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Thrush

Thrush

Thrush (Candida Albicans) is a fungal infection and can occur during breastfeeding, affecting mother, baby or both. It often happens after either one of you has been given antibiotics for an infection, or if the nipple becomes cracked and sore.


Signs of thrush in mum:

  • Sudden pain in the nipple or breast

  • The nipple may become itchy and become sensitive to touch

  • A feeling of a deep shooting pain deep within the breast; this occurs AFTER feeding, not during. If you have pain during a feed, your baby may not be attached properly.

  • The nipple or areola (the dark skin) may change colour

  • The nipple may look very cracked and does not seem to heal

  • Pain may be in both breasts as the baby can pass on the infection from one breast to the other

  • Occasionally there are no major signs of infection and no pain is felt whilst feeding your baby

There are other reasons for nipple pain though:

  • Baby may not be attached properly, causing sore and cracked nipples

  • Eczema or rash on breast

  • The baby may have a tongue tie


Signs of thrush in baby

  • Creamy white patches can be seen on the baby's tongue or inside the mouth which do not rub off

  • You might see a white shiny patch on his/her tongue that does not come off

  • Baby does not feed well at the breast, this is because his/her mouth is sore

  • Baby may become irritable and be more windy than normal If the infection is passed through his/her body, there may be a nappy rash that seems hard to get rid of.


Self help information

  • Thrush can be easily passed between you, your baby, your partner and other children.

  • Make sure you wash the breast area regularly if you have thrush, and do not share towels with anyone else.

  • Make sure you wash your hands after changing your baby's nappy. I

  • f your baby has a dummy, or is also having a bottle as well as breastfeeding, make sure these are sterilised properly by boiling for at least 20 minutes.

  • Make sure you continue to breastfeed, and take painkillers if necessary. By stopping feeding, you could encounter more problems such as Mastitis

  • If you have expressed any milk during the time of the infection, throw it away as it could cause your baby to get another bout of thrush.


If you have expressed any milk during the time of the infection, throw it away as it could cause your baby to get another bout of thrush.


Medical help

  • Both mums and babies should be treated even though only one of you may show signs of infection

  • The Breastfeeding Network (BfN) recommends that GP's should prescribe an antifungal to treat thrush for at least 10 days, as well as a cream such as Daktarin that is applied to the nipples following a feed for 2-3 weeks.

  • Babies can be prescribed Daktarin as long as they are over 4 months. The gel is rubbed around the cheeks and tongue using a clean finger. This should be applied for 2 weeks, even though signs of Thrush may have disappeared.

  • Health visitors and Doctors can prescribe Nystatin drops to babies from birth

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Blood taking, York Hospital

Due to COVID-19, from Monday 6 April the Phlebotomy service at York Hospital outpatient department will be closed until further notice.

We will continue to offer a blood taking services for patients who have urgent bloods requests only, at the nearby Nuffield Hospital. The urgency will have been identified during your medical appointment. Please access the Nuffield Hospital via the main reception and from there you will be directed to Phlebotomy. Please take a seat and wait to be called.

Patients who have routine blood test for yearly check-ups should not attend. Instead, please contact your GP to request an appointment at the GP surgery for your bloods to be taken.


Maternity services

If you are due to have a baby, please visit our website for up to date information about maternity services at this time https://bit.ly/39ANleP


Haematology and Oncology services

With effect from Monday 6 April there will be temporary changes to the Haematology and Oncology services at Scarborough and York Hospital.  These decision have been made on the grounds of patient safety in the current coronavirus pandemic.  Find out more here.


Visiting cancelled

Due to the increasing number of cases of coronavirus across the UK, York Teaching Hospital NHS Foundation Trust has made the decision to cancel all visiting to all its hospital sites in order to ensure the safety of patients and staff.

There are three exemptions to the ruling which are for one parent of a sick child under 18, for the partner of a woman giving birth and end of life patients at the discretion of the ward sister.

We would ask people to respect this decision and to treat our staff, who will be enforcing the visiting restrictions, with courtesy and respect.  For more information visit our website.


Outpatient appointments

We know that NHS services will come under intense pressure as the coronavirus spreads, and as a Trust we need to redirect staff, free up staff for refresher training and carry out any works as necessary, so we are able to maximise capacity for patients for when the number of infections peak.  We also need to reduce the number of people coming into our hospitals to protect our patients, as well as keeping our staff safe, well and able to come into work.

To do this, with effect from Tuesday 24 March 2020, along with other trusts in the Humber Coast and Vale partnerships, we have made the collective decision to suspend all non-urgent routine outpatient appointments for at least three months.  Urgent and emergency cases and cancer appointments will be carrying on as normal.

These are unprecedented times and we thank you for your understanding.  We know many people waiting for treatment will be disappointed or worried but please not contact the hospital as we will be contacting everyone directly affected in the coming days and weeks.

If you do not receive a letter or a phone call from the hospital, please turn up for your scheduled appointment as normal unless you have symptoms of coronavirus, a cold, flu or norovirus in which case you should contact us to cancel your appointment by clicking here.