Jay,
Interesting post-- now think this thing through--
<suspects it is yeast because her baby had a yeasty bottom that showed up out
of nowhere (no antibiotics).>>
You are breastfeeding right?-- your little guy's yeasty bottom is from the
antibiotics you were taking.
<<The "yeast" on her nipples was not treated for 2 days after first noticing
it, then was treated to cortisone (3 x a day) for 2 days,>>
My understanding is that cortisone encourages yeast growth. It may have felt
better at first (cortisone has a numbing quality) but may have also encouraged
further colony growth.
<then GV 1-2 times a day for 3 days (after morning shower and just before
bed). During the time before the GV was used, the "rash" got more red and
raised, but not very fast.>>
Sounds like the GV irritated the skin--causing breakdown and further invasion
from the yeast into the surrounding tissue.
<<BF was fine, until a split developed in the right nipple.>
OUCH! How many times have you applied the GV? For how many days? GV and its
alcohol base dries skin tissues further . Sound like the GV has in essence
caused a contact dermititus which in turn is giving more places for the yeast
to get a foot hold.
This is one of the reasons that GV is not my first choice (JMHO) --I've seen
huge ulcerations from it both on the breast and in baby's mouth. I reserve it
for cases where other treatments have not helped. Are you treating the baby's
mouth and bottom?
<< Is the extent to which yeast becomes a problem related to how well the body
can fight it off?>.
Yeast is always present on the skin and in the intestinal tract. Something has
to be out of balance for it to take hold. The key is returning the balance.
Good bacteria verses bad.
The cell wall of the yeast is very pH sensitive. A very weak vinegar rinse 1
teaspoon vinegar to 1 cup of water (use caution here you already have a
crack--if it burns add more water) after each nursing. I 'd recommend a OTC
yeast preparation Gyne lotrimin, applied every four hours after vinegar
rinse. If you don't have yeast med. for baby's bottom get a second tube of the
gyne Lotrimin and use it on his bottom. Although some have said oral
nystantin doesn't seem to be working as well--I feel it is because moms are
simple swabbing it over the oral surfaces--rather than giving the recommended
dose and rubbing this around in the baby's mouth. (dose is dependent on
severity of colonization: 1 or 2 ml every 4 to 6 hours).
Also look a the thrush protocol below. I posted this to the list a long time
ago but it is worth repeating. The protocol works very well we rarely see
clients with recurrent yeast if this routine is followed.
Self-Care Instructions for Thrush
Thrush is caused by a yeast-like organism that is present in the air and on
your skin. Thrush can be difficult to cure. Vinegar helps destroy the yeast
cell wall. It is important that you follow the treatment guidelines below for
a minimum of 14 days.
1. Bathe the nipples and areola with a weak vinegar solution* after each
nursing. (Make a fresh solution for your nipples each day) The solution can be
applied by moistening a cotton ball in the solution and squeezing the cotton
ball over the nipple and areola. Do not touch your breast with the cotton
ball. Use a fresh cotton ball for each breast.
2. Apply _________________ cream to your nipples and areola, after the vinegar
wash, every _______ hours. Continue to use the medication for 14 days even if
your nipples are no longer tender. If your nipples become more tender, you
experience a rash on your breasts or the symptoms appear to worsen contact the
lactation clinic . For after hours, weekends or holidays please call Urgent
Care.
3. Use the oral (liquid) medication _______________ for your baby use ____ml
every ____ hours for a minimum of 14 days. Place half the dose inside the
baby's cheek. Coat the baby's oral surfaces with the medication by using a
cotton swab, clean fingertip, or gauze square. Allow the baby to rest briefly.
Then apply the second half of the dose in the opposite cheek and coat the oral
surfaces again. Use the medication for the full 14 days, even if you no longer
see white patches in your baby's mouth.
4. Watch the baby's diaper area for a rash. Contact your pediatric provider if
a rash appears in the baby's diaper area.
5. Use a clean towel for each shower or bath. Wash all towels in hot water
after each use. Do not allow damp towels to hang in bathrooms.
6. Wear a clean, washed, cotton bra daily.
7. Keep your nipples and areola dry. Expose your nipples and areola to air as
much as possible. Change damp bra pads as soon as possible.
8. Use disposable bra pads if possible. Avoid bra pads with water-proof liners
(or plastic backing). If you are using washable bra pads, boil them in water
and vinegar* solution, for 20 minutes, at a full boil, after laundering.
9. You may use breast shells with large holes to keep your bra from sticking
to your nipples and assist with healing. Boil the shells in water and vinegar*
solution for 20 minutes every day. Replace the shells, if needed, after 10
days of treatment.
10. Boil baby's bottle nipples and/or pacifiers in water and vinegar*
solution, for 20 minutes once a day. Replace ALL bottle nipples and/or
pacifiers after 10 days of treatment. Clean baby's toys with a light spray of
water and vinegar* solution to prevent re-infection.
11. If baby is having problems with rashes, use 1/4 cup vinegar in the final
rinse instead of fabric softener when you wash baby’s clothes.
12. Wash your hands frequently. Use disposable, paper towels to dry your
hands. Keep fingernails short and clean. Use a nail brush to scrub under your
fingernails.
13. Yeast may cause you to crave sugary foods, cheese, bread or alcohol. Avoid
adding these items to your diet until treatment is completed.
14. Add live culture, unsweetened, yogurt to your diet once or twice a day. Or
Acidophilus capsules (100 million Live or viable units/per capsule) at least 4
times per day. Store Acidophilus capsules in refridgerator.
15. If you are using a breast pump, boil all the parts that come in contact
with your breasts and milk, in water and vinegar* solution, for 20 minutes at
a full boil after each use.
*add 1 tablespoon vinegar for every cup of water
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