I have a mother (PTP) of a 7 week old with persistent thrush.  Mom  stopped 
breastfeeding first child due to yeast after 3 weeks of age.  Baby  and Mom 
have been treated simultaneously with nystatin (one round)  and gentian violet 
(on two different occasions).  The nystatin was  ineffective.  The gentian 
violet was effective both times but the yeast has  returned yet again.  I 
recommended Culturelle (a lactobacillus) for mom and  baby which they both have been 
using daily.  Mom has been very careful with  hygiene and boiling items such as 
pacifier and bottles (used once a week).   I am having mom tested for anemia 
and diabetes.  I have recommended Dr  Newman's cream and a trial of fluconazole 
for baby.  Mom will be calling MD  tomorrow to get these prescriptions.  My 
questions are the following.  First, can you have ductal yeast and not have 
deep breast pain?  Would  there be any other symptoms that would be present that 
would signify ductal  yeast?  Would a 2-4 week fluconazole trial for mom be 
warranted?   Thank you ahead of time for your wisdom.
 
Rebbecca  Rosen RN, BSN, CBC
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