Thrush, a fungal infection of your mouth, happens most often to toddlers and children but can affect anyone. It can result in creamy white lesions on your tongue or inner cheeks. Causes include certain medications and some health conditions, such as dry mouth or diabetes. Treatment usually involves antifungal medications.
Thrush is a fungal (yeast) infection that can grow in your mouth, throat and other parts of your body. With oral thrush (oral candidiasis), you may develop white, raised, cottage cheese-like lesions (spots) on your tongue and cheeks. Thrush can quickly become irritated and cause mouth pain and redness.
Thrush happens when there’s an overgrowth of Candida, a type of fungus. Another name for thrush in your mouth or throat is oropharyngeal candidiasis.
Healthcare providers treat thrush with antifungal medication. If your immune system is healthy, thrush is a minor problem that goes away a couple of weeks after you start treatment.
While thrush can affect anyone, some people are more at risk, including:
Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy
Thrush usually develops suddenly. A common sign is the presence of creamy white, slightly raised lesions in your mouth — usually on your tongue or inner cheeks. You may also have lesions on the roof of your mouth, gums, tonsils or back of your throat.
Other symptoms may include:
The lesions can hurt and may bleed a little when you scrape them or brush your teeth. In severe cases, the lesions can spread into your esophagus and cause:
Most people have small amounts of the Candida fungus in their mouth, digestive tract and skin. When illnesses, stress or medications disturb this balance, the fungus grows out of control and causes thrush.
Medications that can make yeast flourish and cause infection include:
Thrush can be contagious to those at risk (like people with weakened immune systems or who take certain medications). In people with healthy immune systems, it’s unusual to pass thrush through kissing or other close contact. In most cases, thrush isn’t particularly contagious (meaning, it doesn’t spread from person to person), but it is transmittable (meaning, you can catch it in other ways).
If you’re worried about getting thrush from another person who has it, avoid coming into contact with their saliva (spit). It’s smart to wash your hands as often as possible if you’re near someone who has thrush.
Candida infection is more likely to develop in babies and people with:
Thrush rarely causes complications in people with healthy immune systems. But if you have a weakened immune system, Candida can enter your bloodstream and spread to other areas of your body, such as your eyes, brain or heart. This type of infection is serious and may lead to septic shock, a life-threatening condition.
A healthcare provider can usually tell right away if you have thrush by looking for the distinctive white lesions on your mouth, tongue or cheeks. Lightly brushing the lesions away reveals a reddened, tender area that may bleed slightly. A microscopic exam of tissue from a lesion can confirm whether or not you have thrush.
If thrush extends into your esophagus, your healthcare provider might:
The typical treatment for thrush is antifungal medications:
Healthcare providers usually prescribe antifungals (like nystatin) to treat thrush. These medicines are available in tablets, lozenges or liquids that are “swished” around in your mouth before swallowing. Usually, you need to take these medications for 10 to 14 days. Your healthcare provider will recommend specific treatment based on your age and the cause of the infection.
Kids and adults with healthy immune systems typically respond well to antifungal treatment. But thrush symptoms may be more severe and harder to treat in those with weakened immune systems.
Antifungals can clear up thrush in one to two weeks. You may need to continue the medication for a few more days to kill any fungus that’s left behind.
You can do these things to reduce your risk for thrush:
With treatment, thrush usually goes away within one to two weeks. But if your symptoms linger or get worse, let your healthcare provider know.
If you develop signs or symptoms of thrush — such as soreness, bleeding or raised white areas inside your mouth — schedule an appointment with a healthcare provider.
If you’ve already taken antifungals for thrush but your symptoms return, call your provider right away. It could indicate a more serious infection.
You’ll need antifungal medication to clear up thrush. But you might try some of these home remedies to ease your symptoms:
Because infants are more at risk, getting or giving thrush during breastfeeding (chestfeeding) is a concern among parents. It’s a common breastfeeding issue, and in some cases, treatment can be tricky.
If your baby has thrush, they can pass the infection to you during breastfeeding. Likewise, if you develop a thrush infection around your breasts or nipples, you can pass the infection to your baby.
If you and your baby both have thrush, it’s important to receive treatment at the same time to prevent an ongoing exchange of the infection.
A note from Cleveland Clinic
Thrush is a fungal infection that affects your mouth, throat and other areas of your body. It’s an uncomfortable and inconvenient condition. But in people with healthy immune systems, it’s easily treatable with antifungal medications. People with compromised immune systems may have a more difficult time getting rid of thrush. If you develop thrush symptoms, contact your healthcare provider. Prompt treatment can get you back on track and feeling better.
Last reviewed by a Cleveland Clinic medical professional on 01/05/2023.
Learn more about our editorial process.