Pat,

I am not a physician, so don't know whether any of these solutions are
good ones, but these are my thoughts.
1.  Baby has never been adequately treated for thrush.  (I think Dr.
Hale says 40-50% is resistant to Nystatin.)  Should the baby be treated
with fluconazole (providing he/she is not on cisapride!)?
2.  Is there an unresolved bacterial infection?
3.  If neither of the above, would a short course of sytemic prednisone
be appropriate?  This is a real shot in the dark, and I am not at all
fond of systemic steroids.  However, I am thinking that Dr. Jack
recommends cortisone on the nipples if the pain lasts beyond the yeast
and am wondering if this is true on the inside as well.

Physicians, and pharmacists on the list, what do you think?

Bonnie Jones, RN, ICCE, IBCLC
from the S.W. USA

Who was it that likened this field to reading a mystery story?