The Mother's Manual of Children's DiseasesWest, Charles
Science
The Mother's Manual of Children's Diseases
West, Charles
Pediatrics -- Handbooks, manuals, etc.
I must not leave the consideration of the ailments of the digestive
organs in early infancy without some notice of that affection of the
mouth popularly known as _thrush_ to which an exaggerated importance was
once attached as the supposed cause of those symptoms of disordered
health, of which it is in reality only the accompaniment. Still it is a
sign of such grave disorder that it needs a careful study.
THRUSH.--If you examine the mouth of a young infant, in whom the attempt
at hand-feeding is not turning out well, you will often observe its
lining to be beset with numerous small white spots, that look like
little bits of curd lying upon its surface, but which on a more
attentive examination are found to be so firmly adherent to it as not to
be removed without some difficulty, when they leave the surface beneath
it a deep red colour, and now and then bleeding slightly. These specks
appear upon the inner surface of the lips, especially near the angles of
the mouth, on the inside of the cheeks, and upon the tongue, where they
are more numerous at the tip and edges than towards the centre. They are
likewise seen upon the gums, though less frequently and in smaller
numbers. When they first appear they are usually of a circular form,
scarcely larger than a small pin's head; but after having existed for a
day or two, some of the spots become three or four times as large, while
at the same time they in general lose something of their circular form.
By degrees the small white crusts fall off of their own accord, leaving
the surface where they were seated redder than before; a colour which
gradually subsides, as with the infant's improved health the mouth
returns to its natural condition. If the improvement is tardy the white
specks may be reproduced and again detached several times before the
mouth resumes its healthy aspect. In the worst cases the specks
coalesce, and coat the mouth as though lined with a membrane which is
usually of a yellowish-white tint instead of having the dead white
colour of the separate spots. Even here, however, though the surface is
very red, it scarcely bleeds if the deposit is removed from it gently
and with care.
Public-domain text, read in full here on John Shaqi.
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