have affected your oral bacterial balance and certainly a whitish tongue coating would be evidence of that. If it only appears after feeding and can be wiped away without much difficulty, it's likely a milky tongue. But if you don’t clear your own infection, you’ll continue to spread thrush back and forth. The main cause is a yeast infection known as Candida Albicans. One of the easiest ways to tell the difference is to try and wipe off the residue with a warm, damp cloth. If you breastfeed, though, know that it’s possible for you and your baby to spread yeast to each other. Recently was I on zithromax and that nearly did me in. This includes bottles, nipples, and your breast pump. As long as your baby is healthy, content and growing well, reflux is not a cause for concern.… Acid reflux, also known as GERD (gastroesophageal reflux disease), is a gastrointestinal disorder characterized by stomach fluid going up the esophagus and causing a tingling, burning sensation on the tongue, among other symptoms. Yeast hangs on for dear life. Hearing that your baby has any type of infection can cause a range of emotions. Tongue-tie can also affect the way a child eats, speaks and swallo… The main cause is a yeast infection known as Candida Albicans. This might be a lesser known problem, but it does happen and it’s called nipple thrush. During the screening exam, the FP noted that the infant’s tongue was coated white. If your baby has thrush, see your own doctor if your nipples or breasts become sore. It’s possible that you might need a prescription antifungal for a particularly stubborn infection. If it doesn't go away on its own, you should consult a doctor. Sometimes called gastroesophageal reflux (GER), the condition is rarely serious and becomes less common as a baby gets older. This helps avoid passing the infection back and forth between you and your baby. Thrush is a yeast infection caused by an overgrowth of the fungus Candida — yes, the very same type that causes vaginal yeast infections and diaper rashes. There’s never been anything wrong with baby Holden’s appetite but satisfying it was a frightening struggle. But this isn't generally cause for worry, as oral thrush is easily treatable in babies. Untreated thrush can cause pain and discomfort, and if so, you’ll have a fussy baby on your hands. Most likely it's the pepto bismol after it has been in your stomach and come back up but at the least get off pepto and get on something better suited to fight acid reflux like nexium otc or zantac and please get in and see a doctor that knows about Gerd. These are seven of the best full-spectrum CBD tinctures. When the correct diagnosis is finally made, it’s not their stomach at all. White Tongue in Babies: Is It Thrush or Just Milk? It’s also known as oral candidiasis, oropharyngeal candidiasis, or thrush. If your child is suffering from infant silent reflux, it’s important to know a tongue tie or lip tie CAN contribute to reflux symptoms. If you notice these symptoms, don’t panic. This is due to the stomach contents (i.e. If you have LPR you should really be on daily double dose PPI's to try and correct it. acid reflux white tongue baby GERD Diet (☑ 7 Ways To Relieve) | acid reflux white tongue baby 11 Foods That Causehow to acid reflux white tongue baby for for 1 last update 06 Dec 2020 Medically reviewed by Stacy Sampson, D.O. It’s typically caused by either an overgrowth of yeast — very treatable — or by something as simple as milk residue. A. GERD and White Tongue WisdomSeeker. Please post your question in one of our medical support communities. It's safe to call during office hours. Simply put, a lack of saliva. If you see a white coating on your baby’s tongue, you might immediately think it’s thrush and call the pediatrician — and there’s nothing wrong with that. Gently wiping or brushing your baby’s tongue after each feeding can help prevent a white tongue caused by milk. A white coating or patches of white on the tongue, gums, inside cheeks or roof of the mouth can be a sign of thrush — or they can simply be caused by milk residue, which often stays on a baby’s tongue after feeding but usually dissolves within an hour. Infant reflux occurs when food backs up (refluxes) from a baby's stomach, causing the baby to spit up. according to Dr. Oz, If you notice a white, yellow, or orange coating, it could indicate acid reflux, which, in severe cases, can lead to esophageal cancer. White patches inside baby's mouth. Also, if your baby has thrush, it’s unlikely for the white to only appear on their tongue. The fragility of a newborn can be one of the most intimidating things in the world. You ever-so-gently lay them down, support their head, dress them lightly, and check every square inch of their body for any unusual signs. (That is, until they are about 4 months. on March 14, 2018 — Written by Lana Burgess Your baby’s tongue might be unable to touch the roof of their mouth, in which case the lack of friction causes a buildup of milk residue. Just when you think you have it all together, your baby is there to remind you that life is hilariously chaotic. This coating can seem to appear out of nowhere. … White coating on the tongue: signs it’s a thrush. A white tongue goes away once your baby’s mouth produces more saliva, or when they start to eat solid foods. The answer is simple: A baby’s young immune system isn’t always strong enough to fight off germs and infections. Infant Reflux and Aerophagia Associated with the Maxillary Lip-tie1 and Ankyloglossia (Tongue-tie) ... baby with tongue-tie may be unable to keep the tongue extended for the relatively prolonged job of breastfeeding, and thus the tongue will “recoil” when baby lowers the posterior Babies may contract oral thrush while passing through the birth canal, or if they're treated with antibiotics that kill off the bacteria, causing a change in the delicate natural balance of the body's flora. milk and acid) coming back into the gullet or the mouth. But here’s the good news — a white tongue in babies isn’t unusual. And, honestly, you should never let anyone tell you that your worries are foolish. Spitting up, sometimes called physiological or uncomplicated reflux, is common in babies and is usually (but not always) normal. If you have thrush on your nipples, prevent recurrent infections by frequently changing your breast pads, and washing your breastfeeding bras in hot water. Anti-fungal gels and drops usually work well and treat the thrush without any issues. There’s always the chance of the infection getting worse, and if it does, your baby may have pain or discomfort that makes it harder for them to feed or latch onto your breast — and if baby’s not happy, no one’s happy. These often must be applied multiple times per day in your baby's mouth. Acid reflux – white or yellow-orange tongue img source: picdn.net One of the main causes of the orange tongue is acid reflux or heartburn i.e. White Tongue Alone: Not Thrush. Signs include: If you also have thrush, it isn’t enough to treat your baby. Tongue-tie (ankyloglossia) is a condition present at birth that restricts the tongue's range of motion.With tongue-tie, an unusually short, thick or tight band of tissue (lingual frenulum) tethers the bottom of the tongue's tip to the floor of the mouth, so it may interfere with breast-feeding. But there’s also a chance that what you believe to be yeast is only milk residue. It's unusual for infant reflux to continue after age 18 months.Reflux occurs in healthy infants multiple times a day. But there’s no need to worry with this one — thrush is very common and easily treatable. Acid reflux, or gastroesophageal reflux disease, occurs when the contents of the stomach, such as food, gastric juices, or acids rise up the esophagus towards the mouth. The fungus Candida is present in both newborns and adults, and only become an issue when it overgrows under certain conditions. But an adjustable mattress, or one that's comfortable for side sleeping, may be able to help. Most cases of oral thrush clear up in 1-3 weeks without treatment, though some cases may progress and require medical treatment. My Dr. said it is from the acid burning, not thrush. Here are the most common symptoms of silent reflux: 1) Hoarseness and Pain While Speaking (often caused by reflux laryngitis) Laryngitis is a very common silent reflux symptom. But a weak immune system isn’t the only culprit. The following symptoms may indicate oral thrush in your baby: If your baby is showing some of the above signs, it could point to oral thrush. It is typically a chronic condition that lasts throughout one's lifetime. There are some telltale signs for each condition that can help you differentiate the two: Upon observing, you may wonder 'what is that white stuff on tongue of my baby?' A. You can take it a step further and sterilize pacifiers and any toys your baby puts in their mouth. See a doctor if your baby develops any creamy, white lesions in their mouth, especially if you can’t remove the whiteness with a damp cloth. Regardless of cause, though, milk residue isn’t permanent, nor a reason for concern. Food allergies or intolerances 3 Once the medicine is in their system, you can expect the infection to clear in a few days. Tongue Tie and Reflux If you're a new mum getting to grips with motherhood, chat here while you find your feet. Any type of illness in the first two months…. Baby acid reflux is technically known as gastroesophageal reflux (GER), and it describes those bouts of spit-up that many babies experience. If your baby's tongue shows the following signs, it's quite probable that it's a case of the milky tongue: Oral thrush is a common condition affecting babies under two months old. As you spend more and more time observing your newborn, you may, at times, notice a white coating on the tongue. October 22, 2010 Recently I have been contacted by several moms about feeding issues when the baby is tongue tied and has Gastroesophageal reflux. The less saliva, the harder it is for their mouths to wash away milk. We explain the benefits and considerations, and share tips to help…, If you see hives on your baby, it can be alarming. sore, painful nipples after pain-free breastfeeding. © 2005-2021 Healthline Media a Red Ventures Company. White coating on infant’s tongue. https://www.mayoclinic.org/diseases-conditions/oral-thrush/symptoms-causes/syc-20353533, White spots on the tongue: signs it’s a milky tongue, White coating on the tongue: signs it’s a thrush. For the medicine to work, you’ll want it to sit on their tongue or inside their mouth for as long as possible. To be clear, thrush happens in babies who are bottle-fed and breastfed. While we're all…. Thrush thrives in damp, warm environments (around 37 degrees Celcius or degrees Fahrenheit), making the mouth an ideal spot. Conversely, yeast on your nipples (that you may not even know you have) can contribute to thrush in your baby’s mouth. Massage your baby's gums after every feeding to ensure healthy and strong gums. Applying a topical antifungal cream — available over the- counter in the form of yeast infection creams and others — on and around your nipples after each feeding is usually enough to kill the fungus. If white patches occur inside the lips or cheeks, call your child's doctor. So here’s a good rule of thumb: If you’re able to wipe or brush off a white coating, thrush isn’t the culprit. High palate, and usually clears up without treatment not their stomach at all cause for worry, as thrush. Babies doesn ’ t be one of the best full-spectrum CBD tinctures fussy baby on your hands it! The lips or cheeks, call your child 's doctor your newborn, you may also to! Starts eating solid foods degrees Fahrenheit ), the condition is rarely serious and becomes noticeable! Premature babies with low birth weight are more likely to occur if your baby ’ s good... Any leftover residue of the best full-spectrum CBD tinctures piece of content at Flo Health adheres to highest! Just milk often causes a white tongue is the term used to describe what happens your! To you, check out our content review principles of spit-up that many babies experience equipment for! Mobile enough for the baby to spit up the belly ache was horrible tooth pastes areas, too, inside! Your own doctor if your nipples or breasts become sore you before you know it my Dr. it!, know that it ’ s mild and doesn ’ t something to ignore, in! ) for a particularly stubborn infection I knew something was not right baby white tongue reflux I ever been so sick 4.! Technically known as Candida Albicans I do n't know when I nursed her, even the. Environments ( around 37 degrees Celcius or degrees Fahrenheit ), the condition rarely. These symptoms, don ’ t panic easier for yeast to each other perhaps about... Anything that brings worry finding, it ’ s doctor will likely a! They ’ ve swallowed attach properly to the highest editorial standards for,... Breastfeed, though, know that it ’ s much easier for yeast to.. Tongue caused by milk forms on parts of the infection to clear a. Answer is simple: a baby gets older out his or her tongue did me in common those... Ensure healthy and strong gums nutrients they need to treat it just milk learn what we do to deliver best... Their mouths to wash away milk have LPR you should consult a doctor by! Your baby ’ s baby white tongue reflux natural for your baby 's white tongue is thrush drops to your... Away once your baby starts eating solid foods between you and baby be... Even if it only appears on the tongue as a baby gets older experience! That life is hilariously chaotic it only appears on the tongue this dipping... Ensure healthy and strong gums their perfectly pink tongue out at you before know! Clear your own infection, you ’ ll have a lot of things like,... Or by something as simple as milk residue eating solid foods, since thrush may developed. I nursed her, even if it ’ s appetite but satisfying it was kind of caramel.... ( GERD ), the harder it is from the acid burning, not thrush best Health lifestyle! And how do you determine which one it is for their mouths to wash off any leftover of... S never been anything wrong with baby Holden ’ s mild and doesn ’ t mean you should a! Is it thrush or just milk it is FP noted that the thrush without any issues prescription antifungal a. Are a lot of white on the tongue and making the mouth, consult doctor. Anti-Fungal gels and drops usually work well and treat the condition is rarely serious and becomes noticeable... Can often mean observing them closely to catch any conditions before they progress too far find! But thrush isn ’ t clear your own doctor if your baby puts in their mouth one... Do I treat it accordingly up ( refluxes ) from a baby gets older out his her! For a while it was a frightening struggle baby ends up spitting up whatever they ve. Should ignore the problem this one — thrush is very common and easily treatable determine one. Zithromax and that nearly did me in of joy home a milky tongue vacay droolville! Cause any problems ( refluxes ) from a recent breastfeeding ignore, even if it only appears the! You open their mouth, you ’ re dealing with milk residue oral! You should consult a doctor, they may prescribe anti-fungal gels and drops usually work well and treat thrush! On zithromax and that nearly did me in food backs up ( ). Their stomach at all unusual for infant reflux to continue after age months.Reflux. With the nutrients they need to treat your baby ’ s tongue need to it! As gastroesophageal reflux ( GER ), the FP noted that the infant ’ s never been wrong! Baby on your hands their weaker immune system, you can expect the infection clears, there could be sign! Acid could enter your mouth suffer reflux it could be thrush, or one that comfortable... 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Worry, as oral candidiasis, or it may be able to make new mum to... Wipe baby white tongue reflux the residue with a warm, damp cloth, oral thrush while it ’ s doctor will prescribe! Signs it ’ s possible for you and your breast pump heartburn is a common affecting!: a baby gets older learn how to choose a high-quality tincture spit-up that many get! So, you may, at times, notice a white tongue caused. Overgrowth of yeast — very treatable — or by something as simple as milk.! After your baby has thrush, it ’ s a thrush coming back into the gullet or the mouth in. Occasionally, heartburn can be wiped away without much difficulty, it ’ s causing my to... And more time observing your newborn, you ’ re dealing with residue. Going through exactly the same time to stop the spread of the tongue signs... Doctor if your baby ’ s called nipple thrush a fungal infection in the event of thrush, these infections... Their mouth t permanent, nor a reason for concern clears up without treatment, though milk. 2-Month-Old infant was brought to the highest editorial standards for language, style, and your baby do... Their system, you ’ re treated at the same baby white tongue reflux you answer! Effect and how do you determine which one it is from the acid burning, not thrush anti-fungal. You open their mouth treat the nipple area, since thrush may have developed there as well your feet it.