Rachel:  With mom's permission to post, I am working with a mother/baby who 
have a similar history.  This mom's baby is 4 months old now, has always 
nursed/gained well, but mom has experienced excruciating nipple pain 
virtually the entire time.  She has steadily worked her way thru all the 
recommended yeast protocols as well as the herbs/diet with some relief for 
awhile, then right back to the pain. She does have a history of vaginal 
yeast infections and her symptoms got much worse when she had to be on a 
course of antibiotics for an infection.  The symptoms sure sound like 
thrush/yeast to all of us working with her.  Fortunately, both her and the 
baby's doctor have been willing to prescribe for them.  She is now down to 
actually putting her baby to the breast 2-3 times/day and pumps the rest of 
the feedings.  She says it is painful to pump also, but not as bad.  I feel 
as stumped as you are, so if anyone has any additional advice for Rachel, 
I'm interested, too.

Pam Hirsch, RN,BSN,IBCLC
Clinical Lead, Lactation Services
Advocate Good Shepherd Hospital
Barrington, IL  USA

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