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The twins were actually roommates so i haven’t been able to say that in a long time all right actually what i came to show you was just something that was incidental finding that’s really really common that parents ask me all the time so i’m going to let them cry because i want you to see their tongues white tongues and the question is is this thrush so thrush
Is caused by candida which is a type of yeast and where does it come from well yeast spores are in the air and yeast likes warm moist places and for some reason that i’m not 100 sure on there’s your question do your research and get back to me on what you think causes thrush because i actually don’t know other than it’s caused by canada but why it’s not an
Immunosuppression thing you’ll see online it’s immunocompromised that’s not what it is with babies it’s super common in babies they’re not immunocompromised they’re doing fine so we’re going to take a look at their tongues okay it’s easily treatable i’ve had much better luck with gluconazole than nystatin just as a fyi for healthcare providers we used to always
Have nice statin be our go-to treatment but i’d say it’s effective less than 50 of the time these days the yeast i guess has become resistant to nystatin so we have almost 100 success with fluconazole and i’ve never had a side effect from it obviously if you look at side effect protocols profiles there’s tons of potential stuff involving the liver etc but it’s
Never been an issue especially for some reason young children they seem to tolerate it very well so i’m gonna show you what could have been milk coating on a tongue but i now i’m pretty certain it is thrush so they both have it and if we get a little crying that’ll be okay all right so we’re gonna start with looking at the tongue and there you see that white
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Looking at the tongue and there you see that white i’ll get a tongue blade and try to scrape that off and it just doesn’t come off see that is just on there and then we look at the gums and uh because they might start protesting and it might get a little loud i’m gonna go ahead and tell you right now that the key is when you’ve got a white tongue is it just
On the tongue so a lot of times white tongue is just milk coating but in this instance it looked pretty thick to me so i was suspicious and looked carefully and indeed found some white plaques on the inner gums and that’s a for sure we’re dealing with thresh okay it’s easily treatable i’ve had much better luck with gluconazole than nystatin just as a fyi for
Healthcare providers we used to always have nice statin be our go-to treatment but i’d say it’s effective less than 50 percent of the time these days the yeast i guess has become resistant to nystatin so we have almost 100 success with fluconazole okay we’re going to end off happy we’re going to end off happy here we go what is the really concerned with missing
This what happens if you miss this completely repeat that question back if you’re willing my videographer always asks me the toughest questions it’s like darn it you would have to ask me on camera well what’s wrong with missing this probably nothing here’s the deal though okay oh okay now i’ve pushed the limit haven’t i sh there you go it’s okay it’s okay it’s
Okay it’s okay so you sleep like this so if you miss it actually you can start having feeding problems you can have upset stomach uh the yeast spores that are in your mouth you’re going to end up passing them all the way through your gi tract imagine your gi tract getting sort of inflamed and irritated your esophagus and then perianal when you poop you start
Pooping out yeast spores and you start getting the yeast rash on your bottom usually in the creases and can be the whole area though it can be raw red beefy red now you’ve got pain so yeah you want to treat this you want to deal with it and as far as diaper rash areas antifungal creams any will do and keeping the area dry so frequent changes catch them as soon
As they’re wet change the diaper those would be the main reasons it’s not dangerous to miss it it’s not that big of a deal but probably eventually you’re gonna have to deal with it so might as well catch it and treat it actually we got a star family over here hey are those your babies are those your babies yeah are you up to that daddy yeah yeah yeah yeah you
Guys are making for a really good video it’s gonna be super helpful i think on both fronts right you can you can uh parent dance too yeah and you can teach them about thrashing and what you’re doing there with big brother is key because he would feel displaced right and probably be a little more temperamental yeah uh so you know giving him all the love you can
Yeah it’s critical right yeah and you’ve done an awesome job with him
Transcribed from video
MY TWIN BABIES HAVE THRUSH!!! (Help) | Dr. Paul By paulthomasmd – Dr. PaulliveBroadcastDetails{isLiveNowfalsestartTimestamp2020-07-31T193353+0000endTimestamp2020-07-31T194217+0000}