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Thrush

Struggling with painful white patches or discomfort in your mouth? At GastroDoxs Houston, Dr. Rishi Chadha offers expert, personalized thrush diagnosis and treatment. Combining gentle exams, targeted antifungal therapies, and tailored lifestyle advice, he ensures fast relief and lasting health.

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Rishi Chadha

About the Expert

Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.

What Is Thrush?

Thrush (oral candidiasis) is a mouth infection caused by yeast. You'll see white or creamy patches on your tongue, cheeks, roof of your mouth, or throat. Thrush can affect anyone�from newborns to seniors. If untreated, it can hurt, make eating hard, and spread down your throat.

Common Causes and Risk Factors

  • Antibiotics: Kill good mouth bacteria
  • Weak immune system: HIV, chemotherapy, or steroids
  • Health conditions: Diabetes, dry mouth, dentures
  • Infants: Under-developed immunity
  • Poor oral care: Infrequent brushing or denture cleaning

Signs and Symptoms

  • White, cottage-cheese-like patches in the mouth
  • Redness or pain when patches are scraped
  • Cracked skin at the corners of the mouth
  • Bad or altered taste
  • Trouble swallowing if infection moves deeper

How Dr. Rishi Diagnoses Thrush?

Step-by-Step Evaluation:

Oral Examination

Dr. Chadha inspects your tongue, cheeks, roof of mouth and throat, looking for characteristic white or creamy patches and assessing any redness or irritation. He also reviews your medical history, medications and risk factors.

Sample Testing

A gentle scrape of the affected area is collected and sent to the lab to confirm Candida overgrowth and rule out other infections.

Endoscopy (If Needed)

For persistent or severe cases, he may perform a minimally invasive endoscopy to visualize deeper into the esophagus and obtain biopsy samples if necessary.

Dr. Rishi Chadha
Treatment

Treatment Options at GastroDoxs

1. Lifestyle & Diet Changes

  • Rinse your mouth after using antibiotics or inhalers
  • Cut back on sugar and refined carbs
  • Drink enough water to prevent dry mouth
  • Brush teeth and clean dentures every night

2. Medications

  • Topical treatments: Nystatin or clotrimazole lozenges and rinses
  • Oral pills: Fluconazole for more severe or persistent cases
  • Custom dosing: Adjusted for your age, weight, and health

3. Advanced Procedures

  • Endoscopic biopsy: For tough or recurring infections
  • Antifungal infusion: Delivered directly via endoscopy
  • Team approach: Collaboration with ENT or dental specialists as needed
Rishi Chadha

About the Author

Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.

Frequently Asked Questions

1. How long will thrush last without treatment?

Weeks or months�and it may get worse if left untreated.

2. How do babies get thrush?

Infants can acquire thrush from yeast passed during birth or through breastfeeding.

3. What triggers thrush in infants?

Immature immunity, antibiotic use, or yeast contamination on bottles and pacifiers.

4. How do I clear thrush in a baby's mouth?

Apply the prescribed antifungal gel after feedings, following Dr. Chadha's directions.

5. Is oral thrush contagious?

It's not highly contagious but can spread between mother and baby.

6. Can I prevent thrush?

Rinse your mouth after antibiotics or inhalers, maintain good oral hygiene, and limit sugary foods.

7. When should I see a doctor?

Schedule an evaluation if you experience pain, difficulty swallowing, or recurrent infections.

8. Can thrush spread beyond the mouth?

In people with weakened immune systems, it may extend into the throat, esophagus, or other organs.

9. Are there home remedies?

Saltwater rinses or probiotic yogurt can help mild cases, but professional care speeds recovery.

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