In our case, it started with pretty severe oral thrush combined with a 
typical yeasty diaper dermatitis... and mom was being treated for a vaginal 
yeast infection (topically).... THEN she started with the severe sharp 
burning breast/nipple pain at/after feeds.  She had bright red nipples, and 
it all fit like classic yeast.

We did nystatin first(mom/baby), then gentian violet(mom/baby) x 5-6 days, 
then added fluconazole(mom/baby x 4 weeks, dad x -- don't remember - one 
round) , added cephalexin(mom) after the second week of fluconazole. we were 
doing gentian violet again  at the same time we did the fluconazole.

Moms nipples look better.  Thrush is  resolved in baby's mouth, diaper rash 
is resolved.  Vaginal yeast is resolved.  Pain is continuing, although 
greatly improved.  It took 4 weeks to get this improvement.  Right now the 
continuing pain is our issue.  Mom has really struggled with this, and I am 
actually amazed she is continuing to breastfeed.

I hope this story all makes sense.

what next?

Tara


>From: Carolyn Schindewolf <[log in to unmask]>
>Reply-To: Lactation Information and Discussion 
><[log in to unmask]>
>To: [log in to unmask]
>Subject: Re: SUPER THRUSH
>Date: Wed, 18 Jul 2007 07:14:34 -0400
>
>Any pets in the house?  Are you positive it's yeast?
>
>Carolyn

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