I am hoping for some new insight with regard to persistent yeast.

I have been working with a mother who has had yeast symptoms for about 10
weeks now. When I first spoke to her she had tried GSE, APNO, Gentian (for only 2
days), and was on Diflucan 200 mg per day for 1 week. She had also cut out
all refined sugars, dairy and soy from her diet. She was also taking live
acidophilus 2x per day, cleaning everything touched by breast, baby, or her milk.
She had treated baby with gentian, GSE, and finally Nystatin. She is not pumping
or feeding baby EBM. She has no history of yeast problems or antibiotic use
but her symptoms are consistent with yeast pain and my colleague who saw her in
person felt she had yeast.

I suspected that she had not followed through with any of the above
treatments so I recommended she speak with her doctor about extending the Diflucan to
2 weeks and using the Gentian again 1 x per day for 3-4 days, treating baby as
well. I also suggested she try APNO again as she seemed to think that worked
but stopped it awhile back. I suggested she narrow her topical treatment to
1-2 options and follow all the way through before moving to another alternative.
She is keeping up with the live acidophilous too.

She is now writing to say that she has finished the Diflucan and the internal
pain is gone. Baby, now 13 weeks old, is rid of the rash. She continues to
treat him orally because she is still having pretty bad topical pain. She chose
also to use Lotriman and feels that is helping.

She is also describing a "raw" topical pain that is different though the
burning is still there as well. I recommended she be seen in person again to
recheck latch or assess for Raynauds (no reported symptoms) or an allergic
reaction. She plans to do this (our office is closed through Labor Day and I am on
maternity leave or we would see her now).

My gut tells me it is still yeast that won't go away. I have worked with a
few women who have had this type of prolonged pain with yeast symptoms but this
seems even worse. Does anyone have any suggestions or thoughts?

One last question...my colleague just sent me an email saying info from a San
diego conference suggests GSE is a hoax! Can someone help update me on this.
I certainly don't want to recommend it anymore if it is not helpful.

Thanks so much! Heather

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