I am currently working with a client who has sore nipples.  Her infant is
currently hospitalized, as the infant was born prematurely.  The mom's
nipple area and areola were very red, burning sensation,....typical yeast
symptoms.  Infant has not been symptomatic, and neonatologist declined to
treat infant.  Mom is taking Diflucan, and had been treating with a topical
antifungal product.  Diflucan seems to make the pain improve (no more
shooting pains with pumping).  She quit using the topical antifungal
product, with noted improvement in the areolar and nipple area (less
redness).  She is now wondering if she could potentially have had an
allergic reaction to the antifungal cream?  Has any one had a client that
was allergic to the material the pump flanges are made of?  I have
recommended that she be seen by a dermatologist.  Her breast don't quite fit
the standard pump kit.  She plans to try the "Comfort kit" on one side to
see if this improves the situation.  Next would be to try the glass flange
for pumping.  This type of situation has happened with one other client
within the last 6 months.

Thanks for the help.

Linda Moore, RN, IBCLC

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