At 12:37 AM 10/24/01 +0200, you wrote:
>Hello all,
>Any light to shed on this. Mom with second baby. Seen at 3 weeks by me,
checked latch, corrected all >possible angles. severe bilateral bleeding
fissures on nipples.  Mom referred to another MD, LC for thrush >which was
treated and seemed to abate.

Where are the fissures?  If they look like a knife slice at the base of the
nipple, I would assume that it is yeast.  In my experience that is a
tell-tale sign of yeast/thrush.

I would recommend* at least* 2 weeks of Diflucan and Dr. Newman's All
Purpose Nipple Ointment along with treating the baby for thrush, preferably
with Diflucan. If not, with Gentian Violet per Dr. Newman's protocol.

Pat Gima, IBCLC
Milwaukee, Wisconsin
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