Hello everyone,
I am officially stumped and would love some feedback.  I have a lovely 
patient who has a 6 week old baby who has been battling with a obvious and 
nasty case of thrush.  Mum had all of the classic symptoms of ductal 
thrush: stabbing chest pain at the ends of feeds, nipples looked normal 
though.  Baby had one of the whitest tongues I have ever seen.  We tried 
treatment first with Dactarin Gel for baby and mum, applied after every 
feed.  There was not much improvement so we moved to Dactacort for mum and 
Gel for baby.  Still not much improvement so we moved to oral fluconozole 
with dramatic improvement for mother the stabbing pains abated but she 
still gets "sand paper" feeling at the end of feeds but it is nothing like 
it was.  Baby's tongue is still coated white.  It has been about three 
weeks of treatment with the fluconozole introduced on the second week for 
mum only.  I have had the mother look out for Raynaud’s symptoms and she 
states that her nipple turn red but never bluish and she only ever saw them 
white one time and they didn't hurt then.  But even if it is Raynaud’s that 
wouldn't explain the baby’s tongue.  Any help would be appreciated. 
Cheers,
Mandi

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