If Mom's symptoms are not urgent anymore as you have said, she can treat herself by using organic virgin coconut oil. She can rub some into the skin on her nipples before and after every feeding as well as taking it internally (up to 6 Tblsp/ day). It is safe for baby. It is both a strong anti-fungal and antibacterial oil. To maintain a regular body balance she can switch to coconut oil for cooking and in place of all butter. I also suggest a daily probiotic to help maintain gut balance and prevent reocurring thrush episodes. And definitely have those frenulum ties addressed because that will only exacerbate things more! It can be scary for Mom to have her child's ties released but the long term benefits even beyond nursing out weigh the reasons not to. There is a tongue tie support group on Facebook that could direct you to a practitioner in your area. 

Take care!

Kirsten Stock, IBCLC 

Sent from my iPhone 

On Jan 1, 2013, at 6:43 AM, Sonya Shaver <[log in to unmask]> wrote:

> Hello,
> I have a mom (PTP) who had cracked and bleeding nipples in the first week,
> and developed symptoms of thrush.  Her provider had her take Diflucan, one
> dose every three days for 4 or 5 doses.  She says it helps on the days she
> takes it, but then it just goes back to what it was.  She has continued
> itching and burning in her breasts.  Her nipples are now healed and she
> doesn't have any external signs of trauma or thrush on her nipples.  Baby
> was also treated with Nystatin, even though baby never had any signs of
> thrush.  There is still some compression when baby latches, and some
> frenulum issues that haven't been addressed yet, but it has gotten better
> with improved positioning.  I have read here about how some have found that
> it's actually more a bacterial issue than fungal in cases with cracked and
> bleeding nipples, and the mom did have a slight fever when she went in to
> her provider with the cracked nipples during that first week.  Are moms
> being given antibiotics for that?  Is there anything else that can be done?
> Her nipples are now totally healed though.
> Many thanks for any insight,
> Sonya Shaver, BS, CHES, IBCLC
> 
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