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What is a milky tongue?

Published in Baby Health 2 mins read

A milky tongue in babies is a common condition where the tongue appears to have a white coating. This whiteness is usually due to either milk residue or a fungal infection called thrush.

Understanding the Causes

Here's a breakdown of why a baby might have a milky-looking tongue:

  • Milk Residue:

    • After feeding, milk can remain on the tongue, creating a white coating.
    • This is especially common in young babies who are primarily fed milk.
    • It is usually harmless and easily wiped away with a clean, damp cloth.
  • Thrush:

    • Thrush is a fungal infection caused by Candida albicans.
    • It often appears as white patches on the tongue, inside the cheeks, and on the gums.
    • Unlike milk residue, thrush patches are difficult to wipe off and may cause discomfort.
    • If you suspect thrush, it's important to consult your baby's pediatrician for treatment.

Key Differences: Milk Residue vs. Thrush

To help you distinguish between milk residue and thrush, here's a comparison:

Feature Milk Residue Thrush
Appearance Thin, white coating Thick, white patches or spots
Location Primarily on the tongue Tongue, cheeks, gums, and other areas
Wipability Easily wiped away Difficult to wipe off
Symptoms No discomfort May cause discomfort
Treatment Usually no treatment needed Antifungal medication from pediatrician

What To Do If You Notice a Milky Tongue

Here are some steps you can take if you notice a white coating on your baby's tongue:

  1. Attempt to Wipe it Off: Gently try wiping the tongue with a clean, damp cloth. If it's milk residue, it should come off easily.
  2. Check for Other Symptoms: Look for white patches or spots in other parts of the mouth. Check the cheeks, gums, and roof of the mouth. These are signs of potential thrush.
  3. Consult a Pediatrician: If the white coating does not wipe away, or if you suspect thrush due to other symptoms, consult your baby's doctor. Thrush needs to be treated with a prescribed medication.

When to Seek Medical Advice

According to our reference, neither milk residue nor thrush is considered a serious condition. However, it's important to have thrush treated by a doctor. So, if your baby has a milky tongue that doesn't easily wipe away, and especially if they have additional symptoms (like fussiness or refusal to feed), see your pediatrician.